| Carilion Giles Community Hospital | |
|
159 Hartley Way Pearisburg VA 24134-2471 | |
| (540) 921-6000 | |
| Not Available |
| Full Name | Carilion Giles Community Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 159 Hartley Way, Pearisburg, Virginia |
| Authorized Official Name and Position | Nicole Grisetti (DIRECTOR OF OPERATIONAL SUPPORT) |
| Authorized Official Contact | 5402245352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carilion Giles Community Hospital 213 S Jefferson St Ste 1006 Roanoke VA 24011-1713 Ph: (540) 921-6000 | Carilion Giles Community Hospital 159 Hartley Way Pearisburg VA 24134-2471 Ph: (540) 921-6000 |
| NPI Number | 1194718304 |
|---|---|
| Provider Enumeration Date | 08/24/2005 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 3678670221 |
|---|---|
| Medicare Enrollment ID | O20070516000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194718304 | NPI | - | NPPES |
| 226745 | Other | VA | BLUE SHIELD |
| 0000850 | Other | VA | SLH |
| 007644 | Other | VA | ANTHEM |
| 354362000 | Other | VA | MAGELLAN |
| 62544 | Other | VA | SOUTHERN HEALTH |
| 032040800 | Other | VA | BLACK LUNG |
| 4900855 | Medicaid | VA | |
| 0001617000 | Other | VA | WEST VIRGINIA MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | H1837 (Virginia) | Primary |
| Provider Name | Kenneth A Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902880370 PECOS PAC ID: 1951207836 Enrollment ID: I20031210001122 |
| Provider Name | Gregory A Stidham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487627378 PECOS PAC ID: 5193621001 Enrollment ID: I20031211000077 |
| Provider Name | Kelli Lynn Linick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851364756 PECOS PAC ID: 6608772520 Enrollment ID: I20031211000105 |
| Provider Name | Henry R Ivey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518930403 PECOS PAC ID: 0042116964 Enrollment ID: I20031211000122 |
| Provider Name | Robert L Lazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689659401 PECOS PAC ID: 6305742149 Enrollment ID: I20031211000314 |
| Provider Name | Leena S Grover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306934484 PECOS PAC ID: 2163329020 Enrollment ID: I20031217001083 |
| Provider Name | Robert M Dums |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134102619 PECOS PAC ID: 5395643167 Enrollment ID: I20031230000785 |
| Provider Name | Reed R Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376525089 PECOS PAC ID: 0042119844 Enrollment ID: I20031231000137 |
| Provider Name | Jon D Cargo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205804754 PECOS PAC ID: 1951203454 Enrollment ID: I20040124000077 |
| Provider Name | Earl M Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992777965 PECOS PAC ID: 1557264603 Enrollment ID: I20040128000335 |
| Provider Name | Douglas S Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528040060 PECOS PAC ID: 5597668566 Enrollment ID: I20040128000500 |
| Provider Name | Michael D Rorrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518036664 PECOS PAC ID: 8123921970 Enrollment ID: I20040129000232 |
| Provider Name | Alexander G Vigh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760486641 PECOS PAC ID: 1658265400 Enrollment ID: I20040211001226 |
| Provider Name | Daniel R Tershak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316900822 PECOS PAC ID: 7315834637 Enrollment ID: I20040302000522 |
| Provider Name | Amy E Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568445526 PECOS PAC ID: 0941198535 Enrollment ID: I20040305000768 |
| Provider Name | Robert E Pryor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568447886 PECOS PAC ID: 3274421888 Enrollment ID: I20040305000871 |
| Provider Name | Allen M Laws |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487637435 PECOS PAC ID: 0143118653 Enrollment ID: I20040308000190 |
| Provider Name | John A Hagy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275505331 PECOS PAC ID: 8022907773 Enrollment ID: I20040311001203 |
| Provider Name | Kevin E Broyles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073555348 PECOS PAC ID: 7315838927 Enrollment ID: I20040323001018 |
| Provider Name | Stephen A Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366426116 PECOS PAC ID: 0143112524 Enrollment ID: I20040329001392 |
| Provider Name | Andrew A Slemp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629038443 PECOS PAC ID: 5799777827 Enrollment ID: I20040331000284 |
| Provider Name | Marcia A Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003898826 PECOS PAC ID: 0749273217 Enrollment ID: I20040408000562 |
| Provider Name | Rathnakar Sherigar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649269879 PECOS PAC ID: 8820082332 Enrollment ID: I20040408000918 |
| Provider Name | Michael L Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922050913 PECOS PAC ID: 2062306814 Enrollment ID: I20040427000580 |
| Provider Name | Jay Gordon Sailer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407807043 PECOS PAC ID: 4789673310 Enrollment ID: I20040510000559 |
| Provider Name | Richard D Grube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689652406 PECOS PAC ID: 7214927367 Enrollment ID: I20040512001301 |
| Provider Name | Paula J Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942283296 PECOS PAC ID: 3375522022 Enrollment ID: I20040715001297 |
| Provider Name | Jennifer Lynn Bennett Grube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427006444 PECOS PAC ID: 6103898028 Enrollment ID: I20040811000559 |
| Provider Name | Anthony G Patriarco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194799973 PECOS PAC ID: 2860455094 Enrollment ID: I20041109000710 |
| Provider Name | Jeremy H Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376527598 PECOS PAC ID: 9830154632 Enrollment ID: I20041122000210 |
| Provider Name | Paul Yeaton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891838249 PECOS PAC ID: 5890750459 Enrollment ID: I20041123000126 |
| Provider Name | Charles D Daniel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134124035 PECOS PAC ID: 3072579218 Enrollment ID: I20041208001046 |
| Provider Name | Richard Kindley Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952365918 PECOS PAC ID: 1456309566 Enrollment ID: I20050105000774 |
| Provider Name | Judy L Chun |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912933979 PECOS PAC ID: 2365496742 Enrollment ID: I20050309000105 |
| Provider Name | John William Leslie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972584431 PECOS PAC ID: 4789630153 Enrollment ID: I20050329000726 |
| Provider Name | Mary B Horst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013091065 PECOS PAC ID: 4880633858 Enrollment ID: I20050428000947 |
| Provider Name | Melissa H Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871574111 PECOS PAC ID: 0648208967 Enrollment ID: I20050728000714 |
| Provider Name | Kari L Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770563496 PECOS PAC ID: 8224068168 Enrollment ID: I20050819000449 |
| Provider Name | Jackson W Kiser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659315158 PECOS PAC ID: 0941231401 Enrollment ID: I20050824000524 |
| Provider Name | Christopher Paul Mertes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215928585 PECOS PAC ID: 6709773484 Enrollment ID: I20050831000828 |
| Provider Name | Philip E Grubbs |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629078241 PECOS PAC ID: 6800828609 Enrollment ID: I20050831000953 |
| Provider Name | Robert J Glenney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841238086 PECOS PAC ID: 5799718011 Enrollment ID: I20050915001183 |
| Provider Name | Mikesh Chinubhai Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497736748 PECOS PAC ID: 0446202766 Enrollment ID: I20050919000996 |
| Provider Name | Cynthia L Barden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881799443 PECOS PAC ID: 9335164458 Enrollment ID: I20051007000665 |
| Provider Name | Mariana Abraham Phillips |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851322895 PECOS PAC ID: 9931124591 Enrollment ID: I20051012000752 |
| Provider Name | Mohd A Mirza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538146279 PECOS PAC ID: 4284699042 Enrollment ID: I20051104000699 |
| Provider Name | Richard E Ruffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922079086 PECOS PAC ID: 6800816166 Enrollment ID: I20051201000111 |
| Provider Name | Steven G Harris |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366421943 PECOS PAC ID: 1355310210 Enrollment ID: I20051201000306 |
| Provider Name | Jeffrey S Todd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396745402 PECOS PAC ID: 8123036357 Enrollment ID: I20060330000285 |
| Provider Name | John C Lystash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336132729 PECOS PAC ID: 2567470545 Enrollment ID: I20060403000317 |
| Provider Name | John L Tamminen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740250927 PECOS PAC ID: 3870502784 Enrollment ID: I20060420000123 |
| Provider Name | John Clements |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629012208 PECOS PAC ID: 0244240125 Enrollment ID: I20060424000231 |
| Provider Name | Joseph F Rowe |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679555627 PECOS PAC ID: 0042220089 Enrollment ID: I20060504000501 |
| Provider Name | Carol A Ascher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154377471 PECOS PAC ID: 3971516568 Enrollment ID: I20060727000185 |
| Provider Name | Magdalena G Yoder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790723401 PECOS PAC ID: 8123021060 Enrollment ID: I20060816000104 |
| Provider Name | Lamiere J Downing |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699750976 PECOS PAC ID: 8224033097 Enrollment ID: I20060929000179 |
| Provider Name | Stephen G Phillips |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962436444 PECOS PAC ID: 8022014257 Enrollment ID: I20061011000699 |
| Provider Name | Rene D Fredstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326064817 PECOS PAC ID: 2961408109 Enrollment ID: I20061011000781 |
| Provider Name | Lisa S Apfel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659481984 PECOS PAC ID: 6608873914 Enrollment ID: I20061030000564 |
| Provider Name | Mark A Ringold |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588621023 PECOS PAC ID: 2062410343 Enrollment ID: I20061121000188 |
| Provider Name | Thomas F Knisely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447286265 PECOS PAC ID: 7012916653 Enrollment ID: I20061209000011 |
| Provider Name | Karen Nolan Kuehl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518993179 PECOS PAC ID: 0042283699 Enrollment ID: I20070302000083 |
| Provider Name | Kevin R Dye |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295720191 PECOS PAC ID: 7517060791 Enrollment ID: I20070314000587 |
| Provider Name | Mabel H Mccorrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639278690 PECOS PAC ID: 6800999335 Enrollment ID: I20070321000217 |
| Provider Name | Anthony Slonim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972507432 PECOS PAC ID: 6507862836 Enrollment ID: I20070607000294 |
| Provider Name | Jeffrey E Goode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255547071 PECOS PAC ID: 8921108556 Enrollment ID: I20070712000156 |
| Provider Name | Thomas H Bishop |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1750418315 PECOS PAC ID: 8123110574 Enrollment ID: I20070815000588 |
| Provider Name | Arthur Samuel Pemberton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578533873 PECOS PAC ID: 8820183551 Enrollment ID: I20070926000856 |
| Provider Name | Robert E Salters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619028610 PECOS PAC ID: 4284729856 Enrollment ID: I20070927000937 |
| Provider Name | John A Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649481730 PECOS PAC ID: 7416044433 Enrollment ID: I20071107000332 |
| Provider Name | Osei A Bonsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972661312 PECOS PAC ID: 3779671573 Enrollment ID: I20071112000633 |
| Provider Name | Lorrie A Saville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780879650 PECOS PAC ID: 2567547623 Enrollment ID: I20080313000188 |
| Provider Name | Felicity A Adams-vanke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245458181 PECOS PAC ID: 7315025392 Enrollment ID: I20080416000076 |
| Provider Name | Kevin S Combs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164614079 PECOS PAC ID: 0547330631 Enrollment ID: I20080602000181 |
| Provider Name | Dhun H Sethna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265442842 PECOS PAC ID: 5890866099 Enrollment ID: I20080616000543 |
| Provider Name | Valenica R Eggleston-clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316069933 PECOS PAC ID: 3375615131 Enrollment ID: I20080710000586 |
| Provider Name | Eric Williams |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467452599 PECOS PAC ID: 4981777307 Enrollment ID: I20080718000091 |
| Provider Name | Michael Patrick Jeremiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508855727 PECOS PAC ID: 3678647336 Enrollment ID: I20080730000263 |
| Provider Name | Roger A Hofford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730170069 PECOS PAC ID: 8325112931 Enrollment ID: I20080730000784 |
| Provider Name | Kelley K Whitmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891909669 PECOS PAC ID: 1951475433 Enrollment ID: I20080731000606 |
| Provider Name | Sonya N Bohon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952384984 PECOS PAC ID: 0547335333 Enrollment ID: I20080813000305 |
| Provider Name | Joyce A Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184606931 PECOS PAC ID: 7214002054 Enrollment ID: I20080813000752 |
| Provider Name | Scott A Kincaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760463301 PECOS PAC ID: 5092880831 Enrollment ID: I20080813000788 |
| Provider Name | Anthony R Stavola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497727531 PECOS PAC ID: 6709951478 Enrollment ID: I20080814000154 |
| Provider Name | William B Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487623583 PECOS PAC ID: 8527969450 Enrollment ID: I20080819000694 |
| Provider Name | Paul R Eason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851369375 PECOS PAC ID: 7618042821 Enrollment ID: I20080822000596 |
| Provider Name | Sandra K Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447213988 PECOS PAC ID: 3971679820 Enrollment ID: I20080829000377 |
| Provider Name | Merris A Stambaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295707586 PECOS PAC ID: 8426124371 Enrollment ID: I20080829000386 |
| Provider Name | Linda A Buchanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609844711 PECOS PAC ID: 8123194081 Enrollment ID: I20080829000427 |
| Provider Name | William J Zimmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003885153 PECOS PAC ID: 2668548520 Enrollment ID: I20080829000439 |
| Provider Name | Nancy Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104898246 PECOS PAC ID: 6901972454 Enrollment ID: I20080905000599 |
| Provider Name | Khursheed Imam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508828195 PECOS PAC ID: 1951362490 Enrollment ID: I20080926000613 |
| Provider Name | Christine Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598980013 PECOS PAC ID: 2163517020 Enrollment ID: I20080927000205 |
| Provider Name | Wesley Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962628552 PECOS PAC ID: 8820183791 Enrollment ID: I20081028000183 |
| Provider Name | Evelyn M Garcia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225036239 PECOS PAC ID: 2264345420 Enrollment ID: I20081028000269 |
| Provider Name | William M Tomiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790765402 PECOS PAC ID: 4789743774 Enrollment ID: I20081105000652 |
| Provider Name | David E Johnsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215955976 PECOS PAC ID: 0749340776 Enrollment ID: I20081120000923 |
| Provider Name | Claire K Akin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972715829 PECOS PAC ID: 7012070121 Enrollment ID: I20090115000791 |
| Provider Name | Susanti R Ie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215910781 PECOS PAC ID: 4486718459 Enrollment ID: I20090205000704 |
| Provider Name | Kerry Alexander Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427027838 PECOS PAC ID: 3173680915 Enrollment ID: I20090324000294 |
| Provider Name | Eileen Kenny |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922081637 PECOS PAC ID: 1557394129 Enrollment ID: I20090424000331 |
| Provider Name | Krishnaswamy Ramachandran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396749255 PECOS PAC ID: 9032268487 Enrollment ID: I20090514000387 |
| Provider Name | Jacek S Slowikowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871597625 PECOS PAC ID: 4183773401 Enrollment ID: I20090515000480 |
| Provider Name | Chad M Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154593036 PECOS PAC ID: 1759432016 Enrollment ID: I20090625000639 |
| Provider Name | David C Keyes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407008212 PECOS PAC ID: 4880745660 Enrollment ID: I20090708000292 |
| Provider Name | Alfred Tanner Shilling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003029620 PECOS PAC ID: 4284786211 Enrollment ID: I20090722000128 |
| Provider Name | Julie R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164652004 PECOS PAC ID: 3577619923 Enrollment ID: I20090925000504 |
| Provider Name | Robert Knowles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013915602 PECOS PAC ID: 1557370517 Enrollment ID: I20100202000546 |
| Provider Name | Edwin J Polverino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194798983 PECOS PAC ID: 6002865581 Enrollment ID: I20100208000252 |
| Provider Name | Kerri S Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477883809 PECOS PAC ID: 3375687411 Enrollment ID: I20100212000546 |
| Provider Name | Saima Sadiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861603789 PECOS PAC ID: 9032244173 Enrollment ID: I20100315000945 |
| Provider Name | James Schmidley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407946981 PECOS PAC ID: 6507906195 Enrollment ID: I20100318000096 |
| Provider Name | David C Sane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780669077 PECOS PAC ID: 3779679410 Enrollment ID: I20100510000350 |
| Provider Name | Jeri Lantz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306828876 PECOS PAC ID: 4880723162 Enrollment ID: I20100525000529 |
| Provider Name | Robert D Moylan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760460943 PECOS PAC ID: 9032249693 Enrollment ID: I20100611000467 |
| Provider Name | John H Burton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528080017 PECOS PAC ID: 9133157787 Enrollment ID: I20100628000827 |
| Provider Name | Kevin B Mercure |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598767402 PECOS PAC ID: 3678529153 Enrollment ID: I20100701000175 |
| Provider Name | Hui Li |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649434226 PECOS PAC ID: 0941333017 Enrollment ID: I20100727000677 |
| Provider Name | Carl W Musser |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1285613786 PECOS PAC ID: 2769453281 Enrollment ID: I20100820000495 |
| Provider Name | Craig Lewis Bookout |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962487223 PECOS PAC ID: 3779672704 Enrollment ID: I20100827000100 |
| Provider Name | Ali M Hama Amin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841467735 PECOS PAC ID: 3173647070 Enrollment ID: I20100830000581 |
| Provider Name | Mark Anderson Schmidt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023000684 PECOS PAC ID: 5193811123 Enrollment ID: I20100902001111 |
| Provider Name | Molly S Rutherford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861609091 PECOS PAC ID: 1153446554 Enrollment ID: I20100908000751 |
| Provider Name | Sarah Klemencic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275722514 PECOS PAC ID: 9931225323 Enrollment ID: I20100922001018 |
| Provider Name | Keel E Coleman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780882365 PECOS PAC ID: 3678699980 Enrollment ID: I20100923001304 |
| Provider Name | Daniel R Karolyi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871779801 PECOS PAC ID: 2466503313 Enrollment ID: I20101018001253 |
| Provider Name | Christopher Maroules |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285861708 PECOS PAC ID: 6507050036 Enrollment ID: I20101028001415 |
| Provider Name | Richard A Cordle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356313241 PECOS PAC ID: 5991999062 Enrollment ID: I20101102001311 |
| Provider Name | Katherine Paige Conkling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497063747 PECOS PAC ID: 9032305214 Enrollment ID: I20101130000856 |
| Provider Name | Ralph D Brown |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215916556 PECOS PAC ID: 3072792019 Enrollment ID: I20110124000848 |
| Provider Name | Joshua D Adams |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932313095 PECOS PAC ID: 8022292036 Enrollment ID: I20110414000775 |
| Provider Name | Ashley Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023323201 PECOS PAC ID: 0648455857 Enrollment ID: I20110504000318 |
| Provider Name | William J Tanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750361952 PECOS PAC ID: 9436335643 Enrollment ID: I20110523000536 |
| Provider Name | Steven E Herold |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770506057 PECOS PAC ID: 7719917574 Enrollment ID: I20110627000452 |
| Provider Name | Matthew P Borloz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093974768 PECOS PAC ID: 9133307408 Enrollment ID: I20110711000350 |
| Provider Name | Jeremy A Llavore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992960272 PECOS PAC ID: 3678741154 Enrollment ID: I20110728000169 |
| Provider Name | Colleen J Mattocks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134387830 PECOS PAC ID: 9133398555 Enrollment ID: I20110801000707 |
| Provider Name | Alecia W Sizemore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831302561 PECOS PAC ID: 3173792728 Enrollment ID: I20110816000495 |
| Provider Name | Eric K Stanley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285892026 PECOS PAC ID: 9830369115 Enrollment ID: I20110823001081 |
| Provider Name | James G Drougas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013912914 PECOS PAC ID: 1951571660 Enrollment ID: I20110906000621 |
| Provider Name | Ricardo L Riegodedios |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295708709 PECOS PAC ID: 8224209267 Enrollment ID: I20110922000376 |
| Provider Name | Kristin A Childers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790943348 PECOS PAC ID: 4880867597 Enrollment ID: I20111025000407 |
| Provider Name | Kofi Amo-mensah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124289103 PECOS PAC ID: 4385817964 Enrollment ID: I20111026000534 |
| Provider Name | Michael S Helvey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518985076 PECOS PAC ID: 9537136528 Enrollment ID: I20120112000814 |
| Provider Name | Jose M Rivero |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881694065 PECOS PAC ID: 6800867268 Enrollment ID: I20120131000266 |
| Provider Name | Anna P Littleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093023426 PECOS PAC ID: 7719166222 Enrollment ID: I20120208000626 |
| Provider Name | Leilani A Pilar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922240977 PECOS PAC ID: 4688830110 Enrollment ID: I20120726000724 |
| Provider Name | Sherry Penland Ismatov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336381383 PECOS PAC ID: 1658527809 Enrollment ID: I20120803000617 |
| Provider Name | Michelle T Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295097996 PECOS PAC ID: 3173779261 Enrollment ID: I20120806000214 |
| Provider Name | Sahil Jaiswal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225261878 PECOS PAC ID: 8022264118 Enrollment ID: I20120806000266 |
| Provider Name | Michole Cm Pineda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386679389 PECOS PAC ID: 8123274008 Enrollment ID: I20120808000666 |
| Provider Name | Tiffany Plunk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184984445 PECOS PAC ID: 5799931374 Enrollment ID: I20120815000008 |
| Provider Name | David J Boone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225270234 PECOS PAC ID: 1557519063 Enrollment ID: I20120906000823 |
| Provider Name | Vishal M Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063623197 PECOS PAC ID: 0244488757 Enrollment ID: I20120906000874 |
| Provider Name | Srihari Penkulinti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851666515 PECOS PAC ID: 8022266980 Enrollment ID: I20120918000654 |
| Provider Name | Ashish Raju |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679855290 PECOS PAC ID: 8123277696 Enrollment ID: I20120927000711 |
| Provider Name | Joseph A Hughes |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1134320112 PECOS PAC ID: 5991955270 Enrollment ID: I20121022000816 |
| Provider Name | Thomas H Moss |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083698187 PECOS PAC ID: 0244128080 Enrollment ID: I20121109000521 |
| Provider Name | Matthew Michael Schumaecker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699811430 PECOS PAC ID: 5890893341 Enrollment ID: I20121114000228 |
| Provider Name | Jason Faulhaber |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265574446 PECOS PAC ID: 8123109931 Enrollment ID: I20121211000444 |
| Provider Name | Kenneth Lee Belcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306865290 PECOS PAC ID: 6204839178 Enrollment ID: I20130125000382 |
| Provider Name | Kurtis E Moyer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174780811 PECOS PAC ID: 2264500404 Enrollment ID: I20130129000329 |
| Provider Name | Sarah A Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144560830 PECOS PAC ID: 3072768464 Enrollment ID: I20130311000425 |
| Provider Name | Kevin C Lingle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558553552 PECOS PAC ID: 1658407960 Enrollment ID: I20130703000461 |
| Provider Name | Najib Sawaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326336900 PECOS PAC ID: 7618118324 Enrollment ID: I20130723000443 |
| Provider Name | Suresh Ponnada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689967911 PECOS PAC ID: 2365683620 Enrollment ID: I20130729000770 |
| Provider Name | Anthony William Baffoe Bonnie |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386680304 PECOS PAC ID: 1052329406 Enrollment ID: I20130807000597 |
| Provider Name | Khalief E Hamden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740592005 PECOS PAC ID: 4981841475 Enrollment ID: I20130807000746 |
| Provider Name | William D Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386811073 PECOS PAC ID: 9335381904 Enrollment ID: I20130809000667 |
| Provider Name | Ira G Shaywitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932212214 PECOS PAC ID: 4486660727 Enrollment ID: I20130813000398 |
| Provider Name | Sarah L Stubbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508185893 PECOS PAC ID: 3678715919 Enrollment ID: I20130815000489 |
| Provider Name | Om Samantray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477877439 PECOS PAC ID: 6901048156 Enrollment ID: I20130816000866 |
| Provider Name | Kunal T Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598078651 PECOS PAC ID: 7214170372 Enrollment ID: I20130821000772 |
| Provider Name | Angela Venuto-ashton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467775445 PECOS PAC ID: 3375786072 Enrollment ID: I20130828000474 |
| Provider Name | Thomas D Conlee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669638615 PECOS PAC ID: 0941443311 Enrollment ID: I20130904000363 |
| Provider Name | Alison Lepera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154641314 PECOS PAC ID: 6406091685 Enrollment ID: I20130910000672 |
| Provider Name | Stephanie Ann Lareau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063654879 PECOS PAC ID: 8123205812 Enrollment ID: I20130910000868 |
| Provider Name | Michelle E Clinton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982831442 PECOS PAC ID: 7113173972 Enrollment ID: I20130910000981 |
| Provider Name | Christopher A Rippel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790945319 PECOS PAC ID: 1951535327 Enrollment ID: I20131018000519 |
| Provider Name | Valerie L Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598106478 PECOS PAC ID: 7315172376 Enrollment ID: I20131028001843 |
| Provider Name | Susan D Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821425174 PECOS PAC ID: 2961639034 Enrollment ID: I20131217000364 |
| Provider Name | Manil Kukar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538461199 PECOS PAC ID: 6507093572 Enrollment ID: I20131219000127 |
| Provider Name | Ekta Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093948598 PECOS PAC ID: 6507093424 Enrollment ID: I20131220000021 |
| Provider Name | Alison Hester |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740589217 PECOS PAC ID: 9436392271 Enrollment ID: I20140310001420 |
| Provider Name | Brian K Unwin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1114999240 PECOS PAC ID: 2860630282 Enrollment ID: I20140317000273 |
| Provider Name | Ryan N Harris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477654473 PECOS PAC ID: 6800027020 Enrollment ID: I20140401000013 |
| Provider Name | Danielle N Ogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942623913 PECOS PAC ID: 9032342076 Enrollment ID: I20140429000462 |
| Provider Name | Biraj M Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235175431 PECOS PAC ID: 7113165259 Enrollment ID: I20140804000924 |
| Provider Name | Peter M Dereus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568774875 PECOS PAC ID: 9931343357 Enrollment ID: I20140819001350 |
| Provider Name | Megan N Forster-hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467751651 PECOS PAC ID: 9133362957 Enrollment ID: I20140821002884 |
| Provider Name | Sherry M Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477892651 PECOS PAC ID: 4486872868 Enrollment ID: I20140826002962 |
| Provider Name | Dana Garnand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649684267 PECOS PAC ID: 2567681331 Enrollment ID: I20140910001844 |
| Provider Name | Shyam Sundhar Odeti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154614816 PECOS PAC ID: 0143449785 Enrollment ID: I20140915000966 |
| Provider Name | James A Maxey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730355231 PECOS PAC ID: 7214156777 Enrollment ID: I20140915002053 |
| Provider Name | Betina Nakoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528474376 PECOS PAC ID: 4183843667 Enrollment ID: I20140916000020 |
| Provider Name | Rebekah Mckelvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730594417 PECOS PAC ID: 2062631583 Enrollment ID: I20140916001629 |
| Provider Name | Aswani Suthrave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013942341 PECOS PAC ID: 9638176506 Enrollment ID: I20140922002072 |
| Provider Name | Sorin Scarlatescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477652295 PECOS PAC ID: 8527119551 Enrollment ID: I20140929001537 |
| Provider Name | Brandi L Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861792400 PECOS PAC ID: 6901089044 Enrollment ID: I20141104000789 |
| Provider Name | Brian J Meier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861750812 PECOS PAC ID: 8123261690 Enrollment ID: I20141202000074 |
| Provider Name | Philip E Wakefield |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679581318 PECOS PAC ID: 2860498722 Enrollment ID: I20141202001538 |
| Provider Name | Harriet Hodgkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912097080 PECOS PAC ID: 1658443288 Enrollment ID: I20141213000250 |
| Provider Name | Greg A Howes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801074661 PECOS PAC ID: 9032296116 Enrollment ID: I20141231001578 |
| Provider Name | Emily P Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124422845 PECOS PAC ID: 4880918283 Enrollment ID: I20150113000454 |
| Provider Name | Sergey Shvygin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760647051 PECOS PAC ID: 6103094107 Enrollment ID: I20150127000306 |
| Provider Name | Barryton Decruse Waanbah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962790808 PECOS PAC ID: 9739302779 Enrollment ID: I20150309000249 |
| Provider Name | Ido Heletz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982812574 PECOS PAC ID: 1850423286 Enrollment ID: I20150323000129 |
| Provider Name | Hayley H Rose-inman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053678797 PECOS PAC ID: 1951620921 Enrollment ID: I20150425000341 |
| Provider Name | Matthew Alvin Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437541117 PECOS PAC ID: 0749509040 Enrollment ID: I20150508000829 |
| Provider Name | Kimberly Dawn Thomas |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1619399631 PECOS PAC ID: 3072833771 Enrollment ID: I20150521001322 |
| Provider Name | Deborah Anne Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518359777 PECOS PAC ID: 3476874850 Enrollment ID: I20150610002451 |
| Provider Name | Kathleen P Bogacz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417973470 PECOS PAC ID: 7810975182 Enrollment ID: I20150616000772 |
| Provider Name | Kimberly T Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467847046 PECOS PAC ID: 7810208931 Enrollment ID: I20150616002212 |
| Provider Name | Mary Carter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669796561 PECOS PAC ID: 2860703741 Enrollment ID: I20150618001654 |
| Provider Name | Puja R Ganjwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790188266 PECOS PAC ID: 7416269790 Enrollment ID: I20150629001842 |
| Provider Name | Matthew S Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811262215 PECOS PAC ID: 7618110107 Enrollment ID: I20150714001339 |
| Provider Name | Clay W Tingle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508002833 PECOS PAC ID: 1951614312 Enrollment ID: I20150715000205 |
| Provider Name | Michelle L Shaub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831458041 PECOS PAC ID: 4688996218 Enrollment ID: I20150722005160 |
| Provider Name | Eric A Marvin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407016082 PECOS PAC ID: 4183867278 Enrollment ID: I20150803000952 |
| Provider Name | Christopher Ransom Reynolds |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790005288 PECOS PAC ID: 6507171303 Enrollment ID: I20150821013579 |
| Provider Name | Christin Nicole Martino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588982227 PECOS PAC ID: 9032358205 Enrollment ID: I20150831000854 |
| Provider Name | Wendy L Woolley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891710281 PECOS PAC ID: 2466558515 Enrollment ID: I20150914003118 |
| Provider Name | Dustin M Boatman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528382587 PECOS PAC ID: 6204064082 Enrollment ID: I20150916000530 |
| Provider Name | Sarah C Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982087359 PECOS PAC ID: 7416264650 Enrollment ID: I20150921000677 |
| Provider Name | Lisa A Saunders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649528381 PECOS PAC ID: 9234372749 Enrollment ID: I20151027000603 |
| Provider Name | Amanda W Pallone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407119746 PECOS PAC ID: 3971739632 Enrollment ID: I20151027002269 |
| Provider Name | Sheila S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831118678 PECOS PAC ID: 4981505609 Enrollment ID: I20151110002487 |
| Provider Name | Lindsey N Caley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790928141 PECOS PAC ID: 4789822479 Enrollment ID: I20151113002189 |
| Provider Name | Christopher G Cline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265875785 PECOS PAC ID: 8325274855 Enrollment ID: I20160119000686 |
| Provider Name | Kelly S Holderfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538527817 PECOS PAC ID: 1456659861 Enrollment ID: I20160419001848 |
| Provider Name | Allison Lippert Boatman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891010278 PECOS PAC ID: 1254560964 Enrollment ID: I20160419002078 |
| Provider Name | Michael L Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760827323 PECOS PAC ID: 8022258276 Enrollment ID: I20160510000999 |
| Provider Name | Sarah S Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619330495 PECOS PAC ID: 6103117155 Enrollment ID: I20160622000425 |
| Provider Name | Ritesh Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508109422 PECOS PAC ID: 8224263850 Enrollment ID: I20160705000558 |
| Provider Name | Jessica Gehner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346685559 PECOS PAC ID: 9638304629 Enrollment ID: I20160705001697 |
| Provider Name | Denny R Goss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235573478 PECOS PAC ID: 0648591487 Enrollment ID: I20160713000062 |
| Provider Name | Lorne M Dindial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275876245 PECOS PAC ID: 4880829423 Enrollment ID: I20160728001652 |
| Provider Name | Betegelu Y Taye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306257118 PECOS PAC ID: 8426371626 Enrollment ID: I20160808001932 |
| Provider Name | Kristin A Liebrecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881031839 PECOS PAC ID: 7214162791 Enrollment ID: I20160822001510 |
| Provider Name | Krishna Sukayogula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720428766 PECOS PAC ID: 8325333891 Enrollment ID: I20160823001016 |
| Provider Name | Corey Michael Fidler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942566252 PECOS PAC ID: 5799098398 Enrollment ID: I20160823001883 |
| Provider Name | Kyle A Prickett |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942591375 PECOS PAC ID: 5395053052 Enrollment ID: I20160826000526 |
| Provider Name | Joshua G Gazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013259449 PECOS PAC ID: 7012142706 Enrollment ID: I20160829003066 |
| Provider Name | Colin T Brandt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811128366 PECOS PAC ID: 5294035754 Enrollment ID: I20160830001365 |
| Provider Name | Fielding C Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376822080 PECOS PAC ID: 4183944093 Enrollment ID: I20160901000219 |
| Provider Name | Mark Witcher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568606747 PECOS PAC ID: 6800105016 Enrollment ID: I20161013002497 |
| Provider Name | Angela R Lilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235418302 PECOS PAC ID: 5294055968 Enrollment ID: I20161213002577 |
| Provider Name | Joshua C Nichols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366852436 PECOS PAC ID: 7719107689 Enrollment ID: I20161228001619 |
| Provider Name | Joel M Hullett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528251030 PECOS PAC ID: 6103957717 Enrollment ID: I20170110000013 |
| Provider Name | Michael S Nussbaum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972571669 PECOS PAC ID: 2668470238 Enrollment ID: I20170420000044 |
| Provider Name | Justin A Lodenkemper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619382215 PECOS PAC ID: 7416179205 Enrollment ID: I20170710000910 |
| Provider Name | Caroline M Chisholm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134546070 PECOS PAC ID: 8426342593 Enrollment ID: I20170712002210 |
| Provider Name | Ryan M Curfiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871904938 PECOS PAC ID: 5193049559 Enrollment ID: I20170726001691 |
| Provider Name | Bryant Adam Self |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437576352 PECOS PAC ID: 2769602408 Enrollment ID: I20170801000913 |
| Provider Name | Mariana Gomez De La Espriella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003175142 PECOS PAC ID: 5991076010 Enrollment ID: I20170809000242 |
| Provider Name | Jonathan C Saks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144640590 PECOS PAC ID: 9234357278 Enrollment ID: I20170814000983 |
| Provider Name | Brian T Tully |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649314311 PECOS PAC ID: 8628261641 Enrollment ID: I20170814001505 |
| Provider Name | Natalie E Karp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972820322 PECOS PAC ID: 3678701455 Enrollment ID: I20170815004007 |
| Provider Name | Carla Jeanne Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386980357 PECOS PAC ID: 7618191149 Enrollment ID: I20170816000895 |
| Provider Name | Inna K Massaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629203617 PECOS PAC ID: 2769648351 Enrollment ID: I20170822002539 |
| Provider Name | Ashley A Tuttle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588981286 PECOS PAC ID: 6204053069 Enrollment ID: I20170831002480 |
| Provider Name | Sheryl M Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417901125 PECOS PAC ID: 4082611165 Enrollment ID: I20170908002308 |
| Provider Name | Melissa C Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841720372 PECOS PAC ID: 8921372863 Enrollment ID: I20170915002755 |
| Provider Name | Richard C Massaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154558658 PECOS PAC ID: 7214174127 Enrollment ID: I20170919000502 |
| Provider Name | Martha Willis Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265858161 PECOS PAC ID: 5193090140 Enrollment ID: I20171002002292 |
| Provider Name | Mark W Mossey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841228863 PECOS PAC ID: 6507894367 Enrollment ID: I20171010001213 |
| Provider Name | Brittany B Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629498886 PECOS PAC ID: 5395965008 Enrollment ID: I20171013000331 |
| Provider Name | Jen G Holofchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235656927 PECOS PAC ID: 9931465804 Enrollment ID: I20171108003564 |
| Provider Name | Jennifer Tarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477087500 PECOS PAC ID: 6901163427 Enrollment ID: I20171207002406 |
| Provider Name | Carol A Bernier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063711596 PECOS PAC ID: 2163653353 Enrollment ID: I20171215001074 |
| Provider Name | Judith A Collins-cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437147055 PECOS PAC ID: 4587922729 Enrollment ID: I20171218001706 |
| Provider Name | Sharon L Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366635880 PECOS PAC ID: 1456497478 Enrollment ID: I20171227002935 |
| Provider Name | Jonathan Drew Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700814464 PECOS PAC ID: 0042318701 Enrollment ID: I20180102002674 |
| Provider Name | Pamela R Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578074563 PECOS PAC ID: 8325307978 Enrollment ID: I20180106000029 |
| Provider Name | Travis Maule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801305586 PECOS PAC ID: 7719247345 Enrollment ID: I20180130002603 |
| Provider Name | David Woodson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073925749 PECOS PAC ID: 3375762313 Enrollment ID: I20180307002622 |
| Provider Name | Mary K Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649722562 PECOS PAC ID: 1557624293 Enrollment ID: I20180411002301 |
| Provider Name | Obafaemi A Ifelowo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659767994 PECOS PAC ID: 3173830742 Enrollment ID: I20180618002532 |
| Provider Name | Prashant Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841674652 PECOS PAC ID: 1153624713 Enrollment ID: I20180619000020 |
| Provider Name | Adeolu Olasunkanmi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609160308 PECOS PAC ID: 0345468054 Enrollment ID: I20180716000985 |
| Provider Name | John Rudderow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043576267 PECOS PAC ID: 9830332089 Enrollment ID: I20180717000148 |
| Provider Name | John J Entwistle |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558682112 PECOS PAC ID: 7416196589 Enrollment ID: I20180717000727 |
| Provider Name | Phyllis Dianne Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518035286 PECOS PAC ID: 1850520115 Enrollment ID: I20180723002560 |
| Provider Name | Matthew Daniel Roby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265708457 PECOS PAC ID: 6901049402 Enrollment ID: I20180725000462 |
| Provider Name | Michael J Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396131124 PECOS PAC ID: 4082920921 Enrollment ID: I20180730000715 |
| Provider Name | Sarah A Dewitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477931228 PECOS PAC ID: 2264749084 Enrollment ID: I20180919004293 |
| Provider Name | Robyn N Beail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477044808 PECOS PAC ID: 8123379682 Enrollment ID: I20180921001200 |
| Provider Name | Joshua Forrest Stephenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285945873 PECOS PAC ID: 8123317203 Enrollment ID: I20181003001948 |
| Provider Name | Calandra M Quarles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194104968 PECOS PAC ID: 4183938798 Enrollment ID: I20181015001177 |
| Provider Name | Thomas G Kraemer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093707432 PECOS PAC ID: 1951294867 Enrollment ID: I20181023002837 |
| Provider Name | Amy Lynn Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518445733 PECOS PAC ID: 6406109149 Enrollment ID: I20181027000063 |
| Provider Name | Zachary Joseph Shaub |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790097434 PECOS PAC ID: 8426270430 Enrollment ID: I20181114003074 |
| Provider Name | Beverly Kay Billings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891276465 PECOS PAC ID: 0547514143 Enrollment ID: I20181119000811 |
| Provider Name | Kristy R Vest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912489097 PECOS PAC ID: 6608110309 Enrollment ID: I20181206003257 |
| Provider Name | Jaimie Nichole Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093281461 PECOS PAC ID: 6608112735 Enrollment ID: I20190110002918 |
| Provider Name | Olga Lucia Marin-hoefner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326105412 PECOS PAC ID: 5496996019 Enrollment ID: I20190207002841 |
| Provider Name | Meghan Allyse Riley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649512823 PECOS PAC ID: 8820393770 Enrollment ID: I20190305002479 |
| Provider Name | Gurlal Singh Baidwan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730568411 PECOS PAC ID: 3577876655 Enrollment ID: I20190313001207 |
| Provider Name | Victoria N Straley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639646631 PECOS PAC ID: 6608116272 Enrollment ID: I20190318001363 |
| Provider Name | Brian Hoffmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548244718 PECOS PAC ID: 8729153754 Enrollment ID: I20190417001760 |
| Provider Name | Jessica Maerz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295268001 PECOS PAC ID: 3870866213 Enrollment ID: I20190528001176 |
| Provider Name | Saira Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780815738 PECOS PAC ID: 0244475465 Enrollment ID: I20190603002240 |
| Provider Name | Brian A Yeary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053774083 PECOS PAC ID: 0749575991 Enrollment ID: I20190617001247 |
| Provider Name | Jessica Pope Flinchum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467770552 PECOS PAC ID: 9133382757 Enrollment ID: I20190618001567 |
| Provider Name | Marek Gruca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679026561 PECOS PAC ID: 3173861978 Enrollment ID: I20190625003076 |
| Provider Name | Christopher Paul Waasdorp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699189720 PECOS PAC ID: 6204123730 Enrollment ID: I20190626001002 |
| Provider Name | Justin Haven Price |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174789465 PECOS PAC ID: 4486822491 Enrollment ID: I20190722000199 |
| Provider Name | Shelley T Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922566132 PECOS PAC ID: 8729315346 Enrollment ID: I20190806000040 |
| Provider Name | Keri Sawyers Mcgrady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710449467 PECOS PAC ID: 0042547309 Enrollment ID: I20190808002339 |
| Provider Name | Nalliene M Chavez Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952755233 PECOS PAC ID: 7416242870 Enrollment ID: I20190812000881 |
| Provider Name | Yolandas Thomason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417339565 PECOS PAC ID: 6204132038 Enrollment ID: I20190815003051 |
| Provider Name | Robert B Swanson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285893495 PECOS PAC ID: 4385954049 Enrollment ID: I20190821001357 |
| Provider Name | Cassandra Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780066837 PECOS PAC ID: 7719271279 Enrollment ID: I20190821003062 |
| Provider Name | Jared Branin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225490287 PECOS PAC ID: 7416240098 Enrollment ID: I20190916003451 |
| Provider Name | Michael Bergen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1407116718 PECOS PAC ID: 0941568604 Enrollment ID: I20190924000108 |
| Provider Name | Jennifer Lynn Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033626361 PECOS PAC ID: 2062742711 Enrollment ID: I20190924001478 |
| Provider Name | Steven Joshua Holley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902885221 PECOS PAC ID: 4789995754 Enrollment ID: I20191029000335 |
| Provider Name | Jacquelyn Leigh Wentworth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447644489 PECOS PAC ID: 5092022988 Enrollment ID: I20191112000741 |
| Provider Name | Tasaduq N Fazili |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548215171 PECOS PAC ID: 9931091071 Enrollment ID: I20191209000290 |
| Provider Name | Alexis Marie Inaman Misra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154971216 PECOS PAC ID: 3375978752 Enrollment ID: I20200113001032 |
| Provider Name | Rachel Marie Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083264782 PECOS PAC ID: 9234564238 Enrollment ID: I20200122000814 |
| Provider Name | Kelsey Campbell Fortin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205485539 PECOS PAC ID: 8921433715 Enrollment ID: I20200124002268 |
| Provider Name | Lindsey Marie Clemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609418938 PECOS PAC ID: 1052747243 Enrollment ID: I20200206002197 |
| Provider Name | Adam Ryan Donithan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053721175 PECOS PAC ID: 4587888565 Enrollment ID: I20200311001092 |
| Provider Name | John Randall Finch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740249028 PECOS PAC ID: 6507832367 Enrollment ID: I20200408002982 |
| Provider Name | Titus Dutcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013999796 PECOS PAC ID: 3971581349 Enrollment ID: I20200422002857 |
| Provider Name | Roberta Pritchard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699903518 PECOS PAC ID: 9931472370 Enrollment ID: I20200427000223 |
| Provider Name | Jinoh Sandberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043585904 PECOS PAC ID: 7113358201 Enrollment ID: I20200505000797 |
| Provider Name | Alina Polonsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104347657 PECOS PAC ID: 5193051928 Enrollment ID: I20200619001532 |
| Provider Name | Thomas Vacek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154681989 PECOS PAC ID: 6709000409 Enrollment ID: I20200622001132 |
| Provider Name | Justin M Gardner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952762601 PECOS PAC ID: 8022300268 Enrollment ID: I20200701002271 |
| Provider Name | Claire Dickens Craft |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770946980 PECOS PAC ID: 8729379433 Enrollment ID: I20200720003311 |
| Provider Name | Ariel Stearnes Brooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508387051 PECOS PAC ID: 7012243868 Enrollment ID: I20200805000775 |
| Provider Name | Nathaniel Linger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366973042 PECOS PAC ID: 1254604671 Enrollment ID: I20200811000492 |
| Provider Name | Vaibhav Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699034371 PECOS PAC ID: 2466786058 Enrollment ID: I20200811001113 |
| Provider Name | Jacob Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659763290 PECOS PAC ID: 1658647979 Enrollment ID: I20200811002784 |
| Provider Name | David Feigal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013337351 PECOS PAC ID: 0446470199 Enrollment ID: I20200811003949 |
| Provider Name | Kristina Dukes Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992225312 PECOS PAC ID: 6406121979 Enrollment ID: I20200812002054 |
| Provider Name | Cara Rogers |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477893691 PECOS PAC ID: 9234364241 Enrollment ID: I20200812002890 |
| Provider Name | Oluyemisi Solomon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568994911 PECOS PAC ID: 3870866015 Enrollment ID: I20200812003559 |
| Provider Name | Mohammed Bermo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972902732 PECOS PAC ID: 1850612508 Enrollment ID: I20200817000603 |
| Provider Name | Sarah Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871836270 PECOS PAC ID: 6305075086 Enrollment ID: I20200825001896 |
| Provider Name | Ryan Kent Martiniuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639608367 PECOS PAC ID: 1052738705 Enrollment ID: I20200826003804 |
| Provider Name | Caleb Cutherell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760877377 PECOS PAC ID: 3971810797 Enrollment ID: I20200827002203 |
| Provider Name | Robert Murrey Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912327164 PECOS PAC ID: 4789923632 Enrollment ID: I20200903002967 |
| Provider Name | Ashley W Gerrish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063830305 PECOS PAC ID: 1456571116 Enrollment ID: I20200909003335 |
| Provider Name | Katherine Elizabeth Martiniuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548799273 PECOS PAC ID: 8527486315 Enrollment ID: I20200910001432 |
| Provider Name | Elaina Graham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871905752 PECOS PAC ID: 3971728122 Enrollment ID: I20200918000080 |
| Provider Name | Biwar Z Marof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639601065 PECOS PAC ID: 3274952320 Enrollment ID: I20200923002169 |
| Provider Name | Kristin Mccoy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003202425 PECOS PAC ID: 1456761758 Enrollment ID: I20201027001879 |
| Provider Name | Vivek Kesar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558629857 PECOS PAC ID: 2668727496 Enrollment ID: I20201118002038 |
| Provider Name | Mohamed S Nagiub |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134431760 PECOS PAC ID: 8426290479 Enrollment ID: I20201124003072 |
| Provider Name | Chad Burton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891290409 PECOS PAC ID: 6002163458 Enrollment ID: I20201211002236 |
| Provider Name | Elizabeth Bartley Poor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902400799 PECOS PAC ID: 3476968983 Enrollment ID: I20210216000549 |
| Provider Name | Misty Spring Queen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245838267 PECOS PAC ID: 4284040569 Enrollment ID: I20210311000561 |
| Provider Name | Zachary S Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265939433 PECOS PAC ID: 7517215726 Enrollment ID: I20210506000609 |
| Provider Name | Melissa S Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952986804 PECOS PAC ID: 9537568365 Enrollment ID: I20210528000335 |
| Provider Name | Clarence E Pearson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083618987 PECOS PAC ID: 7719970789 Enrollment ID: I20210609002088 |
| Provider Name | Michael P Kelley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639251929 PECOS PAC ID: 1153220017 Enrollment ID: I20210610000050 |
| Provider Name | David Bai Chang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316443989 PECOS PAC ID: 9638579527 Enrollment ID: I20210615000968 |
| Provider Name | Danielle Michelle Sturgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275116279 PECOS PAC ID: 0749680510 Enrollment ID: I20210616000151 |
| Provider Name | Anthony A Baldoni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134508112 PECOS PAC ID: 3779897491 Enrollment ID: I20210621001773 |
| Provider Name | Justin Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427642636 PECOS PAC ID: 9032519509 Enrollment ID: I20210621002691 |
| Provider Name | Kari Mccoy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750778304 PECOS PAC ID: 1355658212 Enrollment ID: I20210629000596 |
| Provider Name | Aaron Schelegle |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649513839 PECOS PAC ID: 7810315595 Enrollment ID: I20210715000978 |
| Provider Name | Nicholas Karo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245727502 PECOS PAC ID: 4486906419 Enrollment ID: I20210730003138 |
| Provider Name | Victoria Thurland Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790038487 PECOS PAC ID: 3577967066 Enrollment ID: I20210805001121 |
| Provider Name | Adam Tate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114422904 PECOS PAC ID: 1658629498 Enrollment ID: I20210806000459 |
| Provider Name | Olumide Ojeifo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407116932 PECOS PAC ID: 1658628433 Enrollment ID: I20210827000006 |
| Provider Name | Allison Renee Thornton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770088122 PECOS PAC ID: 1052669777 Enrollment ID: I20210831002991 |
| Provider Name | James R Humble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508210469 PECOS PAC ID: 1557656238 Enrollment ID: I20210908001228 |
| Provider Name | Scott Harrison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578855011 PECOS PAC ID: 5395984330 Enrollment ID: I20210922000960 |
| Provider Name | Billy Lee Turner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497251839 PECOS PAC ID: 3779832746 Enrollment ID: I20210924002299 |
| Provider Name | Matthew Tucker Joy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1356760284 PECOS PAC ID: 3971723644 Enrollment ID: I20210924002535 |
| Provider Name | Carver Haines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639674526 PECOS PAC ID: 3375807720 Enrollment ID: I20210930002480 |
| Provider Name | Nikesh S Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932594389 PECOS PAC ID: 0749601797 Enrollment ID: I20210930002732 |
| Provider Name | Jessica Pelletier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851852347 PECOS PAC ID: 1850628207 Enrollment ID: I20211025000662 |
| Provider Name | Randy Province |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033616719 PECOS PAC ID: 8820347529 Enrollment ID: I20211026000120 |
| Provider Name | Aria M Behrouzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114419025 PECOS PAC ID: 9335487073 Enrollment ID: I20211026002679 |
| Provider Name | Henry Weigle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710305479 PECOS PAC ID: 3678793379 Enrollment ID: I20211029000347 |
| Provider Name | Yorke Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467944371 PECOS PAC ID: 4183974116 Enrollment ID: I20211104001478 |
| Provider Name | Aja Hamden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700383957 PECOS PAC ID: 6204185937 Enrollment ID: I20211118000239 |
| Provider Name | Jennifer L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881261964 PECOS PAC ID: 2264821701 Enrollment ID: I20211122002949 |
| Provider Name | Ian Jude Dempsey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699018416 PECOS PAC ID: 2264796788 Enrollment ID: I20220110002257 |
| Provider Name | Virginia Katz Mcnichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942979208 PECOS PAC ID: 9830581479 Enrollment ID: I20220112000011 |
| Provider Name | Kara Hash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194236703 PECOS PAC ID: 5193070597 Enrollment ID: I20220118001667 |
| Provider Name | Heather Bright Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669820684 PECOS PAC ID: 6103111612 Enrollment ID: I20220311000111 |
| Provider Name | Cameron Wayne Galbreath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821753062 PECOS PAC ID: 5597150441 Enrollment ID: I20220311001755 |
| Provider Name | Victor Mandanas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356413785 PECOS PAC ID: 8628077948 Enrollment ID: I20220312000145 |
| Provider Name | Stephanie May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215440516 PECOS PAC ID: 2769740166 Enrollment ID: I20220316003465 |
| Provider Name | Anne Ickes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912460494 PECOS PAC ID: 8729315635 Enrollment ID: I20220321000087 |
| Provider Name | Jody Goard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235325051 PECOS PAC ID: 4183876576 Enrollment ID: I20220322002888 |
| Provider Name | John P Sessoms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841849643 PECOS PAC ID: 7315371697 Enrollment ID: I20220510000280 |
| Provider Name | Cheyanne Spradlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649925926 PECOS PAC ID: 0941688774 Enrollment ID: I20220607000124 |
| Provider Name | Stacie Adkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881048833 PECOS PAC ID: 9739474206 Enrollment ID: I20220614003258 |
| Provider Name | Lydia Kuhn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033437314 PECOS PAC ID: 0244452035 Enrollment ID: I20220628003312 |
| Provider Name | Helen Osborne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144884644 PECOS PAC ID: 1153656202 Enrollment ID: I20220718002131 |
| Provider Name | Christopher Olsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396308805 PECOS PAC ID: 9739415621 Enrollment ID: I20220720003737 |
| Provider Name | Shefali Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962961060 PECOS PAC ID: 4789917923 Enrollment ID: I20220721001445 |
| Provider Name | William Angelos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174084586 PECOS PAC ID: 5799010997 Enrollment ID: I20220728002468 |
| Provider Name | Nam Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154883965 PECOS PAC ID: 2860721883 Enrollment ID: I20220801000695 |
| Provider Name | Roger Sequeira |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699933200 PECOS PAC ID: 0345305272 Enrollment ID: I20220805000818 |
| Provider Name | Tomasz Wojciech Zrodlowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316440951 PECOS PAC ID: 8224432919 Enrollment ID: I20220805001154 |
| Provider Name | Varun Kesar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922493857 PECOS PAC ID: 7719235720 Enrollment ID: I20220809000588 |
| Provider Name | Rachel Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891399929 PECOS PAC ID: 0143632240 Enrollment ID: I20220809004103 |
| Provider Name | Richard Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376518142 PECOS PAC ID: 5496828402 Enrollment ID: I20220810001436 |
| Provider Name | Zoe K Beyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902545262 PECOS PAC ID: 9335522861 Enrollment ID: I20220817000169 |
| Provider Name | Hallie K Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366105090 PECOS PAC ID: 0648653675 Enrollment ID: I20220823004024 |
| Provider Name | Jose Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639631187 PECOS PAC ID: 5799012860 Enrollment ID: I20220824000420 |
| Provider Name | Karla Guerra |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508356734 PECOS PAC ID: 2365791951 Enrollment ID: I20220829001256 |
| Provider Name | Courtney Lynn Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801522362 PECOS PAC ID: 0648654012 Enrollment ID: I20220902000855 |
| Provider Name | David J Vajanyi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659935310 PECOS PAC ID: 0547595753 Enrollment ID: I20220907000743 |
| Provider Name | Greg Fischer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851886923 PECOS PAC ID: 3072861012 Enrollment ID: I20220923000992 |
| Provider Name | Allyson Papa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912639444 PECOS PAC ID: 9931584190 Enrollment ID: I20220923002311 |
| Provider Name | Amie Rose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366902702 PECOS PAC ID: 5799027629 Enrollment ID: I20220927001735 |
| Provider Name | Daniel B Rukstalis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245296375 PECOS PAC ID: 3779552823 Enrollment ID: I20221003000818 |
| Provider Name | Bhumi K Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649665258 PECOS PAC ID: 7911297361 Enrollment ID: I20221003003134 |
| Provider Name | Gary L Aragon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013978139 PECOS PAC ID: 6305749854 Enrollment ID: I20221020000333 |
| Provider Name | Robert Strominger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447353529 PECOS PAC ID: 5597852426 Enrollment ID: I20221118000433 |
| Provider Name | Jordan Rachel Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841913407 PECOS PAC ID: 7416325683 Enrollment ID: I20221118000859 |
| Provider Name | Johanna Steege French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033831805 PECOS PAC ID: 1557739133 Enrollment ID: I20221202000357 |
| Provider Name | Neil Carstens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891789327 PECOS PAC ID: 9436231438 Enrollment ID: I20221230002204 |
| Provider Name | Reza Hayeri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194014860 PECOS PAC ID: 0648582395 Enrollment ID: I20230104000670 |
| Provider Name | David S Donaldson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508867474 PECOS PAC ID: 2466460746 Enrollment ID: I20230119001990 |
| Provider Name | Edward Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306852504 PECOS PAC ID: 4981750460 Enrollment ID: I20230119002617 |
| Provider Name | Daniel Owen Lareaux |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629606173 PECOS PAC ID: 7517380546 Enrollment ID: I20230130001417 |
| Provider Name | Bhumin J Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750720900 PECOS PAC ID: 4082997127 Enrollment ID: I20230131000300 |
| Provider Name | Salah Abdelhadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326453259 PECOS PAC ID: 4688976004 Enrollment ID: I20230131000526 |
| Provider Name | Jeffrey Orear |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780876649 PECOS PAC ID: 7810152410 Enrollment ID: I20230202000583 |
| Provider Name | Bryce David Lokey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225298177 PECOS PAC ID: 1153793872 Enrollment ID: I20230207000355 |
| Provider Name | Michael S Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093030546 PECOS PAC ID: 5597071712 Enrollment ID: I20230208000495 |
| Provider Name | Celeisha Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144981531 PECOS PAC ID: 1052783099 Enrollment ID: I20230221000649 |
| Provider Name | Stacy Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821708827 PECOS PAC ID: 6709259500 Enrollment ID: I20230226000029 |
| Provider Name | Amy Marie Drago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245944180 PECOS PAC ID: 9830562347 Enrollment ID: I20230303001376 |
| Provider Name | James Richard Durnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265148019 PECOS PAC ID: 8527431840 Enrollment ID: I20230307000354 |
| Provider Name | Amber Nicole Zax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033823596 PECOS PAC ID: 2668845835 Enrollment ID: I20230309000385 |
| Provider Name | Edward Ladyzhenskiy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912325556 PECOS PAC ID: 3971723693 Enrollment ID: I20230309000773 |
| Provider Name | Valeah Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982347480 PECOS PAC ID: 9638542830 Enrollment ID: I20230309001968 |
| Provider Name | Stephanie Jo Sexton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881004158 PECOS PAC ID: 1759783897 Enrollment ID: I20230313000999 |
| Provider Name | Kristopher Burton Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548441009 PECOS PAC ID: 0648428078 Enrollment ID: I20230324001158 |
| Provider Name | John Henry Schwab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649730110 PECOS PAC ID: 7113254608 Enrollment ID: I20230411002473 |
| Provider Name | Ramin Akhavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861561300 PECOS PAC ID: 6103856893 Enrollment ID: I20230503000001 |
| Provider Name | Sian Ellen Lewis-bevan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013545086 PECOS PAC ID: 0345663555 Enrollment ID: I20230503001091 |
| Provider Name | Francine Jacobson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124018890 PECOS PAC ID: 1254379076 Enrollment ID: I20230503002525 |
| Provider Name | Christopher Bayne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144512641 PECOS PAC ID: 5294083853 Enrollment ID: I20230524001742 |
| Provider Name | Sean M Whitty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811526221 PECOS PAC ID: 9234551433 Enrollment ID: I20230525003205 |
| Provider Name | Christopher Steel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861755100 PECOS PAC ID: 5991162638 Enrollment ID: I20230612000698 |
| Provider Name | Tymour Jibran Malik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255894572 PECOS PAC ID: 8325405061 Enrollment ID: I20230612000814 |
| Provider Name | Kelly Armentrout |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962030213 PECOS PAC ID: 5799108718 Enrollment ID: I20230616002035 |
| Provider Name | Aaron Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003443037 PECOS PAC ID: 4486077120 Enrollment ID: I20230619001659 |
| Provider Name | Anne Murray Laverty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780147306 PECOS PAC ID: 7315270212 Enrollment ID: I20230620002671 |
| Provider Name | Richard Dykstra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154852432 PECOS PAC ID: 9739452384 Enrollment ID: I20230620003002 |
| Provider Name | Christine Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508483058 PECOS PAC ID: 5597188268 Enrollment ID: I20230622001183 |
| Provider Name | Danielle Combs Liddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609570340 PECOS PAC ID: 8527426550 Enrollment ID: I20230622002101 |
| Provider Name | Nora Rader |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790308047 PECOS PAC ID: 5193148534 Enrollment ID: I20230623001336 |
| Provider Name | Kelly Kugach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003445594 PECOS PAC ID: 9133542228 Enrollment ID: I20230623002787 |
| Provider Name | Abigail Grace Whitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326744996 PECOS PAC ID: 7517326895 Enrollment ID: I20230705001218 |
| Provider Name | Aaron Markwith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023646437 PECOS PAC ID: 0244277697 Enrollment ID: I20230706003051 |
| Provider Name | Peter Hartung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851920607 PECOS PAC ID: 4284057290 Enrollment ID: I20230711000735 |
| Provider Name | Elizabeth Vass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417586256 PECOS PAC ID: 0345663928 Enrollment ID: I20230711000815 |
| Provider Name | Joseph Birkman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295260958 PECOS PAC ID: 5496139925 Enrollment ID: I20230711003257 |
| Provider Name | Briana Bennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932729894 PECOS PAC ID: 7618390055 Enrollment ID: I20230717000729 |
| Provider Name | Sarah Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275152183 PECOS PAC ID: 0941623953 Enrollment ID: I20230720002259 |
| Provider Name | Jennifer Marie Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770270803 PECOS PAC ID: 2163882143 Enrollment ID: I20230721003381 |
| Provider Name | Jake Daniel Norris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053947960 PECOS PAC ID: 5395106124 Enrollment ID: I20230726002922 |
| Provider Name | Esmaeel Reza Dadashzadeh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487072260 PECOS PAC ID: 5597126268 Enrollment ID: I20230727001070 |
| Provider Name | Tiffany Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104488626 PECOS PAC ID: 9032525381 Enrollment ID: I20230815002657 |
| Provider Name | Jessica Kinyen Li Eason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235699661 PECOS PAC ID: 3274863972 Enrollment ID: I20230821001471 |
| Provider Name | Emily Perdue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275214900 PECOS PAC ID: 9830552660 Enrollment ID: I20230828001588 |
| Provider Name | Alan Auckland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578068227 PECOS PAC ID: 6305192923 Enrollment ID: I20230926002877 |
| Provider Name | Christina M Thomas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548595606 PECOS PAC ID: 1557718806 Enrollment ID: I20231108003436 |
| Provider Name | Tolmie Margaret Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124806930 PECOS PAC ID: 1759739493 Enrollment ID: I20231120000042 |
| Provider Name | Robert Mcfarlane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710980826 PECOS PAC ID: 2163319401 Enrollment ID: I20231213001772 |
| Provider Name | Rawle Seupaul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508975491 PECOS PAC ID: 3476644261 Enrollment ID: I20231220000983 |
| Provider Name | Elizabeth Sugg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205328929 PECOS PAC ID: 2668721093 Enrollment ID: I20231228000844 |
| Provider Name | Brian Fuquay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912584517 PECOS PAC ID: 1355743733 Enrollment ID: I20240102002894 |
| Provider Name | Hema Sivasubramanian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093078248 PECOS PAC ID: 0547579443 Enrollment ID: I20240123003517 |
| Provider Name | Tamra Renee Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285418582 PECOS PAC ID: 5597108175 Enrollment ID: I20240212000018 |
| Provider Name | Justin Lackey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497333512 PECOS PAC ID: 8224430798 Enrollment ID: I20240212001390 |
| Provider Name | Lana Wahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750701918 PECOS PAC ID: 7911064852 Enrollment ID: I20240222001296 |
| Provider Name | Julian Yet Kwong Horman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598225682 PECOS PAC ID: 1759713829 Enrollment ID: I20240326003824 |
| Provider Name | David T Wells |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437733136 PECOS PAC ID: 7113329368 Enrollment ID: I20240327000199 |
| Provider Name | Benjamin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154199370 PECOS PAC ID: 5597103556 Enrollment ID: I20240410000341 |
| Provider Name | Valerie Renard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922550946 PECOS PAC ID: 5597047803 Enrollment ID: I20240412003797 |
| Provider Name | Nicholas Tsipis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689060865 PECOS PAC ID: 6608124680 Enrollment ID: I20240418002576 |
| Provider Name | Jessica L Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215691563 PECOS PAC ID: 0446640619 Enrollment ID: I20240508003088 |
| Provider Name | Emily Slabach |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639938210 PECOS PAC ID: 1658713870 Enrollment ID: I20240520002437 |
Carilion Giles Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Hartley Way, Pearisburg, VA 24134 Phone: 540-921-6000 | |
Giles Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 219 Buchanan St, Pearisburg, VA 24134 Phone: 540-921-3502 Fax: 540-382-3391 | |
Carilion Giles Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Hartley Way, Pearisburg, VA 24134 Phone: 540-921-6000 | |
Carilion Giles Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Hartley Way, Pearisburg, VA 24134 Phone: 540-921-6000 | |
Giles Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 Buchanan St, Pearisburg, VA 24134 Phone: 540-921-4343 Fax: 540-921-4457 | |
Carilion Giles Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 Boxwood Ln, Pearisburg, VA 24134 Phone: 540-921-6000 |