| Board Of Regents Of The University Of Oklahoma - Ou Physicians | |
|
825 Ne 10th St Oklahoma City OK 73104-5417 | |
| (405) 271-3932 | |
| (405) 271-3064 |
| Full Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians |
|---|---|
| Speciality | Clinic/Center |
| Location | 825 Ne 10th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | John P Zubialde (EXECUTIVE DEAN) |
| Authorized Official Contact | 4052711515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Board Of Regents Of The University Of Oklahoma - Ou Physicians 1122 Ne 13th St Ori274 Oklahoma City OK 73117-1039 Ph: (405) 271-1515 | Board Of Regents Of The University Of Oklahoma - Ou Physicians 825 Ne 10th St Oklahoma City OK 73104-5417 Ph: (405) 271-3932 |
| NPI Number | 1801869250 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 01/06/2020 |
| Medicare PECOS PAC ID | 2860304334 |
|---|---|
| Medicare Enrollment ID | O20031103000607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801869250 | NPI | - | NPPES |
| 100744720A | Medicaid | OK | |
| 100811290A | Medicaid | OK | |
| 647679 | Other | OK | MEDICARE DIABETIC PREVENTION PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | L Peter Schwiebert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548237613 PECOS PAC ID: 0941113443 Enrollment ID: I20031111000168 |
| Provider Name | Karen J Beckman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1992774921 PECOS PAC ID: 6204740483 Enrollment ID: I20031113000316 |
| Provider Name | Zahid Ahmad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700854049 PECOS PAC ID: 7315841582 Enrollment ID: I20031120000645 |
| Provider Name | Steven G Huff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568443463 PECOS PAC ID: 8123923851 Enrollment ID: I20031204001021 |
| Provider Name | Maria C Trapp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043221872 PECOS PAC ID: 9234031915 Enrollment ID: I20040122001210 |
| Provider Name | Michele W Maranto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174590731 PECOS PAC ID: 4183511835 Enrollment ID: I20040228000095 |
| Provider Name | Elizabeth Wickersham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992706048 PECOS PAC ID: 8224924337 Enrollment ID: I20040228000307 |
| Provider Name | Tracy S Loper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376657130 PECOS PAC ID: 2466341961 Enrollment ID: I20040312000710 |
| Provider Name | Stephen Wayne Heimbach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780652339 PECOS PAC ID: 1355337387 Enrollment ID: I20040423000627 |
| Provider Name | Issam Mohammed El Halabi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164494050 PECOS PAC ID: 6901894591 Enrollment ID: I20040503001399 |
| Provider Name | Daniel A Biggs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063489011 PECOS PAC ID: 7012907587 Enrollment ID: I20040517000148 |
| Provider Name | Robin Germany |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114995461 PECOS PAC ID: 7315920790 Enrollment ID: I20040608000515 |
| Provider Name | Dale M Brannon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588632772 PECOS PAC ID: 8224013826 Enrollment ID: I20040618001190 |
| Provider Name | Christina M Murray |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548239353 PECOS PAC ID: 1153308358 Enrollment ID: I20040706000992 |
| Provider Name | Michelle Salvaggio |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609845437 PECOS PAC ID: 5597742668 Enrollment ID: I20040707000092 |
| Provider Name | Kathleen Moore |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1871680249 PECOS PAC ID: 5597742692 Enrollment ID: I20040707000309 |
| Provider Name | Dominic Frimberger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932177284 PECOS PAC ID: 8820076813 Enrollment ID: I20040707001205 |
| Provider Name | Eric D Long |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225090343 PECOS PAC ID: 6305824822 Enrollment ID: I20040712000388 |
| Provider Name | Ryan M Biggers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194723395 PECOS PAC ID: 3678551850 Enrollment ID: I20040713000923 |
| Provider Name | Angelia C Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1194793349 PECOS PAC ID: 4789663865 Enrollment ID: I20040714000732 |
| Provider Name | Jennifer L Holter-chakrabarty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841268091 PECOS PAC ID: 5092794792 Enrollment ID: I20040716000126 |
| Provider Name | Ryan D Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154394369 PECOS PAC ID: 9638158074 Enrollment ID: I20040719000444 |
| Provider Name | Laura M Rooms |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689642910 PECOS PAC ID: 4880673243 Enrollment ID: I20040719000727 |
| Provider Name | Monique Mange Naifeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932177250 PECOS PAC ID: 8628057015 Enrollment ID: I20040719000835 |
| Provider Name | Kellie Renee Jones |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598733784 PECOS PAC ID: 8224008214 Enrollment ID: I20040728000162 |
| Provider Name | Frederick W Willison |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932177011 PECOS PAC ID: 6709850159 Enrollment ID: I20040823000629 |
| Provider Name | Elizabeth Syzek |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053380873 PECOS PAC ID: 9032184247 Enrollment ID: I20040831001267 |
| Provider Name | Laura J Chalmers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710046156 PECOS PAC ID: 5193791879 Enrollment ID: I20040903000363 |
| Provider Name | Karl R Hansen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679515811 PECOS PAC ID: 1759356074 Enrollment ID: I20040903000646 |
| Provider Name | Marilyn I Steele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396713517 PECOS PAC ID: 2163499914 Enrollment ID: I20040913000503 |
| Provider Name | Mark W Halterman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083638456 PECOS PAC ID: 5597733428 Enrollment ID: I20040920000306 |
| Provider Name | Clorinda M Robles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033167358 PECOS PAC ID: 4587632427 Enrollment ID: I20040920000386 |
| Provider Name | Emily L Swafford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134137862 PECOS PAC ID: 6901875632 Enrollment ID: I20040929001037 |
| Provider Name | Marvin Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336121169 PECOS PAC ID: 1052389574 Enrollment ID: I20041001000542 |
| Provider Name | Lily Yan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306814637 PECOS PAC ID: 3577543149 Enrollment ID: I20041022000155 |
| Provider Name | Tiffany J Mccrabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316915630 PECOS PAC ID: 4284698291 Enrollment ID: I20041118000385 |
| Provider Name | Anne A Munson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275584849 PECOS PAC ID: 3375508468 Enrollment ID: I20041201000001 |
| Provider Name | George B Selby |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679542963 PECOS PAC ID: 1658320809 Enrollment ID: I20050114000510 |
| Provider Name | Roy R Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184693996 PECOS PAC ID: 8921057019 Enrollment ID: I20050114000792 |
| Provider Name | Julio I Rojas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215905567 PECOS PAC ID: 6800845165 Enrollment ID: I20050316000713 |
| Provider Name | Sowmya Krishnan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629137179 PECOS PAC ID: 4789635350 Enrollment ID: I20050401000244 |
| Provider Name | Ashley A Magness |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952307647 PECOS PAC ID: 9032161393 Enrollment ID: I20050404000724 |
| Provider Name | Ronald G Powell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528057817 PECOS PAC ID: 4981655164 Enrollment ID: I20050412000454 |
| Provider Name | Michael Mccauley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669453890 PECOS PAC ID: 5092752238 Enrollment ID: I20050414000113 |
| Provider Name | Thomas C Pratt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487635611 PECOS PAC ID: 7810934056 Enrollment ID: I20050414000321 |
| Provider Name | Joseph Davey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316915440 PECOS PAC ID: 9830146653 Enrollment ID: I20050504001258 |
| Provider Name | Michael W Brand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801864913 PECOS PAC ID: 4981692779 Enrollment ID: I20050613000614 |
| Provider Name | Jonathan R Vanhooser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053377002 PECOS PAC ID: 0547204455 Enrollment ID: I20050613001221 |
| Provider Name | Mehmet S Ozcan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215905963 PECOS PAC ID: 0446293898 Enrollment ID: I20050613001344 |
| Provider Name | Theresa C Thai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023086360 PECOS PAC ID: 5496798852 Enrollment ID: I20050614001000 |
| Provider Name | Jordan P Metcalf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376512269 PECOS PAC ID: 8426093550 Enrollment ID: I20050620001131 |
| Provider Name | Heath D Higgins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992768295 PECOS PAC ID: 0244273217 Enrollment ID: I20050801000544 |
| Provider Name | Jean I Keddissi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568430718 PECOS PAC ID: 2264461169 Enrollment ID: I20050811000138 |
| Provider Name | Brent R Brown |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881662971 PECOS PAC ID: 8426087339 Enrollment ID: I20050811000168 |
| Provider Name | Gennady Slobodov |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932177185 PECOS PAC ID: 8224072632 Enrollment ID: I20050815000470 |
| Provider Name | Helen C Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972571271 PECOS PAC ID: 2961438718 Enrollment ID: I20050823000036 |
| Provider Name | Christian A El Amm |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1295703544 PECOS PAC ID: 3971569229 Enrollment ID: I20050907000592 |
| Provider Name | Gregory L Blakey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821067497 PECOS PAC ID: 0547297822 Enrollment ID: I20050907001006 |
| Provider Name | Rajagopal R Nandyal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669472601 PECOS PAC ID: 6709817133 Enrollment ID: I20050919000664 |
| Provider Name | Holly S Kessler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699744797 PECOS PAC ID: 5496785891 Enrollment ID: I20050920001029 |
| Provider Name | Geoffrey L Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376551481 PECOS PAC ID: 9032146428 Enrollment ID: I20050921000219 |
| Provider Name | Kelly N Mcdonough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831195528 PECOS PAC ID: 7416904263 Enrollment ID: I20050928000119 |
| Provider Name | Scott M Proctor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790745545 PECOS PAC ID: 9133156847 Enrollment ID: I20050928000571 |
| Provider Name | William C Dooley |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1477521714 PECOS PAC ID: 1052339215 Enrollment ID: I20051105000364 |
| Provider Name | Benazir Drabu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689642035 PECOS PAC ID: 4587698410 Enrollment ID: I20051115000507 |
| Provider Name | Rachel R Posey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083682314 PECOS PAC ID: 2961427943 Enrollment ID: I20051116000769 |
| Provider Name | Pramod K Chetty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386611374 PECOS PAC ID: 8628091691 Enrollment ID: I20060105000675 |
| Provider Name | Kathryn E Reilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134196207 PECOS PAC ID: 3274556154 Enrollment ID: I20060105000751 |
| Provider Name | William M Tierney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255300513 PECOS PAC ID: 9638192511 Enrollment ID: I20060105000759 |
| Provider Name | Richard F Harty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205804457 PECOS PAC ID: 6507889482 Enrollment ID: I20060105000791 |
| Provider Name | Betty J Haywood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013985019 PECOS PAC ID: 5496778375 Enrollment ID: I20060105000808 |
| Provider Name | Javid Fazili |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386612620 PECOS PAC ID: 8022031905 Enrollment ID: I20060105000825 |
| Provider Name | Ira Targoff |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215906920 PECOS PAC ID: 4284657164 Enrollment ID: I20060105000841 |
| Provider Name | Greg A Krempl |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1154399756 PECOS PAC ID: 4688697576 Enrollment ID: I20060105000895 |
| Provider Name | Lukas Haragsim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396713541 PECOS PAC ID: 5496778383 Enrollment ID: I20060105000907 |
| Provider Name | Jay S Hiller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932178027 PECOS PAC ID: 0143299180 Enrollment ID: I20060105000924 |
| Provider Name | Terry L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083630115 PECOS PAC ID: 8325069578 Enrollment ID: I20060106000187 |
| Provider Name | Kalyanakrishnan Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861468951 PECOS PAC ID: 8820011646 Enrollment ID: I20060107000056 |
| Provider Name | Daniel C Schultz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891763231 PECOS PAC ID: 2668495417 Enrollment ID: I20060109000234 |
| Provider Name | Andrew Gormley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881662054 PECOS PAC ID: 2567485311 Enrollment ID: I20060109000247 |
| Provider Name | Candaca M Marshall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659349967 PECOS PAC ID: 7214950922 Enrollment ID: I20060109000823 |
| Provider Name | Feroz Maqbool |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316915606 PECOS PAC ID: 4587687207 Enrollment ID: I20060109000902 |
| Provider Name | Kar-ming A Fung |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972572881 PECOS PAC ID: 4082637665 Enrollment ID: I20060110000376 |
| Provider Name | Rosemary E Zuna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154390961 PECOS PAC ID: 9830112440 Enrollment ID: I20060110000651 |
| Provider Name | William H Meyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891763983 PECOS PAC ID: 0345263877 Enrollment ID: I20060110000871 |
| Provider Name | Morris R Gessouroun |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154399426 PECOS PAC ID: 4082637533 Enrollment ID: I20060110001054 |
| Provider Name | Mary Z Baker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942278163 PECOS PAC ID: 4284657743 Enrollment ID: I20060110001142 |
| Provider Name | Donald Kastens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659349801 PECOS PAC ID: 4082637368 Enrollment ID: I20060112000727 |
| Provider Name | Nighat F Mehdi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063480382 PECOS PAC ID: 1456375674 Enrollment ID: I20060113000918 |
| Provider Name | William J Ertl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427027507 PECOS PAC ID: 6800810029 Enrollment ID: I20060113000923 |
| Provider Name | Deborah J Lockwood |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073582086 PECOS PAC ID: 8022032275 Enrollment ID: I20060116000126 |
| Provider Name | Shouvik Chakrabarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487622726 PECOS PAC ID: 4880618032 Enrollment ID: I20060116000174 |
| Provider Name | Calin I Prodan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528035581 PECOS PAC ID: 5092739268 Enrollment ID: I20060116000332 |
| Provider Name | Ravindran N Sawh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972572774 PECOS PAC ID: 3375567407 Enrollment ID: I20060117000430 |
| Provider Name | Kamal T Sawan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730157082 PECOS PAC ID: 1254355399 Enrollment ID: I20060117000559 |
| Provider Name | Karen L Bowlware |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881662419 PECOS PAC ID: 5496779456 Enrollment ID: I20060118000368 |
| Provider Name | Amy B England |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942278536 PECOS PAC ID: 3274557947 Enrollment ID: I20060120000369 |
| Provider Name | Pamela S Miles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619945466 PECOS PAC ID: 5597789107 Enrollment ID: I20060123000540 |
| Provider Name | Warren M Jackman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578531729 PECOS PAC ID: 9335163955 Enrollment ID: I20060123000608 |
| Provider Name | James N George |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093783227 PECOS PAC ID: 5395769814 Enrollment ID: I20060123000760 |
| Provider Name | Dewey C Scheid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003883174 PECOS PAC ID: 7719901248 Enrollment ID: I20060123000806 |
| Provider Name | Daniel J Culkin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023086378 PECOS PAC ID: 4789608217 Enrollment ID: I20060123000836 |
| Provider Name | Jesus E Medina |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033187513 PECOS PAC ID: 9739103268 Enrollment ID: I20060123000885 |
| Provider Name | Satish Kumar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760451686 PECOS PAC ID: 2264456706 Enrollment ID: I20060123000912 |
| Provider Name | Robert A Wild |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316915671 PECOS PAC ID: 8325062862 Enrollment ID: I20060123000935 |
| Provider Name | Paul Kammerlocher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043218381 PECOS PAC ID: 3072554104 Enrollment ID: I20060124000299 |
| Provider Name | Judith A James |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871561068 PECOS PAC ID: 4284658618 Enrollment ID: I20060124000621 |
| Provider Name | Tony G Puckett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467420166 PECOS PAC ID: 5597789925 Enrollment ID: I20060124000681 |
| Provider Name | Dwight Reynolds |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457320285 PECOS PAC ID: 8527082965 Enrollment ID: I20060124000716 |
| Provider Name | Nikola K Puffinbarger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821066176 PECOS PAC ID: 0749204196 Enrollment ID: I20060124000788 |
| Provider Name | Pamela S Allen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578532503 PECOS PAC ID: 0446274898 Enrollment ID: I20060124000809 |
| Provider Name | George Tardibono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902875677 PECOS PAC ID: 5799709143 Enrollment ID: I20060124000823 |
| Provider Name | Edward D Overholt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457329773 PECOS PAC ID: 8325062672 Enrollment ID: I20060125000611 |
| Provider Name | Sherri S Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710955026 PECOS PAC ID: 4385658632 Enrollment ID: I20060126000154 |
| Provider Name | Udho Thadani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477522183 PECOS PAC ID: 3870507122 Enrollment ID: I20060126000197 |
| Provider Name | Benjamin D Cowley |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427027457 PECOS PAC ID: 5496769754 Enrollment ID: I20060126000227 |
| Provider Name | Philip C Mantor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184692360 PECOS PAC ID: 9436163631 Enrollment ID: I20060126000613 |
| Provider Name | Robert H Scofield |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821067562 PECOS PAC ID: 3375557580 Enrollment ID: I20060126000669 |
| Provider Name | James Royall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649248980 PECOS PAC ID: 2365456571 Enrollment ID: I20060126000683 |
| Provider Name | Bryan D Struck |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1831167667 PECOS PAC ID: 3779597984 Enrollment ID: I20060126000721 |
| Provider Name | James G Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912975145 PECOS PAC ID: 1456365683 Enrollment ID: I20060126000877 |
| Provider Name | James A Sullivan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962471045 PECOS PAC ID: 0143234385 Enrollment ID: I20060126000988 |
| Provider Name | Kent Edward Ward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295703411 PECOS PAC ID: 4486673431 Enrollment ID: I20060126001017 |
| Provider Name | Badie S Mansour |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1497723126 PECOS PAC ID: 6709890890 Enrollment ID: I20060127000329 |
| Provider Name | Rene Y Mcnall-knapp |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790753010 PECOS PAC ID: 7113931205 Enrollment ID: I20060127000374 |
| Provider Name | David C Teague |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083682595 PECOS PAC ID: 5496769531 Enrollment ID: I20060127000673 |
| Provider Name | Mark R Allee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255309597 PECOS PAC ID: 0143234104 Enrollment ID: I20060128000031 |
| Provider Name | Thomas P Lehman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053380139 PECOS PAC ID: 5597779553 Enrollment ID: I20060128000033 |
| Provider Name | Peter A Winn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659349306 PECOS PAC ID: 8022022086 Enrollment ID: I20060128000049 |
| Provider Name | Joe Leonard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396713533 PECOS PAC ID: 6103830161 Enrollment ID: I20060128000051 |
| Provider Name | Dan Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023086261 PECOS PAC ID: 4284648247 Enrollment ID: I20060128000054 |
| Provider Name | Ralph Guild |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245208438 PECOS PAC ID: 6002820065 Enrollment ID: I20060128000055 |
| Provider Name | Sunny S Po |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265401087 PECOS PAC ID: 3173537149 Enrollment ID: I20060128000066 |
| Provider Name | Teodora Nicolescu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891763546 PECOS PAC ID: 6709890775 Enrollment ID: I20060128000068 |
| Provider Name | Charles L Sexauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548239577 PECOS PAC ID: 6800800855 Enrollment ID: I20060130000723 |
| Provider Name | Ronald A Squires |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558339804 PECOS PAC ID: 9234143181 Enrollment ID: I20060130000758 |
| Provider Name | Kathryn H Dooley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720056310 PECOS PAC ID: 6305850298 Enrollment ID: I20060131000164 |
| Provider Name | James Richard Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144297649 PECOS PAC ID: 1052325966 Enrollment ID: I20060131000323 |
| Provider Name | Douglas A Drevets |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659349991 PECOS PAC ID: 7012921935 Enrollment ID: I20060131000368 |
| Provider Name | Timothy Puckett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447228952 PECOS PAC ID: 4688608557 Enrollment ID: I20060131000619 |
| Provider Name | David R Huard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326016593 PECOS PAC ID: 7113931957 Enrollment ID: I20060131000663 |
| Provider Name | Virginia L Garrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558339911 PECOS PAC ID: 4587688361 Enrollment ID: I20060203000244 |
| Provider Name | Charles B Pasque |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1801864319 PECOS PAC ID: 5991710352 Enrollment ID: I20060207000629 |
| Provider Name | Philip C Comp |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790754729 PECOS PAC ID: 6709891013 Enrollment ID: I20060208000083 |
| Provider Name | Catherine A Gazzaniga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922076579 PECOS PAC ID: 6103831425 Enrollment ID: I20060208000155 |
| Provider Name | Joan L Walker |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1477521839 PECOS PAC ID: 6002821105 Enrollment ID: I20060210000273 |
| Provider Name | Robert C Salinas |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962470732 PECOS PAC ID: 8426063520 Enrollment ID: I20060210000315 |
| Provider Name | Elizabeth M Gillies |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881663797 PECOS PAC ID: 8628083748 Enrollment ID: I20060210000472 |
| Provider Name | John Pierre Zubialde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477521128 PECOS PAC ID: 4789699810 Enrollment ID: I20060210000499 |
| Provider Name | Phebe M Tucker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376511501 PECOS PAC ID: 7810902947 Enrollment ID: I20060210000536 |
| Provider Name | Elizabeth Jett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407825102 PECOS PAC ID: 8325025372 Enrollment ID: I20060213000214 |
| Provider Name | Chittur Sivaram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265401905 PECOS PAC ID: 7911913496 Enrollment ID: I20060222000181 |
| Provider Name | Elisa Crouse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760450738 PECOS PAC ID: 6406862838 Enrollment ID: I20060222000693 |
| Provider Name | Rhett L Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235107426 PECOS PAC ID: 8123034493 Enrollment ID: I20060223000187 |
| Provider Name | Robert S Mannel |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1568430007 PECOS PAC ID: 1658387923 Enrollment ID: I20060223000218 |
| Provider Name | Brian R Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801864723 PECOS PAC ID: 5698781979 Enrollment ID: I20060223000269 |
| Provider Name | Charles D Arnold |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1568430643 PECOS PAC ID: 6204842594 Enrollment ID: I20060223000416 |
| Provider Name | John E Grunow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679541981 PECOS PAC ID: 0749296036 Enrollment ID: I20060223000430 |
| Provider Name | Roxie M Albrecht |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740258086 PECOS PAC ID: 0648286948 Enrollment ID: I20060223000445 |
| Provider Name | Steven A Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790753614 PECOS PAC ID: 5092721399 Enrollment ID: I20060223000452 |
| Provider Name | Angela Gathers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568431211 PECOS PAC ID: 4486660784 Enrollment ID: I20060223000505 |
| Provider Name | Gretchen M Wienecke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861460198 PECOS PAC ID: 8820004138 Enrollment ID: I20060223000541 |
| Provider Name | William R Puffinbarger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356319867 PECOS PAC ID: 8224044557 Enrollment ID: I20060223000722 |
| Provider Name | James L Brand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841268760 PECOS PAC ID: 0648286906 Enrollment ID: I20060224000230 |
| Provider Name | Christopher B White |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750350856 PECOS PAC ID: 6305734534 Enrollment ID: I20060228000183 |
| Provider Name | Terence Herman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124097498 PECOS PAC ID: 9133135718 Enrollment ID: I20060309000015 |
| Provider Name | Julie M Chacko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558330225 PECOS PAC ID: 2062422777 Enrollment ID: I20060509001030 |
| Provider Name | Michael S Bronze |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235199209 PECOS PAC ID: 0941211270 Enrollment ID: I20060525000141 |
| Provider Name | Cathryn S Crittenden-byers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912955493 PECOS PAC ID: 9335150606 Enrollment ID: I20060530000060 |
| Provider Name | Jennifer Ann Baker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891744116 PECOS PAC ID: 0042221103 Enrollment ID: I20060606000175 |
| Provider Name | Pamela R Roberts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134104268 PECOS PAC ID: 8325058605 Enrollment ID: I20060616000178 |
| Provider Name | Umakumaran P Ponniah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093784746 PECOS PAC ID: 5193787729 Enrollment ID: I20060619000105 |
| Provider Name | Renee H Grau |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861445991 PECOS PAC ID: 1850303785 Enrollment ID: I20060622000317 |
| Provider Name | Monica S Reid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063461390 PECOS PAC ID: 5991718652 Enrollment ID: I20060724000294 |
| Provider Name | Russell R Rooms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316982887 PECOS PAC ID: 6406859768 Enrollment ID: I20060807000385 |
| Provider Name | Naina L Gross |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649200429 PECOS PAC ID: 0042213720 Enrollment ID: I20060818000251 |
| Provider Name | Neeti Kohli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376579284 PECOS PAC ID: 1557350493 Enrollment ID: I20060912000576 |
| Provider Name | Charles S Sperrazza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932142353 PECOS PAC ID: 4082692843 Enrollment ID: I20061005000269 |
| Provider Name | Xiangyang Zheng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487682480 PECOS PAC ID: 1759387798 Enrollment ID: I20061013000343 |
| Provider Name | Jason S Lees |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508811837 PECOS PAC ID: 9133122971 Enrollment ID: I20061016000126 |
| Provider Name | Robyn L Cowperthwaite |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366427478 PECOS PAC ID: 3678570819 Enrollment ID: I20061031000250 |
| Provider Name | Janice M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588653307 PECOS PAC ID: 6608873708 Enrollment ID: I20061102000600 |
| Provider Name | Rachel Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578539573 PECOS PAC ID: 2668479635 Enrollment ID: I20061104000061 |
| Provider Name | Gabriel M Cuka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306879671 PECOS PAC ID: 2769437631 Enrollment ID: I20061114000570 |
| Provider Name | Lenore Arlee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902819824 PECOS PAC ID: 4789683343 Enrollment ID: I20061207000406 |
| Provider Name | Anna C Newcombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508806662 PECOS PAC ID: 4284633827 Enrollment ID: I20061209000020 |
| Provider Name | Latasha B Craig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265549729 PECOS PAC ID: 4587663703 Enrollment ID: I20061215000129 |
| Provider Name | John Spencer Thompson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790708410 PECOS PAC ID: 6800878596 Enrollment ID: I20070105000042 |
| Provider Name | Alberto J De Armendi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750384947 PECOS PAC ID: 9739135450 Enrollment ID: I20070206000281 |
| Provider Name | Diana A Webber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952404832 PECOS PAC ID: 0749282200 Enrollment ID: I20070213000131 |
| Provider Name | John P Ross |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679535470 PECOS PAC ID: 6507968575 Enrollment ID: I20070221000438 |
| Provider Name | James R Wendelken |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326000191 PECOS PAC ID: 5193827160 Enrollment ID: I20070221000485 |
| Provider Name | Mary B Humphrey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235237728 PECOS PAC ID: 4082716063 Enrollment ID: I20070221000515 |
| Provider Name | Christopher H Bozarth |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811997265 PECOS PAC ID: 0042295024 Enrollment ID: I20070310000057 |
| Provider Name | Michael D John |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790788586 PECOS PAC ID: 3971608175 Enrollment ID: I20070417000468 |
| Provider Name | Rodney W Coate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346394392 PECOS PAC ID: 6608971619 Enrollment ID: I20070419000735 |
| Provider Name | David L Gordon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376500223 PECOS PAC ID: 9537264494 Enrollment ID: I20070420000472 |
| Provider Name | John T Maple |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902879455 PECOS PAC ID: 1759282874 Enrollment ID: I20070519000085 |
| Provider Name | Dirk B Verbrugghe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760523583 PECOS PAC ID: 9133228182 Enrollment ID: I20070615000580 |
| Provider Name | Danielle J Butler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205980398 PECOS PAC ID: 1052410685 Enrollment ID: I20070622000412 |
| Provider Name | James Mark Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497748032 PECOS PAC ID: 5597865808 Enrollment ID: I20070714000239 |
| Provider Name | Jeanne A King |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033239629 PECOS PAC ID: 8426159534 Enrollment ID: I20070719000366 |
| Provider Name | Vickie L Loemker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568439735 PECOS PAC ID: 1254432743 Enrollment ID: I20070727000618 |
| Provider Name | Emilie D Henry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972635134 PECOS PAC ID: 1355432238 Enrollment ID: I20070807000332 |
| Provider Name | Anthony M Alleman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467591610 PECOS PAC ID: 4880785435 Enrollment ID: I20070810000372 |
| Provider Name | Saleem M Qureshi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1609839109 PECOS PAC ID: 7911921671 Enrollment ID: I20070813000174 |
| Provider Name | Jose A Sanclement |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1982721098 PECOS PAC ID: 4385736537 Enrollment ID: I20070817000554 |
| Provider Name | Julie D Thomas-pinkston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467446518 PECOS PAC ID: 2163514035 Enrollment ID: I20070823000087 |
| Provider Name | Steven D Chernausek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104854256 PECOS PAC ID: 5799679262 Enrollment ID: I20070829000247 |
| Provider Name | James R Earley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356439954 PECOS PAC ID: 3375636871 Enrollment ID: I20070829000421 |
| Provider Name | Sheila M Algan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1629071543 PECOS PAC ID: 6608967740 Enrollment ID: I20070829000665 |
| Provider Name | Ozer Algan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871552042 PECOS PAC ID: 9032202122 Enrollment ID: I20070906000046 |
| Provider Name | Devon W Hahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700070422 PECOS PAC ID: 7810084142 Enrollment ID: I20071102000038 |
| Provider Name | Charles H Dukes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972720761 PECOS PAC ID: 9234227422 Enrollment ID: I20071126000152 |
| Provider Name | Heather D Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407950504 PECOS PAC ID: 7416956412 Enrollment ID: I20080121000160 |
| Provider Name | Rajesh Kanagala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659308435 PECOS PAC ID: 4789689837 Enrollment ID: I20080331000288 |
| Provider Name | Campbell M Gillespie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811985914 PECOS PAC ID: 0547347163 Enrollment ID: I20080408000003 |
| Provider Name | Svetlana Sanclement |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174677918 PECOS PAC ID: 6507800364 Enrollment ID: I20080408000032 |
| Provider Name | Kristi L Ludwig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326017427 PECOS PAC ID: 8022197268 Enrollment ID: I20080429000978 |
| Provider Name | Anne Godart Wlodaver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053389304 PECOS PAC ID: 7214016302 Enrollment ID: I20080430000549 |
| Provider Name | Rita M Hancock |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861449563 PECOS PAC ID: 4284734054 Enrollment ID: I20080430000596 |
| Provider Name | Lewis A Hassell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831115120 PECOS PAC ID: 6204735780 Enrollment ID: I20080501000052 |
| Provider Name | Chris Lauren Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851491807 PECOS PAC ID: 3476632720 Enrollment ID: I20080512000396 |
| Provider Name | Katherine Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548301955 PECOS PAC ID: 6002987252 Enrollment ID: I20080617000186 |
| Provider Name | Cory D Cross |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104966290 PECOS PAC ID: 8628140142 Enrollment ID: I20080627000465 |
| Provider Name | Teresa M Shavney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023016268 PECOS PAC ID: 7315040508 Enrollment ID: I20080711000322 |
| Provider Name | James W Schreiber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508035585 PECOS PAC ID: 3072687516 Enrollment ID: I20080801000289 |
| Provider Name | Justin C North |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427197482 PECOS PAC ID: 1557435005 Enrollment ID: I20080801000358 |
| Provider Name | Zhongxin Yu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811038052 PECOS PAC ID: 8628142981 Enrollment ID: I20080805000022 |
| Provider Name | Lieschen H Quiroz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093752925 PECOS PAC ID: 0446284632 Enrollment ID: I20080805000063 |
| Provider Name | Valari Lea Cathey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770551160 PECOS PAC ID: 2769489186 Enrollment ID: I20080814000393 |
| Provider Name | Cecilia C Guthrie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568530137 PECOS PAC ID: 1254406788 Enrollment ID: I20080819000372 |
| Provider Name | Beau M Hawkins |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073654893 PECOS PAC ID: 0244305290 Enrollment ID: I20080826000605 |
| Provider Name | David F Crawford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730295031 PECOS PAC ID: 6204902166 Enrollment ID: I20080829000435 |
| Provider Name | Anjan Mahendra Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609847680 PECOS PAC ID: 2769496025 Enrollment ID: I20080904000177 |
| Provider Name | Katherine Louise Grant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700927548 PECOS PAC ID: 0749356491 Enrollment ID: I20080904000377 |
| Provider Name | Karen Kinney |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588640965 PECOS PAC ID: 6800965781 Enrollment ID: I20080905000041 |
| Provider Name | Nilesh R Vasan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1578580205 PECOS PAC ID: 7012904196 Enrollment ID: I20080905000585 |
| Provider Name | Bradley C Gehrs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215191929 PECOS PAC ID: 7416023510 Enrollment ID: I20080912000409 |
| Provider Name | Jamal Al Taani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083819593 PECOS PAC ID: 7012002314 Enrollment ID: I20080912000420 |
| Provider Name | Kathleen E Combs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417098344 PECOS PAC ID: 4183792641 Enrollment ID: I20081010000174 |
| Provider Name | Jill E Adler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184877045 PECOS PAC ID: 2466517297 Enrollment ID: I20090211000517 |
| Provider Name | Tina D Dickerson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609078559 PECOS PAC ID: 8325103518 Enrollment ID: I20090223000594 |
| Provider Name | Lori A Fredrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225243207 PECOS PAC ID: 3476618661 Enrollment ID: I20090223000621 |
| Provider Name | Michael A Tribbey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629040506 PECOS PAC ID: 6800879719 Enrollment ID: I20090303000331 |
| Provider Name | Robert Dyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508963661 PECOS PAC ID: 2567439359 Enrollment ID: I20090306000471 |
| Provider Name | Michael J Major |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124136395 PECOS PAC ID: 6204826951 Enrollment ID: I20090324000608 |
| Provider Name | Rachel R Mckinzie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184824971 PECOS PAC ID: 1052478575 Enrollment ID: I20090326000518 |
| Provider Name | Evynn V Tapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710139035 PECOS PAC ID: 1355498510 Enrollment ID: I20090406000413 |
| Provider Name | Amber Lee Moon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396987798 PECOS PAC ID: 8123177318 Enrollment ID: I20090518000610 |
| Provider Name | Regina K Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679710479 PECOS PAC ID: 7416007760 Enrollment ID: I20090609000235 |
| Provider Name | Robert B Fails |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639218894 PECOS PAC ID: 8527118355 Enrollment ID: I20090616000607 |
| Provider Name | Lisa Michelle Landrum |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1356456438 PECOS PAC ID: 6608927306 Enrollment ID: I20090618000773 |
| Provider Name | Muhammad A Altaf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871511733 PECOS PAC ID: 8426109125 Enrollment ID: I20090618000775 |
| Provider Name | Stephanie Deleon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184765026 PECOS PAC ID: 2769533348 Enrollment ID: I20090622000133 |
| Provider Name | Curtis L Knoles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740321512 PECOS PAC ID: 7719038025 Enrollment ID: I20090626000372 |
| Provider Name | Kelle D Gaske |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1588822472 PECOS PAC ID: 3476605338 Enrollment ID: I20090723000575 |
| Provider Name | Jeremy R White |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1063455673 PECOS PAC ID: 2769535988 Enrollment ID: I20090805000097 |
| Provider Name | Michael D Martin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003958893 PECOS PAC ID: 4688728496 Enrollment ID: I20090813000261 |
| Provider Name | Joon-shik Moon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518074780 PECOS PAC ID: 9032114780 Enrollment ID: I20090909000063 |
| Provider Name | Joshua L Gierman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881734358 PECOS PAC ID: 9234284589 Enrollment ID: I20090910000109 |
| Provider Name | Charles Holland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306073523 PECOS PAC ID: 9537215116 Enrollment ID: I20090923000443 |
| Provider Name | Tammy A Harrelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003045501 PECOS PAC ID: 1254487663 Enrollment ID: I20090925000167 |
| Provider Name | Steven Earl Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457327470 PECOS PAC ID: 0143366013 Enrollment ID: I20091006000695 |
| Provider Name | Paul Darden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790893741 PECOS PAC ID: 6709893993 Enrollment ID: I20091009000278 |
| Provider Name | Amanda S Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699926725 PECOS PAC ID: 2668519984 Enrollment ID: I20091019000609 |
| Provider Name | Brenda D Toland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053540013 PECOS PAC ID: 6305983065 Enrollment ID: I20091028000837 |
| Provider Name | Ashley Hebensperger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952635708 PECOS PAC ID: 8022156173 Enrollment ID: I20091110000269 |
| Provider Name | Alexandra P Ikeguchi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962402321 PECOS PAC ID: 0244379444 Enrollment ID: I20091201000536 |
| Provider Name | Stephen B Conner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053383497 PECOS PAC ID: 4880735943 Enrollment ID: I20100112000087 |
| Provider Name | Ashley E Weedn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457552671 PECOS PAC ID: 4082756234 Enrollment ID: I20100126000544 |
| Provider Name | Shelley Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922273531 PECOS PAC ID: 4183793870 Enrollment ID: I20100204000319 |
| Provider Name | Amanda L Bogie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164490777 PECOS PAC ID: 9032253182 Enrollment ID: I20100212000625 |
| Provider Name | Vadim A Ivanov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346577012 PECOS PAC ID: 7315081171 Enrollment ID: I20100217000073 |
| Provider Name | Cheryl L Bryant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033188172 PECOS PAC ID: 7214071901 Enrollment ID: I20100218000613 |
| Provider Name | Mark A Fergeson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073581245 PECOS PAC ID: 3173667714 Enrollment ID: I20100219000201 |
| Provider Name | Julie A Krodel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508835604 PECOS PAC ID: 2062556608 Enrollment ID: I20100219000228 |
| Provider Name | Mark L Wolraich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962470211 PECOS PAC ID: 0042354680 Enrollment ID: I20100219000250 |
| Provider Name | Deborah L Shropshire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356319693 PECOS PAC ID: 5890839104 Enrollment ID: I20100224000150 |
| Provider Name | John Stuemky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932177151 PECOS PAC ID: 2466504501 Enrollment ID: I20100224000184 |
| Provider Name | Julie W Lees |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013985324 PECOS PAC ID: 1456495787 Enrollment ID: I20100224000326 |
| Provider Name | Jill S Warren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922076140 PECOS PAC ID: 6608910930 Enrollment ID: I20100224000341 |
| Provider Name | Jennifer L Witherspoon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346473816 PECOS PAC ID: 8426193327 Enrollment ID: I20100303000587 |
| Provider Name | Barry J Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477525848 PECOS PAC ID: 7517049919 Enrollment ID: I20100304000191 |
| Provider Name | Douglas C Dannaway |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982672333 PECOS PAC ID: 9638214166 Enrollment ID: I20100308000657 |
| Provider Name | Casey N Hester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114995420 PECOS PAC ID: 2961547518 Enrollment ID: I20100315000324 |
| Provider Name | Jana S Butcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194799833 PECOS PAC ID: 4587799515 Enrollment ID: I20100316000914 |
| Provider Name | Marianne E Dunlap |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659330603 PECOS PAC ID: 4789719543 Enrollment ID: I20100318000179 |
| Provider Name | Krishnamurthy C Sekar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366410607 PECOS PAC ID: 0648305235 Enrollment ID: I20100322000471 |
| Provider Name | Melissa A Hakman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285678516 PECOS PAC ID: 2062548456 Enrollment ID: I20100324000792 |
| Provider Name | Timothy David Siler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295794048 PECOS PAC ID: 3173628500 Enrollment ID: I20100407000578 |
| Provider Name | Timothy J. Moser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790777035 PECOS PAC ID: 8325111024 Enrollment ID: I20100504000248 |
| Provider Name | Beverly W Funderburk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255300315 PECOS PAC ID: 3971631177 Enrollment ID: I20100510000150 |
| Provider Name | Erin L Moini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760405161 PECOS PAC ID: 3072509371 Enrollment ID: I20100527000175 |
| Provider Name | Kristen H Sorocco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558571513 PECOS PAC ID: 7517044589 Enrollment ID: I20100603000303 |
| Provider Name | John Rapacz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508858853 PECOS PAC ID: 8022053453 Enrollment ID: I20100617000716 |
| Provider Name | Virginiah N Nembhard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457686834 PECOS PAC ID: 6800927641 Enrollment ID: I20100623000517 |
| Provider Name | Patricia A Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104893163 PECOS PAC ID: 3779614375 Enrollment ID: I20100625000591 |
| Provider Name | Nicole Alvarez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730404989 PECOS PAC ID: 5890827836 Enrollment ID: I20100709000676 |
| Provider Name | Manimehalai M Vijayan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1770729907 PECOS PAC ID: 4688706435 Enrollment ID: I20100714001027 |
| Provider Name | Estibaliz A Burns |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124048715 PECOS PAC ID: 0345245353 Enrollment ID: I20100728001060 |
| Provider Name | Kathryne K Cates |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265571707 PECOS PAC ID: 5698808533 Enrollment ID: I20100729000496 |
| Provider Name | Mark I Pogemiller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619058187 PECOS PAC ID: 2769515618 Enrollment ID: I20100729000653 |
| Provider Name | Chad A Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407051188 PECOS PAC ID: 6709910946 Enrollment ID: I20100810000794 |
| Provider Name | Nicholas W Jennings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063736437 PECOS PAC ID: 4789718727 Enrollment ID: I20100812001031 |
| Provider Name | Edward S Kosik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376745901 PECOS PAC ID: 2961562996 Enrollment ID: I20100820000491 |
| Provider Name | Cindy B Mccloskey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255488136 PECOS PAC ID: 6002940491 Enrollment ID: I20100820000690 |
| Provider Name | Ashley A Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518100882 PECOS PAC ID: 7517018047 Enrollment ID: I20100827000340 |
| Provider Name | Minu M George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801068234 PECOS PAC ID: 4284759465 Enrollment ID: I20100910000848 |
| Provider Name | Lawrence J Gregg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528054467 PECOS PAC ID: 2062504186 Enrollment ID: I20100922001027 |
| Provider Name | Hanumantha Pokala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265634562 PECOS PAC ID: 7517150337 Enrollment ID: I20101025000483 |
| Provider Name | Amy Christina Costner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770537037 PECOS PAC ID: 9931263514 Enrollment ID: I20101028000666 |
| Provider Name | Michael Patrick Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215257225 PECOS PAC ID: 0345434684 Enrollment ID: I20101101000967 |
| Provider Name | Patricia K Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932426582 PECOS PAC ID: 9234323379 Enrollment ID: I20101102000932 |
| Provider Name | Jason M Wagner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972594471 PECOS PAC ID: 9739238775 Enrollment ID: I20101102000973 |
| Provider Name | Laura M Haws |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679779789 PECOS PAC ID: 2860686615 Enrollment ID: I20101105000217 |
| Provider Name | Rebecca A Drinkaus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568557148 PECOS PAC ID: 4284829177 Enrollment ID: I20101117001261 |
| Provider Name | Elizabeth C Risch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912211004 PECOS PAC ID: 4587850433 Enrollment ID: I20101118000356 |
| Provider Name | Thomas R Lewis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801935671 PECOS PAC ID: 3577759828 Enrollment ID: I20101129000349 |
| Provider Name | Kevin Wood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447214333 PECOS PAC ID: 0941416689 Enrollment ID: I20101209001431 |
| Provider Name | Gozde Demiralp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972795383 PECOS PAC ID: 6305033614 Enrollment ID: I20101213001086 |
| Provider Name | Shadi Saleem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871749721 PECOS PAC ID: 1759578842 Enrollment ID: I20101215000847 |
| Provider Name | Ashley A Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386954485 PECOS PAC ID: 3577752492 Enrollment ID: I20110107000605 |
| Provider Name | James B Hulin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710142435 PECOS PAC ID: 1153474895 Enrollment ID: I20110113001205 |
| Provider Name | Bart J Borsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407818453 PECOS PAC ID: 6103888458 Enrollment ID: I20110114000119 |
| Provider Name | Catherine G Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104121060 PECOS PAC ID: 7911188339 Enrollment ID: I20110217000899 |
| Provider Name | Faizah N Bhatti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497967699 PECOS PAC ID: 9830372572 Enrollment ID: I20110317000835 |
| Provider Name | Robin L Olander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417136698 PECOS PAC ID: 7911180898 Enrollment ID: I20110330000896 |
| Provider Name | Sandeep G Prabhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689844797 PECOS PAC ID: 0941483838 Enrollment ID: I20110330000982 |
| Provider Name | Floyd Keith Underhill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194792747 PECOS PAC ID: 5991800328 Enrollment ID: I20110401000116 |
| Provider Name | Clara Song |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417006388 PECOS PAC ID: 6901703354 Enrollment ID: I20110428000227 |
| Provider Name | Lara L Limke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720383581 PECOS PAC ID: 8224214606 Enrollment ID: I20110519000460 |
| Provider Name | Joel C Airhart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922301431 PECOS PAC ID: 6709062193 Enrollment ID: I20110519000552 |
| Provider Name | Steven R Orwig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215044615 PECOS PAC ID: 0345427423 Enrollment ID: I20110527000431 |
| Provider Name | Osman Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942412150 PECOS PAC ID: 7618155284 Enrollment ID: I20110629000871 |
| Provider Name | Christine C Olson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598896375 PECOS PAC ID: 9638357049 Enrollment ID: I20110706000356 |
| Provider Name | Ghazi M Rayan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1215921630 PECOS PAC ID: 2668650961 Enrollment ID: I20110708000213 |
| Provider Name | Noel J Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184782765 PECOS PAC ID: 2769650431 Enrollment ID: I20110725000156 |
| Provider Name | Robert Welliver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184723132 PECOS PAC ID: 2769432137 Enrollment ID: I20110725000775 |
| Provider Name | Jeanie Tryggestad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255472072 PECOS PAC ID: 1658540802 Enrollment ID: I20110804000709 |
| Provider Name | Jonea Lim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285774331 PECOS PAC ID: 6406025667 Enrollment ID: I20110805000048 |
| Provider Name | Arlen R Foulks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093942542 PECOS PAC ID: 6507036878 Enrollment ID: I20110823000894 |
| Provider Name | Anas Salkini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417913179 PECOS PAC ID: 7517137607 Enrollment ID: I20110829000213 |
| Provider Name | Katherine M Moxley |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1548308448 PECOS PAC ID: 2961672589 Enrollment ID: I20110908001997 |
| Provider Name | John A Ruth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013177096 PECOS PAC ID: 6709057185 Enrollment ID: I20110914000756 |
| Provider Name | Jennifer C Bradford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396941977 PECOS PAC ID: 0143491423 Enrollment ID: I20110916000224 |
| Provider Name | Mohammad F Madhoun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083754147 PECOS PAC ID: 2062683121 Enrollment ID: I20110921000227 |
| Provider Name | Gary Edward Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932195849 PECOS PAC ID: 3072581305 Enrollment ID: I20110923000427 |
| Provider Name | Hala Chaaban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235307026 PECOS PAC ID: 2860663580 Enrollment ID: I20110928000757 |
| Provider Name | Keri Conner |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528200466 PECOS PAC ID: 7618148388 Enrollment ID: I20110929000455 |
| Provider Name | Houssein Youness |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841331105 PECOS PAC ID: 9537217021 Enrollment ID: I20111004000856 |
| Provider Name | Elizabeth Makil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164684189 PECOS PAC ID: 6204008709 Enrollment ID: I20111005000469 |
| Provider Name | Jacee D Harcourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295014595 PECOS PAC ID: 2860664257 Enrollment ID: I20111006000661 |
| Provider Name | Evgeny V Sidorov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417098880 PECOS PAC ID: 5092987818 Enrollment ID: I20111020000060 |
| Provider Name | Pascale Lane |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831136043 PECOS PAC ID: 3173658515 Enrollment ID: I20111026000448 |
| Provider Name | Monika L Stepniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437437886 PECOS PAC ID: 5496928012 Enrollment ID: I20111026000929 |
| Provider Name | Aaron Mccoy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710952411 PECOS PAC ID: 0648239665 Enrollment ID: I20111102000369 |
| Provider Name | Jennifer E Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609156256 PECOS PAC ID: 2961675152 Enrollment ID: I20111103000642 |
| Provider Name | Quentin Sukut |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902197379 PECOS PAC ID: 3870766918 Enrollment ID: I20111104000381 |
| Provider Name | Joey Lynn Gerhardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720302870 PECOS PAC ID: 7517096977 Enrollment ID: I20111107000475 |
| Provider Name | Tara Adams Gerhardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225272891 PECOS PAC ID: 8426103144 Enrollment ID: I20111107000492 |
| Provider Name | Kamilah N Shy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073652087 PECOS PAC ID: 7416121660 Enrollment ID: I20111128000223 |
| Provider Name | Angela Workman Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578690004 PECOS PAC ID: 2365609468 Enrollment ID: I20120201000295 |
| Provider Name | Mandy Lynn Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184829137 PECOS PAC ID: 2668632308 Enrollment ID: I20120404000430 |
| Provider Name | Casey M Windrix |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215162979 PECOS PAC ID: 3173785664 Enrollment ID: I20120430000099 |
| Provider Name | Amanda Gomes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407902174 PECOS PAC ID: 9739341249 Enrollment ID: I20120430000342 |
| Provider Name | Marcos Gomes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316114291 PECOS PAC ID: 6002079910 Enrollment ID: I20120511000289 |
| Provider Name | Kristy Crutcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174785406 PECOS PAC ID: 6507932068 Enrollment ID: I20120511000506 |
| Provider Name | Eric Vandoorn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558657254 PECOS PAC ID: 5395908040 Enrollment ID: I20120517000091 |
| Provider Name | Michael O Dell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013284397 PECOS PAC ID: 9739342304 Enrollment ID: I20120517000400 |
| Provider Name | Panayiotis Tsitouras |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1568754448 PECOS PAC ID: 7719141464 Enrollment ID: I20120611000278 |
| Provider Name | Jaclyn Shaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376825596 PECOS PAC ID: 3476718545 Enrollment ID: I20120625000100 |
| Provider Name | Teresa Kraus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720263296 PECOS PAC ID: 1355506130 Enrollment ID: I20120628000353 |
| Provider Name | Michael Edwin Confer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336346337 PECOS PAC ID: 5698930485 Enrollment ID: I20120628000524 |
| Provider Name | Scott Mcelmeel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437319639 PECOS PAC ID: 6608031265 Enrollment ID: I20120705000019 |
| Provider Name | Emmaculate Mmboga Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790056380 PECOS PAC ID: 8820253198 Enrollment ID: I20120712000116 |
| Provider Name | Faren Renee Tohm |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972861698 PECOS PAC ID: 7810152113 Enrollment ID: I20120712000469 |
| Provider Name | Kenneth Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457491037 PECOS PAC ID: 1456517663 Enrollment ID: I20120716000244 |
| Provider Name | Justin Boe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205925864 PECOS PAC ID: 5496754988 Enrollment ID: I20120718000755 |
| Provider Name | Ashley Bennett Bowen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053581496 PECOS PAC ID: 6002072071 Enrollment ID: I20120718000776 |
| Provider Name | Stavros Stavrakis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467593152 PECOS PAC ID: 3173789161 Enrollment ID: I20120718000886 |
| Provider Name | Nelson Ivan Agudelo-higuita |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194920074 PECOS PAC ID: 4587820535 Enrollment ID: I20120719000533 |
| Provider Name | Jewel D Montgomery Smay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972723682 PECOS PAC ID: 4587820907 Enrollment ID: I20120730000179 |
| Provider Name | Steven Carter |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1134269681 PECOS PAC ID: 5890941082 Enrollment ID: I20120802000697 |
| Provider Name | Bryan Michael Potthoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881829547 PECOS PAC ID: 2668628389 Enrollment ID: I20120813000735 |
| Provider Name | Naila Aziz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538271069 PECOS PAC ID: 9234171901 Enrollment ID: I20120814000652 |
| Provider Name | Wajeeha Abdul Razaq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265619530 PECOS PAC ID: 5092889592 Enrollment ID: I20120814000661 |
| Provider Name | Mohammad Razaq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710900337 PECOS PAC ID: 7012955578 Enrollment ID: I20120814000672 |
| Provider Name | Kaustubh Sagdeo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356575500 PECOS PAC ID: 8527214105 Enrollment ID: I20120814000673 |
| Provider Name | Jordan A Stabinski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841495439 PECOS PAC ID: 7214119163 Enrollment ID: I20120816000789 |
| Provider Name | Netsanet Getahun Kassa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275769291 PECOS PAC ID: 6204083611 Enrollment ID: I20120820000900 |
| Provider Name | Gabriela Purcarin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881734283 PECOS PAC ID: 6901053974 Enrollment ID: I20120827000242 |
| Provider Name | Dorothy Rhoades |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083837330 PECOS PAC ID: 3274670922 Enrollment ID: I20120914000559 |
| Provider Name | Danielle Demarzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154521722 PECOS PAC ID: 8123276938 Enrollment ID: I20120920000463 |
| Provider Name | John Kimble Frazer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659450120 PECOS PAC ID: 8628001070 Enrollment ID: I20120926000484 |
| Provider Name | Suhair Maqusi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497966337 PECOS PAC ID: 2860641776 Enrollment ID: I20121010000244 |
| Provider Name | Aikaterini Thanou |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316088016 PECOS PAC ID: 2567612203 Enrollment ID: I20121015000714 |
| Provider Name | Mark Doescher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417093527 PECOS PAC ID: 5496845836 Enrollment ID: I20121016000259 |
| Provider Name | Carrie H Yuen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265733240 PECOS PAC ID: 2062458607 Enrollment ID: I20121017000216 |
| Provider Name | Himanshu Bhardwaj |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669604450 PECOS PAC ID: 9234380999 Enrollment ID: I20121107000025 |
| Provider Name | Deepti Chrusciel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659562635 PECOS PAC ID: 5991957326 Enrollment ID: I20121212000247 |
| Provider Name | Tarun Dasari |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1265572366 PECOS PAC ID: 7214180728 Enrollment ID: I20130114000018 |
| Provider Name | Thomas Stasko |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1669571097 PECOS PAC ID: 6002879160 Enrollment ID: I20130206000472 |
| Provider Name | Jennifer Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316207392 PECOS PAC ID: 3375797962 Enrollment ID: I20130207000093 |
| Provider Name | Amanda D Bower |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164761961 PECOS PAC ID: 6406092394 Enrollment ID: I20130419000345 |
| Provider Name | Eugene Steinberg |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1316958218 PECOS PAC ID: 6406031764 Enrollment ID: I20130524000449 |
| Provider Name | Jonathan Edward Heinlen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275739856 PECOS PAC ID: 2163688870 Enrollment ID: I20130618000796 |
| Provider Name | Regina George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609110931 PECOS PAC ID: 2567601644 Enrollment ID: I20130621000019 |
| Provider Name | Mary Dianne Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649586033 PECOS PAC ID: 4789826595 Enrollment ID: I20130807000586 |
| Provider Name | Mary Ellen Stockett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477553105 PECOS PAC ID: 0446161921 Enrollment ID: I20130820000272 |
| Provider Name | Alejandro Ruiz-elizalde |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184873820 PECOS PAC ID: 9830331917 Enrollment ID: I20130820000835 |
| Provider Name | Courtney Dawn Ranallo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487863759 PECOS PAC ID: 8325281058 Enrollment ID: I20130828000817 |
| Provider Name | Courtney Brooke Atchley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033306873 PECOS PAC ID: 5193968782 Enrollment ID: I20130829000577 |
| Provider Name | Alexander Raines |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184850539 PECOS PAC ID: 9537302823 Enrollment ID: I20130906000051 |
| Provider Name | James Battiste |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538368881 PECOS PAC ID: 7810167152 Enrollment ID: I20130918000360 |
| Provider Name | Ami Beth Bax |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700082906 PECOS PAC ID: 9739323478 Enrollment ID: I20130918000615 |
| Provider Name | Samera Vaseer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568651859 PECOS PAC ID: 2961592423 Enrollment ID: I20130919000652 |
| Provider Name | Arshid Majeed Mir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164630737 PECOS PAC ID: 3971747486 Enrollment ID: I20130924000567 |
| Provider Name | Abhishek Makkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639377864 PECOS PAC ID: 8224272653 Enrollment ID: I20130924000932 |
| Provider Name | Jason Roe Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386804805 PECOS PAC ID: 9638331358 Enrollment ID: I20131010001176 |
| Provider Name | Jennifer L Kolbensvik |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194169532 PECOS PAC ID: 7315171907 Enrollment ID: I20131015000887 |
| Provider Name | Michael Cookson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528142635 PECOS PAC ID: 7810025780 Enrollment ID: I20131016000034 |
| Provider Name | Amy Middleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063592475 PECOS PAC ID: 9638303050 Enrollment ID: I20131017001154 |
| Provider Name | Charles Lawrence |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336176973 PECOS PAC ID: 9032255971 Enrollment ID: I20131022001831 |
| Provider Name | Kofi Vandyck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932302684 PECOS PAC ID: 0143462846 Enrollment ID: I20131023000449 |
| Provider Name | Monica Teodora Marin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902125974 PECOS PAC ID: 7416182381 Enrollment ID: I20131030001576 |
| Provider Name | Jeremy David Perry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043647423 PECOS PAC ID: 8921233735 Enrollment ID: I20131104000776 |
| Provider Name | Traci Bartley Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306185087 PECOS PAC ID: 0648406702 Enrollment ID: I20131119001252 |
| Provider Name | Juliane Chainakul |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942541107 PECOS PAC ID: 9739315367 Enrollment ID: I20131203002082 |
| Provider Name | Harold Burkhart |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1477546679 PECOS PAC ID: 6204850126 Enrollment ID: I20131214000206 |
| Provider Name | Joseph Ghata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215258017 PECOS PAC ID: 3678700713 Enrollment ID: I20131216001292 |
| Provider Name | Anna Critser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720413891 PECOS PAC ID: 6901033976 Enrollment ID: I20131219000030 |
| Provider Name | Chevonne L Talley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497181192 PECOS PAC ID: 0446488811 Enrollment ID: I20140109000718 |
| Provider Name | Javey Dallas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629308408 PECOS PAC ID: 5395973721 Enrollment ID: I20140110000911 |
| Provider Name | M. Bard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336224054 PECOS PAC ID: 0345478616 Enrollment ID: I20140113000477 |
| Provider Name | Tara Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043394844 PECOS PAC ID: 5496983546 Enrollment ID: I20140116001535 |
| Provider Name | Cherie Herren |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205977055 PECOS PAC ID: 4486882230 Enrollment ID: I20140124000772 |
| Provider Name | Shawn Cochrane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134361603 PECOS PAC ID: 0648409805 Enrollment ID: I20140210001386 |
| Provider Name | Jedidiah James Perdue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750578332 PECOS PAC ID: 8224268131 Enrollment ID: I20140220000221 |
| Provider Name | John Linck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083878748 PECOS PAC ID: 7214167915 Enrollment ID: I20140225001118 |
| Provider Name | Stephanie M Roberson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780006817 PECOS PAC ID: 0244461986 Enrollment ID: I20140324000409 |
| Provider Name | Bhavi B Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437596442 PECOS PAC ID: 2860623261 Enrollment ID: I20140328000384 |
| Provider Name | William Hinojosa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790936466 PECOS PAC ID: 2466685037 Enrollment ID: I20140506001018 |
| Provider Name | Britta Ostermeyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376652214 PECOS PAC ID: 4587642145 Enrollment ID: I20140519000340 |
| Provider Name | Monica S Sagdeo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184919946 PECOS PAC ID: 6103049739 Enrollment ID: I20140528001928 |
| Provider Name | Erin E Salsman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770901373 PECOS PAC ID: 3971727876 Enrollment ID: I20140616002216 |
| Provider Name | Ryan Ericksen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891958104 PECOS PAC ID: 9133343809 Enrollment ID: I20140619001622 |
| Provider Name | Christina Annette Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326332479 PECOS PAC ID: 6406071547 Enrollment ID: I20140707000331 |
| Provider Name | David M Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417112442 PECOS PAC ID: 2769664861 Enrollment ID: I20140707000546 |
| Provider Name | Humaira Abid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811157829 PECOS PAC ID: 6800011867 Enrollment ID: I20140707001186 |
| Provider Name | Reid Daniel Hebert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659665636 PECOS PAC ID: 8921223991 Enrollment ID: I20140707001450 |
| Provider Name | Tyler Alan Webb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770718108 PECOS PAC ID: 4880819713 Enrollment ID: I20140708001951 |
| Provider Name | William Vanlandingham |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1174798821 PECOS PAC ID: 0244455905 Enrollment ID: I20140714001191 |
| Provider Name | Jami Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205256005 PECOS PAC ID: 4789809385 Enrollment ID: I20140715000386 |
| Provider Name | Elizabeth Hile |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497069090 PECOS PAC ID: 2769608900 Enrollment ID: I20140724002074 |
| Provider Name | Susanna Ulahannan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1033369988 PECOS PAC ID: 0941427157 Enrollment ID: I20140812002108 |
| Provider Name | Benjamin Cornwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861655573 PECOS PAC ID: 6103043286 Enrollment ID: I20140813002016 |
| Provider Name | David Chong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558564542 PECOS PAC ID: 4486881968 Enrollment ID: I20140827001074 |
| Provider Name | Sarah M Shelton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992960918 PECOS PAC ID: 8325267875 Enrollment ID: I20140915001630 |
| Provider Name | Usman Bhutta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588896997 PECOS PAC ID: 6204055742 Enrollment ID: I20140916002187 |
| Provider Name | Yuri C Lansinger |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1295901692 PECOS PAC ID: 5597928895 Enrollment ID: I20140924000924 |
| Provider Name | Lauren Sparks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467687947 PECOS PAC ID: 0446470322 Enrollment ID: I20140926000813 |
| Provider Name | Whitney Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164842514 PECOS PAC ID: 8123248457 Enrollment ID: I20141008000906 |
| Provider Name | Bansi Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376954503 PECOS PAC ID: 1254551526 Enrollment ID: I20141008002304 |
| Provider Name | Timothy A Vavricka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700927175 PECOS PAC ID: 8325268477 Enrollment ID: I20141013001711 |
| Provider Name | Marjorie Makoni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619131687 PECOS PAC ID: 8224259874 Enrollment ID: I20141023000558 |
| Provider Name | Heather N Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699903062 PECOS PAC ID: 6901058759 Enrollment ID: I20141023001888 |
| Provider Name | Mohamad Khawandanah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982867693 PECOS PAC ID: 0143441774 Enrollment ID: I20141024001000 |
| Provider Name | Rachna May |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659548972 PECOS PAC ID: 4385812783 Enrollment ID: I20141029002644 |
| Provider Name | Santaram Vallurupalli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447412788 PECOS PAC ID: 5890938021 Enrollment ID: I20141110001893 |
| Provider Name | Rishi Thakral |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033476809 PECOS PAC ID: 9638391576 Enrollment ID: I20141110002015 |
| Provider Name | Adam Asch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154434405 PECOS PAC ID: 2466454665 Enrollment ID: I20141112000553 |
| Provider Name | Ryan Blucker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720302003 PECOS PAC ID: 6305068149 Enrollment ID: I20141112000984 |
| Provider Name | Erin Marburger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285049916 PECOS PAC ID: 5991927733 Enrollment ID: I20141112001143 |
| Provider Name | Jo Elle Grace Peterson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881830438 PECOS PAC ID: 6204058845 Enrollment ID: I20141114000495 |
| Provider Name | Kelly A Curran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114199130 PECOS PAC ID: 9032373485 Enrollment ID: I20141121000142 |
| Provider Name | Jenny Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144566514 PECOS PAC ID: 0446572580 Enrollment ID: I20141201001339 |
| Provider Name | Natalie Connolly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023303880 PECOS PAC ID: 6406178565 Enrollment ID: I20141201001873 |
| Provider Name | Juliana Alexandra Mcclain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740575505 PECOS PAC ID: 2769704824 Enrollment ID: I20141201001911 |
| Provider Name | Kelly Stratton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154525640 PECOS PAC ID: 1951544592 Enrollment ID: I20141201001975 |
| Provider Name | Larissa Nicole Hines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659666238 PECOS PAC ID: 9133441090 Enrollment ID: I20141203001338 |
| Provider Name | Christopher L Williams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194019232 PECOS PAC ID: 9133441066 Enrollment ID: I20141204000957 |
| Provider Name | Raid Aljumaily |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275702417 PECOS PAC ID: 0345411229 Enrollment ID: I20141230001166 |
| Provider Name | Jennifer Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205241791 PECOS PAC ID: 6507189065 Enrollment ID: I20150108001814 |
| Provider Name | Ryan Peacock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295138592 PECOS PAC ID: 5597089565 Enrollment ID: I20150122000374 |
| Provider Name | Michael Cooper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225079452 PECOS PAC ID: 1456675057 Enrollment ID: I20150129002158 |
| Provider Name | Kimberly Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396172102 PECOS PAC ID: 8022333475 Enrollment ID: I20150206001293 |
| Provider Name | Kimberly Anne Abernathy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356758817 PECOS PAC ID: 2163747353 Enrollment ID: I20150210002095 |
| Provider Name | James Richard Eiszner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962611327 PECOS PAC ID: 7719132950 Enrollment ID: I20150212001196 |
| Provider Name | Ashton Nicole Smitherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649672031 PECOS PAC ID: 3577889260 Enrollment ID: I20150223001125 |
| Provider Name | Stephanie Marrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518363050 PECOS PAC ID: 8123344553 Enrollment ID: I20150303000521 |
| Provider Name | Robert Katz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538175286 PECOS PAC ID: 5092812024 Enrollment ID: I20150306001872 |
| Provider Name | Rebecca Marie Tripp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205236767 PECOS PAC ID: 1052637089 Enrollment ID: I20150310000291 |
| Provider Name | Kaely Jackson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477943652 PECOS PAC ID: 8022335827 Enrollment ID: I20150316000515 |
| Provider Name | Amy Pearcy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831599653 PECOS PAC ID: 2769709203 Enrollment ID: I20150323001115 |
| Provider Name | Emily Braly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760615439 PECOS PAC ID: 1052592995 Enrollment ID: I20150409000171 |
| Provider Name | Angela Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659604882 PECOS PAC ID: 2668790239 Enrollment ID: I20150410000276 |
| Provider Name | Douglas Rowles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629041801 PECOS PAC ID: 7214901685 Enrollment ID: I20150421000442 |
| Provider Name | David M Wangler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578851879 PECOS PAC ID: 2365761368 Enrollment ID: I20150424000144 |
| Provider Name | Brian Christopher Seacat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750675146 PECOS PAC ID: 7113247503 Enrollment ID: I20150527000720 |
| Provider Name | Shawn Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972860617 PECOS PAC ID: 0244551828 Enrollment ID: I20150608002192 |
| Provider Name | Jess Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376515452 PECOS PAC ID: 0547157125 Enrollment ID: I20150615001648 |
| Provider Name | Heather Burks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629238779 PECOS PAC ID: 9436460300 Enrollment ID: I20150618001187 |
| Provider Name | Sarah B Mercer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205093952 PECOS PAC ID: 0143492686 Enrollment ID: I20150619001492 |
| Provider Name | David P Sparling |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588807879 PECOS PAC ID: 9133430580 Enrollment ID: I20150625002100 |
| Provider Name | Brian Wesley Cross |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891954095 PECOS PAC ID: 5890934566 Enrollment ID: I20150629000943 |
| Provider Name | Alisa Cross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558549634 PECOS PAC ID: 2365620242 Enrollment ID: I20150708001065 |
| Provider Name | Deana Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710366471 PECOS PAC ID: 8527371053 Enrollment ID: I20150713002529 |
| Provider Name | Catherine M Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083741847 PECOS PAC ID: 5890747109 Enrollment ID: I20150713002588 |
| Provider Name | Ryan Butchee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730440413 PECOS PAC ID: 9335452895 Enrollment ID: I20150714000313 |
| Provider Name | Margo Shultes Von Schlageter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255422549 PECOS PAC ID: 8628381472 Enrollment ID: I20150722004829 |
| Provider Name | Jason Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447643275 PECOS PAC ID: 1456665694 Enrollment ID: I20150803000365 |
| Provider Name | Amgad Mohammed Haleem Amin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679861389 PECOS PAC ID: 8729392683 Enrollment ID: I20150805008434 |
| Provider Name | Randall Schwartz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861422628 PECOS PAC ID: 7719980150 Enrollment ID: I20150805008698 |
| Provider Name | James Gregory |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912132390 PECOS PAC ID: 9931326824 Enrollment ID: I20150805009450 |
| Provider Name | Birju Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174894919 PECOS PAC ID: 2769635648 Enrollment ID: I20150806010821 |
| Provider Name | Ryan Mckee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083843577 PECOS PAC ID: 5395059125 Enrollment ID: I20150806011176 |
| Provider Name | Jordan W Abbott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750777348 PECOS PAC ID: 5991010647 Enrollment ID: I20150811003520 |
| Provider Name | Camille Catherine Jackson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1700046943 PECOS PAC ID: 7113232711 Enrollment ID: I20150811005343 |
| Provider Name | James Reinersman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568698108 PECOS PAC ID: 4183871197 Enrollment ID: I20150814014258 |
| Provider Name | Talla Rousan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497915672 PECOS PAC ID: 7315252202 Enrollment ID: I20150821012912 |
| Provider Name | Cassandra Duncan-azadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164740783 PECOS PAC ID: 8224275763 Enrollment ID: I20150822014922 |
| Provider Name | Sanjay G Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093959785 PECOS PAC ID: 4789816521 Enrollment ID: I20150831001351 |
| Provider Name | Nita Mason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285918599 PECOS PAC ID: 5799092482 Enrollment ID: I20150912000019 |
| Provider Name | Laura Holman |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790943314 PECOS PAC ID: 6800038266 Enrollment ID: I20150912000058 |
| Provider Name | Hassan Hatoum |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902137540 PECOS PAC ID: 5991012924 Enrollment ID: I20150923001525 |
| Provider Name | Elizabeth Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801152368 PECOS PAC ID: 8022326651 Enrollment ID: I20151001001471 |
| Provider Name | Jeanette Marie Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902281777 PECOS PAC ID: 5991013419 Enrollment ID: I20151002002021 |
| Provider Name | Brenda Green |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649674698 PECOS PAC ID: 0941518344 Enrollment ID: I20151005002538 |
| Provider Name | Micah Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811275241 PECOS PAC ID: 7618285958 Enrollment ID: I20151006001331 |
| Provider Name | Sobia Nabeel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306088950 PECOS PAC ID: 2062720311 Enrollment ID: I20151006001793 |
| Provider Name | Nisha Mathews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891068979 PECOS PAC ID: 1355659640 Enrollment ID: I20151007000209 |
| Provider Name | Shelly R Russeff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053710053 PECOS PAC ID: 9638488430 Enrollment ID: I20151019000323 |
| Provider Name | Richard Gibelyou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407141989 PECOS PAC ID: 7911216601 Enrollment ID: I20151020001747 |
| Provider Name | Tony Farid Abdo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841555935 PECOS PAC ID: 6608015375 Enrollment ID: I20151103001431 |
| Provider Name | Andria Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598059701 PECOS PAC ID: 5193948388 Enrollment ID: I20151113001801 |
| Provider Name | Brittany L Hyde |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093190597 PECOS PAC ID: 9739499047 Enrollment ID: I20151116002650 |
| Provider Name | Lauren Marina Kliewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609246982 PECOS PAC ID: 0244530467 Enrollment ID: I20151119002069 |
| Provider Name | Dorsa Ahlefeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427246008 PECOS PAC ID: 6305146440 Enrollment ID: I20151123000554 |
| Provider Name | Aneesh Pakala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275797987 PECOS PAC ID: 1052612116 Enrollment ID: I20151214001792 |
| Provider Name | Rachel Lorraine Neuhold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740652528 PECOS PAC ID: 6901107697 Enrollment ID: I20151222002725 |
| Provider Name | Gwendolyn Neel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750608592 PECOS PAC ID: 1456570019 Enrollment ID: I20151228001328 |
| Provider Name | Rebecca Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386893907 PECOS PAC ID: 7517011869 Enrollment ID: I20160105002782 |
| Provider Name | Nicole Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386812949 PECOS PAC ID: 4789986670 Enrollment ID: I20160108002441 |
| Provider Name | Irina Baranskaya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346555919 PECOS PAC ID: 2668774290 Enrollment ID: I20160113001725 |
| Provider Name | Brian Alan Chenoweth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558623934 PECOS PAC ID: 8426358946 Enrollment ID: I20160128000697 |
| Provider Name | Mohammad Omar Ramadan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205157120 PECOS PAC ID: 0345544904 Enrollment ID: I20160203000045 |
| Provider Name | Stephanie T Bates |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003134313 PECOS PAC ID: 8123341419 Enrollment ID: I20160203000469 |
| Provider Name | Dante P Melendez-lecca |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396907499 PECOS PAC ID: 9335317767 Enrollment ID: I20160205000528 |
| Provider Name | Jessica Holster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790046274 PECOS PAC ID: 7618290560 Enrollment ID: I20160205000934 |
| Provider Name | Emily Wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275909822 PECOS PAC ID: 4981908910 Enrollment ID: I20160211000179 |
| Provider Name | Deborah Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609232107 PECOS PAC ID: 0143526038 Enrollment ID: I20160302000936 |
| Provider Name | Rodney K Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932145117 PECOS PAC ID: 6002911344 Enrollment ID: I20160304001187 |
| Provider Name | Sabrina N Wyatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376623603 PECOS PAC ID: 2365517521 Enrollment ID: I20160307000536 |
| Provider Name | Leslie Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487019659 PECOS PAC ID: 8325344583 Enrollment ID: I20160315000209 |
| Provider Name | Anil Kashyap |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1649313206 PECOS PAC ID: 4385940352 Enrollment ID: I20160317000880 |
| Provider Name | Patrick Wallace Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194053199 PECOS PAC ID: 3870634496 Enrollment ID: I20160318001238 |
| Provider Name | Laura J Adhikari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780848697 PECOS PAC ID: 9739235334 Enrollment ID: I20160324000588 |
| Provider Name | Jessica Dyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679931836 PECOS PAC ID: 6800194515 Enrollment ID: I20160413001825 |
| Provider Name | Carlee Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609246644 PECOS PAC ID: 9335447598 Enrollment ID: I20160421000741 |
| Provider Name | Maxime Freire |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396918017 PECOS PAC ID: 9234323916 Enrollment ID: I20160502001568 |
| Provider Name | Roy G Jacob |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851596530 PECOS PAC ID: 6305067562 Enrollment ID: I20160510000119 |
| Provider Name | Hanh Henry Tran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679868251 PECOS PAC ID: 4385934421 Enrollment ID: I20160602001108 |
| Provider Name | Kyle Woodson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720349426 PECOS PAC ID: 1355631052 Enrollment ID: I20160609000118 |
| Provider Name | Jared Cordell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427369545 PECOS PAC ID: 2365732914 Enrollment ID: I20160609001776 |
| Provider Name | Sirish Palle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962717785 PECOS PAC ID: 5597900076 Enrollment ID: I20160610000557 |
| Provider Name | Yaolin Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760772651 PECOS PAC ID: 6901042621 Enrollment ID: I20160613000120 |
| Provider Name | Craig White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417278573 PECOS PAC ID: 2365757481 Enrollment ID: I20160621000212 |
| Provider Name | Marta Maxted |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356602080 PECOS PAC ID: 0941509954 Enrollment ID: I20160621001289 |
| Provider Name | Joseph Mcguigan Sisk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659670958 PECOS PAC ID: 0840506176 Enrollment ID: I20160622000289 |
| Provider Name | Matlock A Jeffries |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033439146 PECOS PAC ID: 9032400916 Enrollment ID: I20160623001556 |
| Provider Name | Jennifer Marie Holeman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376804781 PECOS PAC ID: 2567753353 Enrollment ID: I20160627000566 |
| Provider Name | Loren M. Malone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467779876 PECOS PAC ID: 5193016756 Enrollment ID: I20160629000912 |
| Provider Name | Jad Kebbe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487968418 PECOS PAC ID: 4880985472 Enrollment ID: I20160629001851 |
| Provider Name | Mukadder Ozcan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275894768 PECOS PAC ID: 5193017515 Enrollment ID: I20160706000089 |
| Provider Name | Christopher Shawn Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295192672 PECOS PAC ID: 6800188673 Enrollment ID: I20160714002166 |
| Provider Name | Jeremy J Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700046737 PECOS PAC ID: 0840583522 Enrollment ID: I20160719001846 |
| Provider Name | Amanda Page |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528403490 PECOS PAC ID: 4284927963 Enrollment ID: I20160719001907 |
| Provider Name | Kevin Watson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396007779 PECOS PAC ID: 8325337884 Enrollment ID: I20160720000139 |
| Provider Name | Victoria Elwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245525617 PECOS PAC ID: 8022266774 Enrollment ID: I20160720000472 |
| Provider Name | Kibwei Mckinney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447411921 PECOS PAC ID: 1658686100 Enrollment ID: I20160721001820 |
| Provider Name | Federico Silva Palacios |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1881913895 PECOS PAC ID: 4587967690 Enrollment ID: I20160728000895 |
| Provider Name | Montu Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205152113 PECOS PAC ID: 2466746276 Enrollment ID: I20160802001160 |
| Provider Name | Lee Jennings |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1679733125 PECOS PAC ID: 2163571399 Enrollment ID: I20160802002007 |
| Provider Name | Dena Shibib |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982924437 PECOS PAC ID: 3577866714 Enrollment ID: I20160826000415 |
| Provider Name | Sagila George |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922328145 PECOS PAC ID: 9830485036 Enrollment ID: I20160915000109 |
| Provider Name | Laura Fischer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396063392 PECOS PAC ID: 7012140544 Enrollment ID: I20161005001406 |
| Provider Name | Vipul Gaurishankar Pareek |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659640654 PECOS PAC ID: 9335437326 Enrollment ID: I20161006001041 |
| Provider Name | Jill Enevoldsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225489008 PECOS PAC ID: 1759679665 Enrollment ID: I20161010000704 |
| Provider Name | Lacy Edward Harville |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871577239 PECOS PAC ID: 4587722186 Enrollment ID: I20161019001218 |
| Provider Name | Paige K Puryear |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063967578 PECOS PAC ID: 8921386111 Enrollment ID: I20161021001706 |
| Provider Name | Alexandria Caldwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972949238 PECOS PAC ID: 1759669856 Enrollment ID: I20161025000368 |
| Provider Name | Amanda Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699127050 PECOS PAC ID: 0941588388 Enrollment ID: I20161105000069 |
| Provider Name | Ashley Marie Gallup |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407205347 PECOS PAC ID: 0749569960 Enrollment ID: I20161110002216 |
| Provider Name | Carmen Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972822732 PECOS PAC ID: 0244519270 Enrollment ID: I20161116000158 |
| Provider Name | Libu Kurian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043661242 PECOS PAC ID: 9133409758 Enrollment ID: I20161216001007 |
| Provider Name | Andrea Lane Putthoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316497050 PECOS PAC ID: 0042591588 Enrollment ID: I20161221001463 |
| Provider Name | Jonathan Hart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508236787 PECOS PAC ID: 4789965864 Enrollment ID: I20170104000153 |
| Provider Name | Deborah Wright |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1639624612 PECOS PAC ID: 8325320021 Enrollment ID: I20170112001422 |
| Provider Name | Melissa Sue Alfred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295193910 PECOS PAC ID: 9234435421 Enrollment ID: I20170120002281 |
| Provider Name | Madeline Bach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790230985 PECOS PAC ID: 2668754888 Enrollment ID: I20170124001920 |
| Provider Name | Amy Dawn Maley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093268278 PECOS PAC ID: 4981986098 Enrollment ID: I20170126000086 |
| Provider Name | Roy M Slootheer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356892921 PECOS PAC ID: 5799067617 Enrollment ID: I20170127002353 |
| Provider Name | Suanne Daves |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629153721 PECOS PAC ID: 1759342462 Enrollment ID: I20170130001797 |
| Provider Name | Tracy Mast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710362538 PECOS PAC ID: 6800179524 Enrollment ID: I20170203000295 |
| Provider Name | Erika Lee |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164616017 PECOS PAC ID: 7214210863 Enrollment ID: I20170207000022 |
| Provider Name | Katherine Morris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245227487 PECOS PAC ID: 8628097292 Enrollment ID: I20170210001255 |
| Provider Name | Halea Plumlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861939225 PECOS PAC ID: 4587948138 Enrollment ID: I20170228000989 |
| Provider Name | Jarad I Levin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407177538 PECOS PAC ID: 1951539154 Enrollment ID: I20170308001299 |
| Provider Name | Crystal Vicars |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881933869 PECOS PAC ID: 0547407553 Enrollment ID: I20170310000084 |
| Provider Name | Kristin Rebik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932408275 PECOS PAC ID: 7719286269 Enrollment ID: I20170327000446 |
| Provider Name | Shandy Rae Gosnell Stotler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588100408 PECOS PAC ID: 4486939824 Enrollment ID: I20170327000698 |
| Provider Name | Jennifer Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063951739 PECOS PAC ID: 9032494430 Enrollment ID: I20170328000129 |
| Provider Name | Phuong Elizabeth Ngo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710112297 PECOS PAC ID: 4880859321 Enrollment ID: I20170406002623 |
| Provider Name | Lori Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043742364 PECOS PAC ID: 2264719400 Enrollment ID: I20170426000614 |
| Provider Name | Daniel Heyanka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588098545 PECOS PAC ID: 7214214295 Enrollment ID: I20170428001144 |
| Provider Name | Christine Vo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417391202 PECOS PAC ID: 2961789904 Enrollment ID: I20170501001129 |
| Provider Name | Joshy Shabu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083150387 PECOS PAC ID: 3476830092 Enrollment ID: I20170509002675 |
| Provider Name | Amy E Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104059096 PECOS PAC ID: 4183889769 Enrollment ID: I20170517002992 |
| Provider Name | Christopher Czapla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235573635 PECOS PAC ID: 9537467030 Enrollment ID: I20170518000127 |
| Provider Name | Ashish Nagpal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598022105 PECOS PAC ID: 6406123694 Enrollment ID: I20170518000388 |
| Provider Name | Juanita Bess |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346515590 PECOS PAC ID: 8123395357 Enrollment ID: I20170518001721 |
| Provider Name | Daniel Parker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457633588 PECOS PAC ID: 2961779194 Enrollment ID: I20170518002029 |
| Provider Name | Brian Lich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841635307 PECOS PAC ID: 3072737238 Enrollment ID: I20170518002448 |
| Provider Name | Blake Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871811794 PECOS PAC ID: 4385880038 Enrollment ID: I20170519001909 |
| Provider Name | Vijayabharathi Ekambaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093000689 PECOS PAC ID: 6305129552 Enrollment ID: I20170520000151 |
| Provider Name | Farooq Choudhry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073804514 PECOS PAC ID: 5294987087 Enrollment ID: I20170609000855 |
| Provider Name | Shauna Lawlis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144517103 PECOS PAC ID: 7012285554 Enrollment ID: I20170624000009 |
| Provider Name | Edgar Leclaire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922149426 PECOS PAC ID: 8820215007 Enrollment ID: I20170627000989 |
| Provider Name | Christina Henson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144580853 PECOS PAC ID: 6901197474 Enrollment ID: I20170627001563 |
| Provider Name | Mathew J Johnstone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518327089 PECOS PAC ID: 9537438999 Enrollment ID: I20170629000121 |
| Provider Name | Vamsikrishna Kaliki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689093577 PECOS PAC ID: 5799004446 Enrollment ID: I20170706000220 |
| Provider Name | Jennifer Dimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871021352 PECOS PAC ID: 4587933221 Enrollment ID: I20170712000217 |
| Provider Name | Richard Atkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346582657 PECOS PAC ID: 1557630209 Enrollment ID: I20170712000423 |
| Provider Name | Jenny Lamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184014722 PECOS PAC ID: 2365712437 Enrollment ID: I20170721002241 |
| Provider Name | Michelle Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912311135 PECOS PAC ID: 3375813462 Enrollment ID: I20170722000052 |
| Provider Name | Jonathan David Meyer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164716874 PECOS PAC ID: 0840510871 Enrollment ID: I20170727002467 |
| Provider Name | Priya Prakash |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225374085 PECOS PAC ID: 4183995772 Enrollment ID: I20170731002510 |
| Provider Name | Robert Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154617371 PECOS PAC ID: 6709033400 Enrollment ID: I20170801000930 |
| Provider Name | Lara Dean |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295173474 PECOS PAC ID: 6406127919 Enrollment ID: I20170802000595 |
| Provider Name | Ryan Kennedy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922238294 PECOS PAC ID: 8022258169 Enrollment ID: I20170802002628 |
| Provider Name | Nathan Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174884662 PECOS PAC ID: 3173894532 Enrollment ID: I20170802002864 |
| Provider Name | Abhishek Bavle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083929269 PECOS PAC ID: 4385915768 Enrollment ID: I20170803000312 |
| Provider Name | Andrea L Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356756860 PECOS PAC ID: 8224357702 Enrollment ID: I20170805000160 |
| Provider Name | Heather Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063544310 PECOS PAC ID: 0345511366 Enrollment ID: I20170809000303 |
| Provider Name | Sarah Sung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285929224 PECOS PAC ID: 9830485259 Enrollment ID: I20170811000390 |
| Provider Name | Fahd Sultan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740524719 PECOS PAC ID: 2668786914 Enrollment ID: I20170811001553 |
| Provider Name | Patience Ozor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710321245 PECOS PAC ID: 5496048175 Enrollment ID: I20170815000505 |
| Provider Name | Tammam Dayyoub |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942555727 PECOS PAC ID: 2062701279 Enrollment ID: I20170816001626 |
| Provider Name | Abhishek Tripathi |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1568750032 PECOS PAC ID: 0143452128 Enrollment ID: I20170818000997 |
| Provider Name | Frederico Vieira |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477849248 PECOS PAC ID: 4688970700 Enrollment ID: I20170824003090 |
| Provider Name | Jennifer Freeman-jobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013437227 PECOS PAC ID: 1658643614 Enrollment ID: I20170825001128 |
| Provider Name | Stefanie Bryant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053637603 PECOS PAC ID: 2860612777 Enrollment ID: I20170828003268 |
| Provider Name | Lincy Varughese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487174819 PECOS PAC ID: 7719250232 Enrollment ID: I20170906000360 |
| Provider Name | Kristina Booth |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1093009011 PECOS PAC ID: 9638472236 Enrollment ID: I20170914002238 |
| Provider Name | Emily Katherine Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437671328 PECOS PAC ID: 7719251347 Enrollment ID: I20170921000308 |
| Provider Name | Lindsey Collins |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316200413 PECOS PAC ID: 4284932096 Enrollment ID: I20170927001622 |
| Provider Name | Cerissa Kalani Key |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952630261 PECOS PAC ID: 5698049724 Enrollment ID: I20170927004035 |
| Provider Name | Donald Courtney |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265490379 PECOS PAC ID: 9739319070 Enrollment ID: I20170928003452 |
| Provider Name | Amanda Celii |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073822847 PECOS PAC ID: 1355655010 Enrollment ID: I20171002001566 |
| Provider Name | Geneva Hirshburg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154764892 PECOS PAC ID: 5799050753 Enrollment ID: I20171002002537 |
| Provider Name | Theresa Bach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538682463 PECOS PAC ID: 0648545558 Enrollment ID: I20171003005662 |
| Provider Name | Shanty Varughese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366962300 PECOS PAC ID: 9335414077 Enrollment ID: I20171006000174 |
| Provider Name | Demvihin Ihyembe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023304490 PECOS PAC ID: 6901171537 Enrollment ID: I20171009001513 |
| Provider Name | Marlene Beaty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972025419 PECOS PAC ID: 9931475076 Enrollment ID: I20171018000289 |
| Provider Name | Debra L Richardson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1992784987 PECOS PAC ID: 2567485501 Enrollment ID: I20171027000952 |
| Provider Name | Elisabeth Ann Okroi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356865414 PECOS PAC ID: 8628344934 Enrollment ID: I20171031002148 |
| Provider Name | Jordon Leigh Kliewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770006090 PECOS PAC ID: 1254697410 Enrollment ID: I20171106000428 |
| Provider Name | Lauren Chelsea Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982139440 PECOS PAC ID: 0244596963 Enrollment ID: I20171114001426 |
| Provider Name | Abhijeet Pal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033459599 PECOS PAC ID: 8527325984 Enrollment ID: I20171121000144 |
| Provider Name | Christopher Copeland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255855110 PECOS PAC ID: 4284991514 Enrollment ID: I20171122000070 |
| Provider Name | Christina K Walsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891007464 PECOS PAC ID: 1557502697 Enrollment ID: I20171128000479 |
| Provider Name | Donna Lynn Tyungu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083930960 PECOS PAC ID: 3870726086 Enrollment ID: I20171128003340 |
| Provider Name | Barish Halil Edil |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1568498855 PECOS PAC ID: 8729081823 Enrollment ID: I20171128003575 |
| Provider Name | Arpan Sinha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720355928 PECOS PAC ID: 1759648702 Enrollment ID: I20171129000427 |
| Provider Name | Tracye Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023537644 PECOS PAC ID: 6507123494 Enrollment ID: I20171201000066 |
| Provider Name | Lindsey Dena' Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730604836 PECOS PAC ID: 7012274863 Enrollment ID: I20171202000076 |
| Provider Name | Tracy Jo Goebel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205090032 PECOS PAC ID: 5193084085 Enrollment ID: I20180123001206 |
| Provider Name | Amanda Parsons |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457638298 PECOS PAC ID: 8426318932 Enrollment ID: I20180201000862 |
| Provider Name | Alexandra Lich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932460623 PECOS PAC ID: 2860752318 Enrollment ID: I20180201002199 |
| Provider Name | Nissy Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689020067 PECOS PAC ID: 5294095659 Enrollment ID: I20180202000206 |
| Provider Name | Carley Shea Hake |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700397460 PECOS PAC ID: 0749540730 Enrollment ID: I20180213001148 |
| Provider Name | Matthew Campbell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346534492 PECOS PAC ID: 7214156579 Enrollment ID: I20180213002721 |
| Provider Name | Jeanne Tung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851371223 PECOS PAC ID: 8325002033 Enrollment ID: I20180215001842 |
| Provider Name | Rachel Funk-lawler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770956781 PECOS PAC ID: 8527329218 Enrollment ID: I20180220001713 |
| Provider Name | Rhonda Jean Coleman-jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881948131 PECOS PAC ID: 9830335546 Enrollment ID: I20180327003126 |
| Provider Name | Lisa M Mcconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346753456 PECOS PAC ID: 8325301328 Enrollment ID: I20180404000483 |
| Provider Name | Shauntae Antwine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295247963 PECOS PAC ID: 2668735564 Enrollment ID: I20180405002205 |
| Provider Name | Kaitlyn Knedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942702634 PECOS PAC ID: 2860756830 Enrollment ID: I20180430001191 |
| Provider Name | Jennifer Jayne Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265933725 PECOS PAC ID: 1355605239 Enrollment ID: I20180430001849 |
| Provider Name | Hugh Christopher Gardner Nadeau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710320627 PECOS PAC ID: 7517107386 Enrollment ID: I20180503001168 |
| Provider Name | Angela Marie Yuras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790002434 PECOS PAC ID: 3274715487 Enrollment ID: I20180510000652 |
| Provider Name | Kathryn Maria Jeter Welch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588188072 PECOS PAC ID: 1052675238 Enrollment ID: I20180516001785 |
| Provider Name | Carissa Declerck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760922678 PECOS PAC ID: 6709141732 Enrollment ID: I20180523000066 |
| Provider Name | Khairuddin Memon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699037689 PECOS PAC ID: 8921363227 Enrollment ID: I20180606003069 |
| Provider Name | Chee Yoon Shim Bauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417392986 PECOS PAC ID: 0840518650 Enrollment ID: I20180607001582 |
| Provider Name | Kathryn R Lindsay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326467978 PECOS PAC ID: 9133425861 Enrollment ID: I20180614002184 |
| Provider Name | Adam Joseph Rensing |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811283849 PECOS PAC ID: 7618106964 Enrollment ID: I20180619003234 |
| Provider Name | Bhalaajee Meenakshi-sundaram |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477847374 PECOS PAC ID: 3577862010 Enrollment ID: I20180620003130 |
| Provider Name | Lisa Moon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801157532 PECOS PAC ID: 0840599866 Enrollment ID: I20180625003593 |
| Provider Name | Raina Don Leckie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497200737 PECOS PAC ID: 7719265990 Enrollment ID: I20180626001927 |
| Provider Name | Stefani Madison |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528328317 PECOS PAC ID: 4587952080 Enrollment ID: I20180626002773 |
| Provider Name | Shashank Siddhalingappa Shettar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104171412 PECOS PAC ID: 5193023299 Enrollment ID: I20180627001621 |
| Provider Name | Jared Petter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790129583 PECOS PAC ID: 0345596565 Enrollment ID: I20180702000686 |
| Provider Name | Julie St John Mahaney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841679701 PECOS PAC ID: 5890002711 Enrollment ID: I20180703002125 |
| Provider Name | Jack C Borders |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306800404 PECOS PAC ID: 4183652167 Enrollment ID: I20180706000113 |
| Provider Name | Chad Glenn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356662415 PECOS PAC ID: 7618240565 Enrollment ID: I20180710002288 |
| Provider Name | Besem Beteck |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649567736 PECOS PAC ID: 8224384847 Enrollment ID: I20180711002737 |
| Provider Name | Ajay Prabhakar Nadig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831577238 PECOS PAC ID: 3173825692 Enrollment ID: I20180712000709 |
| Provider Name | Salim Daouk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740544006 PECOS PAC ID: 3971810532 Enrollment ID: I20180713000361 |
| Provider Name | Nidhiben Ashvinbhai Anadani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982045571 PECOS PAC ID: 8527314079 Enrollment ID: I20180713000500 |
| Provider Name | Hussein Bitar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548525645 PECOS PAC ID: 3678793353 Enrollment ID: I20180716002537 |
| Provider Name | Sami Ibrahimi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295081511 PECOS PAC ID: 7517191638 Enrollment ID: I20180719001914 |
| Provider Name | Jamie Louise Hunt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003314600 PECOS PAC ID: 4183971294 Enrollment ID: I20180720000887 |
| Provider Name | Anjali Lal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053601237 PECOS PAC ID: 3678841509 Enrollment ID: I20180725002110 |
| Provider Name | Ahmad Al-awwad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922412493 PECOS PAC ID: 1254688971 Enrollment ID: I20180725003253 |
| Provider Name | Jason Matthew Hirshburg |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1003251943 PECOS PAC ID: 9032486428 Enrollment ID: I20180725003341 |
| Provider Name | Bhrugav G Raval |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538410006 PECOS PAC ID: 4284981911 Enrollment ID: I20180725003646 |
| Provider Name | Brandeline R Lobato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447520879 PECOS PAC ID: 0244588788 Enrollment ID: I20180731003269 |
| Provider Name | Mukta Dilipkumar Agrawal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295043883 PECOS PAC ID: 3870816192 Enrollment ID: I20180806002322 |
| Provider Name | Sathish Ramanathan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023450384 PECOS PAC ID: 8628374105 Enrollment ID: I20180807001916 |
| Provider Name | Hamid Reza Vahabzadeh Monshie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215279633 PECOS PAC ID: 4082903976 Enrollment ID: I20180808000054 |
| Provider Name | Michael Lawrence Magguilli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194082925 PECOS PAC ID: 7416205109 Enrollment ID: I20180813002926 |
| Provider Name | Cody Allen Thomas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417214826 PECOS PAC ID: 3375810567 Enrollment ID: I20180814000194 |
| Provider Name | Erynn Marie Bergner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962762948 PECOS PAC ID: 5597014274 Enrollment ID: I20180814003773 |
| Provider Name | Kathryn Kramer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477967230 PECOS PAC ID: 1951691229 Enrollment ID: I20180815000103 |
| Provider Name | Murali Krishnan Neelagiri Nagarajan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649568999 PECOS PAC ID: 4880818442 Enrollment ID: I20180817000459 |
| Provider Name | Manzilat Akande |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023354784 PECOS PAC ID: 3173872520 Enrollment ID: I20180820000970 |
| Provider Name | Lauren Nicole White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033475611 PECOS PAC ID: 7012214141 Enrollment ID: I20180820000992 |
| Provider Name | Joanne Carol Skaggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205031309 PECOS PAC ID: 7719011493 Enrollment ID: I20180820001153 |
| Provider Name | Kruti Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003229535 PECOS PAC ID: 1355659830 Enrollment ID: I20180820002929 |
| Provider Name | Anai Cristina Hamasaki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669769535 PECOS PAC ID: 0345544243 Enrollment ID: I20180820003552 |
| Provider Name | Jerry P George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619236627 PECOS PAC ID: 5496004616 Enrollment ID: I20180822000467 |
| Provider Name | Amanda Victoria Burris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376042556 PECOS PAC ID: 3870842909 Enrollment ID: I20180822001127 |
| Provider Name | Megan M Keenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386891646 PECOS PAC ID: 8527221761 Enrollment ID: I20180822003117 |
| Provider Name | Ahmed Abdal Cheema |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942435375 PECOS PAC ID: 9537450705 Enrollment ID: I20180823002459 |
| Provider Name | Jennifer Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326428798 PECOS PAC ID: 0446509491 Enrollment ID: I20180823002846 |
| Provider Name | Madison Brinlee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154737682 PECOS PAC ID: 1850517079 Enrollment ID: I20180830000246 |
| Provider Name | Stephanie Lynn Pierce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497042931 PECOS PAC ID: 5193075851 Enrollment ID: I20180830002336 |
| Provider Name | Edward Tarek El Rassi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518233758 PECOS PAC ID: 4880839554 Enrollment ID: I20180910000156 |
| Provider Name | Hakeem J Shakir |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356632897 PECOS PAC ID: 4284984329 Enrollment ID: I20180911000921 |
| Provider Name | Sisira Kumara Andrahennady |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093791147 PECOS PAC ID: 2365336062 Enrollment ID: I20180914001187 |
| Provider Name | Aswathy Kumar Vaikom House |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023364890 PECOS PAC ID: 0547493017 Enrollment ID: I20180926003642 |
| Provider Name | Stephen Michael Clayton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255745535 PECOS PAC ID: 3577814516 Enrollment ID: I20181001002465 |
| Provider Name | Virginia Grace Ferrara |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801372602 PECOS PAC ID: 4587916382 Enrollment ID: I20181005000888 |
| Provider Name | Kyle J Bielefeld |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821268707 PECOS PAC ID: 5092067801 Enrollment ID: I20181005001168 |
| Provider Name | Daniel Alexeev Ganchev |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275019523 PECOS PAC ID: 9436401130 Enrollment ID: I20181008002321 |
| Provider Name | Juan Claros-sorto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043571664 PECOS PAC ID: 5193028785 Enrollment ID: I20181011002164 |
| Provider Name | Ashley Lynn Ethriedge |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558867788 PECOS PAC ID: 3375895725 Enrollment ID: I20181011002785 |
| Provider Name | Taha Jawaid Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609281815 PECOS PAC ID: 7012137771 Enrollment ID: I20181012000304 |
| Provider Name | Huimin Wu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083902506 PECOS PAC ID: 9436449576 Enrollment ID: I20181012000382 |
| Provider Name | Fawad Aleem Chaudry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467656686 PECOS PAC ID: 9032265137 Enrollment ID: I20181016002303 |
| Provider Name | Scott Blair |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851688923 PECOS PAC ID: 6002055449 Enrollment ID: I20181022002813 |
| Provider Name | Samantha Carol Langley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114409331 PECOS PAC ID: 1759634645 Enrollment ID: I20181023001040 |
| Provider Name | Anjana Lal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912134073 PECOS PAC ID: 4789994047 Enrollment ID: I20181025001489 |
| Provider Name | Amber Kirk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083192348 PECOS PAC ID: 7214280965 Enrollment ID: I20181025001552 |
| Provider Name | Neil M Borden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548223514 PECOS PAC ID: 3779495825 Enrollment ID: I20181025002976 |
| Provider Name | Whitney Dane Nall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790125839 PECOS PAC ID: 2365671948 Enrollment ID: I20181029000387 |
| Provider Name | Nassim Zecavati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144480195 PECOS PAC ID: 3173660354 Enrollment ID: I20181031002672 |
| Provider Name | Bradley R Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902382765 PECOS PAC ID: 0143573337 Enrollment ID: I20181106001095 |
| Provider Name | Katherine Galgani Rensing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407338163 PECOS PAC ID: 4880948652 Enrollment ID: I20181114000420 |
| Provider Name | Ian F Dunn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346400090 PECOS PAC ID: 8224189253 Enrollment ID: I20181115002647 |
| Provider Name | Debbie Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902257512 PECOS PAC ID: 3173867439 Enrollment ID: I20181128000918 |
| Provider Name | Emily Rebekah Corley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265836282 PECOS PAC ID: 7719221092 Enrollment ID: I20181128001756 |
| Provider Name | Nicholas Scott Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629456124 PECOS PAC ID: 5294007647 Enrollment ID: I20181207001662 |
| Provider Name | Nicole M Oweis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356843007 PECOS PAC ID: 1355685942 Enrollment ID: I20181210000517 |
| Provider Name | Heather Baucom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225512064 PECOS PAC ID: 2264776731 Enrollment ID: I20181211000501 |
| Provider Name | Ivan Kozhulenko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023592805 PECOS PAC ID: 7618211046 Enrollment ID: I20181211003453 |
| Provider Name | Katherine Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659772986 PECOS PAC ID: 6901141381 Enrollment ID: I20181213002348 |
| Provider Name | Alexander G Bien |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881734614 PECOS PAC ID: 9537268271 Enrollment ID: I20181228000258 |
| Provider Name | Paul Jason Bradley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003393802 PECOS PAC ID: 3476899667 Enrollment ID: I20190109000375 |
| Provider Name | Staci Lynn Lopez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861961112 PECOS PAC ID: 1557608767 Enrollment ID: I20190125002356 |
| Provider Name | William Mansfield Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306363833 PECOS PAC ID: 6507103744 Enrollment ID: I20190128000188 |
| Provider Name | Amanda Lowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275622458 PECOS PAC ID: 1456698695 Enrollment ID: I20190128000373 |
| Provider Name | Ajay Jain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770683245 PECOS PAC ID: 8224037023 Enrollment ID: I20190129001646 |
| Provider Name | Serena Renee Browning |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801384953 PECOS PAC ID: 5294072203 Enrollment ID: I20190129003828 |
| Provider Name | Kerry Bond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982153110 PECOS PAC ID: 7012254824 Enrollment ID: I20190131001520 |
| Provider Name | Ilka Dietlinde Theruvath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770700304 PECOS PAC ID: 4385777929 Enrollment ID: I20190226001440 |
| Provider Name | Michael Joseph Bernell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801116850 PECOS PAC ID: 1052625803 Enrollment ID: I20190226001486 |
| Provider Name | Melissa Wheeler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528179876 PECOS PAC ID: 4688998701 Enrollment ID: I20190226002027 |
| Provider Name | Aurelio Feliciano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548201031 PECOS PAC ID: 8729979232 Enrollment ID: I20190304000253 |
| Provider Name | Courtney Cheatham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780121947 PECOS PAC ID: 7618216961 Enrollment ID: I20190304001117 |
| Provider Name | Anna Marika Stone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386668325 PECOS PAC ID: 7719203801 Enrollment ID: I20190313002615 |
| Provider Name | Jose Roberto Martinez Parachini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770931339 PECOS PAC ID: 1052651668 Enrollment ID: I20190319000432 |
| Provider Name | Suha T Ramadan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255398269 PECOS PAC ID: 4082519368 Enrollment ID: I20190408000389 |
| Provider Name | Allison Noel Hood |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801215751 PECOS PAC ID: 4486908415 Enrollment ID: I20190411000538 |
| Provider Name | Brandi Nicole Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225503170 PECOS PAC ID: 3870835796 Enrollment ID: I20190425000428 |
| Provider Name | Densey Matthew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942509724 PECOS PAC ID: 4587882634 Enrollment ID: I20190430002055 |
| Provider Name | Chun-hui Anne Tsai |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1588749220 PECOS PAC ID: 4183698046 Enrollment ID: I20190506000834 |
| Provider Name | Danielle Torres Briseno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891268629 PECOS PAC ID: 8123360435 Enrollment ID: I20190506002171 |
| Provider Name | Nathan Alan Bradley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861652893 PECOS PAC ID: 4688814684 Enrollment ID: I20190508001537 |
| Provider Name | Abigail Jane Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699098822 PECOS PAC ID: 3577806629 Enrollment ID: I20190514000389 |
| Provider Name | Sean Duguay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336584507 PECOS PAC ID: 2860793387 Enrollment ID: I20190522002927 |
| Provider Name | Andrew Conner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487948642 PECOS PAC ID: 3274836846 Enrollment ID: I20190523001108 |
| Provider Name | Katherine Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649613688 PECOS PAC ID: 6800165010 Enrollment ID: I20190528000329 |
| Provider Name | Maha Marwan Jarmakani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265875918 PECOS PAC ID: 7810299849 Enrollment ID: I20190529001268 |
| Provider Name | Tana Chongsuwat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184070963 PECOS PAC ID: 4385871987 Enrollment ID: I20190529001942 |
| Provider Name | Neha Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659776243 PECOS PAC ID: 8426343419 Enrollment ID: I20190611002124 |
| Provider Name | Meagan Decher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073784203 PECOS PAC ID: 4284967019 Enrollment ID: I20190611002258 |
| Provider Name | Wenyi Luo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457795270 PECOS PAC ID: 5496093114 Enrollment ID: I20190611002762 |
| Provider Name | Matthew Le |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467848044 PECOS PAC ID: 8325397193 Enrollment ID: I20190611002876 |
| Provider Name | Melissa Alice Oishi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588228324 PECOS PAC ID: 3375876014 Enrollment ID: I20190611003219 |
| Provider Name | Chelsey Deel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942614482 PECOS PAC ID: 3779831185 Enrollment ID: I20190612000475 |
| Provider Name | Saurabh Talathi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649675125 PECOS PAC ID: 2668767831 Enrollment ID: I20190612002278 |
| Provider Name | Teddy M Muisyo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780024109 PECOS PAC ID: 8325344054 Enrollment ID: I20190613000105 |
| Provider Name | Paula Jean Rawls |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346290921 PECOS PAC ID: 7214999564 Enrollment ID: I20190617003342 |
| Provider Name | Kevin B Gerold |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326041518 PECOS PAC ID: 1254379910 Enrollment ID: I20190626001968 |
| Provider Name | Ana Quintero-del-rio |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750312229 PECOS PAC ID: 7113251935 Enrollment ID: I20190628000398 |
| Provider Name | Tyler Craig Gunter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700291036 PECOS PAC ID: 0345530796 Enrollment ID: I20190701001734 |
| Provider Name | Mohamad Hussien Khattab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265889489 PECOS PAC ID: 2567796139 Enrollment ID: I20190702000916 |
| Provider Name | Pavan Parikh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427312891 PECOS PAC ID: 9436475449 Enrollment ID: I20190706000202 |
| Provider Name | Nevinson P Sam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497169213 PECOS PAC ID: 3678825791 Enrollment ID: I20190708002430 |
| Provider Name | Heath Sims |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255745451 PECOS PAC ID: 3274754999 Enrollment ID: I20190708002616 |
| Provider Name | Ashley Bunce Mcallister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740669639 PECOS PAC ID: 6800121146 Enrollment ID: I20190710000108 |
| Provider Name | Danny George Samkutty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154709632 PECOS PAC ID: 5597090852 Enrollment ID: I20190710000674 |
| Provider Name | Jorge Guy Ortiz Garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689937336 PECOS PAC ID: 3173827193 Enrollment ID: I20190710000836 |
| Provider Name | Mohanageetha Ardhanari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437590908 PECOS PAC ID: 2668777582 Enrollment ID: I20190710001400 |
| Provider Name | Natalia Soulages Arrese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851749337 PECOS PAC ID: 5698000875 Enrollment ID: I20190710001721 |
| Provider Name | Abhrajit Ganguly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841631983 PECOS PAC ID: 7416282603 Enrollment ID: I20190710002157 |
| Provider Name | Shashank Prakash Behere |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124382148 PECOS PAC ID: 1850626052 Enrollment ID: I20190710002622 |
| Provider Name | Lindsay A Stafford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841532538 PECOS PAC ID: 4587999792 Enrollment ID: I20190710002668 |
| Provider Name | Masoom Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467791764 PECOS PAC ID: 9537474978 Enrollment ID: I20190711000485 |
| Provider Name | Andrew Tom Cave |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700142155 PECOS PAC ID: 3173778974 Enrollment ID: I20190711001099 |
| Provider Name | Samuel Levin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013275908 PECOS PAC ID: 9032444070 Enrollment ID: I20190712000211 |
| Provider Name | Theresa Mary Graif |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417213943 PECOS PAC ID: 1153576715 Enrollment ID: I20190712002797 |
| Provider Name | Catherine Sophie Heith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760739759 PECOS PAC ID: 9830495357 Enrollment ID: I20190717004031 |
| Provider Name | Lyndsey Janet Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366890121 PECOS PAC ID: 1052646684 Enrollment ID: I20190718000734 |
| Provider Name | Salar Maysam Faiazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629429188 PECOS PAC ID: 6901131598 Enrollment ID: I20190718003233 |
| Provider Name | Minh Duc Phan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124312343 PECOS PAC ID: 8820217631 Enrollment ID: I20190722000825 |
| Provider Name | Richa Yadav |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285074542 PECOS PAC ID: 8325311285 Enrollment ID: I20190724002005 |
| Provider Name | Brian David Martens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083271977 PECOS PAC ID: 3274869383 Enrollment ID: I20190727000112 |
| Provider Name | Joseph Terracina |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558749200 PECOS PAC ID: 4880920909 Enrollment ID: I20190727000347 |
| Provider Name | Erin Danielle Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265996763 PECOS PAC ID: 6103152913 Enrollment ID: I20190731001181 |
| Provider Name | Courtney A Needham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750947321 PECOS PAC ID: 9638406176 Enrollment ID: I20190807001026 |
| Provider Name | Kendra Jo Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699331371 PECOS PAC ID: 0446587505 Enrollment ID: I20190812003358 |
| Provider Name | Hannah N Blanden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235798042 PECOS PAC ID: 5991032955 Enrollment ID: I20190814000169 |
| Provider Name | Jennifer A Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508328998 PECOS PAC ID: 5890023600 Enrollment ID: I20190817000020 |
| Provider Name | Austin Jay Hoffhines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861957649 PECOS PAC ID: 4789912494 Enrollment ID: I20190820000378 |
| Provider Name | Chandra Kowalczyk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073790507 PECOS PAC ID: 1355412537 Enrollment ID: I20190821000616 |
| Provider Name | Erin E Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043353766 PECOS PAC ID: 9234467887 Enrollment ID: I20190821001525 |
| Provider Name | Celia Yen Quang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407290844 PECOS PAC ID: 7315178159 Enrollment ID: I20190821002334 |
| Provider Name | Robert Stephen Schoaps |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134546179 PECOS PAC ID: 1456584416 Enrollment ID: I20190822000051 |
| Provider Name | Joanna E Gernsback |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215252440 PECOS PAC ID: 3577891951 Enrollment ID: I20190822003134 |
| Provider Name | James E. Stormo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417935743 PECOS PAC ID: 7618015074 Enrollment ID: I20190823000193 |
| Provider Name | Robert A Montgomery |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528008562 PECOS PAC ID: 3779501457 Enrollment ID: I20190824000138 |
| Provider Name | Betsy Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639722382 PECOS PAC ID: 0749518058 Enrollment ID: I20190824000575 |
| Provider Name | Ebony Page |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538542063 PECOS PAC ID: 6103132550 Enrollment ID: I20190824000601 |
| Provider Name | Epris Pittman Cooper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568842201 PECOS PAC ID: 9739491390 Enrollment ID: I20190824000664 |
| Provider Name | James Rabaria Furr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326482159 PECOS PAC ID: 7719286319 Enrollment ID: I20190826000175 |
| Provider Name | Joysree Subramanian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215943949 PECOS PAC ID: 7618930108 Enrollment ID: I20190826003808 |
| Provider Name | Robin Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285293175 PECOS PAC ID: 1153659354 Enrollment ID: I20190827000543 |
| Provider Name | Kaitlyn Kulesus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801276662 PECOS PAC ID: 9335477553 Enrollment ID: I20190827001110 |
| Provider Name | Katherine Morgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972951069 PECOS PAC ID: 1456680362 Enrollment ID: I20190830002686 |
| Provider Name | Itay Melamed |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619078656 PECOS PAC ID: 8527167527 Enrollment ID: I20190831000214 |
| Provider Name | Chukwuebuka Ekwealor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427558543 PECOS PAC ID: 7810259934 Enrollment ID: I20190831000217 |
| Provider Name | Sara Kathleen Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750738308 PECOS PAC ID: 8123312865 Enrollment ID: I20190904001970 |
| Provider Name | Peter M Collister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689017204 PECOS PAC ID: 6507009768 Enrollment ID: I20190904002226 |
| Provider Name | Diane Snodgrass |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1285768481 PECOS PAC ID: 7113256744 Enrollment ID: I20190907000140 |
| Provider Name | Rwoof Ahmed Reshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811923436 PECOS PAC ID: 0143310391 Enrollment ID: I20190911001895 |
| Provider Name | Blake Alan Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588191498 PECOS PAC ID: 4082943394 Enrollment ID: I20190912000564 |
| Provider Name | Abdel H Elhoushy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548210305 PECOS PAC ID: 0840103065 Enrollment ID: I20190917002719 |
| Provider Name | Andrea L Key |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801805288 PECOS PAC ID: 2264762079 Enrollment ID: I20190920002422 |
| Provider Name | Alex Witcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457879330 PECOS PAC ID: 9739446279 Enrollment ID: I20190926003134 |
| Provider Name | Joel Anthony Midgette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710923271 PECOS PAC ID: 5597667089 Enrollment ID: I20190930001150 |
| Provider Name | Terri L Clarkson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740421379 PECOS PAC ID: 2365691151 Enrollment ID: I20190930002359 |
| Provider Name | Cheryl Abigail West |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1649824228 PECOS PAC ID: 7214268101 Enrollment ID: I20191007003487 |
| Provider Name | Ashley Dawn Baracz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780976860 PECOS PAC ID: 6507008737 Enrollment ID: I20191016000375 |
| Provider Name | Alexia Mcwaters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548816515 PECOS PAC ID: 9032440417 Enrollment ID: I20191016001738 |
| Provider Name | Kayla Mckane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952805368 PECOS PAC ID: 5698039410 Enrollment ID: I20191022001924 |
| Provider Name | Denise Kabanza Sebasigari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780934596 PECOS PAC ID: 5799904157 Enrollment ID: I20191022002413 |
| Provider Name | Heather Nicole Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366705501 PECOS PAC ID: 7012160849 Enrollment ID: I20191023002939 |
| Provider Name | Desti Shepard Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770139644 PECOS PAC ID: 3779815592 Enrollment ID: I20191029000784 |
| Provider Name | Mary Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821319146 PECOS PAC ID: 3678698834 Enrollment ID: I20191030001635 |
| Provider Name | Mohan Mallikarjuna Edupuganti |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164737490 PECOS PAC ID: 3173830981 Enrollment ID: I20191031002681 |
| Provider Name | Trent Edward Tipple |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578524054 PECOS PAC ID: 5991718819 Enrollment ID: I20191031003101 |
| Provider Name | Erin Colletta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518511575 PECOS PAC ID: 2668704073 Enrollment ID: I20191104001418 |
| Provider Name | Emma Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861971699 PECOS PAC ID: 0244662427 Enrollment ID: I20191108000165 |
| Provider Name | Andrew M. Bauer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891731949 PECOS PAC ID: 4789826769 Enrollment ID: I20191113001470 |
| Provider Name | Jenna L Celii |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265902340 PECOS PAC ID: 5890127294 Enrollment ID: I20191122000311 |
| Provider Name | Ashley Nikole Trammell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578110177 PECOS PAC ID: 0749613057 Enrollment ID: I20191127000178 |
| Provider Name | Mary-margaret Brandt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053474676 PECOS PAC ID: 8022061183 Enrollment ID: I20191127000655 |
| Provider Name | Michelle Hostetler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346881695 PECOS PAC ID: 1658704978 Enrollment ID: I20191127000667 |
| Provider Name | Wayne Scott James |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477196467 PECOS PAC ID: 4688007909 Enrollment ID: I20191127000973 |
| Provider Name | Terah Crosson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124687603 PECOS PAC ID: 8123451440 Enrollment ID: I20191127000993 |
| Provider Name | Anataya Rachi Rucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144702424 PECOS PAC ID: 5799118964 Enrollment ID: I20191202000129 |
| Provider Name | Regina M Troxell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013350586 PECOS PAC ID: 3375895592 Enrollment ID: I20191212000457 |
| Provider Name | Qassim Ali Abid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194071712 PECOS PAC ID: 9830484609 Enrollment ID: I20191221000382 |
| Provider Name | Jessica Susan Lutz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730594326 PECOS PAC ID: 3678872793 Enrollment ID: I20191230001969 |
| Provider Name | Zachary A Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982846788 PECOS PAC ID: 3678607454 Enrollment ID: I20200122000540 |
| Provider Name | Catherine Hunter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295907665 PECOS PAC ID: 1759528821 Enrollment ID: I20200130002782 |
| Provider Name | Paul W Sheeran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932150620 PECOS PAC ID: 0648266056 Enrollment ID: I20200203000048 |
| Provider Name | Paul Lee Dillon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194924522 PECOS PAC ID: 3375634660 Enrollment ID: I20200214001567 |
| Provider Name | Yazmin Enchautegui Colon |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1770900904 PECOS PAC ID: 1759669005 Enrollment ID: I20200218000374 |
| Provider Name | Abby R Friesen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083254114 PECOS PAC ID: 9436586112 Enrollment ID: I20200218001671 |
| Provider Name | Tethel Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487295853 PECOS PAC ID: 7113355777 Enrollment ID: I20200312001566 |
| Provider Name | Olivia Lust |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437688587 PECOS PAC ID: 0941570949 Enrollment ID: I20200316000898 |
| Provider Name | Vivek Angadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508073891 PECOS PAC ID: 6800074642 Enrollment ID: I20200318001789 |
| Provider Name | Usman Baber |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538378427 PECOS PAC ID: 7012186513 Enrollment ID: I20200323002518 |
| Provider Name | Amber Dawn Kraft Tarantini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306484803 PECOS PAC ID: 5991134439 Enrollment ID: I20200403000202 |
| Provider Name | Miki Thompson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1588181010 PECOS PAC ID: 2860821071 Enrollment ID: I20200408003393 |
| Provider Name | Amber Garretson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457812752 PECOS PAC ID: 8022447283 Enrollment ID: I20200409000818 |
| Provider Name | Jenna Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437717196 PECOS PAC ID: 3577992759 Enrollment ID: I20200409001706 |
| Provider Name | Bilby Kurien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487105631 PECOS PAC ID: 3274962451 Enrollment ID: I20200409001898 |
| Provider Name | Joan Elizabeth Kloske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730724063 PECOS PAC ID: 6507296365 Enrollment ID: I20200417001627 |
| Provider Name | Casie Shay Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902432313 PECOS PAC ID: 2163853359 Enrollment ID: I20200501001604 |
| Provider Name | Kendall Anderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093341406 PECOS PAC ID: 2163853805 Enrollment ID: I20200512002755 |
| Provider Name | Andrew Ellis Pontikes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891140802 PECOS PAC ID: 4880015205 Enrollment ID: I20200610001649 |
| Provider Name | Sarah Bundrick Grimes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619326212 PECOS PAC ID: 6608298989 Enrollment ID: I20200615000192 |
| Provider Name | Sarah Rachel Durica |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609254382 PECOS PAC ID: 4789987538 Enrollment ID: I20200617001516 |
| Provider Name | Yashas Nathani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619370640 PECOS PAC ID: 7517231236 Enrollment ID: I20200622002983 |
| Provider Name | Thomas Campbell Stevens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457705345 PECOS PAC ID: 7214359082 Enrollment ID: I20200624001357 |
| Provider Name | David Van |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265886154 PECOS PAC ID: 1658793443 Enrollment ID: I20200624001958 |
| Provider Name | Sarah Caroline Stanley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821442203 PECOS PAC ID: 4385066885 Enrollment ID: I20200629002372 |
| Provider Name | Kelsey Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609328293 PECOS PAC ID: 9133542699 Enrollment ID: I20200701000698 |
| Provider Name | Cassandra Courtney Barnes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174152714 PECOS PAC ID: 0840613949 Enrollment ID: I20200708001491 |
| Provider Name | Amir Rumman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841843448 PECOS PAC ID: 2062742505 Enrollment ID: I20200709000485 |
| Provider Name | Brittany Lauren Brand Poinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083051601 PECOS PAC ID: 8820239981 Enrollment ID: I20200709002919 |
| Provider Name | Faiza Waheed Butt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578948790 PECOS PAC ID: 2264855196 Enrollment ID: I20200709003029 |
| Provider Name | Ijlal Akbar Ali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023423977 PECOS PAC ID: 4284916420 Enrollment ID: I20200709003492 |
| Provider Name | Zain Ul Abideen Asad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346655610 PECOS PAC ID: 5294955050 Enrollment ID: I20200710000270 |
| Provider Name | Colleen Parrish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659800415 PECOS PAC ID: 6305269291 Enrollment ID: I20200710001492 |
| Provider Name | George Salem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659711356 PECOS PAC ID: 6800018508 Enrollment ID: I20200710002121 |
| Provider Name | Roberto J Bernardo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063853109 PECOS PAC ID: 3476847468 Enrollment ID: I20200713000192 |
| Provider Name | M. Blake Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295077022 PECOS PAC ID: 1052680071 Enrollment ID: I20200714000325 |
| Provider Name | Kathryn Elaine Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730614660 PECOS PAC ID: 8325461023 Enrollment ID: I20200714002342 |
| Provider Name | Hope Erica Hastings |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750778486 PECOS PAC ID: 9638479470 Enrollment ID: I20200715003613 |
| Provider Name | Alexandra Louise Regens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730536061 PECOS PAC ID: 2567740426 Enrollment ID: I20200716001167 |
| Provider Name | Natalie A Dixon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679195424 PECOS PAC ID: 7012331523 Enrollment ID: I20200716002546 |
| Provider Name | Alexander Filatenkov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457747768 PECOS PAC ID: 9436573516 Enrollment ID: I20200722001421 |
| Provider Name | Delaina Larae Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912536269 PECOS PAC ID: 7719301761 Enrollment ID: I20200723000075 |
| Provider Name | Zoran Gatalica |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124137914 PECOS PAC ID: 8123162062 Enrollment ID: I20200723001376 |
| Provider Name | Rachad Mhawej |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932622362 PECOS PAC ID: 3577835602 Enrollment ID: I20200723002000 |
| Provider Name | Kathryne Loreli Mccracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114541307 PECOS PAC ID: 3971927823 Enrollment ID: I20200724000008 |
| Provider Name | Allan P Weston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417051962 PECOS PAC ID: 9739141599 Enrollment ID: I20200731001683 |
| Provider Name | Sorochi D Esochaghi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407241573 PECOS PAC ID: 4385933225 Enrollment ID: I20200804001732 |
| Provider Name | Amanda Renee Moyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225485741 PECOS PAC ID: 2062837305 Enrollment ID: I20200804002557 |
| Provider Name | Mohammad Najim Alberawi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336693845 PECOS PAC ID: 8022303494 Enrollment ID: I20200804002592 |
| Provider Name | David Andrew Becker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366885972 PECOS PAC ID: 4587804208 Enrollment ID: I20200806002395 |
| Provider Name | Daniel Keith Roton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679001002 PECOS PAC ID: 4082039938 Enrollment ID: I20200810000859 |
| Provider Name | Adam Gabrielsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235758590 PECOS PAC ID: 4082039888 Enrollment ID: I20200810002407 |
| Provider Name | Andrew Joseph Gruel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124407721 PECOS PAC ID: 2769798743 Enrollment ID: I20200810002626 |
| Provider Name | Andrew George Edward Mcintosh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750638425 PECOS PAC ID: 9537443924 Enrollment ID: I20200810002725 |
| Provider Name | Raghuveer Vedala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154850527 PECOS PAC ID: 3779854831 Enrollment ID: I20200812000235 |
| Provider Name | Mark Matthew Mims |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679991475 PECOS PAC ID: 4183953995 Enrollment ID: I20200812003655 |
| Provider Name | Catiele Antunes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508205204 PECOS PAC ID: 8628356920 Enrollment ID: I20200826002798 |
| Provider Name | Leah Jean Kalm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679823934 PECOS PAC ID: 2567889900 Enrollment ID: I20200831000680 |
| Provider Name | Taylor Cheyenne Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235772666 PECOS PAC ID: 6800213133 Enrollment ID: I20200901000461 |
| Provider Name | Amanda Kate Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255956306 PECOS PAC ID: 6305264979 Enrollment ID: I20200914001799 |
| Provider Name | Elizabeth Ann Douville |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922537786 PECOS PAC ID: 6901224500 Enrollment ID: I20200914002812 |
| Provider Name | Jamie Leigh Laughy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093991952 PECOS PAC ID: 6901224518 Enrollment ID: I20200915000188 |
| Provider Name | Raya Alshawi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699114330 PECOS PAC ID: 8527357151 Enrollment ID: I20200915000558 |
| Provider Name | Tavleen Sandhu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134523442 PECOS PAC ID: 1355769985 Enrollment ID: I20200915000973 |
| Provider Name | Gavely Toor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124552286 PECOS PAC ID: 9931527439 Enrollment ID: I20200915003435 |
| Provider Name | Niket Muni |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801203344 PECOS PAC ID: 9234425513 Enrollment ID: I20200918000601 |
| Provider Name | Fatima Sukhera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265880207 PECOS PAC ID: 5092140798 Enrollment ID: I20200921002503 |
| Provider Name | Constance Jordan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184005159 PECOS PAC ID: 8022323476 Enrollment ID: I20200921002594 |
| Provider Name | Daniel Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093129686 PECOS PAC ID: 5395015424 Enrollment ID: I20200922000178 |
| Provider Name | Muhammad U Shaukat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861750218 PECOS PAC ID: 3274767223 Enrollment ID: I20200922000725 |
| Provider Name | Elzbieta Rybicka-kozlowska |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346265238 PECOS PAC ID: 9931138765 Enrollment ID: I20200922001443 |
| Provider Name | Guilherme Barreiro |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285114074 PECOS PAC ID: 3476804451 Enrollment ID: I20200922001619 |
| Provider Name | Catherine A Mims |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659766368 PECOS PAC ID: 0648585588 Enrollment ID: I20200922003279 |
| Provider Name | Tomasz Kozlowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114974664 PECOS PAC ID: 3375575160 Enrollment ID: I20200922003285 |
| Provider Name | Christopher Robertson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033353388 PECOS PAC ID: 7719142892 Enrollment ID: I20200923000933 |
| Provider Name | Tuyet M Pham-nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639447196 PECOS PAC ID: 3476972407 Enrollment ID: I20200924002007 |
| Provider Name | Itivrita Goyal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225425747 PECOS PAC ID: 6901141779 Enrollment ID: I20200924002395 |
| Provider Name | Stephanie Rachelle Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669885612 PECOS PAC ID: 2567749765 Enrollment ID: I20200925000653 |
| Provider Name | Aimee Pak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073879474 PECOS PAC ID: 9032406384 Enrollment ID: I20200928000507 |
| Provider Name | Caitlin Raylynn Stenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831717396 PECOS PAC ID: 5092134551 Enrollment ID: I20201001002699 |
| Provider Name | Eldhose Abrahams |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1144664418 PECOS PAC ID: 0547531733 Enrollment ID: I20201006000024 |
| Provider Name | Natalie Grace Stratemeier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730593294 PECOS PAC ID: 9133420698 Enrollment ID: I20201006000207 |
| Provider Name | Stella Ling |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871695700 PECOS PAC ID: 0941269997 Enrollment ID: I20201012001382 |
| Provider Name | Krystina Lackey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669434932 PECOS PAC ID: 9830107846 Enrollment ID: I20201019000384 |
| Provider Name | Brandon Reece Hull |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851703953 PECOS PAC ID: 9133458516 Enrollment ID: I20201021003204 |
| Provider Name | Gaston Ofman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639445851 PECOS PAC ID: 2062832421 Enrollment ID: I20201023001557 |
| Provider Name | Frank Wood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891131132 PECOS PAC ID: 7719280320 Enrollment ID: I20201026001662 |
| Provider Name | Emma Punni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316353535 PECOS PAC ID: 5799044269 Enrollment ID: I20201030001723 |
| Provider Name | Yuki Nakamura |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437523024 PECOS PAC ID: 3678876430 Enrollment ID: I20201102001891 |
| Provider Name | Sean Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780078469 PECOS PAC ID: 1456670421 Enrollment ID: I20201106002516 |
| Provider Name | Stephanie Downing |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174834055 PECOS PAC ID: 6002039708 Enrollment ID: I20201111001650 |
| Provider Name | Fernando Mier Giraud |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518288240 PECOS PAC ID: 4789821315 Enrollment ID: I20201116001919 |
| Provider Name | Alain Irving Le |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417153354 PECOS PAC ID: 8123251733 Enrollment ID: I20201117000050 |
| Provider Name | Kyra Buleza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689233025 PECOS PAC ID: 7214348515 Enrollment ID: I20201117002323 |
| Provider Name | Anand Chandrasekaran Annan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851652275 PECOS PAC ID: 9436560620 Enrollment ID: I20201118003289 |
| Provider Name | Heather Lea Kirkes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336741891 PECOS PAC ID: 4486065612 Enrollment ID: I20201119001567 |
| Provider Name | Andrea Kay Gerszewski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992314074 PECOS PAC ID: 5799196762 Enrollment ID: I20201123002285 |
| Provider Name | Joeresty Abelida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053943217 PECOS PAC ID: 7517396039 Enrollment ID: I20201210000182 |
| Provider Name | Jeffrey Cole Henry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346859766 PECOS PAC ID: 6103238258 Enrollment ID: I20201214001370 |
| Provider Name | Susan N Moruri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306006861 PECOS PAC ID: 4981621059 Enrollment ID: I20201217002848 |
| Provider Name | Andrew H Jea |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568662724 PECOS PAC ID: 3870676851 Enrollment ID: I20201218000572 |
| Provider Name | Leslie Giesemann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710901590 PECOS PAC ID: 6103964259 Enrollment ID: I20210105003093 |
| Provider Name | William A. Windham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932171253 PECOS PAC ID: 5092603811 Enrollment ID: I20210113002147 |
| Provider Name | Maria Aurora Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629089412 PECOS PAC ID: 9638102536 Enrollment ID: I20210126000223 |
| Provider Name | Erin Nicole Hartsburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356944185 PECOS PAC ID: 5890109003 Enrollment ID: I20210129001935 |
| Provider Name | Kenichi Tanaka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871526228 PECOS PAC ID: 5698969970 Enrollment ID: I20210202003061 |
| Provider Name | Cassy Jean Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356617815 PECOS PAC ID: 4284977935 Enrollment ID: I20210209001254 |
| Provider Name | Tony H Tseng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992842801 PECOS PAC ID: 3577665876 Enrollment ID: I20210210003042 |
| Provider Name | Shelbie Sosnowchik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891737524 PECOS PAC ID: 5698736676 Enrollment ID: I20210211000665 |
| Provider Name | Thomas Eugene Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912172305 PECOS PAC ID: 7810067139 Enrollment ID: I20210216001301 |
| Provider Name | Aisha N. Averyhart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720474299 PECOS PAC ID: 5597190165 Enrollment ID: I20210223003319 |
| Provider Name | Breanna Lene Beaver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386248326 PECOS PAC ID: 8123434099 Enrollment ID: I20210302000564 |
| Provider Name | Kathy Speigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578072542 PECOS PAC ID: 0042626350 Enrollment ID: I20210311001735 |
| Provider Name | Angelia Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386626182 PECOS PAC ID: 9931171295 Enrollment ID: I20210312001201 |
| Provider Name | Patrick Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942463401 PECOS PAC ID: 2264680883 Enrollment ID: I20210315000002 |
| Provider Name | Annette R Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942453477 PECOS PAC ID: 0345304135 Enrollment ID: I20210316000038 |
| Provider Name | Jonathan Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962963116 PECOS PAC ID: 0547696148 Enrollment ID: I20210317000050 |
| Provider Name | Morgan Bonds |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1184937831 PECOS PAC ID: 3375846959 Enrollment ID: I20210322001148 |
| Provider Name | Mohd Qutob |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679952584 PECOS PAC ID: 0244533842 Enrollment ID: I20210323002813 |
| Provider Name | Morgan Drake |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679056048 PECOS PAC ID: 3779990213 Enrollment ID: I20210329001248 |
| Provider Name | Joshua M. Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639486665 PECOS PAC ID: 2961680400 Enrollment ID: I20210329002305 |
| Provider Name | Kacy Lynn Aderhold |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962887653 PECOS PAC ID: 7113236043 Enrollment ID: I20210330000576 |
| Provider Name | Narendra Battula |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366825408 PECOS PAC ID: 9638488802 Enrollment ID: I20210330002247 |
| Provider Name | Quynh Phuong Boerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548853153 PECOS PAC ID: 2264840370 Enrollment ID: I20210408002450 |
| Provider Name | David A Nowick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508843632 PECOS PAC ID: 5698802197 Enrollment ID: I20210413000669 |
| Provider Name | Nuri Ilker Akkus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538164421 PECOS PAC ID: 9739172057 Enrollment ID: I20210414000583 |
| Provider Name | Usman Ahmad Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104379239 PECOS PAC ID: 4082023379 Enrollment ID: I20210518001509 |
| Provider Name | Leslie Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952949612 PECOS PAC ID: 1557760329 Enrollment ID: I20210527000697 |
| Provider Name | Kristen Macdougall Bybee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023682135 PECOS PAC ID: 3274933718 Enrollment ID: I20210621001571 |
| Provider Name | Ikuyo Yamaguchi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700995073 PECOS PAC ID: 2163420886 Enrollment ID: I20210625001449 |
| Provider Name | Caitlyn Niccole Stephens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740869148 PECOS PAC ID: 3678974771 Enrollment ID: I20210628000539 |
| Provider Name | Adanma Anji Ayanambakkam Attanathi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265813513 PECOS PAC ID: 6507157807 Enrollment ID: I20210908000479 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |