| Bhs Benbrook Gastroenterology Associates | |
|
104 Technology Dr Ste 202 Butler PA 16001-1801 | |
| (833) 391-0654 | |
| (724) 482-6117 |
| Full Name | Bhs Benbrook Gastroenterology Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 104 Technology Dr Ste 202, Butler, Pennsylvania |
| Authorized Official Name and Position | Kenneth Defurio (CEO) |
| Authorized Official Contact | 7242836666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhs Benbrook Gastroenterology Associates Po Box 1549 Butler PA 16003-1549 Ph: (724) 284-4060 | Bhs Benbrook Gastroenterology Associates 104 Technology Dr Ste 202 Butler PA 16001-1801 Ph: (833) 391-0654 |
| NPI Number | 1619493046 |
|---|---|
| Provider Enumeration Date | 08/17/2017 |
| Last Update Date | 05/31/2022 |
| Medicare PECOS PAC ID | 7416840160 |
|---|---|
| Medicare Enrollment ID | O20040205000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619493046 | NPI | - | NPPES |
| 001644521-0017 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Pennsylvania) | Primary |
| Provider Name | Mary C Tanyel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790726925 PECOS PAC ID: 7618871815 Enrollment ID: I20031120000307 |
| Provider Name | Deborah R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891801478 PECOS PAC ID: 9739083908 Enrollment ID: I20031120000660 |
| Provider Name | Rodrick Albert Stevenson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689642340 PECOS PAC ID: 3779487590 Enrollment ID: I20031124000246 |
| Provider Name | Tammy M Mantini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619957032 PECOS PAC ID: 2668379330 Enrollment ID: I20031219000015 |
| Provider Name | Kevin Gerlach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598867202 PECOS PAC ID: 8921909169 Enrollment ID: I20040120000282 |
| Provider Name | Thomas B Pinto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104827872 PECOS PAC ID: 3072417336 Enrollment ID: I20040120000399 |
| Provider Name | Alexander Barsouk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114929544 PECOS PAC ID: 1951203520 Enrollment ID: I20040123000478 |
| Provider Name | Dean Lomago |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1336117712 PECOS PAC ID: 9133022049 Enrollment ID: I20040129000023 |
| Provider Name | George Davliakos |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1184694549 PECOS PAC ID: 3577466499 Enrollment ID: I20040129000029 |
| Provider Name | Paul E Wawrzynski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861457897 PECOS PAC ID: 3971406356 Enrollment ID: I20040202000264 |
| Provider Name | Catherine Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760458244 PECOS PAC ID: 7810880283 Enrollment ID: I20040209000090 |
| Provider Name | Janice M Kenneson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518932334 PECOS PAC ID: 4880588037 Enrollment ID: I20040210000413 |
| Provider Name | Daniel J Gagne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518974336 PECOS PAC ID: 2860386794 Enrollment ID: I20040211001006 |
| Provider Name | Edwin W Cheek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457358277 PECOS PAC ID: 4284528902 Enrollment ID: I20040212000123 |
| Provider Name | T Clark Simpson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740373729 PECOS PAC ID: 4789579640 Enrollment ID: I20040219000007 |
| Provider Name | Kathy J Selvaggi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1265434781 PECOS PAC ID: 7618862582 Enrollment ID: I20040219000062 |
| Provider Name | Cheryl Dinger Burkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508810342 PECOS PAC ID: 8921996646 Enrollment ID: I20040305000213 |
| Provider Name | Sunder Rao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164497293 PECOS PAC ID: 9537057542 Enrollment ID: I20040310000072 |
| Provider Name | Kim M Pierce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659431104 PECOS PAC ID: 5698665537 Enrollment ID: I20040316000997 |
| Provider Name | Marvin P Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285661371 PECOS PAC ID: 5890784011 Enrollment ID: I20040511001312 |
| Provider Name | George F Daniels |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508869496 PECOS PAC ID: 2769472935 Enrollment ID: I20040518000715 |
| Provider Name | Elliot L Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396741492 PECOS PAC ID: 2567448665 Enrollment ID: I20040629000334 |
| Provider Name | Brenda Lianne Nichol |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215158985 PECOS PAC ID: 5193704138 Enrollment ID: I20040714001244 |
| Provider Name | Mark A Provenzano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982791679 PECOS PAC ID: 5698741866 Enrollment ID: I20040908001512 |
| Provider Name | Robert A Mcnerney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184630881 PECOS PAC ID: 9739156274 Enrollment ID: I20040915000030 |
| Provider Name | Thomas Stuart Hartman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376513283 PECOS PAC ID: 7719946037 Enrollment ID: I20041004000473 |
| Provider Name | Jayne E Koster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033199088 PECOS PAC ID: 0042270928 Enrollment ID: I20041014000952 |
| Provider Name | Jocelyn L Craparo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407903495 PECOS PAC ID: 7618942160 Enrollment ID: I20041129000854 |
| Provider Name | Laurie L Powell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093829715 PECOS PAC ID: 3274591672 Enrollment ID: I20050103000309 |
| Provider Name | William A Michalak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063475648 PECOS PAC ID: 5193773547 Enrollment ID: I20050112000304 |
| Provider Name | M Denice Leonard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669473393 PECOS PAC ID: 6709835309 Enrollment ID: I20050121000027 |
| Provider Name | Justin A Cwynar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215916036 PECOS PAC ID: 2163472911 Enrollment ID: I20050128000593 |
| Provider Name | Charles C Huston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962478602 PECOS PAC ID: 5193777936 Enrollment ID: I20050221000110 |
| Provider Name | Michael Ernest Fiorina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235239195 PECOS PAC ID: 1355395120 Enrollment ID: I20050304000649 |
| Provider Name | Richard T Filiaggi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083602437 PECOS PAC ID: 6901852888 Enrollment ID: I20050323001084 |
| Provider Name | Gretchen Saeler Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053514539 PECOS PAC ID: 0941257893 Enrollment ID: I20050404000559 |
| Provider Name | Philip D Nicol |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700887197 PECOS PAC ID: 9032156930 Enrollment ID: I20050412001179 |
| Provider Name | Hugh E Shearer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316974579 PECOS PAC ID: 0840239885 Enrollment ID: I20050428000600 |
| Provider Name | Roger A Percy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831169929 PECOS PAC ID: 8325087208 Enrollment ID: I20050429000463 |
| Provider Name | Cynthia F Donatelli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407829880 PECOS PAC ID: 0446299200 Enrollment ID: I20050502000025 |
| Provider Name | Victor E Nieto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679547996 PECOS PAC ID: 6305885161 Enrollment ID: I20050502000041 |
| Provider Name | Michael C Holmes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356320097 PECOS PAC ID: 6406899301 Enrollment ID: I20050602000035 |
| Provider Name | Susan F Jackson Woodward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386614451 PECOS PAC ID: 5294778544 Enrollment ID: I20050607001060 |
| Provider Name | Graham C White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801876354 PECOS PAC ID: 6204870298 Enrollment ID: I20050610000256 |
| Provider Name | Kathryn Y Finney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417904475 PECOS PAC ID: 4284538547 Enrollment ID: I20050617000264 |
| Provider Name | Raheela Pirzada |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497718282 PECOS PAC ID: 6002852852 Enrollment ID: I20050701000014 |
| Provider Name | Tonia L Skakalski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013911411 PECOS PAC ID: 4082640784 Enrollment ID: I20050714000076 |
| Provider Name | Paul Christian Konitzky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841299641 PECOS PAC ID: 0042248650 Enrollment ID: I20050803000601 |
| Provider Name | Timothy J Lilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649258765 PECOS PAC ID: 8921039850 Enrollment ID: I20050830000629 |
| Provider Name | Todd Andrew Henderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891774824 PECOS PAC ID: 6406875384 Enrollment ID: I20051121000575 |
| Provider Name | Krysia L Zancosky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457316606 PECOS PAC ID: 8224058375 Enrollment ID: I20051205000015 |
| Provider Name | Anie Gency Perard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659347334 PECOS PAC ID: 5890716054 Enrollment ID: I20051215000207 |
| Provider Name | Robert C Luderer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477529329 PECOS PAC ID: 5496779522 Enrollment ID: I20060117000403 |
| Provider Name | Amesh A Adalja |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023209871 PECOS PAC ID: 4587688536 Enrollment ID: I20060118000323 |
| Provider Name | Raymond M Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386624799 PECOS PAC ID: 2264446343 Enrollment ID: I20060127000217 |
| Provider Name | Robin L Plank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174503437 PECOS PAC ID: 6608880661 Enrollment ID: I20060128000016 |
| Provider Name | Emily Stefaniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750479028 PECOS PAC ID: 4183687510 Enrollment ID: I20060208000129 |
| Provider Name | Janice Kindel Semeyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669441127 PECOS PAC ID: 0941216352 Enrollment ID: I20060222000507 |
| Provider Name | Beth Antinossi Panizales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861582686 PECOS PAC ID: 6204842792 Enrollment ID: I20060224000466 |
| Provider Name | Susen A Rossino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366535759 PECOS PAC ID: 0941218333 Enrollment ID: I20060327000566 |
| Provider Name | George A Makar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023181450 PECOS PAC ID: 0749290849 Enrollment ID: I20060504000088 |
| Provider Name | Michael Yman Dejesus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417903311 PECOS PAC ID: 2769493949 Enrollment ID: I20060601000295 |
| Provider Name | Brian C Carey |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982638425 PECOS PAC ID: 3870596729 Enrollment ID: I20060814000332 |
| Provider Name | Anupama K Sharma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063436772 PECOS PAC ID: 8527061993 Enrollment ID: I20060825000067 |
| Provider Name | Cornelia Savopoulou |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629095591 PECOS PAC ID: 7012911571 Enrollment ID: I20060914000375 |
| Provider Name | Christopher P Kolibash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043228414 PECOS PAC ID: 2062417447 Enrollment ID: I20060918000192 |
| Provider Name | Marc H Oster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508813809 PECOS PAC ID: 3779588082 Enrollment ID: I20060920000209 |
| Provider Name | Amy I Whitsel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710984000 PECOS PAC ID: 5597783373 Enrollment ID: I20061003000369 |
| Provider Name | Jerome M Itzkoff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972558815 PECOS PAC ID: 7315928793 Enrollment ID: I20061128000008 |
| Provider Name | Ronni Lynn Lencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659302297 PECOS PAC ID: 0749288702 Enrollment ID: I20061129000443 |
| Provider Name | Rainee D. Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861579575 PECOS PAC ID: 0143228148 Enrollment ID: I20061130000242 |
| Provider Name | Maninder Singh Bedi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003851213 PECOS PAC ID: 4082665567 Enrollment ID: I20070105000012 |
| Provider Name | David A Rock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780761221 PECOS PAC ID: 8729089461 Enrollment ID: I20070124000394 |
| Provider Name | Jennifer R Bowser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306998711 PECOS PAC ID: 8426050014 Enrollment ID: I20070212000157 |
| Provider Name | Thomas F Freenock |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184604498 PECOS PAC ID: 4688620263 Enrollment ID: I20070315000347 |
| Provider Name | Eleanor A Palermo Lloyd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235183922 PECOS PAC ID: 7113018029 Enrollment ID: I20070807000587 |
| Provider Name | Megan R Nash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245451715 PECOS PAC ID: 3476651597 Enrollment ID: I20070830000028 |
| Provider Name | Jennifer Burke Angert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891980108 PECOS PAC ID: 6103910492 Enrollment ID: I20070918000021 |
| Provider Name | Rekha Pinto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215122775 PECOS PAC ID: 0446346936 Enrollment ID: I20071015000085 |
| Provider Name | Edgar A Sotomayor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639284268 PECOS PAC ID: 1759335615 Enrollment ID: I20071025000406 |
| Provider Name | Peter J Molloy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912995168 PECOS PAC ID: 5597852418 Enrollment ID: I20071026000089 |
| Provider Name | Tiffany L Koelle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578747044 PECOS PAC ID: 6406936251 Enrollment ID: I20080107000011 |
| Provider Name | Lisa A Hildenbrand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821071358 PECOS PAC ID: 4486730009 Enrollment ID: I20080324000526 |
| Provider Name | Jody S Barnes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013199710 PECOS PAC ID: 2365529104 Enrollment ID: I20080404000077 |
| Provider Name | Sean A Connelly |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043494081 PECOS PAC ID: 7618046418 Enrollment ID: I20080520000470 |
| Provider Name | Karla D Mccann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730162538 PECOS PAC ID: 8325117724 Enrollment ID: I20080527000012 |
| Provider Name | Emily R Martin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235344250 PECOS PAC ID: 6800965260 Enrollment ID: I20080527000565 |
| Provider Name | Susan E Montag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396914354 PECOS PAC ID: 6507937307 Enrollment ID: I20080623000349 |
| Provider Name | Tobi Lynn Shuman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770699050 PECOS PAC ID: 9537147038 Enrollment ID: I20080723000348 |
| Provider Name | Stacey M Curran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457575367 PECOS PAC ID: 2466527650 Enrollment ID: I20080822000447 |
| Provider Name | Gail E Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487805792 PECOS PAC ID: 7517026396 Enrollment ID: I20081107000665 |
| Provider Name | Mark P Koehler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194962647 PECOS PAC ID: 8820154727 Enrollment ID: I20090302000113 |
| Provider Name | Brian D Berry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427295534 PECOS PAC ID: 7719044684 Enrollment ID: I20090319000454 |
| Provider Name | Glen R Miske |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1316197080 PECOS PAC ID: 1759438500 Enrollment ID: I20090413000456 |
| Provider Name | Melinda S Woods |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760626105 PECOS PAC ID: 8426108952 Enrollment ID: I20090604000160 |
| Provider Name | Veronica D Vezzani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083613228 PECOS PAC ID: 3678623006 Enrollment ID: I20090605000384 |
| Provider Name | Mark Evan Caine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699783456 PECOS PAC ID: 1456404490 Enrollment ID: I20090807000660 |
| Provider Name | Shripal C Shrishrimal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316181571 PECOS PAC ID: 4587718580 Enrollment ID: I20090810000525 |
| Provider Name | Angela A Rhoades |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609051861 PECOS PAC ID: 1759435142 Enrollment ID: I20090819000772 |
| Provider Name | Dhinesh J Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164492831 PECOS PAC ID: 3678628542 Enrollment ID: I20090827000739 |
| Provider Name | Rhonda Pena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316196538 PECOS PAC ID: 6103963376 Enrollment ID: I20091020000488 |
| Provider Name | Bradley A Fell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558331280 PECOS PAC ID: 2961500251 Enrollment ID: I20100127000499 |
| Provider Name | Ann K Rivers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992934731 PECOS PAC ID: 2163565961 Enrollment ID: I20100202000452 |
| Provider Name | Norman King Beals |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225008188 PECOS PAC ID: 8325146616 Enrollment ID: I20100216000038 |
| Provider Name | Kimberley L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467527952 PECOS PAC ID: 9133264294 Enrollment ID: I20100302000011 |
| Provider Name | Andrew Babay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023247095 PECOS PAC ID: 0345375598 Enrollment ID: I20100315000018 |
| Provider Name | Mark A Carlsson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962443614 PECOS PAC ID: 7315847431 Enrollment ID: I20100406000587 |
| Provider Name | Dennis Mitchell Demby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780612523 PECOS PAC ID: 9234266263 Enrollment ID: I20100423000254 |
| Provider Name | Kevin L Leighton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568490860 PECOS PAC ID: 1557499829 Enrollment ID: I20100506000472 |
| Provider Name | John J Rich |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265438659 PECOS PAC ID: 4183752439 Enrollment ID: I20100507000383 |
| Provider Name | Angel R Flores |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245236512 PECOS PAC ID: 9931237666 Enrollment ID: I20100517000571 |
| Provider Name | Randy D Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669618377 PECOS PAC ID: 0749319341 Enrollment ID: I20100519000866 |
| Provider Name | Richard John Begg |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376549741 PECOS PAC ID: 5698860203 Enrollment ID: I20100526000359 |
| Provider Name | Jerome E Scherer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881669828 PECOS PAC ID: 7618006479 Enrollment ID: I20100603000845 |
| Provider Name | Meng-g Martin Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003090911 PECOS PAC ID: 3072698232 Enrollment ID: I20100625000543 |
| Provider Name | David A Cowan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487795993 PECOS PAC ID: 5496821902 Enrollment ID: I20100701000233 |
| Provider Name | Andrew S Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275538381 PECOS PAC ID: 9234253238 Enrollment ID: I20100827000332 |
| Provider Name | Dustin P Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679705214 PECOS PAC ID: 9931391349 Enrollment ID: I20101004001126 |
| Provider Name | Agnieszka Krawczuk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477582682 PECOS PAC ID: 1557553492 Enrollment ID: I20101011000158 |
| Provider Name | Rami M Ausi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851508691 PECOS PAC ID: 0941492771 Enrollment ID: I20101012000155 |
| Provider Name | Avinash Linganna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437362951 PECOS PAC ID: 4082806765 Enrollment ID: I20101013000767 |
| Provider Name | Annette V Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699718031 PECOS PAC ID: 1254344658 Enrollment ID: I20101026000074 |
| Provider Name | Chakra B Gurung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043477128 PECOS PAC ID: 5890989503 Enrollment ID: I20101027000053 |
| Provider Name | Joseph F Dorazio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225091135 PECOS PAC ID: 5092901363 Enrollment ID: I20101129000564 |
| Provider Name | Marco G Cavagna |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1710144100 PECOS PAC ID: 4587851464 Enrollment ID: I20101203000795 |
| Provider Name | Tony M Maalouf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831120534 PECOS PAC ID: 2567350085 Enrollment ID: I20101214000873 |
| Provider Name | Donald A Walters |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053349779 PECOS PAC ID: 3870782816 Enrollment ID: I20110106000771 |
| Provider Name | Chase M White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558561803 PECOS PAC ID: 6800085531 Enrollment ID: I20110112000460 |
| Provider Name | Joanne Sickeri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235323353 PECOS PAC ID: 3971783002 Enrollment ID: I20110208000092 |
| Provider Name | Lela E Dougherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891970091 PECOS PAC ID: 7214117761 Enrollment ID: I20110215001043 |
| Provider Name | Christopher L Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942523725 PECOS PAC ID: 0941481444 Enrollment ID: I20110216000619 |
| Provider Name | Randon Calvin Simmons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932134954 PECOS PAC ID: 7416139720 Enrollment ID: I20110308000707 |
| Provider Name | Mailinn E Wong Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306032552 PECOS PAC ID: 5395928402 Enrollment ID: I20110328000624 |
| Provider Name | Arshad Mahmood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508811696 PECOS PAC ID: 2163605189 Enrollment ID: I20110328000804 |
| Provider Name | Jessica L Devine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578869525 PECOS PAC ID: 0547445066 Enrollment ID: I20110427000625 |
| Provider Name | Abigail Mohrbacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013214253 PECOS PAC ID: 5991980922 Enrollment ID: I20110506000066 |
| Provider Name | Kevin B Traub |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861491201 PECOS PAC ID: 0547314221 Enrollment ID: I20110506000551 |
| Provider Name | Rick S Ferris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962501221 PECOS PAC ID: 7911945340 Enrollment ID: I20110512000730 |
| Provider Name | Gary R Bergman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356448971 PECOS PAC ID: 0547208977 Enrollment ID: I20110512000742 |
| Provider Name | Anthony G Golio |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003879172 PECOS PAC ID: 8426186115 Enrollment ID: I20110516000192 |
| Provider Name | Joann H Lamb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083620116 PECOS PAC ID: 4284735002 Enrollment ID: I20110623000637 |
| Provider Name | Suiwen He |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407051881 PECOS PAC ID: 8820276256 Enrollment ID: I20110706000463 |
| Provider Name | Keith R Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770745754 PECOS PAC ID: 4880863208 Enrollment ID: I20110801000691 |
| Provider Name | Amanda J Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457347064 PECOS PAC ID: 2769539063 Enrollment ID: I20110920000532 |
| Provider Name | Jennifer Lynn Wildpret |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1891984175 PECOS PAC ID: 4789856451 Enrollment ID: I20111003000269 |
| Provider Name | Nicole M Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649593500 PECOS PAC ID: 5597937862 Enrollment ID: I20111010000254 |
| Provider Name | Anna Mnuskin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962501015 PECOS PAC ID: 7810161163 Enrollment ID: I20111122000637 |
| Provider Name | Katie L Weir |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811266992 PECOS PAC ID: 4587821830 Enrollment ID: I20120130000311 |
| Provider Name | Charles D Klingensmith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760768238 PECOS PAC ID: 7214196369 Enrollment ID: I20120308000301 |
| Provider Name | Mrunali V Luke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306033014 PECOS PAC ID: 3779747308 Enrollment ID: I20120612000376 |
| Provider Name | Darren R Machak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447487996 PECOS PAC ID: 9931363389 Enrollment ID: I20120614000461 |
| Provider Name | Joseph T Dougherty |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1487806402 PECOS PAC ID: 5991951352 Enrollment ID: I20120820000171 |
| Provider Name | Joseph L Leonard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336462209 PECOS PAC ID: 6305098898 Enrollment ID: I20121207000417 |
| Provider Name | Cara Haines |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952655524 PECOS PAC ID: 9931353489 Enrollment ID: I20130208000236 |
| Provider Name | Leslie Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023353406 PECOS PAC ID: 5799939187 Enrollment ID: I20130213000070 |
| Provider Name | Julie Richards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184963001 PECOS PAC ID: 1456597665 Enrollment ID: I20130412000565 |
| Provider Name | Stephanie C Douglass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891062709 PECOS PAC ID: 0143118141 Enrollment ID: I20130604000376 |
| Provider Name | Lori J Yakish |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225373392 PECOS PAC ID: 2264670074 Enrollment ID: I20130605000554 |
| Provider Name | David J Vasil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245551282 PECOS PAC ID: 8628218757 Enrollment ID: I20130712000189 |
| Provider Name | Donald C Dworek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760764476 PECOS PAC ID: 3870734684 Enrollment ID: I20130720000043 |
| Provider Name | Ashley N Kunselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689983520 PECOS PAC ID: 1456593219 Enrollment ID: I20130808000151 |
| Provider Name | Samuel T Detwiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548259617 PECOS PAC ID: 1850382839 Enrollment ID: I20130919000266 |
| Provider Name | Chad S Hendrickson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780665075 PECOS PAC ID: 6204060908 Enrollment ID: I20131014000007 |
| Provider Name | Laxman Prajapat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265699912 PECOS PAC ID: 3375771454 Enrollment ID: I20140117000470 |
| Provider Name | Linette Hilliard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912335332 PECOS PAC ID: 6709014756 Enrollment ID: I20140121000208 |
| Provider Name | David Kalman Epstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649256223 PECOS PAC ID: 5597926857 Enrollment ID: I20140319000323 |
| Provider Name | Dinesh Bhaskaran |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326090549 PECOS PAC ID: 4688685977 Enrollment ID: I20140322000022 |
| Provider Name | Luke A Zigrossi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457633380 PECOS PAC ID: 5991936346 Enrollment ID: I20140327001141 |
| Provider Name | Jonathan D Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568898617 PECOS PAC ID: 4880818848 Enrollment ID: I20140612001334 |
| Provider Name | Hannah Marie Hetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295002038 PECOS PAC ID: 5193942126 Enrollment ID: I20140814001191 |
| Provider Name | Mojibade K Odebode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740573831 PECOS PAC ID: 5991923666 Enrollment ID: I20140822000775 |
| Provider Name | Dillon J Stein |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1538447776 PECOS PAC ID: 2062630627 Enrollment ID: I20140825000742 |
| Provider Name | Kathryn A Szabo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316233281 PECOS PAC ID: 9830318286 Enrollment ID: I20140917000044 |
| Provider Name | Soo Jung Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720007487 PECOS PAC ID: 9739184805 Enrollment ID: I20140918000504 |
| Provider Name | Kiran Patil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538585880 PECOS PAC ID: 9335360106 Enrollment ID: I20141020001287 |
| Provider Name | Kristen C Tarr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710389259 PECOS PAC ID: 5092936310 Enrollment ID: I20141029001521 |
| Provider Name | Megan N Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134524929 PECOS PAC ID: 9830412204 Enrollment ID: I20141217000169 |
| Provider Name | Glenn Uber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316910128 PECOS PAC ID: 0042120917 Enrollment ID: I20150107000488 |
| Provider Name | Anuradha Satyavolu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114171170 PECOS PAC ID: 8729148739 Enrollment ID: I20150206000750 |
| Provider Name | Anita L Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881677615 PECOS PAC ID: 2062737026 Enrollment ID: I20150213001851 |
| Provider Name | Betty J Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578961991 PECOS PAC ID: 5991021248 Enrollment ID: I20150303001546 |
| Provider Name | Valentyna Honchar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033499462 PECOS PAC ID: 0941529069 Enrollment ID: I20150512000546 |
| Provider Name | Elizabeth L Detschelt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093965329 PECOS PAC ID: 8729258645 Enrollment ID: I20150519001869 |
| Provider Name | Rebecca G Pomerantz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730476847 PECOS PAC ID: 3375864135 Enrollment ID: I20150604001758 |
| Provider Name | Thomas D Prutz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396002846 PECOS PAC ID: 7719209097 Enrollment ID: I20150618000870 |
| Provider Name | Andrew J Szabo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023338258 PECOS PAC ID: 3577874452 Enrollment ID: I20150618001736 |
| Provider Name | Andrew M Fleming |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588058119 PECOS PAC ID: 2365753993 Enrollment ID: I20150623001153 |
| Provider Name | Justin R Wallace |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033372594 PECOS PAC ID: 0244542488 Enrollment ID: I20150701001121 |
| Provider Name | Lori Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609171792 PECOS PAC ID: 0345552956 Enrollment ID: I20150709001750 |
| Provider Name | Shelley N Milanovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366595696 PECOS PAC ID: 4082926647 Enrollment ID: I20150710000140 |
| Provider Name | Joseph W Bertsch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760875504 PECOS PAC ID: 0840503215 Enrollment ID: I20150715000598 |
| Provider Name | Katrina L Amsler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619351855 PECOS PAC ID: 2264748698 Enrollment ID: I20150901000214 |
| Provider Name | Corinna J Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497133144 PECOS PAC ID: 4880900877 Enrollment ID: I20150908000385 |
| Provider Name | Anne Elizabeth Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144606047 PECOS PAC ID: 2466760053 Enrollment ID: I20151001000045 |
| Provider Name | Amar Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962713396 PECOS PAC ID: 6507006756 Enrollment ID: I20151006000137 |
| Provider Name | Lori K Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437559390 PECOS PAC ID: 4789984196 Enrollment ID: I20151207002260 |
| Provider Name | Shweta Garg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346537461 PECOS PAC ID: 1759503816 Enrollment ID: I20151229000238 |
| Provider Name | Denise R Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902278575 PECOS PAC ID: 0547562795 Enrollment ID: I20160106000407 |
| Provider Name | John F Love |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679741219 PECOS PAC ID: 2668638313 Enrollment ID: I20160208001489 |
| Provider Name | Kelly A Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114392594 PECOS PAC ID: 8022312826 Enrollment ID: I20160215000786 |
| Provider Name | Paula A Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730544149 PECOS PAC ID: 7517263551 Enrollment ID: I20160317000089 |
| Provider Name | Melissa A Shute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104283597 PECOS PAC ID: 2567769870 Enrollment ID: I20160401000149 |
| Provider Name | Jessica Lynn Peek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831444066 PECOS PAC ID: 3072832179 Enrollment ID: I20160701000135 |
| Provider Name | Jennifer L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033565619 PECOS PAC ID: 9032401278 Enrollment ID: I20160708001791 |
| Provider Name | Jason D Clark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134448525 PECOS PAC ID: 9931326410 Enrollment ID: I20160804001701 |
| Provider Name | Melisse S Maser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063867570 PECOS PAC ID: 5991090490 Enrollment ID: I20160823001971 |
| Provider Name | Rachel Susan Konchar Christy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982899969 PECOS PAC ID: 1951601566 Enrollment ID: I20160909001815 |
| Provider Name | Tia Marie Bowser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124570254 PECOS PAC ID: 3870873474 Enrollment ID: I20161216000088 |
| Provider Name | Crystal Diane Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861944183 PECOS PAC ID: 6305128893 Enrollment ID: I20170118000285 |
| Provider Name | Chastity Takoma Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437283231 PECOS PAC ID: 5294923504 Enrollment ID: I20170213001771 |
| Provider Name | Carissa E Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477095115 PECOS PAC ID: 9436433455 Enrollment ID: I20170310000834 |
| Provider Name | Sherry S Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043757941 PECOS PAC ID: 3971888322 Enrollment ID: I20170327000939 |
| Provider Name | Noopur Tiwari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689014359 PECOS PAC ID: 7911297304 Enrollment ID: I20170504002185 |
| Provider Name | Richard Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437132131 PECOS PAC ID: 7315934411 Enrollment ID: I20170510000249 |
| Provider Name | Anthony D Dimatteo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356601405 PECOS PAC ID: 2062717580 Enrollment ID: I20170626001236 |
| Provider Name | Michael C. Piscitelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841604154 PECOS PAC ID: 0840586020 Enrollment ID: I20170712001211 |
| Provider Name | Aaron J Hankowitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376083527 PECOS PAC ID: 9638449606 Enrollment ID: I20170724003835 |
| Provider Name | Brandon Lee Doverspike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962811497 PECOS PAC ID: 9830469717 Enrollment ID: I20170726000475 |
| Provider Name | Margaret Spingola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174053300 PECOS PAC ID: 7315218641 Enrollment ID: I20170804002469 |
| Provider Name | Joseph W Kusick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801116736 PECOS PAC ID: 2365674751 Enrollment ID: I20170809000576 |
| Provider Name | Devon Swanson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023492121 PECOS PAC ID: 1557652856 Enrollment ID: I20170906001124 |
| Provider Name | Andrea A Varraux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376960047 PECOS PAC ID: 3779868138 Enrollment ID: I20170915002797 |
| Provider Name | Ian Hollobaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629590062 PECOS PAC ID: 7719251891 Enrollment ID: I20170928001749 |
| Provider Name | Christania Morganti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811937626 PECOS PAC ID: 1153696463 Enrollment ID: I20171011003112 |
| Provider Name | Kristin M Mohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255850251 PECOS PAC ID: 0547527640 Enrollment ID: I20171128001320 |
| Provider Name | Theresa M Ramella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811152085 PECOS PAC ID: 7012277924 Enrollment ID: I20180213002773 |
| Provider Name | Jonathan A Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437663135 PECOS PAC ID: 2860752698 Enrollment ID: I20180215002524 |
| Provider Name | Peter Matthew Sylves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952350407 PECOS PAC ID: 8729091913 Enrollment ID: I20180221002389 |
| Provider Name | Zhengyi Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669603890 PECOS PAC ID: 1759675747 Enrollment ID: I20180410002237 |
| Provider Name | Kay Johnson-keys |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043247190 PECOS PAC ID: 4587621271 Enrollment ID: I20180618000101 |
| Provider Name | Kyle S Marcotte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982097135 PECOS PAC ID: 0042595944 Enrollment ID: I20180620000629 |
| Provider Name | David Joseph Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619966561 PECOS PAC ID: 5496788119 Enrollment ID: I20180702001623 |
| Provider Name | Zorawar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114313715 PECOS PAC ID: 4587971114 Enrollment ID: I20180716001571 |
| Provider Name | Bryan Scott Doverspike |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164836094 PECOS PAC ID: 5991052896 Enrollment ID: I20180724002128 |
| Provider Name | Rachel Lynn Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225516321 PECOS PAC ID: 8921358714 Enrollment ID: I20180828003395 |
| Provider Name | Gaston Da Costa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902011158 PECOS PAC ID: 5193825073 Enrollment ID: I20180905000102 |
| Provider Name | Alison Stacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588156350 PECOS PAC ID: 1759631625 Enrollment ID: I20180914000156 |
| Provider Name | Daniel R Lunsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891284683 PECOS PAC ID: 3870844756 Enrollment ID: I20180918000305 |
| Provider Name | Erika R Passerini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134613268 PECOS PAC ID: 7416208129 Enrollment ID: I20180919002401 |
| Provider Name | Erika M Terek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497270581 PECOS PAC ID: 9234480419 Enrollment ID: I20180927001116 |
| Provider Name | Alayna Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740773373 PECOS PAC ID: 7719238898 Enrollment ID: I20180928002602 |
| Provider Name | Beth K Reefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205318615 PECOS PAC ID: 7315290434 Enrollment ID: I20181018003139 |
| Provider Name | Patrick M Dougherty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114406428 PECOS PAC ID: 3274886510 Enrollment ID: I20181102000672 |
| Provider Name | Stacy D Burka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982026373 PECOS PAC ID: 6103179379 Enrollment ID: I20181106000401 |
| Provider Name | Margarette Damas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215134168 PECOS PAC ID: 3476440686 Enrollment ID: I20181115000227 |
| Provider Name | Richard Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407330830 PECOS PAC ID: 7315281375 Enrollment ID: I20181130002452 |
| Provider Name | Kady Miletti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245610484 PECOS PAC ID: 8729376389 Enrollment ID: I20181206000444 |
| Provider Name | Autumn Schlafhauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629545827 PECOS PAC ID: 1456697317 Enrollment ID: I20190114002024 |
| Provider Name | Kristen M Rattigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154892347 PECOS PAC ID: 5294073870 Enrollment ID: I20190206000461 |
| Provider Name | Nikki A Karatinos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316403850 PECOS PAC ID: 2961743851 Enrollment ID: I20190402001409 |
| Provider Name | Sheena M Santoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407317639 PECOS PAC ID: 9436482106 Enrollment ID: I20190612000351 |
| Provider Name | Grant Gibb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225416951 PECOS PAC ID: 5991005019 Enrollment ID: I20190618000596 |
| Provider Name | Way S Chiang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174975353 PECOS PAC ID: 5193059293 Enrollment ID: I20190624002042 |
| Provider Name | Scott M Nellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326499526 PECOS PAC ID: 2567740095 Enrollment ID: I20190805002724 |
| Provider Name | Samantha Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245882414 PECOS PAC ID: 7810224060 Enrollment ID: I20190809001684 |
| Provider Name | Mary Elizabeth Kovacik Eicher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659799476 PECOS PAC ID: 0840527958 Enrollment ID: I20190813001313 |
| Provider Name | Sarah Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346806957 PECOS PAC ID: 6103153135 Enrollment ID: I20190813002895 |
| Provider Name | William Streiff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104166834 PECOS PAC ID: 9032414545 Enrollment ID: I20190816001057 |
| Provider Name | Heidi Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154888683 PECOS PAC ID: 0749518116 Enrollment ID: I20190822002711 |
| Provider Name | Ji Hye Charlton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316292196 PECOS PAC ID: 8628379831 Enrollment ID: I20190911001799 |
| Provider Name | Jayme L Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033774047 PECOS PAC ID: 2365772894 Enrollment ID: I20190926002176 |
| Provider Name | Elham Rabiei Flori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649628819 PECOS PAC ID: 8426389396 Enrollment ID: I20191007002396 |
| Provider Name | Farrah Vali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265884183 PECOS PAC ID: 5890026371 Enrollment ID: I20191015000753 |
| Provider Name | Haley Mudrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154976355 PECOS PAC ID: 0244562205 Enrollment ID: I20191024002651 |
| Provider Name | Kristyn R Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003473414 PECOS PAC ID: 1052643897 Enrollment ID: I20191029001734 |
| Provider Name | Chinenyenwa Onyemaechi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396087052 PECOS PAC ID: 9234438433 Enrollment ID: I20191031000936 |
| Provider Name | Brendon D Ignatz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700428885 PECOS PAC ID: 7719310895 Enrollment ID: I20191203002043 |
| Provider Name | Mats O Sanden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093730954 PECOS PAC ID: 8325330210 Enrollment ID: I20191206002087 |
| Provider Name | John M Sundermann |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447213582 PECOS PAC ID: 6608968565 Enrollment ID: I20191226001930 |
| Provider Name | Mychal Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245873330 PECOS PAC ID: 7214363175 Enrollment ID: I20200212002263 |
| Provider Name | Suresh Tammineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790981868 PECOS PAC ID: 0648462580 Enrollment ID: I20200218001004 |
| Provider Name | Elizabeth Conley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164064184 PECOS PAC ID: 1355779281 Enrollment ID: I20200306002309 |
| Provider Name | Casey L Stowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023647401 PECOS PAC ID: 7315378478 Enrollment ID: I20200506000661 |
| Provider Name | Joshua Hertel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710410949 PECOS PAC ID: 1850657503 Enrollment ID: I20200519000830 |
| Provider Name | Robert Pearce |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598185506 PECOS PAC ID: 8123328788 Enrollment ID: I20200609002606 |
| Provider Name | Lauren M Hertel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144753328 PECOS PAC ID: 1557627510 Enrollment ID: I20200616003154 |
| Provider Name | Bilal Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932414166 PECOS PAC ID: 1557591641 Enrollment ID: I20200625000228 |
| Provider Name | Grant I Langston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891227427 PECOS PAC ID: 7618390147 Enrollment ID: I20200630003566 |
| Provider Name | Venkatesha G S Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245218817 PECOS PAC ID: 6608820998 Enrollment ID: I20200721004231 |
| Provider Name | Stephanie L Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124551726 PECOS PAC ID: 6103182241 Enrollment ID: I20200803001401 |
| Provider Name | Michael J Fazzini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417487703 PECOS PAC ID: 3173893500 Enrollment ID: I20200804003186 |
| Provider Name | Yasha J Mohajer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427583384 PECOS PAC ID: 2062784218 Enrollment ID: I20200812003346 |
| Provider Name | Wayne Gordon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750486858 PECOS PAC ID: 5597852434 Enrollment ID: I20200824002456 |
| Provider Name | Lorri Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366054389 PECOS PAC ID: 1951720739 Enrollment ID: I20200928002467 |
| Provider Name | Lindsey M Mcferron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720687924 PECOS PAC ID: 2668884396 Enrollment ID: I20201222000234 |
| Provider Name | Kristen Cress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144829664 PECOS PAC ID: 0547673642 Enrollment ID: I20210111000884 |
| Provider Name | William Paul Lapsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851906788 PECOS PAC ID: 0941613848 Enrollment ID: I20210114001391 |
| Provider Name | Katelyn R Soldner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356940076 PECOS PAC ID: 8820403884 Enrollment ID: I20210225000170 |
| Provider Name | Athanasios Stoyioglou |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427139476 PECOS PAC ID: 8426152281 Enrollment ID: I20210706001352 |
| Provider Name | Kristin Alexandria Ellis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629472170 PECOS PAC ID: 6507268091 Enrollment ID: I20210706003495 |
| Provider Name | Ashley Michelle Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780265736 PECOS PAC ID: 9032511357 Enrollment ID: I20210709000143 |
| Provider Name | Kourtney Bell King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174020861 PECOS PAC ID: 8325440498 Enrollment ID: I20210712003359 |
| Provider Name | Varun Avula |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356754949 PECOS PAC ID: 0749684447 Enrollment ID: I20210803001067 |
| Provider Name | Anish Trehun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366639023 PECOS PAC ID: 4789842725 Enrollment ID: I20210810004110 |
| Provider Name | Virginia Singla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952745929 PECOS PAC ID: 4082843834 Enrollment ID: I20210813002653 |
| Provider Name | Andrew Begg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952808750 PECOS PAC ID: 7315285079 Enrollment ID: I20210831000360 |
| Provider Name | Michele Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295402956 PECOS PAC ID: 5991101677 Enrollment ID: I20210903000734 |
| Provider Name | Tyler Jeffrey Delaney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306373998 PECOS PAC ID: 5991073785 Enrollment ID: I20210907000214 |
| Provider Name | April L Pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477228054 PECOS PAC ID: 4284031246 Enrollment ID: I20210920000395 |
| Provider Name | Brittany Nicole Bielewicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184115008 PECOS PAC ID: 9537414305 Enrollment ID: I20211011000125 |
| Provider Name | Jon Leo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962909101 PECOS PAC ID: 4486981305 Enrollment ID: I20211015002396 |
| Provider Name | Nichole Tiche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104595156 PECOS PAC ID: 8921496613 Enrollment ID: I20211029000801 |
| Provider Name | Amanda T Mogielski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205474541 PECOS PAC ID: 2466845912 Enrollment ID: I20220207001053 |
| Provider Name | Mohammad Khizar Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023428919 PECOS PAC ID: 0941588180 Enrollment ID: I20220217001872 |
| Provider Name | Adrienne Genovese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124789839 PECOS PAC ID: 6305230285 Enrollment ID: I20220221000210 |
| Provider Name | Alexander Steven Calhoun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295493765 PECOS PAC ID: 4385038090 Enrollment ID: I20220223000706 |
| Provider Name | Jayme Lynn Baumcratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518612688 PECOS PAC ID: 0547655946 Enrollment ID: I20220322001968 |
| Provider Name | Heather J Muhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578203790 PECOS PAC ID: 2163818634 Enrollment ID: I20220408002359 |
| Provider Name | Hannah Rose Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629730627 PECOS PAC ID: 6901284041 Enrollment ID: I20220602000994 |
| Provider Name | Abdallah Naddaf |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1710392071 PECOS PAC ID: 6901022052 Enrollment ID: I20220712000290 |
| Provider Name | Mahmoud Sallah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487630604 PECOS PAC ID: 1153399753 Enrollment ID: I20220713000163 |
| Provider Name | Paige Victoria Scornavacchi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811644867 PECOS PAC ID: 9335521061 Enrollment ID: I20220727004311 |
| Provider Name | Corbyn Minich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427510346 PECOS PAC ID: 7315321338 Enrollment ID: I20220825000354 |
| Provider Name | Katherine V Miller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942654561 PECOS PAC ID: 3375831696 Enrollment ID: I20220825001257 |
| Provider Name | Erin Shumans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306334479 PECOS PAC ID: 7810241064 Enrollment ID: I20220914001341 |
| Provider Name | John M Kasznica |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982634622 PECOS PAC ID: 0244247187 Enrollment ID: I20220922003249 |
| Provider Name | Heidi Marie Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891442208 PECOS PAC ID: 4880064997 Enrollment ID: I20230106000941 |
| Provider Name | Louis Lazzara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558786186 PECOS PAC ID: 3870925381 Enrollment ID: I20230307001305 |
| Provider Name | Patrick Jung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336501568 PECOS PAC ID: 7719274828 Enrollment ID: I20230530002616 |
| Provider Name | Emily Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740996644 PECOS PAC ID: 7315304730 Enrollment ID: I20230531000082 |
| Provider Name | Laura C Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578240834 PECOS PAC ID: 2264892413 Enrollment ID: I20230719001697 |
| Provider Name | Angela Marie Bacon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235873449 PECOS PAC ID: 4789058843 Enrollment ID: I20230919000580 |
| Provider Name | Julie Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770043358 PECOS PAC ID: 1052641941 Enrollment ID: I20230925000659 |
| Provider Name | Nikita Urval |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194112821 PECOS PAC ID: 6204172547 Enrollment ID: I20230927004087 |
| Provider Name | Sajid Ahmed Ravasia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528015146 PECOS PAC ID: 7012932304 Enrollment ID: I20230928002150 |
| Provider Name | Austin R Oblack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790282838 PECOS PAC ID: 7517205271 Enrollment ID: I20231006001258 |
| Provider Name | Kathryn Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518649342 PECOS PAC ID: 7719333251 Enrollment ID: I20231019002638 |
| Provider Name | Christine M Slotta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700875465 PECOS PAC ID: 5496656308 Enrollment ID: I20231027002225 |
| Provider Name | Alexys Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659834513 PECOS PAC ID: 7315321999 Enrollment ID: I20231110000257 |
| Provider Name | Sarah Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639771967 PECOS PAC ID: 3577911122 Enrollment ID: I20231121001468 |
| Provider Name | Nubia Lluberes Rincon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083911143 PECOS PAC ID: 0648428243 Enrollment ID: I20231213000188 |
| Provider Name | Shelby Fillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073394532 PECOS PAC ID: 1658721733 Enrollment ID: I20240102002888 |
| Provider Name | Stephanie Pasquarette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568229581 PECOS PAC ID: 4183061278 Enrollment ID: I20240325003546 |
| Provider Name | Mushtaq Qureshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811352396 PECOS PAC ID: 2365871910 Enrollment ID: I20240508003671 |
Bhs - Nallathambi Medical Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 E Cunningham St, Butler, PA 16001 Phone: 724-283-0212 Fax: 724-283-2404 | |
Bhs Endocrinology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Oneida Valley Rd Ste 101, Butler, PA 16001 Phone: 833-604-7211 Fax: 724-285-1274 | |
Butler Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Woody Dr, Butler, PA 16001 Phone: 724-287-8500 | |
William C. Dicuccio, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 E Jefferson St, Butler, PA 16001 Phone: 724-282-1530 Fax: 724-282-1541 | |
Robert A Mcnerney Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 W Cunningham St, Butler, PA 16001 Phone: 724-431-2389 | |
Michael R. Trotta, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 E Jefferson St, Butler, PA 16001 Phone: 724-282-1530 Fax: 724-282-1541 | |
Center For Pain Relief And Longevity Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 227 S Chestnut St, Butler, PA 16001 Phone: 724-431-4444 Fax: 724-284-1101 |