| Carilion Medical Center | |
|
1906 Belleview Ave Se Roanoke VA 24014-1838 | |
| (540) 981-7000 | |
| Not Available |
| Full Name | Carilion Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1906 Belleview Ave Se, Roanoke, 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 Medical Center 213 S Jefferson St Ste 1006 Roanoke VA 24011-1713 Ph: (540) 224-5715 | Carilion Medical Center 1906 Belleview Ave Se Roanoke VA 24014-1838 Ph: (540) 981-7000 |
| NPI Number | 1730123472 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 9830096585 |
|---|---|
| Medicare Enrollment ID | O20040107000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730123472 | NPI | - | NPPES |
| CI3613 | Other | MEDICARE RAILROAD GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Gregory A Stidham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487627378 PECOS PAC ID: 5193621001 Enrollment ID: I20031211000077 |
| Provider Name | Elizabeth L Polk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164494134 PECOS PAC ID: 2264338177 Enrollment ID: I20031211000093 |
| Provider Name | Kelli Lynn Linick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851364756 PECOS PAC ID: 6608772520 Enrollment ID: I20031211000105 |
| 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 | Kurt R Stockstill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861416992 PECOS PAC ID: 2163321357 Enrollment ID: I20040107000434 |
| Provider Name | Greg Leland Potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326105669 PECOS PAC ID: 6103726773 Enrollment ID: I20040110000083 |
| Provider Name | Jennette L Metzler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588760466 PECOS PAC ID: 2365343837 Enrollment ID: I20040116000915 |
| Provider Name | Jon D Cargo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205804754 PECOS PAC ID: 1951203454 Enrollment ID: I20040124000077 |
| Provider Name | Michael D Rorrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518036664 PECOS PAC ID: 8123921970 Enrollment ID: I20040129000232 |
| Provider Name | Gwinn Firing |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598861486 PECOS PAC ID: 0143123760 Enrollment ID: I20040130000595 |
| Provider Name | Charles J Paget |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376506360 PECOS PAC ID: 2062306335 Enrollment ID: I20040209001214 |
| 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 | William G Pearlman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144292053 PECOS PAC ID: 0749174506 Enrollment ID: I20040211001232 |
| Provider Name | Daniel R Tershak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316900822 PECOS PAC ID: 7315834637 Enrollment ID: I20040302000522 |
| 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 | Vishal D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750367744 PECOS PAC ID: 9234122748 Enrollment ID: I20040408000128 |
| 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 | Thomas K Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972580231 PECOS PAC ID: 6608763941 Enrollment ID: I20040420000765 |
| Provider Name | Joseph T Moskal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740267095 PECOS PAC ID: 0840187001 Enrollment ID: I20040420001287 |
| Provider Name | Hugh J Hagan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1891772257 PECOS PAC ID: 7214821966 Enrollment ID: I20040511000613 |
| Provider Name | Alyson P Hartkopf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215941869 PECOS PAC ID: 4284624859 Enrollment ID: I20040514001170 |
| Provider Name | Christopher K John |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952388878 PECOS PAC ID: 9537150602 Enrollment ID: I20040519000629 |
| Provider Name | George A Godette |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164487492 PECOS PAC ID: 0345221248 Enrollment ID: I20040526001417 |
| Provider Name | Stephen J Kellam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689659930 PECOS PAC ID: 3072591510 Enrollment ID: I20040710000243 |
| Provider Name | Chand Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962459206 PECOS PAC ID: 7315926375 Enrollment ID: I20040714001368 |
| Provider Name | Marcus L Speaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770574030 PECOS PAC ID: 4385623347 Enrollment ID: I20040714001384 |
| 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 | Anand T Kishore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255310165 PECOS PAC ID: 4082689674 Enrollment ID: I20040827000431 |
| Provider Name | John A Jane Jr |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801965413 PECOS PAC ID: 7810962040 Enrollment ID: I20040831000724 |
| Provider Name | Michael Wiid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750367355 PECOS PAC ID: 5698742914 Enrollment ID: I20040915000425 |
| Provider Name | Catherine G Rea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841262805 PECOS PAC ID: 8022086347 Enrollment ID: I20040923000527 |
| Provider Name | Everett Kirk Luder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629046701 PECOS PAC ID: 1557322765 Enrollment ID: I20041021000308 |
| Provider Name | Gregory K Hardigree |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821099375 PECOS PAC ID: 4284697152 Enrollment ID: I20041111000102 |
| 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 | Souha J Khawam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922070945 PECOS PAC ID: 4385609619 Enrollment ID: I20041129000054 |
| Provider Name | Charles D Daniel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134124035 PECOS PAC ID: 3072579218 Enrollment ID: I20041208001046 |
| Provider Name | Farahaba R Lakhdir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922087279 PECOS PAC ID: 9739146952 Enrollment ID: I20041220000145 |
| Provider Name | Moises R Cossio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265405260 PECOS PAC ID: 2769440585 Enrollment ID: I20041228000060 |
| Provider Name | Richard Kindley Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952365918 PECOS PAC ID: 1456309566 Enrollment ID: I20050105000774 |
| Provider Name | Vikas N Chitnavis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891773560 PECOS PAC ID: 5799736328 Enrollment ID: I20050201000671 |
| Provider Name | Steve G Steffan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427161934 PECOS PAC ID: 1456303064 Enrollment ID: I20050216000669 |
| Provider Name | Robert Tuosto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689789919 PECOS PAC ID: 0547213308 Enrollment ID: I20050222000471 |
| Provider Name | Umar Farooq Sofi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023009271 PECOS PAC ID: 2769436815 Enrollment ID: I20050310000947 |
| Provider Name | Mandy M Atkinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942272273 PECOS PAC ID: 9234185935 Enrollment ID: I20050325000176 |
| Provider Name | John William Leslie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972584431 PECOS PAC ID: 4789630153 Enrollment ID: I20050329000726 |
| Provider Name | Rhonda Rowan Harrell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043267057 PECOS PAC ID: 5597712109 Enrollment ID: I20050406000265 |
| Provider Name | Mary B Horst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013091065 PECOS PAC ID: 4880633858 Enrollment ID: I20050428000947 |
| Provider Name | John T Sinacori |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316914674 PECOS PAC ID: 4486690849 Enrollment ID: I20050707000384 |
| Provider Name | Chad J Demott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033100235 PECOS PAC ID: 1951338185 Enrollment ID: I20050720000135 |
| Provider Name | William L Tingler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407808843 PECOS PAC ID: 6901871318 Enrollment ID: I20050728000831 |
| Provider Name | Perry P Kaneriya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316925928 PECOS PAC ID: 1153359054 Enrollment ID: I20050802000308 |
| 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 | Cesar Jose Bravo |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1790759645 PECOS PAC ID: 0143280669 Enrollment ID: I20050907001210 |
| 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 | Kathy Amoroso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457323743 PECOS PAC ID: 9436183332 Enrollment ID: I20050920001298 |
| Provider Name | Lori L Dudley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477529972 PECOS PAC ID: 4789618968 Enrollment ID: I20050927000381 |
| Provider Name | Margaret C Turley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336118611 PECOS PAC ID: 5890720551 Enrollment ID: I20050930000416 |
| Provider Name | Mariana Abraham Phillips |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851322895 PECOS PAC ID: 9931124591 Enrollment ID: I20051012000752 |
| Provider Name | Aubrey Knight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255494332 PECOS PAC ID: 6608816541 Enrollment ID: I20051017000902 |
| Provider Name | David W Hartman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184607343 PECOS PAC ID: 4981673845 Enrollment ID: I20051021000764 |
| Provider Name | Chunxiao B Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699720169 PECOS PAC ID: 4082679097 Enrollment ID: I20051027000118 |
| Provider Name | Terri Ann Wattsman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598737843 PECOS PAC ID: 5890712004 Enrollment ID: I20051027000463 |
| Provider Name | Mohd A Mirza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538146279 PECOS PAC ID: 4284699042 Enrollment ID: I20051104000699 |
| Provider Name | Mark A Patterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275536831 PECOS PAC ID: 1254359284 Enrollment ID: I20051108000338 |
| Provider Name | Richard E Ruffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922079086 PECOS PAC ID: 6800816166 Enrollment ID: I20051201000111 |
| Provider Name | Bruce N Stewart |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568433530 PECOS PAC ID: 3274553540 Enrollment ID: I20051201000178 |
| 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 | Karol L Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407836000 PECOS PAC ID: 4789604794 Enrollment ID: I20051205000656 |
| Provider Name | Theresa P Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437123957 PECOS PAC ID: 4880615087 Enrollment ID: I20051215000526 |
| Provider Name | Frazier W Frantz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346218161 PECOS PAC ID: 0941218317 Enrollment ID: I20060327000337 |
| 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 | Albert W Parulis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1003886912 PECOS PAC ID: 7719995869 Enrollment ID: I20060330000544 |
| 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 | William Scott Arnold |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710969753 PECOS PAC ID: 0143230193 Enrollment ID: I20060504000575 |
| Provider Name | Joseph W Baker |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003898040 PECOS PAC ID: 3577573534 Enrollment ID: I20060504000609 |
| Provider Name | Susan P Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689614356 PECOS PAC ID: 6901817618 Enrollment ID: I20060509000868 |
| Provider Name | Carol A Ascher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154377471 PECOS PAC ID: 3971516568 Enrollment ID: I20060727000185 |
| Provider Name | Curtis E Bower |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366481400 PECOS PAC ID: 9436162963 Enrollment ID: I20060728000112 |
| Provider Name | Magdalena G Yoder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790723401 PECOS PAC ID: 8123021060 Enrollment ID: I20060816000104 |
| Provider Name | Emily S Doherty |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1134149495 PECOS PAC ID: 0143224980 Enrollment ID: I20060908000241 |
| 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 | Natalie K Klawonn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780600791 PECOS PAC ID: 5092711168 Enrollment ID: I20061012000305 |
| Provider Name | Lisa S Apfel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659481984 PECOS PAC ID: 6608873914 Enrollment ID: I20061030000564 |
| Provider Name | Kathryn A Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326143199 PECOS PAC ID: 6709884083 Enrollment ID: I20061121000168 |
| Provider Name | Mark A Ringold |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588621023 PECOS PAC ID: 2062410343 Enrollment ID: I20061121000188 |
| Provider Name | Suzanne D Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194708784 PECOS PAC ID: 7416955505 Enrollment ID: I20061128000401 |
| Provider Name | Arnold D Salzberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104927284 PECOS PAC ID: 7618976507 Enrollment ID: I20061202000091 |
| Provider Name | Thomas F Knisely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447286265 PECOS PAC ID: 7012916653 Enrollment ID: I20061209000011 |
| Provider Name | Shikha S Vasudeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598870735 PECOS PAC ID: 7618926684 Enrollment ID: I20061209000039 |
| Provider Name | Thomas J Donohue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912077892 PECOS PAC ID: 9830198878 Enrollment ID: I20061220000297 |
| Provider Name | Shahram Ahmadzadeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265489504 PECOS PAC ID: 5193725604 Enrollment ID: I20070108000208 |
| Provider Name | Frank H Biscardi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548332208 PECOS PAC ID: 8426059692 Enrollment ID: I20070131000252 |
| Provider Name | Amy Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114091485 PECOS PAC ID: 1557363231 Enrollment ID: I20070208000555 |
| Provider Name | Roxanne Davenport |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043282114 PECOS PAC ID: 1254433113 Enrollment ID: I20070222000730 |
| Provider Name | Kevin R Dye |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295720191 PECOS PAC ID: 7517060791 Enrollment ID: I20070314000587 |
| Provider Name | Laura H Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366532368 PECOS PAC ID: 3577666155 Enrollment ID: I20070320000420 |
| Provider Name | Mark H Derbyshire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457327785 PECOS PAC ID: 4284730656 Enrollment ID: I20070501000347 |
| Provider Name | Gregory C Zachmann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295738094 PECOS PAC ID: 1557258720 Enrollment ID: I20070502000384 |
| Provider Name | Vivian H Mao |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548264377 PECOS PAC ID: 0941197107 Enrollment ID: I20070601000491 |
| Provider Name | Anthony Slonim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972507432 PECOS PAC ID: 6507862836 Enrollment ID: I20070607000294 |
| Provider Name | Kurt Y Chen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700880408 PECOS PAC ID: 1052208204 Enrollment ID: I20070613000227 |
| Provider Name | Scott D Woogen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215939251 PECOS PAC ID: 7416056726 Enrollment ID: I20070627000707 |
| Provider Name | Thomas H Bishop |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1750418315 PECOS PAC ID: 8123110574 Enrollment ID: I20070815000588 |
| Provider Name | Alicia S Devine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316160633 PECOS PAC ID: 9436242815 Enrollment ID: I20070830000096 |
| Provider Name | George M Mcdaniel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437196458 PECOS PAC ID: 3375577497 Enrollment ID: I20070830000337 |
| Provider Name | Edward Senu-oke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316990864 PECOS PAC ID: 1951317080 Enrollment ID: I20070911000421 |
| Provider Name | Jonathan J Carmouche |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275562589 PECOS PAC ID: 9032113717 Enrollment ID: I20070924000785 |
| Provider Name | Amanda B Murchison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639164791 PECOS PAC ID: 6406835313 Enrollment ID: I20070929000135 |
| Provider Name | Anuradha Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801006176 PECOS PAC ID: 7911093695 Enrollment ID: I20071010000593 |
| Provider Name | Sameh G Aziz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205916343 PECOS PAC ID: 9830285543 Enrollment ID: I20071010000780 |
| Provider Name | Ross W Murchison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295816544 PECOS PAC ID: 9739169137 Enrollment ID: I20071012000167 |
| Provider Name | Della Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700949484 PECOS PAC ID: 6608834544 Enrollment ID: I20071012000378 |
| Provider Name | Pamela S Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194917500 PECOS PAC ID: 8325135098 Enrollment ID: I20071026000437 |
| Provider Name | Dakshinamurty N Gullapalli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891734943 PECOS PAC ID: 5496842148 Enrollment ID: I20071029000250 |
| Provider Name | Kimberly A Dulaney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457562571 PECOS PAC ID: 1951498294 Enrollment ID: I20071102000092 |
| Provider Name | Julia M D Amora |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1730114083 PECOS PAC ID: 9931165669 Enrollment ID: I20071130000068 |
| Provider Name | Laura G White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083626436 PECOS PAC ID: 2668439480 Enrollment ID: I20080118000262 |
| Provider Name | Kristin Lynn Eckland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508841370 PECOS PAC ID: 6002825890 Enrollment ID: I20080212000081 |
| Provider Name | Gary Joe Harpold |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447210604 PECOS PAC ID: 3678656329 Enrollment ID: I20080219000118 |
| Provider Name | Lorrie A Saville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780879650 PECOS PAC ID: 2567547623 Enrollment ID: I20080313000188 |
| Provider Name | Wayne L Brackenrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447356530 PECOS PAC ID: 0446336572 Enrollment ID: I20080328000528 |
| Provider Name | Felicity A Adams-vanke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245458181 PECOS PAC ID: 7315025392 Enrollment ID: I20080416000076 |
| Provider Name | Jamie K Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558556522 PECOS PAC ID: 6709965320 Enrollment ID: I20080508000117 |
| Provider Name | Maria Soriano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548241086 PECOS PAC ID: 6608946801 Enrollment ID: I20080530000282 |
| Provider Name | Kevin S Combs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164614079 PECOS PAC ID: 0547330631 Enrollment ID: I20080602000181 |
| Provider Name | Thomas M Kerkering |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992797401 PECOS PAC ID: 4789755745 Enrollment ID: I20080618000517 |
| Provider Name | Daniel S Schneider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376584466 PECOS PAC ID: 4385716075 Enrollment ID: I20080714000179 |
| Provider Name | Edmundo R Rubio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619073491 PECOS PAC ID: 0042255044 Enrollment ID: I20080718000030 |
| Provider Name | Eric Williams |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467452599 PECOS PAC ID: 4981777307 Enrollment ID: I20080718000091 |
| Provider Name | Elvis R Pagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023053758 PECOS PAC ID: 8224033774 Enrollment ID: I20080725000531 |
| Provider Name | Varsha J Desai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588636971 PECOS PAC ID: 4183798838 Enrollment ID: I20080730000194 |
| Provider Name | Michael Patrick Jeremiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508855727 PECOS PAC ID: 3678647336 Enrollment ID: I20080730000263 |
| Provider Name | Mary G Sweet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588655807 PECOS PAC ID: 0345314928 Enrollment ID: I20080730000514 |
| Provider Name | Nancy E Misicko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851382121 PECOS PAC ID: 9739253311 Enrollment ID: I20080730000562 |
| Provider Name | Joseph R Tamez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003888900 PECOS PAC ID: 7810061405 Enrollment ID: I20080730000580 |
| Provider Name | Tarin A Schmidt Dalton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962493254 PECOS PAC ID: 7810061421 Enrollment ID: I20080730000750 |
| Provider Name | Mark H Greenawald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427049741 PECOS PAC ID: 4880768498 Enrollment ID: I20080730000767 |
| 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 | Scott James Crosby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699816975 PECOS PAC ID: 3375618184 Enrollment ID: I20080813000482 |
| 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 | Clifford Nottingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942272083 PECOS PAC ID: 8224054697 Enrollment ID: I20080814000134 |
| Provider Name | Anthony R Stavola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497727531 PECOS PAC ID: 6709951478 Enrollment ID: I20080814000154 |
| Provider Name | Robert L Amick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902878051 PECOS PAC ID: 6305911074 Enrollment ID: I20080814000181 |
| Provider Name | Deana A Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053383752 PECOS PAC ID: 5092881946 Enrollment ID: I20080829000345 |
| Provider Name | Nancy Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104898246 PECOS PAC ID: 6901972454 Enrollment ID: I20080905000599 |
| Provider Name | Mahtab B Foroozesh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538104849 PECOS PAC ID: 1759329931 Enrollment ID: I20080918000435 |
| Provider Name | John M Wessinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275742264 PECOS PAC ID: 2769559855 Enrollment ID: I20080918000710 |
| 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 | Tennille A Smelcer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386892362 PECOS PAC ID: 3971661489 Enrollment ID: I20081027000606 |
| Provider Name | Evelyn M Garcia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225036239 PECOS PAC ID: 2264345420 Enrollment ID: I20081028000269 |
| Provider Name | Andrea D Harrelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205081395 PECOS PAC ID: 1951461433 Enrollment ID: I20081114000201 |
| Provider Name | Marrieth G Rubio |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538180575 PECOS PAC ID: 9931269412 Enrollment ID: I20081114000225 |
| Provider Name | David E Johnsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215955976 PECOS PAC ID: 0749340776 Enrollment ID: I20081120000923 |
| Provider Name | Vanessa L Hedge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235383555 PECOS PAC ID: 1254494032 Enrollment ID: I20090106000570 |
| Provider Name | Shravan Kumar Gaddam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427269547 PECOS PAC ID: 4688737364 Enrollment ID: I20090106000683 |
| Provider Name | Claire K Akin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972715829 PECOS PAC ID: 7012070121 Enrollment ID: I20090115000791 |
| Provider Name | Joni C Goldwasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891946711 PECOS PAC ID: 0840353702 Enrollment ID: I20090120000589 |
| Provider Name | Amy C Kryder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598892978 PECOS PAC ID: 5991869257 Enrollment ID: I20090130000539 |
| Provider Name | Susanti R Ie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215910781 PECOS PAC ID: 4486718459 Enrollment ID: I20090205000704 |
| Provider Name | Terrance P May |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316948128 PECOS PAC ID: 9335206531 Enrollment ID: I20090313000503 |
| Provider Name | Michael S Szilagyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518049709 PECOS PAC ID: 7315004181 Enrollment ID: I20090323000176 |
| Provider Name | Eileen Kenny |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922081637 PECOS PAC ID: 1557394129 Enrollment ID: I20090424000331 |
| 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 | Charles J Schleupner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023011962 PECOS PAC ID: 8729095880 Enrollment ID: I20090609000461 |
| Provider Name | Virginia A Powel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548249824 PECOS PAC ID: 2567530264 Enrollment ID: I20090617000393 |
| Provider Name | Natalie M Hayes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922274612 PECOS PAC ID: 9931250578 Enrollment ID: I20090622000593 |
| 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 | Suzanna Connick Jamison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861650350 PECOS PAC ID: 2264584382 Enrollment ID: I20090720000499 |
| Provider Name | Alfred Tanner Shilling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003029620 PECOS PAC ID: 4284786211 Enrollment ID: I20090722000128 |
| Provider Name | Adegbenga A Bankole |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104011766 PECOS PAC ID: 9638222490 Enrollment ID: I20090728000189 |
| Provider Name | Azziza O Bankole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144483009 PECOS PAC ID: 4981757754 Enrollment ID: I20090728000213 |
| Provider Name | Joseph B Coates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811108913 PECOS PAC ID: 9638222607 Enrollment ID: I20090810000140 |
| Provider Name | Brian A Dickens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770794885 PECOS PAC ID: 8729135769 Enrollment ID: I20090819000787 |
| Provider Name | Justin B White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922268333 PECOS PAC ID: 9133273386 Enrollment ID: I20090821000565 |
| Provider Name | Manjusha Sahni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225248974 PECOS PAC ID: 5395899553 Enrollment ID: I20090821000590 |
| Provider Name | Christopher Pierce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376516146 PECOS PAC ID: 7214082031 Enrollment ID: I20090831000575 |
| Provider Name | David A Wyatt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346311677 PECOS PAC ID: 7214820083 Enrollment ID: I20090908000631 |
| Provider Name | Charles Cressell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801029939 PECOS PAC ID: 7315093341 Enrollment ID: I20090916000597 |
| Provider Name | Isaiah M Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811065725 PECOS PAC ID: 2567554827 Enrollment ID: I20090923000341 |
| Provider Name | Julie R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164652004 PECOS PAC ID: 3577619923 Enrollment ID: I20090925000504 |
| Provider Name | Jaime M Bamford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487839882 PECOS PAC ID: 2567508567 Enrollment ID: I20091005000749 |
| Provider Name | Harry E Mccoy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295702512 PECOS PAC ID: 7719024579 Enrollment ID: I20091027000624 |
| Provider Name | Allison Renee Durica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245203678 PECOS PAC ID: 4688699762 Enrollment ID: I20091201000383 |
| Provider Name | Andrea R Lough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659354900 PECOS PAC ID: 3577602549 Enrollment ID: I20091203000754 |
| Provider Name | James T Wilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326090739 PECOS PAC ID: 4981615390 Enrollment ID: I20100201000323 |
| Provider Name | Robert Knowles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013915602 PECOS PAC ID: 1557370517 Enrollment ID: I20100202000546 |
| 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 Gregory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275532921 PECOS PAC ID: 2860414968 Enrollment ID: I20100507000040 |
| 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 | Renee A Beirne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861478372 PECOS PAC ID: 2365571163 Enrollment ID: I20100603000149 |
| Provider Name | Tara A Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548372311 PECOS PAC ID: 0840320362 Enrollment ID: I20100610000156 |
| Provider Name | Ashutosh Kaushal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720079916 PECOS PAC ID: 0345370714 Enrollment ID: I20100610000866 |
| 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 | Mark Alexander Schleupner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467434944 PECOS PAC ID: 4284765645 Enrollment ID: I20100629000052 |
| Provider Name | Kevin B Mercure |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598767402 PECOS PAC ID: 3678529153 Enrollment ID: I20100701000175 |
| Provider Name | Sher Z Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730102807 PECOS PAC ID: 1456387414 Enrollment ID: I20100712000290 |
| 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 | Ali M Hama Amin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841467735 PECOS PAC ID: 3173647070 Enrollment ID: I20100830000581 |
| Provider Name | Rodney J Poffenberger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114919776 PECOS PAC ID: 5991891004 Enrollment ID: I20100902001080 |
| 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 | 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 | Angela Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619037132 PECOS PAC ID: 8426241555 Enrollment ID: I20101021001034 |
| Provider Name | Amy D Rockhill |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548279169 PECOS PAC ID: 2668665647 Enrollment ID: I20101022000315 |
| Provider Name | Erwood G Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972547560 PECOS PAC ID: 0446443436 Enrollment ID: I20101022000507 |
| 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 | Laura C Biscotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649450875 PECOS PAC ID: 6709070535 Enrollment ID: I20101104001628 |
| Provider Name | Katherine Paige Conkling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497063747 PECOS PAC ID: 9032305214 Enrollment ID: I20101130000856 |
| Provider Name | Crystal S Emore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043526767 PECOS PAC ID: 3779572375 Enrollment ID: I20101210000075 |
| Provider Name | Anita Sherry Kablinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104859214 PECOS PAC ID: 2769679083 Enrollment ID: I20101211000167 |
| Provider Name | Jennifer H Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740593730 PECOS PAC ID: 2466631718 Enrollment ID: I20110119000862 |
| Provider Name | Thomas Milam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669457677 PECOS PAC ID: 5294727889 Enrollment ID: I20110119001010 |
| Provider Name | Kelly D Henchel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285714667 PECOS PAC ID: 9234318361 Enrollment ID: I20110121000534 |
| 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 | Brad Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215127105 PECOS PAC ID: 6002952439 Enrollment ID: I20110124001001 |
| Provider Name | Tananchai A Lucktong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578526067 PECOS PAC ID: 2062691744 Enrollment ID: I20110127000112 |
| Provider Name | Kye Y Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548224868 PECOS PAC ID: 5597945451 Enrollment ID: I20110209000727 |
| Provider Name | Jon M Sweet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780666255 PECOS PAC ID: 9133300304 Enrollment ID: I20110221000872 |
| Provider Name | Apostolos Panagiotis Dallas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356332514 PECOS PAC ID: 7113108382 Enrollment ID: I20110221000890 |
| Provider Name | Thomas E Shuler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588638332 PECOS PAC ID: 7315128147 Enrollment ID: I20110225000703 |
| Provider Name | Larry Dennis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336118488 PECOS PAC ID: 4789866310 Enrollment ID: I20110303000277 |
| Provider Name | Lee R Jones |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639139025 PECOS PAC ID: 5597947127 Enrollment ID: I20110303000288 |
| Provider Name | Charles E Conklin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366410839 PECOS PAC ID: 1850573494 Enrollment ID: I20110303000314 |
| Provider Name | Tracey W Criss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477535920 PECOS PAC ID: 2567644107 Enrollment ID: I20110303000338 |
| Provider Name | Joshua D Adams |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932313095 PECOS PAC ID: 8022292036 Enrollment ID: I20110414000775 |
| Provider Name | Janet Osborne |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1811948383 PECOS PAC ID: 1557499605 Enrollment ID: I20110517000005 |
| Provider Name | Erinn E Hokanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033303508 PECOS PAC ID: 2062698566 Enrollment ID: I20110518000330 |
| Provider Name | Dana M Abney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124014816 PECOS PAC ID: 5597941989 Enrollment ID: I20110519000483 |
| Provider Name | William J Tanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750361952 PECOS PAC ID: 9436335643 Enrollment ID: I20110523000536 |
| Provider Name | Richard R Truxillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992967251 PECOS PAC ID: 4789861030 Enrollment ID: I20110614000348 |
| 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 | Colleen J Mattocks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134387830 PECOS PAC ID: 9133398555 Enrollment ID: I20110801000707 |
| Provider Name | Franco M Coniglione |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801008842 PECOS PAC ID: 8527113729 Enrollment ID: I20110804000493 |
| Provider Name | Alecia W Sizemore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831302561 PECOS PAC ID: 3173792728 Enrollment ID: I20110816000495 |
| Provider Name | James G Drougas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013912914 PECOS PAC ID: 1951571660 Enrollment ID: I20110906000621 |
| Provider Name | Ijeoma N Okogbue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689812760 PECOS PAC ID: 7315118916 Enrollment ID: I20110913000154 |
| Provider Name | Yasmeen J Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558560425 PECOS PAC ID: 7315020179 Enrollment ID: I20110919000062 |
| Provider Name | Ricardo L Riegodedios |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295708709 PECOS PAC ID: 8224209267 Enrollment ID: I20110922000376 |
| Provider Name | Robert S Mcnamara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952631483 PECOS PAC ID: 8325219108 Enrollment ID: I20110928000074 |
| Provider Name | Soundarya Nagaraja Gowda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184821480 PECOS PAC ID: 4486825122 Enrollment ID: I20110929000025 |
| Provider Name | Wiiliam Paul Magdycz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437156577 PECOS PAC ID: 0840462677 Enrollment ID: I20111020000293 |
| Provider Name | Erica B Reynolds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568677920 PECOS PAC ID: 9739351578 Enrollment ID: I20111020000322 |
| Provider Name | Sabrina M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467731547 PECOS PAC ID: 5496927253 Enrollment ID: I20111020000576 |
| 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 | Susan B Dorsey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457308371 PECOS PAC ID: 5991979411 Enrollment ID: I20111119000029 |
| Provider Name | Stephanie E Nagy Agren |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366428898 PECOS PAC ID: 4385810159 Enrollment ID: I20111228000345 |
| Provider Name | Lisa Y Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336425891 PECOS PAC ID: 9436325644 Enrollment ID: I20120110000003 |
| Provider Name | Saira Arif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215196324 PECOS PAC ID: 0345416558 Enrollment ID: I20120110000004 |
| 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 | Edward Styles Hemphill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194711796 PECOS PAC ID: 0648342139 Enrollment ID: I20120203000123 |
| Provider Name | Anna P Littleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093023426 PECOS PAC ID: 7719166222 Enrollment ID: I20120208000626 |
| Provider Name | Bryan R Collier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902993041 PECOS PAC ID: 8527044890 Enrollment ID: I20120213000401 |
| Provider Name | Timothy L Hormel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972577997 PECOS PAC ID: 2860650330 Enrollment ID: I20120301000208 |
| Provider Name | Richard Weiss |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982897955 PECOS PAC ID: 9739233354 Enrollment ID: I20120322000379 |
| Provider Name | Jason R Foerst |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255435293 PECOS PAC ID: 7416057336 Enrollment ID: I20120330000263 |
| Provider Name | Fregenet Amsalu Alemu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144230301 PECOS PAC ID: 9335325703 Enrollment ID: I20120405000714 |
| Provider Name | Anthony L Loschner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124221809 PECOS PAC ID: 4789848391 Enrollment ID: I20120612000234 |
| Provider Name | Bradley M Mccrady |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1417123118 PECOS PAC ID: 8527233220 Enrollment ID: I20120621000207 |
| Provider Name | Amy K Barnhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083686919 PECOS PAC ID: 7113932914 Enrollment ID: I20120625000357 |
| Provider Name | Martha Ross |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487927083 PECOS PAC ID: 4082879077 Enrollment ID: I20120625000370 |
| Provider Name | Mark Coggins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538157359 PECOS PAC ID: 1850378209 Enrollment ID: I20120626000782 |
| Provider Name | Mark E Feldman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1295818201 PECOS PAC ID: 8224293451 Enrollment ID: I20120712000898 |
| Provider Name | Jason Vicente Naldo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518194059 PECOS PAC ID: 5890951685 Enrollment ID: I20120723000926 |
| Provider Name | Alice Sydnor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225262678 PECOS PAC ID: 0042365660 Enrollment ID: I20120726000706 |
| Provider Name | Leilani A Pilar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922240977 PECOS PAC ID: 4688830110 Enrollment ID: I20120726000724 |
| Provider Name | Kimberly D Goad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841289386 PECOS PAC ID: 8527224021 Enrollment ID: I20120727000698 |
| 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 | Tamela Meador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114292067 PECOS PAC ID: 6608022587 Enrollment ID: I20120808000644 |
| Provider Name | Michole Cm Pineda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386679389 PECOS PAC ID: 8123274008 Enrollment ID: I20120808000666 |
| Provider Name | Mark Saab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962711341 PECOS PAC ID: 1850558487 Enrollment ID: I20120823000541 |
| 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 | Chinekwu O Anyanwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619268554 PECOS PAC ID: 2860640026 Enrollment ID: I20120912000567 |
| Provider Name | Trevor M Owen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821288143 PECOS PAC ID: 7517137953 Enrollment ID: I20120914000451 |
| Provider Name | Srihari Penkulinti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851666515 PECOS PAC ID: 8022266980 Enrollment ID: I20120918000654 |
| Provider Name | Joshua D Farrar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336220268 PECOS PAC ID: 9638328149 Enrollment ID: I20120926000855 |
| Provider Name | Karen Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063440501 PECOS PAC ID: 5890790844 Enrollment ID: I20120927000312 |
| Provider Name | John E Vance |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033284427 PECOS PAC ID: 2466475819 Enrollment ID: I20120927000322 |
| Provider Name | Sherry M Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699021493 PECOS PAC ID: 9638328180 Enrollment ID: I20120927000511 |
| Provider Name | John C Perkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841357860 PECOS PAC ID: 2567556327 Enrollment ID: I20121016000426 |
| Provider Name | Joseph A Hughes |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1134320112 PECOS PAC ID: 5991955270 Enrollment ID: I20121022000816 |
| Provider Name | Ann Elizabeth S Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548468622 PECOS PAC ID: 6305038639 Enrollment ID: I20121026000535 |
| Provider Name | Ann B Sollinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144230483 PECOS PAC ID: 6103828249 Enrollment ID: I20121107000283 |
| 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 | Thomas J Lecuyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295773315 PECOS PAC ID: 8123143138 Enrollment ID: I20121214000056 |
| Provider Name | James E Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023099157 PECOS PAC ID: 2668624891 Enrollment ID: I20121214000112 |
| Provider Name | Kenneth Lee Belcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306865290 PECOS PAC ID: 6204839178 Enrollment ID: I20130125000382 |
| Provider Name | David Kalman Epstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649256223 PECOS PAC ID: 5597926857 Enrollment ID: I20130128000015 |
| 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 | Christine Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588902761 PECOS PAC ID: 8022263839 Enrollment ID: I20130228000274 |
| Provider Name | Sarah A Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144560830 PECOS PAC ID: 3072768464 Enrollment ID: I20130311000425 |
| Provider Name | Kimberley L Furrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487993697 PECOS PAC ID: 2567607666 Enrollment ID: I20130320000314 |
| Provider Name | Leslie H Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578812509 PECOS PAC ID: 2961648506 Enrollment ID: I20130426000183 |
| Provider Name | Barry Wolfe |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669527214 PECOS PAC ID: 7618113747 Enrollment ID: I20130429000084 |
| Provider Name | Samantha Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821338989 PECOS PAC ID: 3274771068 Enrollment ID: I20130606000649 |
| Provider Name | Kimberly Simcox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770711855 PECOS PAC ID: 4385885151 Enrollment ID: I20130722000411 |
| 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 | Jeffrey E Vergales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073702122 PECOS PAC ID: 9739321688 Enrollment ID: I20130806000640 |
| 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 | Katie M Bower |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457551707 PECOS PAC ID: 9537323399 Enrollment ID: I20130812000510 |
| 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 | Thomas Arthur Pluim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497735641 PECOS PAC ID: 9234325036 Enrollment ID: I20130819000306 |
| 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 | Jason I Margolis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437315702 PECOS PAC ID: 6103074257 Enrollment ID: I20130912000717 |
| Provider Name | William J Greer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760690440 PECOS PAC ID: 0143312124 Enrollment ID: I20131009001193 |
| Provider Name | Debra A Timm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639513815 PECOS PAC ID: 9335374727 Enrollment ID: I20131018001425 |
| Provider Name | Horatiu Calin Dancea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841455193 PECOS PAC ID: 5092940379 Enrollment ID: I20131022000722 |
| Provider Name | Elie Khouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558324442 PECOS PAC ID: 0547336968 Enrollment ID: I20131023002219 |
| Provider Name | Heather O Greer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093923765 PECOS PAC ID: 5597818997 Enrollment ID: I20131024001352 |
| Provider Name | Jeff S Croteau |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912171570 PECOS PAC ID: 9234364480 Enrollment ID: I20131024001567 |
| Provider Name | Michael J Mayerchak |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144315649 PECOS PAC ID: 3274768221 Enrollment ID: I20131028001701 |
| Provider Name | Valerie L Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598106478 PECOS PAC ID: 7315172376 Enrollment ID: I20131028001843 |
| Provider Name | Jessica S Ericsson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780023523 PECOS PAC ID: 5496980021 Enrollment ID: I20131106001379 |
| Provider Name | Monica P Garin-laflam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689794398 PECOS PAC ID: 8123128980 Enrollment ID: I20131106001630 |
| Provider Name | Phyllis B Whitehead |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1124451679 PECOS PAC ID: 2062648363 Enrollment ID: I20131114001617 |
| Provider Name | Ernest E Moore |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972543957 PECOS PAC ID: 0446486757 Enrollment ID: I20131114001864 |
| 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 | Michael P Greenage |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750589917 PECOS PAC ID: 9234307562 Enrollment ID: I20131231001215 |
| Provider Name | Kennie I Koelsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174764658 PECOS PAC ID: 5698812303 Enrollment ID: I20140125000053 |
| Provider Name | Gail L Arrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538598305 PECOS PAC ID: 7012146145 Enrollment ID: I20140212000638 |
| Provider Name | Christopher M Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760500193 PECOS PAC ID: 1254402118 Enrollment ID: I20140304001705 |
| 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 | Donna C Bond |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1336574409 PECOS PAC ID: 7810129012 Enrollment ID: I20140422000336 |
| Provider Name | Danielle N Ogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942623913 PECOS PAC ID: 9032342076 Enrollment ID: I20140429000462 |
| Provider Name | Shelby C White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750605374 PECOS PAC ID: 5597994236 Enrollment ID: I20140623000639 |
| Provider Name | Mark E Kasmer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1316189590 PECOS PAC ID: 6800011347 Enrollment ID: I20140625002321 |
| Provider Name | William Blaskis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043599186 PECOS PAC ID: 0749406023 Enrollment ID: I20140722001989 |
| Provider Name | Lauren M Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740600543 PECOS PAC ID: 2062638000 Enrollment ID: I20140728000932 |
| Provider Name | Biraj M Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235175431 PECOS PAC ID: 7113165259 Enrollment ID: I20140804000924 |
| Provider Name | Michelle A Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306257803 PECOS PAC ID: 3577780766 Enrollment ID: I20140812001454 |
| Provider Name | Peter M Dereus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568774875 PECOS PAC ID: 9931343357 Enrollment ID: I20140819001350 |
| Provider Name | Farrell C Adkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992904882 PECOS PAC ID: 2961620703 Enrollment ID: I20140820001445 |
| Provider Name | Carl S Henderson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235372574 PECOS PAC ID: 7012142508 Enrollment ID: I20140821000543 |
| Provider Name | Violet M Borowicz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427221092 PECOS PAC ID: 7618195140 Enrollment ID: I20140826000771 |
| Provider Name | Sherry M Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477892651 PECOS PAC ID: 4486872868 Enrollment ID: I20140826002962 |
| Provider Name | Charles Monroe Bullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992115901 PECOS PAC ID: 1557589405 Enrollment ID: I20140905001981 |
| 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 | Mark Joseph |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710106067 PECOS PAC ID: 9133348774 Enrollment ID: I20140915000981 |
| 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 | David T Luyimbazi |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1467651877 PECOS PAC ID: 2163688979 Enrollment ID: I20141007000312 |
| Provider Name | Peter N Dean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134396252 PECOS PAC ID: 1254589500 Enrollment ID: I20141013001348 |
| Provider Name | Natalie K Powell |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790003069 PECOS PAC ID: 5698996312 Enrollment ID: I20141022001394 |
| Provider Name | Priscilla Tu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275744153 PECOS PAC ID: 8527118447 Enrollment ID: I20141103002129 |
| 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 | Sara L Boucher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770987778 PECOS PAC ID: 1759605058 Enrollment ID: I20150114002373 |
| 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 | Catherine Detweiler Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821492133 PECOS PAC ID: 5890012504 Enrollment ID: I20150317002383 |
| Provider Name | Ido Heletz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982812574 PECOS PAC ID: 1850423286 Enrollment ID: I20150323000129 |
| Provider Name | Beth Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528458106 PECOS PAC ID: 5890014732 Enrollment ID: I20150428000465 |
| Provider Name | Chantelle Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356733711 PECOS PAC ID: 1759601479 Enrollment ID: I20150520002563 |
| 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 | Sheila V Garnica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942465307 PECOS PAC ID: 4183818073 Enrollment ID: I20150616000106 |
| Provider Name | Puja R Ganjwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790188266 PECOS PAC ID: 7416269790 Enrollment ID: I20150629001842 |
| Provider Name | Rahul Kanhaiya Lal Pandey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659639292 PECOS PAC ID: 5597077545 Enrollment ID: I20150702002258 |
| Provider Name | Sarah Thomas |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376786517 PECOS PAC ID: 1951613819 Enrollment ID: I20150707000259 |
| Provider Name | Matthew S Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811262215 PECOS PAC ID: 7618110107 Enrollment ID: I20150714001339 |
| 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 | Jeanne M Bodner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487041539 PECOS PAC ID: 5092029835 Enrollment ID: I20150806011384 |
| Provider Name | Jonathan R Maher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669549986 PECOS PAC ID: 6507081148 Enrollment ID: I20150810002650 |
| Provider Name | Christin Nicole Martino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588982227 PECOS PAC ID: 9032358205 Enrollment ID: I20150831000854 |
| Provider Name | Jennifer C Wells |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902064157 PECOS PAC ID: 2769626027 Enrollment ID: I20150911000168 |
| Provider Name | Dustin M Boatman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528382587 PECOS PAC ID: 6204064082 Enrollment ID: I20150916000530 |
| Provider Name | Priya Acharya |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1649598756 PECOS PAC ID: 8628385085 Enrollment ID: I20150916003439 |
| Provider Name | Jesse B Seamon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306002431 PECOS PAC ID: 5294950770 Enrollment ID: I20150918002219 |
| Provider Name | Sarah C Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982087359 PECOS PAC ID: 7416264650 Enrollment ID: I20150921000677 |
| Provider Name | Daniel I Lollar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184857344 PECOS PAC ID: 9638157563 Enrollment ID: I20150921000892 |
| Provider Name | Anna G Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811370018 PECOS PAC ID: 7416262829 Enrollment ID: I20150926000213 |
| Provider Name | Benjamin Ray Coobs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225272396 PECOS PAC ID: 7517183429 Enrollment ID: I20151006000556 |
| Provider Name | Peter J Apel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013178052 PECOS PAC ID: 5496989386 Enrollment ID: I20151026000945 |
| Provider Name | Lisa A Saunders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649528381 PECOS PAC ID: 9234372749 Enrollment ID: I20151027000603 |
| Provider Name | Erik D Womeldorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982627519 PECOS PAC ID: 1355446600 Enrollment ID: I20151105001035 |
| Provider Name | Anthony E Capito |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1427260405 PECOS PAC ID: 9537302070 Enrollment ID: I20151109000342 |
| Provider Name | Sheila S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831118678 PECOS PAC ID: 4981505609 Enrollment ID: I20151110002487 |
| Provider Name | Maria D Cirino-marcano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730281726 PECOS PAC ID: 8921065806 Enrollment ID: I20160122001243 |
| Provider Name | Molly P Camper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952773855 PECOS PAC ID: 8921302282 Enrollment ID: I20160205001842 |
| Provider Name | Gita Verma |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871850404 PECOS PAC ID: 8527364009 Enrollment ID: I20160309001259 |
| Provider Name | Kristina S Miller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063708204 PECOS PAC ID: 7012214828 Enrollment ID: I20160322001821 |
| Provider Name | Charlie Lebron Swanson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497775688 PECOS PAC ID: 2466556188 Enrollment ID: I20160329000447 |
| Provider Name | Kara K Norcross |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457542086 PECOS PAC ID: 0840597142 Enrollment ID: I20160331002490 |
| Provider Name | James T Thompson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730292236 PECOS PAC ID: 0143329458 Enrollment ID: I20160405000702 |
| Provider Name | Allison Lippert Boatman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891010278 PECOS PAC ID: 1254560964 Enrollment ID: I20160419002078 |
| Provider Name | Julie A Zielinski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427207638 PECOS PAC ID: 8628261484 Enrollment ID: I20160520000423 |
| Provider Name | Sarah S Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619330495 PECOS PAC ID: 6103117155 Enrollment ID: I20160622000425 |
| Provider Name | Beth A Crotty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316336332 PECOS PAC ID: 7719298769 Enrollment ID: I20160624001889 |
| Provider Name | Holley S Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407216245 PECOS PAC ID: 2961793732 Enrollment ID: I20160627000155 |
| Provider Name | Denise R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790130268 PECOS PAC ID: 3072804632 Enrollment ID: I20160629000998 |
| Provider Name | Ritesh Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508109422 PECOS PAC ID: 8224263850 Enrollment ID: I20160705000558 |
| Provider Name | Kimberly A Matthews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801138359 PECOS PAC ID: 7416182100 Enrollment ID: I20160712000027 |
| Provider Name | Paul R Skolnik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679521710 PECOS PAC ID: 5799731261 Enrollment ID: I20160712001554 |
| Provider Name | Denny R Goss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235573478 PECOS PAC ID: 0648591487 Enrollment ID: I20160713000062 |
| Provider Name | Ryan Fulton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346582228 PECOS PAC ID: 8022242023 Enrollment ID: I20160713001533 |
| Provider Name | Katherine Liebesny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962713966 PECOS PAC ID: 4486871886 Enrollment ID: I20160719001133 |
| Provider Name | Lorne M Dindial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275876245 PECOS PAC ID: 4880829423 Enrollment ID: I20160728001652 |
| Provider Name | Yunan D Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255673018 PECOS PAC ID: 3870728421 Enrollment ID: I20160802001908 |
| Provider Name | Betegelu Y Taye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306257118 PECOS PAC ID: 8426371626 Enrollment ID: I20160808001932 |
| Provider Name | Frances M Gaeta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457710238 PECOS PAC ID: 0345535035 Enrollment ID: I20160819000407 |
| 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 | Yaohua Lu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568786242 PECOS PAC ID: 3375771215 Enrollment ID: I20160901000363 |
| Provider Name | Sarah Elizabeth Prol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437500717 PECOS PAC ID: 8325336423 Enrollment ID: I20161005000864 |
| Provider Name | Jonas M Rawlins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932441292 PECOS PAC ID: 8022243047 Enrollment ID: I20161005001705 |
| Provider Name | Mark Witcher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568606747 PECOS PAC ID: 6800105016 Enrollment ID: I20161013002497 |
| Provider Name | Shereen A Gamaluddin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1609818251 PECOS PAC ID: 8628071321 Enrollment ID: I20161014001557 |
| Provider Name | Derek R Holmes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851519813 PECOS PAC ID: 4183655764 Enrollment ID: I20161114001502 |
| Provider Name | Gustaf A Sylvester-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093176687 PECOS PAC ID: 8426330929 Enrollment ID: I20170118000547 |
| Provider Name | Amanda G White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952851925 PECOS PAC ID: 9234411539 Enrollment ID: I20170123000085 |
| Provider Name | Jerome Tak Nichols |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386842763 PECOS PAC ID: 2961670757 Enrollment ID: I20170223000957 |
| Provider Name | Whitney Wilkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093262164 PECOS PAC ID: 1355626219 Enrollment ID: I20170316001600 |
| Provider Name | Elizabeth Russo Stringer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922131754 PECOS PAC ID: 3375643745 Enrollment ID: I20170405000355 |
| Provider Name | Michael S Nussbaum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972571669 PECOS PAC ID: 2668470238 Enrollment ID: I20170420000044 |
| Provider Name | Robert L Trestman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437156700 PECOS PAC ID: 8527010172 Enrollment ID: I20170522002444 |
| Provider Name | Taylor Zahn Yengst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093254658 PECOS PAC ID: 9739456708 Enrollment ID: I20170523000073 |
| Provider Name | Angela C Nardecchia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932534427 PECOS PAC ID: 9133496664 Enrollment ID: I20170605000221 |
| Provider Name | Michelle N Dowdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679017651 PECOS PAC ID: 9638446107 Enrollment ID: I20170605001712 |
| Provider Name | John W Epling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982622429 PECOS PAC ID: 3173537982 Enrollment ID: I20170606000810 |
| 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 | Amanda M Tiffany |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154731198 PECOS PAC ID: 6002036654 Enrollment ID: I20170725003235 |
| 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 | Natalie E Karp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972820322 PECOS PAC ID: 3678701455 Enrollment ID: I20170815004007 |
| Provider Name | Stephen F Cromer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730318486 PECOS PAC ID: 8527294149 Enrollment ID: I20170817002429 |
| Provider Name | Jaclyn Nunziato |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073956314 PECOS PAC ID: 7810269305 Enrollment ID: I20170817002951 |
| Provider Name | Erin J Saks |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1326359688 PECOS PAC ID: 3173895570 Enrollment ID: I20170821000089 |
| Provider Name | John R Tuttle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528388360 PECOS PAC ID: 5294952628 Enrollment ID: I20170829001407 |
| Provider Name | Ashley A Tuttle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588981286 PECOS PAC ID: 6204053069 Enrollment ID: I20170831002480 |
| Provider Name | James N Casey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366734154 PECOS PAC ID: 2062725625 Enrollment ID: I20170906000142 |
| Provider Name | Melissa C Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841720372 PECOS PAC ID: 8921372863 Enrollment ID: I20170915002755 |
| Provider Name | Christin E Furrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053841965 PECOS PAC ID: 8224302013 Enrollment ID: I20170918001414 |
| 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 | Lauren S Self |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760800692 PECOS PAC ID: 1153541800 Enrollment ID: I20170922001490 |
| Provider Name | Mark W Mossey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841228863 PECOS PAC ID: 6507894367 Enrollment ID: I20171010001213 |
| Provider Name | Michelle Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841721891 PECOS PAC ID: 0840565289 Enrollment ID: I20171010003803 |
| Provider Name | Emily R Faulks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285927855 PECOS PAC ID: 5799906277 Enrollment ID: I20171020002270 |
| Provider Name | Samara Mujeeb Khalique |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598054025 PECOS PAC ID: 3779879895 Enrollment ID: I20171025002271 |
| Provider Name | Laura Kurdila |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134538663 PECOS PAC ID: 6204192370 Enrollment ID: I20171106001063 |
| Provider Name | Karina Miller |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962834556 PECOS PAC ID: 4183980162 Enrollment ID: I20171107002455 |
| Provider Name | Jen G Holofchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235656927 PECOS PAC ID: 9931465804 Enrollment ID: I20171108003564 |
| Provider Name | Vydia Permashwar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336245471 PECOS PAC ID: 0244597888 Enrollment ID: I20171206002252 |
| Provider Name | John Michael Martino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457647505 PECOS PAC ID: 3971747254 Enrollment ID: I20171207001720 |
| Provider Name | Jennifer Tarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477087500 PECOS PAC ID: 6901163427 Enrollment ID: I20171207002406 |
| 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 | Christi Ann Stewart |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1528090602 PECOS PAC ID: 8820092620 Enrollment ID: I20180102002731 |
| Provider Name | Pamela R Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578074563 PECOS PAC ID: 8325307978 Enrollment ID: I20180106000029 |
| Provider Name | Scott A Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710400999 PECOS PAC ID: 1557621133 Enrollment ID: I20180130000479 |
| Provider Name | Holly Borkert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679086656 PECOS PAC ID: 6507126760 Enrollment ID: I20180207002480 |
| Provider Name | Chantelle Heather Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972001824 PECOS PAC ID: 4385906494 Enrollment ID: I20180329000006 |
| Provider Name | Mary K Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649722562 PECOS PAC ID: 1557624293 Enrollment ID: I20180411002301 |
| Provider Name | Modupe Oluwaseyi Jolaoso White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003316431 PECOS PAC ID: 6800159922 Enrollment ID: I20180424000392 |
| Provider Name | Violet R Wender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861994022 PECOS PAC ID: 0143584268 Enrollment ID: I20180425002493 |
| Provider Name | Amy Fisher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669989075 PECOS PAC ID: 1557625191 Enrollment ID: I20180507000705 |
| Provider Name | Lisa Cherie Jones-worrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508210436 PECOS PAC ID: 4688938087 Enrollment ID: I20180511001359 |
| Provider Name | Aashit Kanubhai Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326085028 PECOS PAC ID: 3779595947 Enrollment ID: I20180511001396 |
| Provider Name | Justin Michael Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194239871 PECOS PAC ID: 0749544922 Enrollment ID: I20180516002014 |
| Provider Name | Meghan Ashley Schertz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104257567 PECOS PAC ID: 2163777442 Enrollment ID: I20180611001887 |
| Provider Name | Jane N Nwaonu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255526588 PECOS PAC ID: 3577610633 Enrollment ID: I20180612002351 |
| Provider Name | Badri Giri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144484007 PECOS PAC ID: 0042344806 Enrollment ID: I20180615001619 |
| 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 | Kaine Ks Stokes |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1326236845 PECOS PAC ID: 6608122833 Enrollment ID: I20180702001170 |
| Provider Name | Mebratu H Daba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629455936 PECOS PAC ID: 7113235649 Enrollment ID: I20180713002790 |
| 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 | Sarah B Carrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831688522 PECOS PAC ID: 7517214836 Enrollment ID: I20180718001394 |
| Provider Name | Rebekah P Peery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144536509 PECOS PAC ID: 2062769888 Enrollment ID: I20180724003130 |
| 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 | Blayne K Patton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508253683 PECOS PAC ID: 7911213863 Enrollment ID: I20180803002936 |
| Provider Name | Jacob R Gillen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952625576 PECOS PAC ID: 2264661628 Enrollment ID: I20180814004283 |
| Provider Name | Tiffany Lynn Deel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093228967 PECOS PAC ID: 8729337068 Enrollment ID: I20180821000990 |
| Provider Name | Katherine M Shelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265921274 PECOS PAC ID: 9638420599 Enrollment ID: I20180917001680 |
| 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 | Amanda Belanger Luby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083138150 PECOS PAC ID: 3173889763 Enrollment ID: I20181016003012 |
| Provider Name | Thomas G Kraemer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093707432 PECOS PAC ID: 1951294867 Enrollment ID: I20181023002837 |
| Provider Name | Tammy F Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801382650 PECOS PAC ID: 7618220567 Enrollment ID: I20181023003740 |
| Provider Name | Amy Lynn Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518445733 PECOS PAC ID: 6406109149 Enrollment ID: I20181027000063 |
| Provider Name | Larry K Nolan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669700795 PECOS PAC ID: 2668790288 Enrollment ID: I20181112000196 |
| Provider Name | Daniel C Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124511738 PECOS PAC ID: 6901150838 Enrollment ID: I20181113001780 |
| Provider Name | Peggy L Canales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497259329 PECOS PAC ID: 2769736347 Enrollment ID: I20181117000152 |
| Provider Name | Corinne O'shaughnessy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992281877 PECOS PAC ID: 7012269533 Enrollment ID: I20181121002368 |
| Provider Name | Mary S. Kraemer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336131762 PECOS PAC ID: 1951599091 Enrollment ID: I20181212003513 |
| Provider Name | Jennifer Bath |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1902289176 PECOS PAC ID: 4486999851 Enrollment ID: I20181213001757 |
| Provider Name | Katherine Julie Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063988681 PECOS PAC ID: 1850636820 Enrollment ID: I20181219001380 |
| 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 | Andrew J. Behnke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447256326 PECOS PAC ID: 1850288226 Enrollment ID: I20190213002517 |
| 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 | Briana M Beach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891181228 PECOS PAC ID: 0941517874 Enrollment ID: I20190403002962 |
| Provider Name | Sarah Abey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306318084 PECOS PAC ID: 0042551319 Enrollment ID: I20190415001671 |
| Provider Name | Kathryn A Gall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396259933 PECOS PAC ID: 0941553515 Enrollment ID: I20190415002942 |
| Provider Name | Eric Richard Oliver |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700955127 PECOS PAC ID: 7012194715 Enrollment ID: I20190416000869 |
| Provider Name | Rebecca Rainer Pauly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912935677 PECOS PAC ID: 1658455506 Enrollment ID: I20190424002499 |
| Provider Name | Amy Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932665544 PECOS PAC ID: 7214279173 Enrollment ID: I20190425002258 |
| Provider Name | Daniel Frank Pauly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003823329 PECOS PAC ID: 3274667001 Enrollment ID: I20190501002494 |
| Provider Name | Jamie N Spradlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386113983 PECOS PAC ID: 6406198811 Enrollment ID: I20190506001703 |
| Provider Name | Katherine L Coffey-vega |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1144464678 PECOS PAC ID: 3173762408 Enrollment ID: I20190508000959 |
| Provider Name | Xavier Preud'homme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417986795 PECOS PAC ID: 1052318102 Enrollment ID: I20190617001001 |
| Provider Name | Brian A Yeary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053774083 PECOS PAC ID: 0749575991 Enrollment ID: I20190617001247 |
| Provider Name | Justin Louis Weppner |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487820437 PECOS PAC ID: 9436404860 Enrollment ID: I20190618000381 |
| Provider Name | Arah K Robbins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992153571 PECOS PAC ID: 8527353770 Enrollment ID: I20190618003113 |
| 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 | Sarah Kerry Rivelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649352428 PECOS PAC ID: 3678574589 Enrollment ID: I20190628000460 |
| Provider Name | Justin Haven Price |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174789465 PECOS PAC ID: 4486822491 Enrollment ID: I20190722000199 |
| Provider Name | Braden Asher Gregory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558714931 PECOS PAC ID: 8426308081 Enrollment ID: I20190722001693 |
| Provider Name | Keri Ann Stevenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942628102 PECOS PAC ID: 0244552735 Enrollment ID: I20190723001241 |
| Provider Name | Michelle Carolyn Wieczynski Humble |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255821443 PECOS PAC ID: 4183973050 Enrollment ID: I20190808002473 |
| Provider Name | Katherine Elizabeth Chafin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063975282 PECOS PAC ID: 0547597783 Enrollment ID: I20190809001663 |
| 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 | Cynthia W Choate |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669761433 PECOS PAC ID: 8820227887 Enrollment ID: I20190812002606 |
| Provider Name | Yolandas Thomason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417339565 PECOS PAC ID: 6204132038 Enrollment ID: I20190815003051 |
| Provider Name | Justin James Gray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518439397 PECOS PAC ID: 4688902281 Enrollment ID: I20190820004159 |
| Provider Name | Robert B Swanson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285893495 PECOS PAC ID: 4385954049 Enrollment ID: I20190821001357 |
| Provider Name | Virginia Carroll O'brien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184897886 PECOS PAC ID: 0143399667 Enrollment ID: I20190823002626 |
| Provider Name | Vivek Natarajan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871819722 PECOS PAC ID: 2769636018 Enrollment ID: I20190906001093 |
| Provider Name | Emily Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962856807 PECOS PAC ID: 5799014379 Enrollment ID: I20190906001465 |
| Provider Name | Nicholas Samuel Clark |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1356760508 PECOS PAC ID: 4789987660 Enrollment ID: I20190912001259 |
| Provider Name | Shannon Armbruster |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1023307360 PECOS PAC ID: 9133406572 Enrollment ID: I20190916002634 |
| Provider Name | Jared Branin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225490287 PECOS PAC ID: 7416240098 Enrollment ID: I20190916003451 |
| Provider Name | Jennifer Olewine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881252989 PECOS PAC ID: 3173853058 Enrollment ID: I20190918002789 |
| Provider Name | Terry Paul Nickerson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1063733350 PECOS PAC ID: 2466626999 Enrollment ID: I20190923000951 |
| Provider Name | Michael Bergen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1407116718 PECOS PAC ID: 0941568604 Enrollment ID: I20190924000108 |
| Provider Name | Michael C Knight |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659710093 PECOS PAC ID: 3870844269 Enrollment ID: I20190924000316 |
| Provider Name | Bonnie Lynn Hennig-trestman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265957591 PECOS PAC ID: 4688904329 Enrollment ID: I20190924001114 |
| Provider Name | Andrea Rose Conti |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063464451 PECOS PAC ID: 1850324500 Enrollment ID: I20190924001223 |
| Provider Name | Jennifer Lynn Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033626361 PECOS PAC ID: 2062742711 Enrollment ID: I20190924001478 |
| Provider Name | Yousuf M Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518442342 PECOS PAC ID: 9335479708 Enrollment ID: I20190927000332 |
| Provider Name | Richard Wilson Mellon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770570301 PECOS PAC ID: 3779751383 Enrollment ID: I20190927000438 |
| Provider Name | Anita I Register |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053798504 PECOS PAC ID: 8628361243 Enrollment ID: I20191008000312 |
| Provider Name | Johanthan C Hillyard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750736518 PECOS PAC ID: 3173816923 Enrollment ID: I20191009003461 |
| Provider Name | Jarrod Uhrig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891187365 PECOS PAC ID: 0446567135 Enrollment ID: I20191023003423 |
| Provider Name | Ellen Marie Harvey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417509894 PECOS PAC ID: 1850623760 Enrollment ID: I20191025001865 |
| Provider Name | Steven Joshua Holley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902885221 PECOS PAC ID: 4789995754 Enrollment ID: I20191029000335 |
| Provider Name | Lauren T Garden |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487092300 PECOS PAC ID: 2961715529 Enrollment ID: I20191029001787 |
| Provider Name | Lindsay Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376948489 PECOS PAC ID: 3476877788 Enrollment ID: I20191029001904 |
| Provider Name | Stephanie A Greathouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083113328 PECOS PAC ID: 2062773997 Enrollment ID: I20191102000298 |
| Provider Name | Samantha Milton Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235786674 PECOS PAC ID: 4082946595 Enrollment ID: I20191104001157 |
| Provider Name | Stephanie Nickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982966206 PECOS PAC ID: 8628220100 Enrollment ID: I20191120001055 |
| Provider Name | Stephen Demma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437501459 PECOS PAC ID: 6305279605 Enrollment ID: I20191127000072 |
| Provider Name | Lori Anne Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912096249 PECOS PAC ID: 9234390030 Enrollment ID: I20191202001541 |
| Provider Name | Tasaduq N Fazili |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548215171 PECOS PAC ID: 9931091071 Enrollment ID: I20191209000290 |
| Provider Name | Jennifer Nolley Amateis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588945356 PECOS PAC ID: 6305279142 Enrollment ID: I20191209001215 |
| Provider Name | Bethany Crane Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356991012 PECOS PAC ID: 2668805292 Enrollment ID: I20191212000001 |
| Provider Name | Barbara Joyce Wagnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104397702 PECOS PAC ID: 6305279803 Enrollment ID: I20191213000002 |
| Provider Name | Jeremiah W Burkhart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104112986 PECOS PAC ID: 9537594981 Enrollment ID: I20200114000978 |
| Provider Name | Julia A Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144878323 PECOS PAC ID: 2466884101 Enrollment ID: I20200114002648 |
| Provider Name | Linda T Kirilenko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992775217 PECOS PAC ID: 6709009194 Enrollment ID: I20200115003137 |
| 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 | Daniel P Moore |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134113335 PECOS PAC ID: 8921142472 Enrollment ID: I20200128000013 |
| Provider Name | Bradley Allen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396132940 PECOS PAC ID: 5799092607 Enrollment ID: I20200129002406 |
| Provider Name | Lindsey Marie Clemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609418938 PECOS PAC ID: 1052747243 Enrollment ID: I20200206002197 |
| Provider Name | David Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740825678 PECOS PAC ID: 3476980582 Enrollment ID: I20200303000775 |
| Provider Name | Bridgette Keene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659921369 PECOS PAC ID: 3870920788 Enrollment ID: I20200304002775 |
| Provider Name | Adam Ryan Donithan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053721175 PECOS PAC ID: 4587888565 Enrollment ID: I20200311001092 |
| Provider Name | Lee Learman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790739258 PECOS PAC ID: 8022192913 Enrollment ID: I20200317002445 |
| Provider Name | Melissa Dawn Garganta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245466879 PECOS PAC ID: 7416103601 Enrollment ID: I20200406001164 |
| 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 | Jinoh Sandberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043585904 PECOS PAC ID: 7113358201 Enrollment ID: I20200505000797 |
| Provider Name | Ryan R. Reopelle |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891133690 PECOS PAC ID: 6204257116 Enrollment ID: I20200602000476 |
| Provider Name | Kimberly D Clay |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962531921 PECOS PAC ID: 9133274954 Enrollment ID: I20200602001696 |
| Provider Name | Abhishek Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134534365 PECOS PAC ID: 5193011575 Enrollment ID: I20200603000758 |
| Provider Name | Anil Venkata Seshu Yallapragada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639338585 PECOS PAC ID: 9739343740 Enrollment ID: I20200603002957 |
| Provider Name | Mohammad T Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518370030 PECOS PAC ID: 2466762729 Enrollment ID: I20200615002805 |
| Provider Name | Alina Polonsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104347657 PECOS PAC ID: 5193051928 Enrollment ID: I20200619001532 |
| Provider Name | Erin Cathleen Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043844061 PECOS PAC ID: 4880016369 Enrollment ID: I20200630001080 |
| Provider Name | Kimberly Alain Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205465101 PECOS PAC ID: 3971926494 Enrollment ID: I20200630003289 |
| Provider Name | Sunil K Jain |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730169707 PECOS PAC ID: 2961438775 Enrollment ID: I20200706000604 |
| Provider Name | Gregory Michael Wade |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1942647888 PECOS PAC ID: 5294974283 Enrollment ID: I20200715002603 |
| Provider Name | Elizabeth K Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356872600 PECOS PAC ID: 7012331424 Enrollment ID: I20200717002353 |
| Provider Name | Anilla Del Fabbro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760403901 PECOS PAC ID: 5496700411 Enrollment ID: I20200721003795 |
| Provider Name | Rebecca Wooldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174086417 PECOS PAC ID: 7517381692 Enrollment ID: I20200722001466 |
| Provider Name | Vasutakarn Chongthammakun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932464732 PECOS PAC ID: 5193075539 Enrollment ID: I20200730000585 |
| Provider Name | Ariel Stearnes Brooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508387051 PECOS PAC ID: 7012243868 Enrollment ID: I20200805000775 |
| Provider Name | Kiran Khalid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710365408 PECOS PAC ID: 6103161625 Enrollment ID: I20200807000363 |
| 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 | Louis M Marmon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134107956 PECOS PAC ID: 5799739405 Enrollment ID: I20200812000351 |
| Provider Name | Kristina Dukes Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992225312 PECOS PAC ID: 6406121979 Enrollment ID: I20200812002054 |
| Provider Name | John Draeger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023161601 PECOS PAC ID: 9830103068 Enrollment ID: I20200812002149 |
| Provider Name | Ryan Putnam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043369853 PECOS PAC ID: 7911071816 Enrollment ID: I20200812002506 |
| Provider Name | Michael Omalley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740508399 PECOS PAC ID: 8921310020 Enrollment ID: I20200812002524 |
| Provider Name | Cara Rogers |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477893691 PECOS PAC ID: 9234364241 Enrollment ID: I20200812002890 |
| Provider Name | Joseph H Kidd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225561905 PECOS PAC ID: 0042589459 Enrollment ID: I20200813000357 |
| Provider Name | Mohammed Bermo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972902732 PECOS PAC ID: 1850612508 Enrollment ID: I20200817000603 |
| Provider Name | Jessica Sosa-stanley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235558982 PECOS PAC ID: 3476773219 Enrollment ID: I20200821000537 |
| Provider Name | Lubna Wani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699720458 PECOS PAC ID: 8820192982 Enrollment ID: I20200824000100 |
| Provider Name | Cody Evans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609119213 PECOS PAC ID: 8820221161 Enrollment ID: I20200825001169 |
| Provider Name | Sarah Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871836270 PECOS PAC ID: 6305075086 Enrollment ID: I20200825001896 |
| Provider Name | Anne Washofsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336671411 PECOS PAC ID: 0244503761 Enrollment ID: I20200826002802 |
| Provider Name | Ryan Kent Martiniuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639608367 PECOS PAC ID: 1052738705 Enrollment ID: I20200826003804 |
| Provider Name | Uchenna S Nwosu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1588921829 PECOS PAC ID: 3072730316 Enrollment ID: I20200827000351 |
| Provider Name | Caleb Cutherell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760877377 PECOS PAC ID: 3971810797 Enrollment ID: I20200827002203 |
| Provider Name | Donald Joseph Gieck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861518037 PECOS PAC ID: 7911324397 Enrollment ID: I20200831001753 |
| Provider Name | Chalak Berzingi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225073711 PECOS PAC ID: 7315846276 Enrollment ID: I20200909002587 |
| Provider Name | Ashley W Gerrish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063830305 PECOS PAC ID: 1456571116 Enrollment ID: I20200909003335 |
| 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 | Mayada H Issa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801954672 PECOS PAC ID: 5597751495 Enrollment ID: I20200924000026 |
| Provider Name | William A Fintel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841268315 PECOS PAC ID: 5294896874 Enrollment ID: I20201013003609 |
| Provider Name | Kristin Mccoy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003202425 PECOS PAC ID: 1456761758 Enrollment ID: I20201027001879 |
| Provider Name | Kathleen B Elswick D.o. |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841618428 PECOS PAC ID: 6204100076 Enrollment ID: I20201105000931 |
| Provider Name | Peyman Mamdouhi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801139316 PECOS PAC ID: 3779832142 Enrollment ID: I20201112000403 |
| Provider Name | Nicholas Bruce Yelverton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386082956 PECOS PAC ID: 7214150580 Enrollment ID: I20201112001114 |
| Provider Name | Matthew Dawson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003159021 PECOS PAC ID: 9638475122 Enrollment ID: I20201113000195 |
| 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 | Kenten Pey-kuen Wang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013998186 PECOS PAC ID: 7618162256 Enrollment ID: I20201125001322 |
| Provider Name | Zachary T Swanner |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750738092 PECOS PAC ID: 9436444981 Enrollment ID: I20201201000717 |
| Provider Name | Jessica Danielle Matheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366059941 PECOS PAC ID: 3476966896 Enrollment ID: I20210104001035 |
| Provider Name | Erin Moyer Shinault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538703061 PECOS PAC ID: 5193138006 Enrollment ID: I20210114002030 |
| Provider Name | Shawn P Mordhorst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841805512 PECOS PAC ID: 8527472059 Enrollment ID: I20210125002372 |
| Provider Name | Ashley P Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265034060 PECOS PAC ID: 8426462979 Enrollment ID: I20210125002872 |
| Provider Name | Donald Arthur |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053622407 PECOS PAC ID: 3779724265 Enrollment ID: I20210212001098 |
| Provider Name | Elizabeth Bartley Poor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902400799 PECOS PAC ID: 3476968983 Enrollment ID: I20210216000549 |
| Provider Name | Ian R Reynolds |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932528247 PECOS PAC ID: 1355560780 Enrollment ID: I20210216000959 |
| Provider Name | Misty Spring Queen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245838267 PECOS PAC ID: 4284040569 Enrollment ID: I20210311000561 |
| Provider Name | Lauren Caroline Ferris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710447776 PECOS PAC ID: 8820405863 Enrollment ID: I20210318001689 |
| Provider Name | Natalie Huntington Vaughn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093133845 PECOS PAC ID: 2769605914 Enrollment ID: I20210323001343 |
| Provider Name | Elisabeth Benham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669069084 PECOS PAC ID: 4688081334 Enrollment ID: I20210325002639 |
| Provider Name | Quianna Shanea Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043808231 PECOS PAC ID: 4688081151 Enrollment ID: I20210330000004 |
| Provider Name | Kathryn L Chrisfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255933982 PECOS PAC ID: 8224445663 Enrollment ID: I20210331000405 |
| Provider Name | Robbie Melissa Meghan Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689211799 PECOS PAC ID: 2264840396 Enrollment ID: I20210409000593 |
| Provider Name | Sangeeta Bhupendra Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952342560 PECOS PAC ID: 8820062847 Enrollment ID: I20210413001675 |
| Provider Name | Prasanti Pinnamaraju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225638026 PECOS PAC ID: 9537577390 Enrollment ID: I20210415000120 |
| Provider Name | Paula M Wolfteich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356461933 PECOS PAC ID: 6507096187 Enrollment ID: I20210504000259 |
| Provider Name | Mark Saxton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831193416 PECOS PAC ID: 2466402466 Enrollment ID: I20210504000961 |
| Provider Name | Jenny Y Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932722253 PECOS PAC ID: 5092124990 Enrollment ID: I20210505001934 |
| 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 | David Bai Chang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316443989 PECOS PAC ID: 9638579527 Enrollment ID: I20210615000968 |
| Provider Name | Vadim Dushkin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396068672 PECOS PAC ID: 9436304482 Enrollment ID: I20210617002199 |
| Provider Name | Anthony A Baldoni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134508112 PECOS PAC ID: 3779897491 Enrollment ID: I20210621001773 |
| Provider Name | Angel Brittney Senter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285225243 PECOS PAC ID: 6204237548 Enrollment ID: I20210624001662 |
| Provider Name | Lauren Ashley Paulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780276576 PECOS PAC ID: 1355742545 Enrollment ID: I20210625000011 |
| Provider Name | Kari Mccoy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750778304 PECOS PAC ID: 1355658212 Enrollment ID: I20210629000596 |
| Provider Name | Patricia Lettau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932105475 PECOS PAC ID: 0749254308 Enrollment ID: I20210701002546 |
| Provider Name | Faiq Hamirani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720509144 PECOS PAC ID: 4183990724 Enrollment ID: I20210713002672 |
| Provider Name | Aaron Schelegle |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649513839 PECOS PAC ID: 7810315595 Enrollment ID: I20210715000978 |
| Provider Name | Matthew Benjamin Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104495894 PECOS PAC ID: 3274936562 Enrollment ID: I20210723002210 |
| Provider Name | Nicholas Karo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245727502 PECOS PAC ID: 4486906419 Enrollment ID: I20210730003138 |
| Provider Name | Elspeth Springsted |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699279562 PECOS PAC ID: 7517215056 Enrollment ID: I20210803001019 |
| Provider Name | Patrick Carpenter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154718179 PECOS PAC ID: 7517246341 Enrollment ID: I20210827000000 |
| Provider Name | Joseph Mallory |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093197188 PECOS PAC ID: 2062712177 Enrollment ID: I20210827000586 |
| Provider Name | Ramon Pineyro Poueriet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972943835 PECOS PAC ID: 9032464110 Enrollment ID: I20210908000067 |
| Provider Name | Alyssa Brooke Watkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821529454 PECOS PAC ID: 8628340361 Enrollment ID: I20210908000198 |
| Provider Name | John Stone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073995908 PECOS PAC ID: 6204121015 Enrollment ID: I20210908000877 |
| Provider Name | Murillo Adrados |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124409453 PECOS PAC ID: 1951617836 Enrollment ID: I20210910001627 |
| Provider Name | Robert S Losey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881367126 PECOS PAC ID: 4688071608 Enrollment ID: I20210917001771 |
| Provider Name | Scott Harrison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578855011 PECOS PAC ID: 5395984330 Enrollment ID: I20210922000960 |
| Provider Name | Jonathan Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851825509 PECOS PAC ID: 9335416502 Enrollment ID: I20210922001221 |
| 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 | Grigorii Gennadiyouych Bouldo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912260787 PECOS PAC ID: 7113324682 Enrollment ID: I20210927000266 |
| Provider Name | Thomas Kodankandath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326313529 PECOS PAC ID: 8820367451 Enrollment ID: I20210927001799 |
| Provider Name | Joshua Stodghill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487040242 PECOS PAC ID: 5698079820 Enrollment ID: I20210928000016 |
| 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 | Laura Brooke Priest-buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205418449 PECOS PAC ID: 2769880913 Enrollment ID: I20211001002435 |
| Provider Name | Anthony Staples |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255727145 PECOS PAC ID: 4486071131 Enrollment ID: I20211011000347 |
| Provider Name | Ahmad Rehan Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013438936 PECOS PAC ID: 5395143010 Enrollment ID: I20211011003167 |
| Provider Name | Kathryn Bass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841406022 PECOS PAC ID: 1850489121 Enrollment ID: I20211026001868 |
| Provider Name | Anna L Battiata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154991677 PECOS PAC ID: 3072901974 Enrollment ID: I20211026002420 |
| Provider Name | Stephen Holman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104496629 PECOS PAC ID: 6901294818 Enrollment ID: I20211026002851 |
| Provider Name | Zara Zahid |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063059764 PECOS PAC ID: 6103214770 Enrollment ID: I20211101001961 |
| Provider Name | Shannen Elaine Plaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477226975 PECOS PAC ID: 1658760590 Enrollment ID: I20211115000699 |
| Provider Name | Arthur Ollendorff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205862737 PECOS PAC ID: 6406836519 Enrollment ID: I20211116000098 |
| Provider Name | Aja Hamden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700383957 PECOS PAC ID: 6204185937 Enrollment ID: I20211118000239 |
| Provider Name | Lauren Whitney Mcginley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982379343 PECOS PAC ID: 5395134902 Enrollment ID: I20211118003208 |
| Provider Name | Macon Margaret Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093386526 PECOS PAC ID: 0345639845 Enrollment ID: I20211122001065 |
| Provider Name | Sasha Rai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013220029 PECOS PAC ID: 3779804042 Enrollment ID: I20211124001332 |
| Provider Name | Taylor Rae Brogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720753783 PECOS PAC ID: 5890185375 Enrollment ID: I20211124002114 |
| Provider Name | Erin Worthington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275910937 PECOS PAC ID: 7810208063 Enrollment ID: I20211203000754 |
| Provider Name | Monique C Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801560933 PECOS PAC ID: 0042600975 Enrollment ID: I20211207001962 |
| Provider Name | Suzanne Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760511414 PECOS PAC ID: 5294817680 Enrollment ID: I20211210002190 |
| 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 | Linda Keele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447424684 PECOS PAC ID: 1355569492 Enrollment ID: I20220118002291 |
| Provider Name | Melissa Wray Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306418330 PECOS PAC ID: 8022400332 Enrollment ID: I20220119000442 |
| Provider Name | Thomas Andrew Girton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174287072 PECOS PAC ID: 2264824218 Enrollment ID: I20220125000323 |
| Provider Name | Eric Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679238851 PECOS PAC ID: 0547653180 Enrollment ID: I20220203001460 |
| Provider Name | Heather Bright Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669820684 PECOS PAC ID: 6103111612 Enrollment ID: I20220311000111 |
| Provider Name | Arielle Roberts Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831860808 PECOS PAC ID: 4082009931 Enrollment ID: I20220311001960 |
| 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 | Joanna Marie Lacroix |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376295519 PECOS PAC ID: 5799170197 Enrollment ID: I20220322002088 |
| Provider Name | Jody Goard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235325051 PECOS PAC ID: 4183876576 Enrollment ID: I20220322002888 |
| Provider Name | Rebecca Mcdermott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245999275 PECOS PAC ID: 1254726300 Enrollment ID: I20220328001353 |
| Provider Name | Dustie Lynn Wiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225799521 PECOS PAC ID: 3779979174 Enrollment ID: I20220412002283 |
| Provider Name | Paula Simone Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427718725 PECOS PAC ID: 9032505300 Enrollment ID: I20220413002356 |
| Provider Name | Michael John Kelley |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1700883154 PECOS PAC ID: 1951351873 Enrollment ID: I20220419003091 |
| Provider Name | Sally Normandin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841950847 PECOS PAC ID: 4385031178 Enrollment ID: I20220426000832 |
| Provider Name | Zach C Tinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043961600 PECOS PAC ID: 0345627659 Enrollment ID: I20220506000148 |
| Provider Name | John P Sessoms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841849643 PECOS PAC ID: 7315371697 Enrollment ID: I20220510000280 |
| Provider Name | Ashlyn Brooke Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003564535 PECOS PAC ID: 6305223447 Enrollment ID: I20220511001892 |
| Provider Name | Bethany Cavan Treibley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437890001 PECOS PAC ID: 5799162384 Enrollment ID: I20220520001026 |
| Provider Name | Rebecca Schapira |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1801155346 PECOS PAC ID: 7517181274 Enrollment ID: I20220602001523 |
| Provider Name | Cheyanne Spradlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649925926 PECOS PAC ID: 0941688774 Enrollment ID: I20220607000124 |
| Provider Name | Kurt Schapira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912266552 PECOS PAC ID: 4688959216 Enrollment ID: I20220609001982 |
| Provider Name | Stacie Adkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881048833 PECOS PAC ID: 9739474206 Enrollment ID: I20220614003258 |
| Provider Name | Elizabeth Sarah Nowak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053739953 PECOS PAC ID: 6901106442 Enrollment ID: I20220616000100 |
| Provider Name | Hafsa Mahmood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225522527 PECOS PAC ID: 7719366772 Enrollment ID: I20220622000106 |
| Provider Name | Lydia Kuhn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033437314 PECOS PAC ID: 0244452035 Enrollment ID: I20220628003312 |
| Provider Name | Austin Bopp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417477910 PECOS PAC ID: 3173889318 Enrollment ID: I20220630000756 |
| Provider Name | Fadi Ghrair |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619363066 PECOS PAC ID: 9931589181 Enrollment ID: I20220705003085 |
| Provider Name | Cheryl Neal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972824183 PECOS PAC ID: 1254579923 Enrollment ID: I20220713002198 |
| Provider Name | Megan Whitham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194110213 PECOS PAC ID: 2163803412 Enrollment ID: I20220718001266 |
| Provider Name | Zachary Lyon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316485618 PECOS PAC ID: 5698156883 Enrollment ID: I20220719003346 |
| Provider Name | Feryal Nauman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518453463 PECOS PAC ID: 4183976178 Enrollment ID: I20220721000971 |
| Provider Name | Badr Ratnakaran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013438845 PECOS PAC ID: 8921371832 Enrollment ID: I20220725001117 |
| Provider Name | Lauren Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063702264 PECOS PAC ID: 8123261914 Enrollment ID: I20220725001776 |
| Provider Name | Michael Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073975892 PECOS PAC ID: 3476846163 Enrollment ID: I20220727000671 |
| Provider Name | Kyle D Pfaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396208427 PECOS PAC ID: 4880921907 Enrollment ID: I20220728001942 |
| Provider Name | William Angelos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174084586 PECOS PAC ID: 5799010997 Enrollment ID: I20220728002468 |
| Provider Name | Zachary Holcomb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326578790 PECOS PAC ID: 2860763182 Enrollment ID: I20220801000232 |
| Provider Name | Nam Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154883965 PECOS PAC ID: 2860721883 Enrollment ID: I20220801000695 |
| Provider Name | Ryan Bradley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306341268 PECOS PAC ID: 3072861962 Enrollment ID: I20220801002403 |
| Provider Name | Benjamin Cragun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487066866 PECOS PAC ID: 7618265380 Enrollment ID: I20220803003838 |
| Provider Name | Hajra Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346728797 PECOS PAC ID: 3577814375 Enrollment ID: I20220804001430 |
| Provider Name | Austin Drake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295115004 PECOS PAC ID: 1557767076 Enrollment ID: I20220804003817 |
| 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 | Carl Wayne Dowden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235525957 PECOS PAC ID: 7315253747 Enrollment ID: I20220808002616 |
| Provider Name | Varun Kesar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922493857 PECOS PAC ID: 7719235720 Enrollment ID: I20220809000588 |
| Provider Name | Carlos A Mora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023007531 PECOS PAC ID: 1850357708 Enrollment ID: I20220809001019 |
| Provider Name | Adam Maerz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588195044 PECOS PAC ID: 7012280449 Enrollment ID: I20220809001114 |
| Provider Name | Shehriyar Mehershahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720463524 PECOS PAC ID: 9234511197 Enrollment ID: I20220809002626 |
| Provider Name | Yamini Rao Sterrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407386279 PECOS PAC ID: 0749663680 Enrollment ID: I20220810001891 |
| Provider Name | Jessica Fleming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164957718 PECOS PAC ID: 4587992631 Enrollment ID: I20220817000156 |
| Provider Name | Zoe K Beyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902545262 PECOS PAC ID: 9335522861 Enrollment ID: I20220817000169 |
| Provider Name | Natalie Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912414210 PECOS PAC ID: 7810374964 Enrollment ID: I20220817001942 |
| Provider Name | Hallie K Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366105090 PECOS PAC ID: 0648653675 Enrollment ID: I20220823004024 |
| Provider Name | Rahul Sharma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447505953 PECOS PAC ID: 3072834704 Enrollment ID: I20220823004299 |
| Provider Name | Jose Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639631187 PECOS PAC ID: 5799012860 Enrollment ID: I20220824000420 |
| Provider Name | Stephanie Nicole May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952928764 PECOS PAC ID: 2769888098 Enrollment ID: I20220827000155 |
| Provider Name | Marion Witt Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821720715 PECOS PAC ID: 6002290822 Enrollment ID: I20220829001067 |
| Provider Name | Karla Guerra |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508356734 PECOS PAC ID: 2365791951 Enrollment ID: I20220829001256 |
| Provider Name | Kristina Henry Dobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386373264 PECOS PAC ID: 6002290863 Enrollment ID: I20220829003019 |
| Provider Name | Everett F Magann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861473969 PECOS PAC ID: 1658343124 Enrollment ID: I20220831000610 |
| Provider Name | Katelin Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831824275 PECOS PAC ID: 3173907573 Enrollment ID: I20220902002369 |
| Provider Name | Margaret Rukstalis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649629619 PECOS PAC ID: 1254628860 Enrollment ID: I20220902002608 |
| Provider Name | Elizabeth Carter Stapleton |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548883465 PECOS PAC ID: 2365826583 Enrollment ID: I20220907000484 |
| Provider Name | Ehsan Samarbafzadeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619473212 PECOS PAC ID: 5193073906 Enrollment ID: I20220907000510 |
| Provider Name | David J Vajanyi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659935310 PECOS PAC ID: 0547595753 Enrollment ID: I20220907000743 |
| Provider Name | Jerry John |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1659440543 PECOS PAC ID: 8426003476 Enrollment ID: I20220912000748 |
| Provider Name | Greta-anne Marie Castonguay Whiteside |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1649808262 PECOS PAC ID: 6204250897 Enrollment ID: I20220913001877 |
| Provider Name | Olivia Asamoah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447710405 PECOS PAC ID: 9739414970 Enrollment ID: I20220914003766 |
| Provider Name | Kimberly Ann Bolling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962136184 PECOS PAC ID: 0244615870 Enrollment ID: I20220919002089 |
| Provider Name | Erica Anne Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861131336 PECOS PAC ID: 2163807603 Enrollment ID: I20220919002920 |
| Provider Name | Katharine Grace Herman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306249982 PECOS PAC ID: 0042696999 Enrollment ID: I20220930000803 |
| 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 | Yulia Abair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265085286 PECOS PAC ID: 2365773504 Enrollment ID: I20221011000433 |
| Provider Name | Gary L Aragon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013978139 PECOS PAC ID: 6305749854 Enrollment ID: I20221020000333 |
| Provider Name | Kalyn Rayne O'conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669108254 PECOS PAC ID: 0840666244 Enrollment ID: I20221025003376 |
| Provider Name | Sooraj John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063919983 PECOS PAC ID: 0446671275 Enrollment ID: I20221029000106 |
| Provider Name | Neha Sanan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1275940991 PECOS PAC ID: 9537441969 Enrollment ID: I20221029000288 |
| Provider Name | Amaechi Egbujuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386376051 PECOS PAC ID: 0648647552 Enrollment ID: I20221107001517 |
| Provider Name | Sharareh Izadi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558757302 PECOS PAC ID: 9638454333 Enrollment ID: I20221109002567 |
| Provider Name | Julie Anne Snyder Amoroso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003542648 PECOS PAC ID: 0840667531 Enrollment ID: I20221109002640 |
| Provider Name | Karen Nicole Marable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356061451 PECOS PAC ID: 4183091796 Enrollment ID: I20221110000372 |
| Provider Name | Elizabeth Hunley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578289781 PECOS PAC ID: 3678941192 Enrollment ID: I20221115000392 |
| Provider Name | Robert Strominger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447353529 PECOS PAC ID: 5597852426 Enrollment ID: I20221118000433 |
| Provider Name | Joanna Michelle Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760103261 PECOS PAC ID: 4880062587 Enrollment ID: I20221201000028 |
| Provider Name | Johanna Steege French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033831805 PECOS PAC ID: 1557739133 Enrollment ID: I20221202000357 |
| Provider Name | Stephanie Marie Basham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356071328 PECOS PAC ID: 3971972571 Enrollment ID: I20221202001472 |
| Provider Name | Klaus Monkemuller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710247986 PECOS PAC ID: 5698921419 Enrollment ID: I20221202001609 |
| Provider Name | Hope Marie Forster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700501236 PECOS PAC ID: 4284003617 Enrollment ID: I20221207001335 |
| Provider Name | Emily Nicole Daponte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760103113 PECOS PAC ID: 9931578184 Enrollment ID: I20221209000307 |
| Provider Name | Nicholas Rider |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1295952588 PECOS PAC ID: 0143499962 Enrollment ID: I20221214003221 |
| Provider Name | Brittany Presley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104534924 PECOS PAC ID: 3173993623 Enrollment ID: I20221228001683 |
| 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 | Marium Hussein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902523566 PECOS PAC ID: 6406226323 Enrollment ID: I20230110000966 |
| Provider Name | Edward Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306852504 PECOS PAC ID: 4981750460 Enrollment ID: I20230119002617 |
| Provider Name | Tighe Marrone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972842813 PECOS PAC ID: 8022349802 Enrollment ID: I20230125000248 |
| Provider Name | Kathy Diane Thomason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750098794 PECOS PAC ID: 6204207400 Enrollment ID: I20230126001605 |
| 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 | Joshua Patterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942629050 PECOS PAC ID: 5193128122 Enrollment ID: I20230206002893 |
| 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 | Elizabeth Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033821418 PECOS PAC ID: 7416329867 Enrollment ID: I20230210001395 |
| Provider Name | Maria Devalpine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942912563 PECOS PAC ID: 6709259641 Enrollment ID: I20230224000257 |
| 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 | Jeffrey Pence |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629063722 PECOS PAC ID: 6800184789 Enrollment ID: I20230316002811 |
| Provider Name | Jed Gonzalo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003073685 PECOS PAC ID: 0244381218 Enrollment ID: I20230322000722 |
| Provider Name | Abhik Biswas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023019056 PECOS PAC ID: 2567601040 Enrollment ID: I20230410002572 |
| Provider Name | Lindsey Berndt |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578192266 PECOS PAC ID: 8820411788 Enrollment ID: I20230425002904 |
| Provider Name | Ramin Akhavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861561300 PECOS PAC ID: 6103856893 Enrollment ID: I20230503000001 |
| Provider Name | Francine Jacobson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124018890 PECOS PAC ID: 1254379076 Enrollment ID: I20230503002525 |
| Provider Name | Faidah Badru |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740613629 PECOS PAC ID: 5496057879 Enrollment ID: I20230508000443 |
| Provider Name | Andrea Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568751386 PECOS PAC ID: 0042526550 Enrollment ID: I20230510001026 |
| Provider Name | Robert Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225010184 PECOS PAC ID: 0648166322 Enrollment ID: I20230510001383 |
| Provider Name | Amber Jones Clary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912669086 PECOS PAC ID: 6002272218 Enrollment ID: I20230512002535 |
| Provider Name | Nitya Karki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164983920 PECOS PAC ID: 2961737036 Enrollment ID: I20230515001947 |
| Provider Name | Maria C Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134223217 PECOS PAC ID: 2668400276 Enrollment ID: I20230517002747 |
| Provider Name | Katherine Tolhurst |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1609039668 PECOS PAC ID: 5496911166 Enrollment ID: I20230518001645 |
| Provider Name | Alec Fletcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285262337 PECOS PAC ID: 9032534151 Enrollment ID: I20230518002580 |
| Provider Name | Christopher Bayne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144512641 PECOS PAC ID: 5294083853 Enrollment ID: I20230524001742 |
| Provider Name | Patrick Kietrsunthorn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992251227 PECOS PAC ID: 8921396193 Enrollment ID: I20230526002596 |
| Provider Name | Christy Lynn Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669177176 PECOS PAC ID: 1052778396 Enrollment ID: I20230601001406 |
| Provider Name | Laura Huff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457692683 PECOS PAC ID: 7719209840 Enrollment ID: I20230609002766 |
| Provider Name | Javon Miguel Edgecombe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255622015 PECOS PAC ID: 2961635115 Enrollment ID: I20230609002887 |
| Provider Name | Mandeep Rana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174798581 PECOS PAC ID: 9133398704 Enrollment ID: I20230612000143 |
| Provider Name | Tashnia Tahsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326575465 PECOS PAC ID: 6305176876 Enrollment ID: I20230612000500 |
| Provider Name | Christopher Steel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861755100 PECOS PAC ID: 5991162638 Enrollment ID: I20230612000698 |
| Provider Name | Aysegul Aydogan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720549363 PECOS PAC ID: 1052646023 Enrollment ID: I20230616001723 |
| Provider Name | Seemeen Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619264033 PECOS PAC ID: 4880846344 Enrollment ID: I20230620002585 |
| Provider Name | Anne Murray Laverty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780147306 PECOS PAC ID: 7315270212 Enrollment ID: I20230620002671 |
| Provider Name | Rachel N Byers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457758914 PECOS PAC ID: 3779855432 Enrollment ID: I20230621000348 |
| Provider Name | Bara Ibrahim El Kurdi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336676824 PECOS PAC ID: 6406214543 Enrollment ID: I20230621002147 |
| Provider Name | Luke Ennis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184121279 PECOS PAC ID: 3971851114 Enrollment ID: I20230621002621 |
| Provider Name | Jacqueline Price |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629606728 PECOS PAC ID: 0345663357 Enrollment ID: I20230622000474 |
| Provider Name | Sumbal Babar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356834808 PECOS PAC ID: 5092173195 Enrollment ID: I20230622000641 |
| Provider Name | Darakhshan Ahmad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164913075 PECOS PAC ID: 6002219896 Enrollment ID: I20230622001081 |
| Provider Name | Christine Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508483058 PECOS PAC ID: 5597188268 Enrollment ID: I20230622001183 |
| Provider Name | Charlotta Jornlid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689202822 PECOS PAC ID: 5698198612 Enrollment ID: I20230622003138 |
| Provider Name | Kelly Kugach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003445594 PECOS PAC ID: 9133542228 Enrollment ID: I20230623002787 |
| Provider Name | Keith Kocis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740360841 PECOS PAC ID: 0042499030 Enrollment ID: I20230627003054 |
| Provider Name | Lauren Sydney Miley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245935618 PECOS PAC ID: 1254790728 Enrollment ID: I20230630000362 |
| 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 | Ariful Alam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750727491 PECOS PAC ID: 6709155088 Enrollment ID: I20230707000341 |
| Provider Name | Brenda Zalewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184315368 PECOS PAC ID: 7911366851 Enrollment ID: I20230710002656 |
| Provider Name | Lincoln Pratson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033607643 PECOS PAC ID: 7517212327 Enrollment ID: I20230710003774 |
| Provider Name | Tyler Willson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093343279 PECOS PAC ID: 7012330707 Enrollment ID: I20230711000155 |
| 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 | Chaney Jamis Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841986296 PECOS PAC ID: 1153781422 Enrollment ID: I20230718002810 |
| Provider Name | Jennifer Marie Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770270803 PECOS PAC ID: 2163882143 Enrollment ID: I20230721003381 |
| Provider Name | Jessica Grace Wright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043709298 PECOS PAC ID: 5991166779 Enrollment ID: I20230726000761 |
| 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 | Kerry Whitt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932376506 PECOS PAC ID: 4688579683 Enrollment ID: I20230727004088 |
| Provider Name | Grace Blaylock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497288567 PECOS PAC ID: 5991166548 Enrollment ID: I20230731001745 |
| Provider Name | Kelsey Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124657283 PECOS PAC ID: 9537582283 Enrollment ID: I20230731002092 |
| Provider Name | Nicole Rose Marletta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295411528 PECOS PAC ID: 0244691731 Enrollment ID: I20230731003964 |
| Provider Name | Travis H Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770732406 PECOS PAC ID: 9931329026 Enrollment ID: I20230811000636 |
| Provider Name | Lindsay Elsner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558824664 PECOS PAC ID: 0547595225 Enrollment ID: I20230818002832 |
| 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 | Troy Hoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144583907 PECOS PAC ID: 7416195268 Enrollment ID: I20230831001247 |
| Provider Name | Jordan Scharping |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275062895 PECOS PAC ID: 1052681418 Enrollment ID: I20230901003304 |
| Provider Name | Alden Newcomb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043703465 PECOS PAC ID: 2163779901 Enrollment ID: I20230911001412 |
| Provider Name | Evan Nadler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316931850 PECOS PAC ID: 7214900471 Enrollment ID: I20230927002233 |
| Provider Name | Micheala Mccarthy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144727314 PECOS PAC ID: 4385993542 Enrollment ID: I20230929003532 |
| Provider Name | Beverly Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013122522 PECOS PAC ID: 9537255005 Enrollment ID: I20231002003383 |
| Provider Name | Sarah Christine Kinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376329540 PECOS PAC ID: 1850746942 Enrollment ID: I20231010001251 |
| Provider Name | Scott Muffly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023515467 PECOS PAC ID: 0749536597 Enrollment ID: I20231016001951 |
| Provider Name | Kaitlyn Bixel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013378116 PECOS PAC ID: 6204282619 Enrollment ID: I20231020002348 |
| Provider Name | Ruth Chisholm |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285133041 PECOS PAC ID: 9830545284 Enrollment ID: I20231023000034 |
| Provider Name | Kayla Mariner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306187257 PECOS PAC ID: 7214363639 Enrollment ID: I20231023002704 |
| Provider Name | Shannon Fulp |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487649414 PECOS PAC ID: 7719994433 Enrollment ID: I20231101000511 |
| Provider Name | Cornelius Joseph Duhon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396455119 PECOS PAC ID: 8224484928 Enrollment ID: I20231101002540 |
| Provider Name | Kellie Brooke Haskins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952189144 PECOS PAC ID: 7012364615 Enrollment ID: I20231103000058 |
| Provider Name | Meredith Kantsios |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679351977 PECOS PAC ID: 6901253376 Enrollment ID: I20231107000067 |
| Provider Name | Troy Mueller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578709226 PECOS PAC ID: 5890142194 Enrollment ID: I20231108001061 |
| Provider Name | Tara Lemoine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669669412 PECOS PAC ID: 6002972593 Enrollment ID: I20231113001302 |
| Provider Name | Smita A Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346775632 PECOS PAC ID: 4284906587 Enrollment ID: I20231116003772 |
| Provider Name | Lindsey Evans |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972272763 PECOS PAC ID: 9032567334 Enrollment ID: I20231128000096 |
| Provider Name | Robyn Rohrig |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508535394 PECOS PAC ID: 4385093996 Enrollment ID: I20231207003299 |
| Provider Name | Ana Do |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891958310 PECOS PAC ID: 1850563040 Enrollment ID: I20231219001050 |
| Provider Name | Angela Kadenhe-chiweshe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992956288 PECOS PAC ID: 0547523698 Enrollment ID: I20231219002290 |
| Provider Name | Rachel Schreier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194902452 PECOS PAC ID: 4981777083 Enrollment ID: I20231227000071 |
| Provider Name | David Rodriguez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386324309 PECOS PAC ID: 8325498777 Enrollment ID: I20231227001089 |
| Provider Name | Huma M Nayani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932778305 PECOS PAC ID: 3577913961 Enrollment ID: I20231227002463 |
| Provider Name | Elizabeth Sugg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205328929 PECOS PAC ID: 2668721093 Enrollment ID: I20231228000844 |
| Provider Name | Sharon H Aroda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578839544 PECOS PAC ID: 5890002919 Enrollment ID: I20240102003354 |
| Provider Name | Ashlie Phenes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194351478 PECOS PAC ID: 3577952027 Enrollment ID: I20240102003822 |
| Provider Name | Phyllis J Wolf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922387190 PECOS PAC ID: 7810348778 Enrollment ID: I20240105000076 |
| Provider Name | Brittany Hagemann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144734187 PECOS PAC ID: 3173974946 Enrollment ID: I20240105000474 |
| Provider Name | Emily Painter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447621859 PECOS PAC ID: 3173974847 Enrollment ID: I20240105004373 |
| Provider Name | Victoria Rosenberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952787079 PECOS PAC ID: 4880044890 Enrollment ID: I20240106000825 |
| Provider Name | Lindsay Lambeth |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912771700 PECOS PAC ID: 0840641429 Enrollment ID: I20240108005326 |
| Provider Name | Emily Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891574513 PECOS PAC ID: 4486006327 Enrollment ID: I20240117000411 |
| Provider Name | Liliane Lily Balbach |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073388476 PECOS PAC ID: 6800248535 Enrollment ID: I20240118002602 |
| Provider Name | Hema Sivasubramanian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093078248 PECOS PAC ID: 0547579443 Enrollment ID: I20240123003517 |
| Provider Name | Jasmine Jackson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174027700 PECOS PAC ID: 9032467733 Enrollment ID: I20240126002982 |
| Provider Name | Katherine Kronmiller Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578705489 PECOS PAC ID: 3678924453 Enrollment ID: I20240129000415 |
| Provider Name | Stephany Chewning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609551811 PECOS PAC ID: 5890139422 Enrollment ID: I20240222000018 |
| Provider Name | Lana Wahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750701918 PECOS PAC ID: 7911064852 Enrollment ID: I20240222001296 |
| Provider Name | Amanda Melissa Griffin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114265097 PECOS PAC ID: 9335585348 Enrollment ID: I20240313001357 |
| Provider Name | Julian Yet Kwong Horman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598225682 PECOS PAC ID: 1759713829 Enrollment ID: I20240326003824 |
| Provider Name | Kimberly Griffin Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508632167 PECOS PAC ID: 3375981301 Enrollment ID: I20240409004158 |
| Provider Name | Hosai Todd Hesham |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225288608 PECOS PAC ID: 7315263647 Enrollment ID: I20240411004964 |
| Provider Name | Valerie Renard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922550946 PECOS PAC ID: 5597047803 Enrollment ID: I20240412003797 |
| Provider Name | Hayley Busch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356965149 PECOS PAC ID: 0941649511 Enrollment ID: I20240415004165 |
| Provider Name | Shahbaaz A Sabri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962821777 PECOS PAC ID: 8820422561 Enrollment ID: I20240423002368 |
| Provider Name | Mary Warren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902904477 PECOS PAC ID: 3870599004 Enrollment ID: I20240424002217 |
| Provider Name | Laura L Angle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033801436 PECOS PAC ID: 5092155291 Enrollment ID: I20240506001303 |
| Provider Name | Jessica L Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215691563 PECOS PAC ID: 0446640619 Enrollment ID: I20240508003088 |
| Provider Name | Melissa Fussell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639305188 PECOS PAC ID: 1456648484 Enrollment ID: I20240508003552 |
| Provider Name | Brianna Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073398491 PECOS PAC ID: 7911348974 Enrollment ID: I20240508003904 |
| Provider Name | Gabriela Devries |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619408622 PECOS PAC ID: 2062786841 Enrollment ID: I20240515001264 |
| Provider Name | Prunetta O Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538662556 PECOS PAC ID: 8820353071 Enrollment ID: I20240521000709 |
| Provider Name | Chelsea Dianne Rosner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124881461 PECOS PAC ID: 7315489242 Enrollment ID: I20240606004311 |
Valley Gericare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2917 Penn Forest Blvd, Ste 518, Roanoke, VA 24018 Phone: 540-989-3613 | |
The Center For Ultra Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4235 Colonial Ave, First Floor, Roanoke, VA 24018 Phone: 540-312-5595 | |
Jefferson Internal Medicine Associates, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 S Jefferson St, Suite B, Roanoke, VA 24016 Phone: 540-342-1007 Fax: 540-345-4643 | |
Roanoke Partners In Health, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3239 Electric Rd, Suite A, Roanoke, VA 24018 Phone: 540-904-7912 Fax: 540-904-7926 | |
Carilion Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 S Jefferson St, Suite 625, Roanoke, VA 24011 Phone: 540-224-5681 | |
Hiren B Parikh, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3338 Circle Brook Dr, Roanoke, VA 24018 Phone: 609-781-8818 | |
Premier Telehealth Solutions Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6701 Peters Creek Rd Ste 110, Roanoke, VA 24019 Phone: 800-765-7130 Fax: 888-500-1891 |