| Blair Medical Associates | |
|
1414 9th Ave Station Medical Center Altoona PA 16602-2454 | |
| (814) 946-1655 | |
| (814) 949-7616 |
| Full Name | Blair Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 1414 9th Ave, Altoona, Pennsylvania |
| Authorized Official Name and Position | Jill M Swab (BILLING MANAGER) |
| Authorized Official Contact | 8149497622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blair Medical Associates 1414 9th Ave Station Medical Center Altoona PA 16602-2454 Ph: (814) 946-1655 | Blair Medical Associates 1414 9th Ave Station Medical Center Altoona PA 16602-2454 Ph: (814) 946-1655 |
| NPI Number | 1396724217 |
|---|---|
| Provider Enumeration Date | 01/10/2006 |
| Last Update Date | 02/02/2015 |
| Medicare PECOS PAC ID | 5395659312 |
|---|---|
| Medicare Enrollment ID | O20040312000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396724217 | NPI | - | NPPES |
| 1019546 | Other | PA | GATEWAY PEDS |
| 1015340 | Other | PA | GATEWAY IM |
| 142869 | Other | PA | HIGHMARK PCP NUMBER |
| 1015349 | Other | PA | GATEWAY FP |
| W463 | Other | PA | GEISINGER OFFICE NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Mohammad Eslami |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1780665786 PECOS PAC ID: 1658276498 Enrollment ID: I20031204000467 |
| Provider Name | Daniel Delp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154316420 PECOS PAC ID: 1254238504 Enrollment ID: I20031216000221 |
| Provider Name | James A Urso |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891734521 PECOS PAC ID: 9739081571 Enrollment ID: I20040122001015 |
| Provider Name | Philip Joseph Hlavac |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548238322 PECOS PAC ID: 4183519002 Enrollment ID: I20040219000364 |
| Provider Name | Christine Potterjones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417952961 PECOS PAC ID: 3375431380 Enrollment ID: I20040310000124 |
| Provider Name | Arjun Kalyanpur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376528315 PECOS PAC ID: 7618961103 Enrollment ID: I20040408000756 |
| Provider Name | Jason E Henninger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912013467 PECOS PAC ID: 4486648631 Enrollment ID: I20040414000839 |
| Provider Name | Sumathi Wable |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447345665 PECOS PAC ID: 7719962091 Enrollment ID: I20040621001643 |
| Provider Name | Larry V Carson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588764385 PECOS PAC ID: 4183600893 Enrollment ID: I20040624001329 |
| Provider Name | Elliott Bilofsky |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982662540 PECOS PAC ID: 7214907203 Enrollment ID: I20040728000173 |
| Provider Name | Manesh Mathew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841242112 PECOS PAC ID: 6800866823 Enrollment ID: I20040728000405 |
| Provider Name | Matthew Evans Newlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528038726 PECOS PAC ID: 1951398122 Enrollment ID: I20040728000900 |
| Provider Name | Mitchell S Felder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891767042 PECOS PAC ID: 7911978226 Enrollment ID: I20040802000863 |
| Provider Name | Charles S Yanofsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669433587 PECOS PAC ID: 6507837663 Enrollment ID: I20040803000469 |
| Provider Name | David Landon Burwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659329043 PECOS PAC ID: 5193796225 Enrollment ID: I20040803000982 |
| Provider Name | George W Cummings |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235225111 PECOS PAC ID: 0749256220 Enrollment ID: I20040907000490 |
| Provider Name | Mukul Bhatnagar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790750453 PECOS PAC ID: 5991774085 Enrollment ID: I20040927000228 |
| Provider Name | Shabbir Ahmad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982673133 PECOS PAC ID: 2163487539 Enrollment ID: I20041124000520 |
| Provider Name | Rashmikant S Pandit |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922016559 PECOS PAC ID: 1850346636 Enrollment ID: I20050315000172 |
| Provider Name | Vijayaraghavan Janakiraman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992779789 PECOS PAC ID: 3072598507 Enrollment ID: I20050331000678 |
| Provider Name | Subhashis Maitra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710944079 PECOS PAC ID: 0941247555 Enrollment ID: I20050414001151 |
| Provider Name | Neil A Kaneshiki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306803671 PECOS PAC ID: 8325086762 Enrollment ID: I20050418000696 |
| Provider Name | Eugene A Bonaroti |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528068608 PECOS PAC ID: 0941241483 Enrollment ID: I20050520000094 |
| Provider Name | Ghassan Abu-hamad |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972575298 PECOS PAC ID: 7315973187 Enrollment ID: I20050713000169 |
| Provider Name | Charles Sutton |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255315032 PECOS PAC ID: 0840220331 Enrollment ID: I20050815000680 |
| Provider Name | Richard Miller |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194779876 PECOS PAC ID: 7810958543 Enrollment ID: I20050914000404 |
| Provider Name | Jan Savit |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326036831 PECOS PAC ID: 5991739245 Enrollment ID: I20050926000575 |
| Provider Name | Amy Elaine Swindell |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1588645618 PECOS PAC ID: 9638166044 Enrollment ID: I20050927000689 |
| Provider Name | Eric L Safyan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427021039 PECOS PAC ID: 0547281578 Enrollment ID: I20051217000033 |
| Provider Name | Vickie Lathero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669431813 PECOS PAC ID: 3375566284 Enrollment ID: I20060106000180 |
| Provider Name | James D Luketich |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700850666 PECOS PAC ID: 3072537646 Enrollment ID: I20060123000218 |
| Provider Name | Steven A Leers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275606535 PECOS PAC ID: 9234144007 Enrollment ID: I20060215000461 |
| Provider Name | James W Klena |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285740662 PECOS PAC ID: 5597664037 Enrollment ID: I20060308000479 |
| Provider Name | Stephen J Pandolph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053311761 PECOS PAC ID: 4880602572 Enrollment ID: I20060324000017 |
| Provider Name | William P Diefenbach |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740268812 PECOS PAC ID: 2062422942 Enrollment ID: I20060424000233 |
| Provider Name | Rabih A Chaer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881648343 PECOS PAC ID: 6305857426 Enrollment ID: I20060621000233 |
| Provider Name | Kenneth G Judson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770525891 PECOS PAC ID: 2961434071 Enrollment ID: I20060718000017 |
| Provider Name | Robert B Mooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679573398 PECOS PAC ID: 3779596366 Enrollment ID: I20060727000106 |
| Provider Name | James Patrick Davidson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851342760 PECOS PAC ID: 7012920325 Enrollment ID: I20060802000471 |
| Provider Name | Patrick K Lenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639178437 PECOS PAC ID: 1254334238 Enrollment ID: I20060811000155 |
| Provider Name | Alvise F Bernabei |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588679013 PECOS PAC ID: 0941218507 Enrollment ID: I20060914000411 |
| Provider Name | Philip Robert Goldstein |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700895109 PECOS PAC ID: 1153326293 Enrollment ID: I20060925000375 |
| Provider Name | Cathy Lynn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467476549 PECOS PAC ID: 9032115324 Enrollment ID: I20061010000320 |
| Provider Name | Madhavi Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992757488 PECOS PAC ID: 5193721108 Enrollment ID: I20061016000273 |
| Provider Name | Paul Jason Granet |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992785497 PECOS PAC ID: 8527083377 Enrollment ID: I20061106000188 |
| Provider Name | Catalin Toma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356441497 PECOS PAC ID: 7719984525 Enrollment ID: I20061108000273 |
| Provider Name | Justin Daniel Maccarthy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881636256 PECOS PAC ID: 1052310778 Enrollment ID: I20061207000001 |
| Provider Name | Mohammad J Saadat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366442097 PECOS PAC ID: 9638179641 Enrollment ID: I20061221000384 |
| Provider Name | Tatyana Goldman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710053798 PECOS PAC ID: 0345240065 Enrollment ID: I20070103000307 |
| Provider Name | Haleh Haerian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427141407 PECOS PAC ID: 7012917750 Enrollment ID: I20070103000467 |
| Provider Name | George Robert Dulabon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649264680 PECOS PAC ID: 4789789322 Enrollment ID: I20070410000579 |
| Provider Name | Leslie W Roub |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396722401 PECOS PAC ID: 0840269684 Enrollment ID: I20070417000258 |
| Provider Name | Jonhan Ho |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851593073 PECOS PAC ID: 5991804874 Enrollment ID: I20070618000173 |
| Provider Name | Hasan Bit-shawish |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871702779 PECOS PAC ID: 5395845457 Enrollment ID: I20070703000345 |
| Provider Name | Anurag Walia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659395713 PECOS PAC ID: 4082612973 Enrollment ID: I20070725000129 |
| Provider Name | Michael Anthony Pedone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013968734 PECOS PAC ID: 4082705074 Enrollment ID: I20070806000329 |
| Provider Name | Susan W Stern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740498229 PECOS PAC ID: 5597857425 Enrollment ID: I20070823000629 |
| Provider Name | Hassan Zammam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629041785 PECOS PAC ID: 9436244662 Enrollment ID: I20071003000561 |
| Provider Name | Jean S Delbrune |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609939735 PECOS PAC ID: 7315978574 Enrollment ID: I20071003000578 |
| Provider Name | Tanya L Holsopple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548254873 PECOS PAC ID: 6608978432 Enrollment ID: I20071009000374 |
| Provider Name | Simon D Lampard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710097563 PECOS PAC ID: 8224126909 Enrollment ID: I20071113000669 |
| Provider Name | Ali Raja |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013131275 PECOS PAC ID: 3274621859 Enrollment ID: I20071115000094 |
| Provider Name | Anthony J Maniglia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952377947 PECOS PAC ID: 8527156710 Enrollment ID: I20071126000231 |
| Provider Name | Michael Schlechter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336115260 PECOS PAC ID: 5395834394 Enrollment ID: I20071128000592 |
| Provider Name | Eric S Hager |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083814933 PECOS PAC ID: 3072602952 Enrollment ID: I20071129000449 |
| Provider Name | Walter Enrico Rizzoni |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942245386 PECOS PAC ID: 4082699483 Enrollment ID: I20071130000112 |
| Provider Name | Johnson Grant Hormell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073513669 PECOS PAC ID: 2163512302 Enrollment ID: I20071212000335 |
| Provider Name | Robert D Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790971273 PECOS PAC ID: 3375633522 Enrollment ID: I20071212000373 |
| Provider Name | Norman Pennington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295728251 PECOS PAC ID: 8527960251 Enrollment ID: I20080109000224 |
| Provider Name | Dianna Craig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134123052 PECOS PAC ID: 2668553900 Enrollment ID: I20080114000039 |
| Provider Name | Beth A Lutton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710169461 PECOS PAC ID: 1355421942 Enrollment ID: I20080227000018 |
| Provider Name | Irini Youssef |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841462819 PECOS PAC ID: 2062583263 Enrollment ID: I20080616000558 |
| Provider Name | David Maclean Junkin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174780829 PECOS PAC ID: 3577637776 Enrollment ID: I20080806000509 |
| Provider Name | Mehrdad Ghaffari |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770700718 PECOS PAC ID: 4587739438 Enrollment ID: I20080812000714 |
| Provider Name | Joshua C Mahute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104094796 PECOS PAC ID: 1658447537 Enrollment ID: I20080828000369 |
| Provider Name | Andy Goberdhan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386823425 PECOS PAC ID: 4082762760 Enrollment ID: I20090507000259 |
| Provider Name | Dustin E Kliner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043407802 PECOS PAC ID: 2769532712 Enrollment ID: I20090612000123 |
| Provider Name | William J Olstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982791455 PECOS PAC ID: 8921150764 Enrollment ID: I20090709000093 |
| Provider Name | Shannon Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699755496 PECOS PAC ID: 9931150570 Enrollment ID: I20090714000058 |
| Provider Name | George Jabbour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861447856 PECOS PAC ID: 7517019961 Enrollment ID: I20090715000334 |
| Provider Name | Inderpal Sarkaria |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689827883 PECOS PAC ID: 9739231648 Enrollment ID: I20090723000164 |
| Provider Name | Richard Wertz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245210608 PECOS PAC ID: 9739141102 Enrollment ID: I20090825000480 |
| Provider Name | Esiri Karunaratne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447230537 PECOS PAC ID: 0749242113 Enrollment ID: I20090826000623 |
| Provider Name | Sudharani Bangalore Nanjaiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932376472 PECOS PAC ID: 6608921218 Enrollment ID: I20090903000487 |
| Provider Name | Georges E Al-khoury |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134453616 PECOS PAC ID: 2062558687 Enrollment ID: I20091012000276 |
| Provider Name | Kristi L Montrella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275775876 PECOS PAC ID: 2961544606 Enrollment ID: I20100119000598 |
| Provider Name | Yi H Kao |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568488500 PECOS PAC ID: 2365584513 Enrollment ID: I20100126000545 |
| Provider Name | Victoria Devan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801862974 PECOS PAC ID: 7517009558 Enrollment ID: I20100128000684 |
| Provider Name | James A Shaffer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639343015 PECOS PAC ID: 4284702986 Enrollment ID: I20100216000910 |
| Provider Name | Nitin Verma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598872731 PECOS PAC ID: 2264439256 Enrollment ID: I20100218000791 |
| Provider Name | Manuel Alejandro Guerrero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548380488 PECOS PAC ID: 7719032465 Enrollment ID: I20100308000350 |
| Provider Name | Rodney Landreneau |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124092432 PECOS PAC ID: 4587686407 Enrollment ID: I20100406000302 |
| Provider Name | Charles J Harvey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497714612 PECOS PAC ID: 3577453422 Enrollment ID: I20100406000543 |
| Provider Name | Maxim D Hammer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902879869 PECOS PAC ID: 8628106374 Enrollment ID: I20100517000739 |
| Provider Name | Ronald M Benoit |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124090386 PECOS PAC ID: 2062544869 Enrollment ID: I20100714000468 |
| Provider Name | Brett L Scharf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902876634 PECOS PAC ID: 4789700964 Enrollment ID: I20100924000636 |
| Provider Name | Howard M Black |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1215047626 PECOS PAC ID: 0547252017 Enrollment ID: I20100929000742 |
| Provider Name | Genevieve L Everett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275736415 PECOS PAC ID: 3577755859 Enrollment ID: I20101005000525 |
| Provider Name | Mitchell W Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760452023 PECOS PAC ID: 1759289606 Enrollment ID: I20101007000006 |
| Provider Name | Mark R Wilford |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174501654 PECOS PAC ID: 8426952664 Enrollment ID: I20101015000564 |
| Provider Name | Mark E Lipitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649240318 PECOS PAC ID: 5597958728 Enrollment ID: I20101020001240 |
| Provider Name | Niyaz M Azad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518943737 PECOS PAC ID: 7517150667 Enrollment ID: I20101021000020 |
| Provider Name | Natasha Karanjia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982680146 PECOS PAC ID: 4587857636 Enrollment ID: I20101021000063 |
| Provider Name | Susan A Foose |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568577732 PECOS PAC ID: 7719170752 Enrollment ID: I20101021001262 |
| Provider Name | Christine V Pascual |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518937226 PECOS PAC ID: 2567655376 Enrollment ID: I20101025000419 |
| Provider Name | Janelle L Brumbaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831175066 PECOS PAC ID: 3971584988 Enrollment ID: I20101025000505 |
| Provider Name | Angela D Gregg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669450110 PECOS PAC ID: 1456544220 Enrollment ID: I20101025001132 |
| Provider Name | Joseph D Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194795856 PECOS PAC ID: 7719170430 Enrollment ID: I20101026000377 |
| Provider Name | Harry L Penny |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104896091 PECOS PAC ID: 1153515846 Enrollment ID: I20101026001402 |
| Provider Name | Regino J Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588640403 PECOS PAC ID: 8224222732 Enrollment ID: I20101028001125 |
| Provider Name | Anthony J Bartkowiak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538131495 PECOS PAC ID: 7810181351 Enrollment ID: I20101028001491 |
| Provider Name | Zhenhui Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184694374 PECOS PAC ID: 7012101561 Enrollment ID: I20101029000020 |
| Provider Name | Richard V Buonocore |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013008556 PECOS PAC ID: 2163616582 Enrollment ID: I20101029001080 |
| Provider Name | Jennifer Murnyack-garner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518945021 PECOS PAC ID: 0143414599 Enrollment ID: I20101030000013 |
| Provider Name | Suzanne Dib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033315569 PECOS PAC ID: 2961696281 Enrollment ID: I20101101000697 |
| Provider Name | Dawn M Repko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710957097 PECOS PAC ID: 1355535576 Enrollment ID: I20101102000589 |
| Provider Name | Penne J Edgell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831169572 PECOS PAC ID: 8224222351 Enrollment ID: I20101102000807 |
| Provider Name | Robin Prasad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588626311 PECOS PAC ID: 3678573466 Enrollment ID: I20101112000744 |
| Provider Name | Tomislav Deur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942262811 PECOS PAC ID: 1658370333 Enrollment ID: I20101112000817 |
| Provider Name | Jessica Niewodowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093048530 PECOS PAC ID: 0941495121 Enrollment ID: I20101112001083 |
| Provider Name | Mark Kuzucu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578525374 PECOS PAC ID: 8921911363 Enrollment ID: I20101115000076 |
| Provider Name | Jane E Rowe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881672368 PECOS PAC ID: 4587850110 Enrollment ID: I20101122001156 |
| Provider Name | Corey R Schutt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023212404 PECOS PAC ID: 6800082348 Enrollment ID: I20101123001229 |
| Provider Name | Mark M Keating |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295704450 PECOS PAC ID: 5991991036 Enrollment ID: I20101201000293 |
| Provider Name | Ronald W Gregory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477539625 PECOS PAC ID: 4082801337 Enrollment ID: I20101213000341 |
| Provider Name | Angela Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336283977 PECOS PAC ID: 1052508231 Enrollment ID: I20101216000046 |
| Provider Name | Ramesh Agarwal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235134933 PECOS PAC ID: 8022206614 Enrollment ID: I20101227000064 |
| Provider Name | Andy J Mulhollen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356329866 PECOS PAC ID: 2668660937 Enrollment ID: I20101230000799 |
| Provider Name | Elizabeth Ann Mcgroarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578872495 PECOS PAC ID: 3678762556 Enrollment ID: I20110107000169 |
| Provider Name | Debra E Haldeman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134199508 PECOS PAC ID: 8224217963 Enrollment ID: I20110126000889 |
| Provider Name | Sheela G Kerstetter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932235686 PECOS PAC ID: 2062568066 Enrollment ID: I20110202000377 |
| Provider Name | Peter James |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588692792 PECOS PAC ID: 2769573880 Enrollment ID: I20110215000248 |
| Provider Name | Mark Weiss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609834019 PECOS PAC ID: 7719883073 Enrollment ID: I20110221000749 |
| Provider Name | Thomas C Spalla |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174732200 PECOS PAC ID: 3173653250 Enrollment ID: I20110304000139 |
| Provider Name | John J Sirotnak |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790757722 PECOS PAC ID: 0547442501 Enrollment ID: I20110311000409 |
| Provider Name | Christine C Toevs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972693679 PECOS PAC ID: 6507966009 Enrollment ID: I20110428000526 |
| Provider Name | Marina Andal Opida |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235116534 PECOS PAC ID: 0042499618 Enrollment ID: I20110503000524 |
| Provider Name | Stephen Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295760478 PECOS PAC ID: 9931175700 Enrollment ID: I20110511000613 |
| Provider Name | Moses D Kumar |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1104052430 PECOS PAC ID: 5496932873 Enrollment ID: I20110613000265 |
| Provider Name | Hal I Sussman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194790923 PECOS PAC ID: 8729990312 Enrollment ID: I20110614000486 |
| Provider Name | David Rose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194973735 PECOS PAC ID: 7113111436 Enrollment ID: I20110621000518 |
| Provider Name | Scot A Currie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568451623 PECOS PAC ID: 9234328287 Enrollment ID: I20110819000100 |
| Provider Name | Jessica L Dilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427344282 PECOS PAC ID: 5799955373 Enrollment ID: I20110909002623 |
| Provider Name | Lawrence John Mcaleer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649455569 PECOS PAC ID: 4981786571 Enrollment ID: I20111018000080 |
| Provider Name | Lauren Deur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023071339 PECOS PAC ID: 0143229740 Enrollment ID: I20111212000125 |
| Provider Name | Michael Shivers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669439444 PECOS PAC ID: 8820264591 Enrollment ID: I20111229000633 |
| Provider Name | Lenore J Moyer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780689737 PECOS PAC ID: 0143227058 Enrollment ID: I20111230000342 |
| Provider Name | Arthur J Demarsico |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841257862 PECOS PAC ID: 0244286045 Enrollment ID: I20120411000252 |
| Provider Name | Roxanne C Swistock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174870810 PECOS PAC ID: 9931358215 Enrollment ID: I20121002000079 |
| Provider Name | Piyush K Agarwal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629193180 PECOS PAC ID: 5496856965 Enrollment ID: I20121015000485 |
| Provider Name | Monica K Updyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699025320 PECOS PAC ID: 7719137439 Enrollment ID: I20121015000494 |
| Provider Name | Niral A Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053563072 PECOS PAC ID: 9537328869 Enrollment ID: I20121219000206 |
| Provider Name | Michael J Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598795015 PECOS PAC ID: 6901862655 Enrollment ID: I20130104000427 |
| Provider Name | Nii Daako P Darko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811168073 PECOS PAC ID: 4486807799 Enrollment ID: I20130118000187 |
| Provider Name | Jeffrey J Weitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679591770 PECOS PAC ID: 0749287662 Enrollment ID: I20130501000032 |
| Provider Name | Thomas R Clements |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679730295 PECOS PAC ID: 5294973392 Enrollment ID: I20130531000309 |
| Provider Name | Edward A Monaco |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508063017 PECOS PAC ID: 7618116310 Enrollment ID: I20130610000182 |
| Provider Name | Jolanta Dennis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932360062 PECOS PAC ID: 8628225927 Enrollment ID: I20130711000387 |
| Provider Name | Bruce Jacobs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205091949 PECOS PAC ID: 0648458620 Enrollment ID: I20130722000193 |
| Provider Name | Tariq Rahman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679731343 PECOS PAC ID: 2769624014 Enrollment ID: I20130815000593 |
| Provider Name | Firas G Madbak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710150669 PECOS PAC ID: 5799927810 Enrollment ID: I20130820000091 |
| Provider Name | Kary A. Fiore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326397001 PECOS PAC ID: 3274776091 Enrollment ID: I20130827000389 |
| Provider Name | Alan M Geringer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114981065 PECOS PAC ID: 2163590621 Enrollment ID: I20130917000420 |
| Provider Name | Nancy Jane Pyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639370406 PECOS PAC ID: 3678708849 Enrollment ID: I20131023001521 |
| Provider Name | Steven R Casos |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609849959 PECOS PAC ID: 3173417656 Enrollment ID: I20131127000630 |
| Provider Name | Brianne J Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356771406 PECOS PAC ID: 2062641681 Enrollment ID: I20140131000293 |
| Provider Name | Lindon T Kwock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629035951 PECOS PAC ID: 2860394194 Enrollment ID: I20140315000324 |
| Provider Name | Theodore H Yuo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588829196 PECOS PAC ID: 3779706940 Enrollment ID: I20140516000848 |
| Provider Name | Ryan M Mcenaney |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992908354 PECOS PAC ID: 9739303728 Enrollment ID: I20140613000079 |
| Provider Name | Linquan Sun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619286994 PECOS PAC ID: 9739357518 Enrollment ID: I20140716000991 |
| Provider Name | Robert J Behm |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629242623 PECOS PAC ID: 7517107154 Enrollment ID: I20140723000605 |
| Provider Name | Bryan Bolinger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609149871 PECOS PAC ID: 7810113693 Enrollment ID: I20140731001240 |
| Provider Name | Jenna C Stokes Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952696742 PECOS PAC ID: 7719104744 Enrollment ID: I20140814000899 |
| Provider Name | Amanda L Cattoi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821383696 PECOS PAC ID: 3072732841 Enrollment ID: I20140910001634 |
| Provider Name | Benjamin S Salter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396785358 PECOS PAC ID: 2769558022 Enrollment ID: I20141006000989 |
| Provider Name | Adrian W Clayton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902055734 PECOS PAC ID: 9032330394 Enrollment ID: I20141030000278 |
| Provider Name | Adin T Putnam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932136298 PECOS PAC ID: 7315944931 Enrollment ID: I20150312001000 |
| Provider Name | Margaret Mueni Goodman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336307537 PECOS PAC ID: 4385703263 Enrollment ID: I20150414000254 |
| Provider Name | Matthew A Fox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538370838 PECOS PAC ID: 5193043610 Enrollment ID: I20150414000814 |
| Provider Name | Stephen B Eigles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619970787 PECOS PAC ID: 3072410042 Enrollment ID: I20150422001223 |
| Provider Name | Bangaruswamy V Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427160324 PECOS PAC ID: 6709803612 Enrollment ID: I20150623000412 |
| Provider Name | Debby Chuang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518100460 PECOS PAC ID: 9133431315 Enrollment ID: I20150630002306 |
| Provider Name | Ilya Bragin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740500891 PECOS PAC ID: 4587976394 Enrollment ID: I20150708001498 |
| Provider Name | Keni Augustin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699090266 PECOS PAC ID: 4789997883 Enrollment ID: I20150720000054 |
| Provider Name | Jonathan E Holtz |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1104151174 PECOS PAC ID: 3577740182 Enrollment ID: I20150806011909 |
| Provider Name | Changsoo Hahm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093025306 PECOS PAC ID: 4183938863 Enrollment ID: I20150810000864 |
| Provider Name | Daniel B Golden |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225262900 PECOS PAC ID: 9931326121 Enrollment ID: I20150819009162 |
| Provider Name | Syed T Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396733713 PECOS PAC ID: 6800786989 Enrollment ID: I20150826000614 |
| Provider Name | Bethany B Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760868434 PECOS PAC ID: 6305154584 Enrollment ID: I20151008000576 |
| Provider Name | Ghasan S Ahmad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093004939 PECOS PAC ID: 2365751013 Enrollment ID: I20151020000336 |
| Provider Name | Jeffrey B Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336465814 PECOS PAC ID: 6406096064 Enrollment ID: I20151203003236 |
| Provider Name | Fahim A Habib |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659336857 PECOS PAC ID: 6204881881 Enrollment ID: I20151217001924 |
| Provider Name | Christine L Fahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992112023 PECOS PAC ID: 6103122551 Enrollment ID: I20160310000865 |
| Provider Name | Raymond E Eid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851557987 PECOS PAC ID: 0042509598 Enrollment ID: I20160523001761 |
| Provider Name | Michael C Madigan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164669362 PECOS PAC ID: 4688964802 Enrollment ID: I20160531002447 |
| Provider Name | Heather D Siedenburg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144540964 PECOS PAC ID: 0547550519 Enrollment ID: I20160602002145 |
| Provider Name | Cynthia L Kenmuir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598055493 PECOS PAC ID: 8729371315 Enrollment ID: I20160719002219 |
| Provider Name | Mohammad Alkayem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427434158 PECOS PAC ID: 5698085009 Enrollment ID: I20160809002054 |
| Provider Name | Arivarasan Karunamurthy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225315757 PECOS PAC ID: 2668768474 Enrollment ID: I20160902001364 |
| Provider Name | Maryam Mohammadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568775369 PECOS PAC ID: 8921395575 Enrollment ID: I20160926000109 |
| Provider Name | Gregory F Meloy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376838425 PECOS PAC ID: 2961790134 Enrollment ID: I20161004002435 |
| Provider Name | Hyun Joo Cho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275845976 PECOS PAC ID: 8224326723 Enrollment ID: I20161017001802 |
| Provider Name | Rajeev Pillai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093970071 PECOS PAC ID: 7810063617 Enrollment ID: I20161021000984 |
| Provider Name | Philip J Mcphail |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538325394 PECOS PAC ID: 4284912452 Enrollment ID: I20161024001857 |
| Provider Name | Sonal Choudhary |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598064248 PECOS PAC ID: 8426338393 Enrollment ID: I20161212000508 |
| Provider Name | Marilyn J Borst |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134123003 PECOS PAC ID: 5890684161 Enrollment ID: I20170216000717 |
| Provider Name | Raymond Silva |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184665747 PECOS PAC ID: 7719051994 Enrollment ID: I20170216001796 |
| Provider Name | Yuanjue L Zhang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124236286 PECOS PAC ID: 2769411172 Enrollment ID: I20170302001092 |
| Provider Name | Joseph M Mcclain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073564985 PECOS PAC ID: 9234023128 Enrollment ID: I20170331000807 |
| Provider Name | Arvind Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770503526 PECOS PAC ID: 2860414091 Enrollment ID: I20170530001327 |
| Provider Name | Jill M Murphy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1265691034 PECOS PAC ID: 2163641911 Enrollment ID: I20170607000873 |
| Provider Name | Tonya L Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316480601 PECOS PAC ID: 4486922572 Enrollment ID: I20170614000290 |
| Provider Name | Brian Kadow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386938157 PECOS PAC ID: 4789954314 Enrollment ID: I20170714000749 |
| Provider Name | Garrett Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568874816 PECOS PAC ID: 7719272889 Enrollment ID: I20170725002585 |
| Provider Name | Kimberly Atiyeh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144580069 PECOS PAC ID: 3476824137 Enrollment ID: I20170731000989 |
| Provider Name | James L Nasralla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699069393 PECOS PAC ID: 0941571806 Enrollment ID: I20170810002329 |
| Provider Name | Jessica Megan Destefano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770995029 PECOS PAC ID: 7416242599 Enrollment ID: I20170811001706 |
| Provider Name | Tim Lekic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578855151 PECOS PAC ID: 0941580096 Enrollment ID: I20170816001324 |
| Provider Name | Liam C Macleod |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306135488 PECOS PAC ID: 8123334299 Enrollment ID: I20170824000287 |
| Provider Name | Yousef Al-shraideh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184989915 PECOS PAC ID: 8325296874 Enrollment ID: I20170908003014 |
| Provider Name | Ronen Elefant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982925459 PECOS PAC ID: 2466674486 Enrollment ID: I20170911002525 |
| Provider Name | Demetrio Roland Flores |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588976922 PECOS PAC ID: 7012280134 Enrollment ID: I20170912000044 |
| Provider Name | Cameron R Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881837698 PECOS PAC ID: 2961650049 Enrollment ID: I20170914003866 |
| Provider Name | Mary Angelynne G Esquivel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295013357 PECOS PAC ID: 4789801366 Enrollment ID: I20170919002731 |
| Provider Name | Ryan Millea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427211457 PECOS PAC ID: 7618242447 Enrollment ID: I20171004003113 |
| Provider Name | Pamela Su Caber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770933293 PECOS PAC ID: 5395010060 Enrollment ID: I20171005001213 |
| Provider Name | Bruce M Toporoff |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1548263205 PECOS PAC ID: 1052416476 Enrollment ID: I20171011000601 |
| Provider Name | David W Ho |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760655427 PECOS PAC ID: 4688867583 Enrollment ID: I20171020000821 |
| Provider Name | Nnenna S Mbabuike |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871785287 PECOS PAC ID: 0244558237 Enrollment ID: I20171030000108 |
| Provider Name | Lance B Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083051361 PECOS PAC ID: 8729373584 Enrollment ID: I20171101002122 |
| Provider Name | Robert James Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427576297 PECOS PAC ID: 9931137627 Enrollment ID: I20171120001197 |
| Provider Name | Borislav Nikolov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588765317 PECOS PAC ID: 8426044975 Enrollment ID: I20171204002156 |
| Provider Name | Eric J Ferguson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699783357 PECOS PAC ID: 7214933746 Enrollment ID: I20171208000285 |
| Provider Name | Johnathan Richard Dodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548771751 PECOS PAC ID: 1052679834 Enrollment ID: I20171228000574 |
| Provider Name | Siva Patimalla Venkata |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740412337 PECOS PAC ID: 9032359724 Enrollment ID: I20171228002873 |
| Provider Name | James Barry Regan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609852987 PECOS PAC ID: 3476572744 Enrollment ID: I20180103002728 |
| Provider Name | Misty D Lingenfelter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295240695 PECOS PAC ID: 5092074823 Enrollment ID: I20180123003426 |
| Provider Name | Dale J Strawn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518059427 PECOS PAC ID: 2769403351 Enrollment ID: I20180125001316 |
| Provider Name | Elias Joseph Arbid |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578561528 PECOS PAC ID: 0042391112 Enrollment ID: I20180514002181 |
| Provider Name | Tristan B Mele |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568800431 PECOS PAC ID: 0941565691 Enrollment ID: I20180530000082 |
| Provider Name | Argenis Herrera Garcia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467725622 PECOS PAC ID: 3476809849 Enrollment ID: I20180628000005 |
| Provider Name | Nathan Loren Liang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124314893 PECOS PAC ID: 4183922990 Enrollment ID: I20180705001196 |
| Provider Name | Stephanie M Grilli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679828537 PECOS PAC ID: 3971880691 Enrollment ID: I20180717002369 |
| Provider Name | Brandon Gillie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427545904 PECOS PAC ID: 3476800756 Enrollment ID: I20180718000133 |
| Provider Name | Jorge M Balaguer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1649218934 PECOS PAC ID: 4688625890 Enrollment ID: I20180723000154 |
| Provider Name | James W Finley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265537740 PECOS PAC ID: 0749323681 Enrollment ID: I20180725000400 |
| Provider Name | Alexander Ernest |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952387078 PECOS PAC ID: 9032233952 Enrollment ID: I20180809004179 |
| Provider Name | Bethany A Stough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154814002 PECOS PAC ID: 1850643396 Enrollment ID: I20181010002054 |
| Provider Name | Zeke Feyock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033692546 PECOS PAC ID: 5799037867 Enrollment ID: I20181018000608 |
| Provider Name | Erin R Vanness |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912976135 PECOS PAC ID: 1658408596 Enrollment ID: I20181018002455 |
| Provider Name | Jonathan M Ashley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275919672 PECOS PAC ID: 9335417468 Enrollment ID: I20181101002966 |
| Provider Name | Troy R Norred |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780689844 PECOS PAC ID: 5991776270 Enrollment ID: I20181204000193 |
| Provider Name | Tyshaun M James-hart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407840978 PECOS PAC ID: 1052374345 Enrollment ID: I20190401000069 |
| Provider Name | Louis Hilary Trotman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184005233 PECOS PAC ID: 6507154937 Enrollment ID: I20190416002138 |
| Provider Name | Lindsay Fairfax |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952512980 PECOS PAC ID: 7113157124 Enrollment ID: I20190502002097 |
| Provider Name | Soroosh Hashemi |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1437543386 PECOS PAC ID: 0143521682 Enrollment ID: I20190513002051 |
| Provider Name | Jeffrey J Farrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902148455 PECOS PAC ID: 7911200696 Enrollment ID: I20190620001217 |
| Provider Name | Nicholas J Madden |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487913257 PECOS PAC ID: 0840500401 Enrollment ID: I20190625002799 |
| Provider Name | Gerald B Belopolsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861473621 PECOS PAC ID: 5395718191 Enrollment ID: I20190731002129 |
| Provider Name | Christina R Catherine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780079566 PECOS PAC ID: 1456687136 Enrollment ID: I20190802000426 |
| Provider Name | Mateo Cindric |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649622333 PECOS PAC ID: 5799041596 Enrollment ID: I20191011001684 |
| Provider Name | Jonathon A Rubin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245324359 PECOS PAC ID: 1557361185 Enrollment ID: I20191029000173 |
| Provider Name | Danielle Schwimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588219976 PECOS PAC ID: 2062744451 Enrollment ID: I20191105000801 |
| Provider Name | April N Cindric |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790136869 PECOS PAC ID: 0042576852 Enrollment ID: I20191105000956 |
| Provider Name | John Anthony Bacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922655059 PECOS PAC ID: 4385077916 Enrollment ID: I20191212000017 |
| Provider Name | John P Sessoms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841849643 PECOS PAC ID: 7315371697 Enrollment ID: I20191219000018 |
| Provider Name | William Freiberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154579100 PECOS PAC ID: 8325281553 Enrollment ID: I20191227000140 |
| Provider Name | Viktoryia Kazlouskaya |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013316330 PECOS PAC ID: 7517210222 Enrollment ID: I20200103002366 |
| Provider Name | Patrick J Pollock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871520296 PECOS PAC ID: 0042535486 Enrollment ID: I20200116001548 |
| Provider Name | Andrea Michelle Santarelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427407170 PECOS PAC ID: 8921393505 Enrollment ID: I20200205000302 |
| Provider Name | Hesham Taha |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922067941 PECOS PAC ID: 8628094794 Enrollment ID: I20200227000097 |
| Provider Name | Marilee Carballo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033348578 PECOS PAC ID: 8123351129 Enrollment ID: I20200306000602 |
| Provider Name | Mark C Watts |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700913738 PECOS PAC ID: 5890858492 Enrollment ID: I20200325000116 |
| Provider Name | Sharon M Tomaski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275605206 PECOS PAC ID: 3971586280 Enrollment ID: I20200327002087 |
| Provider Name | Sean Patrick Polster |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144666348 PECOS PAC ID: 2466755814 Enrollment ID: I20200527001446 |
| Provider Name | Lindsay M Brescia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316394604 PECOS PAC ID: 9335434935 Enrollment ID: I20200609002757 |
| Provider Name | Christopher L Aaron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083879860 PECOS PAC ID: 8426328519 Enrollment ID: I20200617001010 |
| Provider Name | Christopher H Wigfield |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1396910261 PECOS PAC ID: 2264500115 Enrollment ID: I20200623000353 |
| Provider Name | Ravi Kagali |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1336433671 PECOS PAC ID: 3870897168 Enrollment ID: I20200623001145 |
| Provider Name | Matthew J Terbush |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1669866943 PECOS PAC ID: 9638460835 Enrollment ID: I20200630002101 |
| Provider Name | Tara Benko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538785688 PECOS PAC ID: 8224452388 Enrollment ID: I20200715000200 |
| Provider Name | Arundhati Biswas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326297565 PECOS PAC ID: 5092872309 Enrollment ID: I20200715001184 |
| Provider Name | Ricardo Garcia Rivera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366434334 PECOS PAC ID: 0143112607 Enrollment ID: I20200716000227 |
| Provider Name | Daniel Lim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982018305 PECOS PAC ID: 4284852591 Enrollment ID: I20200722002076 |
| Provider Name | Karim M Salem |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427495027 PECOS PAC ID: 0840615514 Enrollment ID: I20200729001961 |
| Provider Name | Mausaminben Y Hathidara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487036265 PECOS PAC ID: 1658797790 Enrollment ID: I20200819002499 |
| Provider Name | Sarah N Hocker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689068736 PECOS PAC ID: 3678861614 Enrollment ID: I20200827001808 |
| Provider Name | Katherine Marie Kelley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770926131 PECOS PAC ID: 8921308990 Enrollment ID: I20200827001913 |
| Provider Name | Howard B Levene |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952574774 PECOS PAC ID: 8325191513 Enrollment ID: I20200909002212 |
| Provider Name | Ryan A Lani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740716695 PECOS PAC ID: 9234409897 Enrollment ID: I20200910001721 |
| Provider Name | Daraspreet Kainth |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497915904 PECOS PAC ID: 1658692215 Enrollment ID: I20200915000635 |
| Provider Name | Alice Fagin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194995837 PECOS PAC ID: 0446383863 Enrollment ID: I20200924000428 |
| Provider Name | Michael Jacob Cools |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417394180 PECOS PAC ID: 1557586112 Enrollment ID: I20201013000347 |
| Provider Name | Thomas P Lo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629285309 PECOS PAC ID: 2769611029 Enrollment ID: I20201021003360 |
| Provider Name | Dafney Lubin Davare |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861771610 PECOS PAC ID: 8527292952 Enrollment ID: I20201123000537 |
| Provider Name | William W Train |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457559759 PECOS PAC ID: 5395986988 Enrollment ID: I20210414000388 |
| Provider Name | Casey Lee Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336605039 PECOS PAC ID: 3375884455 Enrollment ID: I20210414000461 |
| Provider Name | Jamal Taha |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801861018 PECOS PAC ID: 0446271357 Enrollment ID: I20210513001758 |
| Provider Name | Michael M Mcdowell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750725446 PECOS PAC ID: 7810396025 Enrollment ID: I20210520000528 |
| Provider Name | John H Seok |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770578973 PECOS PAC ID: 8022275478 Enrollment ID: I20210602000138 |
| Provider Name | Robert B Love |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336104041 PECOS PAC ID: 9234182320 Enrollment ID: I20210603002432 |
| Provider Name | Catherine C Go |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023423167 PECOS PAC ID: 1557761392 Enrollment ID: I20210615003161 |
| Provider Name | Benjamin J Palachick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508127317 PECOS PAC ID: 0941421622 Enrollment ID: I20210624000003 |
| Provider Name | Okkes Kuybu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336502707 PECOS PAC ID: 1759678311 Enrollment ID: I20210628002488 |
| Provider Name | Elizabeth Ann Stuebing |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992924724 PECOS PAC ID: 6204085921 Enrollment ID: I20210702001994 |
| Provider Name | Whitfield D Lewis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003365875 PECOS PAC ID: 4981019668 Enrollment ID: I20210810001029 |
| Provider Name | Laura Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952977845 PECOS PAC ID: 4284038340 Enrollment ID: I20210811002207 |
| Provider Name | Yaquob Tokhi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972994937 PECOS PAC ID: 4183917123 Enrollment ID: I20210819000126 |
| Provider Name | Jay D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225702889 PECOS PAC ID: 5395141840 Enrollment ID: I20210908002276 |
| Provider Name | Loring I Perry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205057072 PECOS PAC ID: 6204068851 Enrollment ID: I20211004000416 |
| Provider Name | Viren S Vasudeva |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386930170 PECOS PAC ID: 3870818073 Enrollment ID: I20211102001269 |
| Provider Name | Jordan R Poruban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750965034 PECOS PAC ID: 6406244961 Enrollment ID: I20211102003071 |
| Provider Name | Ulises Nobo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487705141 PECOS PAC ID: 0345138749 Enrollment ID: I20211129000929 |
| Provider Name | Anje Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528168374 PECOS PAC ID: 5496846289 Enrollment ID: I20211203000997 |
| Provider Name | Cassandra D Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346903002 PECOS PAC ID: 8820489305 Enrollment ID: I20211216001110 |
| Provider Name | Tjasa Hranjec |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063626448 PECOS PAC ID: 1355568379 Enrollment ID: I20211216002344 |
| Provider Name | Samantha R Saksa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679232540 PECOS PAC ID: 1951792969 Enrollment ID: I20211230001561 |
| Provider Name | Carlos Torres-medina |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972980761 PECOS PAC ID: 9133403439 Enrollment ID: I20220103000931 |
| Provider Name | Olubunmi O Esan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558795377 PECOS PAC ID: 6103131487 Enrollment ID: I20220106000714 |
| Provider Name | Steven L Strauss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669431656 PECOS PAC ID: 0446201388 Enrollment ID: I20220209000862 |
| Provider Name | Mohamed Shehab Eldin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376920736 PECOS PAC ID: 0840598025 Enrollment ID: I20220514000102 |
| Provider Name | Marco Antonio Ayala |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023089992 PECOS PAC ID: 0244470128 Enrollment ID: I20220519000009 |
| Provider Name | Desmond Brown |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689080533 PECOS PAC ID: 3779700489 Enrollment ID: I20220602002737 |
| Provider Name | Kerry Alexandra Vaughan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396183034 PECOS PAC ID: 8527364041 Enrollment ID: I20220615000170 |
| Provider Name | Naveen Balasundaram |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104054162 PECOS PAC ID: 1759640063 Enrollment ID: I20220616001535 |
| Provider Name | Sonya N Tuerff |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548373046 PECOS PAC ID: 1052404217 Enrollment ID: I20220628001756 |
| Provider Name | Sandra Patricia Medinilla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396027991 PECOS PAC ID: 5496903577 Enrollment ID: I20220707003960 |
| Provider Name | Terence R Lichtor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114976289 PECOS PAC ID: 4880786920 Enrollment ID: I20220729000028 |
| Provider Name | Adil Sattar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235440652 PECOS PAC ID: 6709010879 Enrollment ID: I20220804003969 |
| Provider Name | Lakshmi Kavitha Kalluri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033566716 PECOS PAC ID: 2567758774 Enrollment ID: I20220822001088 |
| Provider Name | Mandy L Lasinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689301780 PECOS PAC ID: 5597148643 Enrollment ID: I20220823000597 |
| Provider Name | Cory A Kutruff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730609371 PECOS PAC ID: 5496027146 Enrollment ID: I20220829003510 |
| Provider Name | Janaye A Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003471731 PECOS PAC ID: 5294069498 Enrollment ID: I20220901000698 |
| Provider Name | Caesar M Ursic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891763652 PECOS PAC ID: 7315952405 Enrollment ID: I20220903000286 |
| Provider Name | Adam J Kaye |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013064096 PECOS PAC ID: 7214120062 Enrollment ID: I20220907000169 |
| Provider Name | Enyinna L Nwachuku |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053792481 PECOS PAC ID: 7517342710 Enrollment ID: I20220922003896 |
| Provider Name | Louis T Difazio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376510032 PECOS PAC ID: 8022070879 Enrollment ID: I20221004000892 |
| Provider Name | Robert E Lieberson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598863326 PECOS PAC ID: 6002992963 Enrollment ID: I20221102001875 |
| Provider Name | Wilman B Olmedo Calderon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1457788796 PECOS PAC ID: 7113341462 Enrollment ID: I20221128002907 |
| Provider Name | Roxanne Gillian Mcmillan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336366160 PECOS PAC ID: 1759468267 Enrollment ID: I20221204000064 |
| Provider Name | Bogdana Trop |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225072457 PECOS PAC ID: 0244329878 Enrollment ID: I20221214000933 |
| Provider Name | Edward D Buch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174575369 PECOS PAC ID: 2062452337 Enrollment ID: I20230308000117 |
| Provider Name | Vinodh T Doss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336348085 PECOS PAC ID: 5698930683 Enrollment ID: I20230511000431 |
| Provider Name | Brooke V Alleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235844234 PECOS PAC ID: 0446618813 Enrollment ID: I20230615003152 |
| Provider Name | Suman Kaza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063907046 PECOS PAC ID: 5294081295 Enrollment ID: I20230718000766 |
| Provider Name | Stephen L Scharf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508488537 PECOS PAC ID: 9739542903 Enrollment ID: I20230906001021 |
| Provider Name | Sergei Sobolevsky |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1831154301 PECOS PAC ID: 4183624950 Enrollment ID: I20230907001202 |
| Provider Name | Gopika Govindan Kutty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689169161 PECOS PAC ID: 9436582517 Enrollment ID: I20230926000780 |
| Provider Name | Santoshi Billakota |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174899512 PECOS PAC ID: 6406135623 Enrollment ID: I20230930000595 |
| Provider Name | Melissa E Raffaele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962727081 PECOS PAC ID: 7911199252 Enrollment ID: I20231215001577 |
| Provider Name | Erika H Poehm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669448551 PECOS PAC ID: 6305881939 Enrollment ID: I20231218000458 |
| Provider Name | Paola A Rios Florez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205322336 PECOS PAC ID: 2466801311 Enrollment ID: I20231218001772 |
| Provider Name | Ashley R Fuoss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972375327 PECOS PAC ID: 9739539628 Enrollment ID: I20231218004286 |
| Provider Name | Pavan Tummala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111313 PECOS PAC ID: 9234431610 Enrollment ID: I20231220003788 |
| Provider Name | Shannon Ruth Kotch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093133795 PECOS PAC ID: 3476776600 Enrollment ID: I20231227002657 |
| Provider Name | Thayne C Griener |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871624627 PECOS PAC ID: 5193612810 Enrollment ID: I20231229001083 |
| Provider Name | Qaiser Toqeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093079048 PECOS PAC ID: 3173764446 Enrollment ID: I20240119000475 |
| Provider Name | Stephen Wall |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861405706 PECOS PAC ID: 7618865593 Enrollment ID: I20240426000696 |
Judith L. Jacobus, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 12th Ave. Bldg F, Altoona, PA 16601 Phone: 814-944-8012 Fax: 814-944-4852 | |
Altoona Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 12th Ave, Altoona, PA 16601 Phone: 814-942-9600 Fax: 814-942-9617 | |
Blair Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 9th Ave, Station Medical Center, Altoona, PA 16602 Phone: 814-946-1655 Fax: 814-949-7616 | |
Altoona Behavioral Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-942-5000 Fax: 814-942-9500 | |
Upmc Altoona Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Howard Ave., Altoona, PA 16601 Phone: 814-889-2223 Fax: 814-889-7808 | |
Blair Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 9th Ave, Station Medical Center, Altoona, PA 16602 Phone: 814-946-1655 Fax: 814-949-7616 | |
K Siripala Md & Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Chestnut Ave, Altoona, PA 16601 Phone: 814-946-3500 Fax: 814-946-5067 |