| Carilion Rockbridge Community Hospital | |
|
1 Health Cir Lexington VA 24450-2448 | |
| (540) 224-5125 | |
| (540) 985-4948 |
| Full Name | Carilion Rockbridge Community Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Health Cir, Lexington, 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 Rockbridge Community Hospital 213 S Jefferson St Ste 1006 Roanoke VA 24011-1713 Ph: (540) 224-5372 | Carilion Rockbridge Community Hospital 1 Health Cir Lexington VA 24450-2448 Ph: (540) 224-5125 |
| NPI Number | 1174636021 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 05/22/2023 |
| Medicare PECOS PAC ID | 4789658261 |
|---|---|
| Medicare Enrollment ID | O20040820000838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174636021 | NPI | - | NPPES |
| C14187 | Other | VA | RAILROAD MEDICARE 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 | Kelli Lynn Linick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851364756 PECOS PAC ID: 6608772520 Enrollment ID: I20031211000105 |
| Provider Name | Henry R Ivey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518930403 PECOS PAC ID: 0042116964 Enrollment ID: I20031211000122 |
| Provider Name | Robert L Lazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689659401 PECOS PAC ID: 6305742149 Enrollment ID: I20031211000314 |
| Provider Name | Leena S Grover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306934484 PECOS PAC ID: 2163329020 Enrollment ID: I20031217001083 |
| Provider Name | Reed R Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376525089 PECOS PAC ID: 0042119844 Enrollment ID: I20031231000137 |
| Provider Name | Jon D Cargo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205804754 PECOS PAC ID: 1951203454 Enrollment ID: I20040124000077 |
| Provider Name | Earl M Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992777965 PECOS PAC ID: 1557264603 Enrollment ID: I20040128000335 |
| Provider Name | 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 | John A Hagy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275505331 PECOS PAC ID: 8022907773 Enrollment ID: I20040311001203 |
| Provider Name | Stephen A Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366426116 PECOS PAC ID: 0143112524 Enrollment ID: I20040329001392 |
| 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 | Robert C Barksdale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467497404 PECOS PAC ID: 6608862362 Enrollment ID: I20040420001798 |
| Provider Name | Paul A Haskins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477656627 PECOS PAC ID: 3375539935 Enrollment ID: I20040421000579 |
| Provider Name | Jay Gordon Sailer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407807043 PECOS PAC ID: 4789673310 Enrollment ID: I20040510000559 |
| Provider Name | George A Godette |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164487492 PECOS PAC ID: 0345221248 Enrollment ID: I20040526001417 |
| Provider Name | Claiborne Whitworth |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073592796 PECOS PAC ID: 0749193753 Enrollment ID: I20040603000139 |
| Provider Name | Timothy M Beirne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255304168 PECOS PAC ID: 8729060298 Enrollment ID: I20040607001244 |
| 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 | Daniel M Freed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730157066 PECOS PAC ID: 3779481726 Enrollment ID: I20041104001026 |
| Provider Name | Gregory K Hardigree |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821099375 PECOS PAC ID: 4284697152 Enrollment ID: I20041111000102 |
| Provider Name | Charles D Daniel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134124035 PECOS PAC ID: 3072579218 Enrollment ID: I20041208001046 |
| 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 | Umar Farooq Sofi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023009271 PECOS PAC ID: 2769436815 Enrollment ID: I20050310000947 |
| Provider Name | Mary B Horst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013091065 PECOS PAC ID: 4880633858 Enrollment ID: I20050428000947 |
| Provider Name | Barbara J Trandel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053328633 PECOS PAC ID: 8426099169 Enrollment ID: I20050512000806 |
| Provider Name | Jackson W Kiser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659315158 PECOS PAC ID: 0941231401 Enrollment ID: I20050824000524 |
| 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 | Mariana Abraham Phillips |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851322895 PECOS PAC ID: 9931124591 Enrollment ID: I20051012000752 |
| Provider Name | Mohd A Mirza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538146279 PECOS PAC ID: 4284699042 Enrollment ID: I20051104000699 |
| Provider Name | William J Sayre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760478275 PECOS PAC ID: 5294754701 Enrollment ID: I20051114001133 |
| Provider Name | Jeffrey S Todd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396745402 PECOS PAC ID: 8123036357 Enrollment ID: I20060330000285 |
| Provider Name | John C Lystash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336132729 PECOS PAC ID: 2567470545 Enrollment ID: I20060403000317 |
| Provider Name | John L Tamminen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740250927 PECOS PAC ID: 3870502784 Enrollment ID: I20060420000123 |
| Provider Name | John Clements |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629012208 PECOS PAC ID: 0244240125 Enrollment ID: I20060424000231 |
| Provider Name | William Lyle Mcclung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043214067 PECOS PAC ID: 9335159342 Enrollment ID: I20060504000223 |
| Provider Name | Joseph F Rowe |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679555627 PECOS PAC ID: 0042220089 Enrollment ID: I20060504000501 |
| Provider Name | Curtis E Bower |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366481400 PECOS PAC ID: 9436162963 Enrollment ID: I20060728000112 |
| Provider Name | John Otho Marsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619997566 PECOS PAC ID: 8426061979 Enrollment ID: I20060728000297 |
| Provider Name | Magdalena G Yoder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790723401 PECOS PAC ID: 8123021060 Enrollment ID: I20060816000104 |
| Provider Name | Stephen G Phillips |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962436444 PECOS PAC ID: 8022014257 Enrollment ID: I20061011000699 |
| Provider Name | Rene D Fredstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326064817 PECOS PAC ID: 2961408109 Enrollment ID: I20061011000781 |
| Provider Name | Lisa S Apfel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659481984 PECOS PAC ID: 6608873914 Enrollment ID: I20061030000564 |
| Provider Name | 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 | Frank H Biscardi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548332208 PECOS PAC ID: 8426059692 Enrollment ID: I20070131000252 |
| Provider Name | Roxanne Davenport |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043282114 PECOS PAC ID: 1254433113 Enrollment ID: I20070222000730 |
| Provider Name | Laura H Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366532368 PECOS PAC ID: 3577666155 Enrollment ID: I20070320000420 |
| Provider Name | Jeffrey E Goode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255547071 PECOS PAC ID: 8921108556 Enrollment ID: I20070712000156 |
| Provider Name | Thomas H Bishop |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1750418315 PECOS PAC ID: 8123110574 Enrollment ID: I20070815000588 |
| Provider Name | Alicia S Devine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316160633 PECOS PAC ID: 9436242815 Enrollment ID: I20070830000096 |
| Provider Name | Stephen Ausband |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306855002 PECOS PAC ID: 1850484411 Enrollment ID: I20070912000642 |
| 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 | Electra C Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588681118 PECOS PAC ID: 9234038134 Enrollment ID: I20080201000223 |
| Provider Name | Lorrie A Saville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780879650 PECOS PAC ID: 2567547623 Enrollment ID: I20080313000188 |
| Provider Name | Jamie K Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558556522 PECOS PAC ID: 6709965320 Enrollment ID: I20080508000117 |
| Provider Name | Kevin S Combs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164614079 PECOS PAC ID: 0547330631 Enrollment ID: I20080602000181 |
| 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 | Michael Patrick Jeremiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508855727 PECOS PAC ID: 3678647336 Enrollment ID: I20080730000263 |
| Provider Name | Roger A Hofford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730170069 PECOS PAC ID: 8325112931 Enrollment ID: I20080730000784 |
| Provider Name | Kelley K Whitmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891909669 PECOS PAC ID: 1951475433 Enrollment ID: I20080731000606 |
| Provider Name | Joyce A Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184606931 PECOS PAC ID: 7214002054 Enrollment ID: I20080813000752 |
| Provider Name | Scott A Kincaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760463301 PECOS PAC ID: 5092880831 Enrollment ID: I20080813000788 |
| Provider Name | Anthony R Stavola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497727531 PECOS PAC ID: 6709951478 Enrollment ID: I20080814000154 |
| Provider Name | 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 | Khursheed Imam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508828195 PECOS PAC ID: 1951362490 Enrollment ID: I20080926000613 |
| Provider Name | Christine Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598980013 PECOS PAC ID: 2163517020 Enrollment ID: I20080927000205 |
| Provider Name | Wesley Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962628552 PECOS PAC ID: 8820183791 Enrollment ID: I20081028000183 |
| Provider Name | Evelyn M Garcia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225036239 PECOS PAC ID: 2264345420 Enrollment ID: I20081028000269 |
| Provider Name | David E Johnsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215955976 PECOS PAC ID: 0749340776 Enrollment ID: I20081120000923 |
| 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 | 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 | Benjamin M Philpott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053364455 PECOS PAC ID: 0749347698 Enrollment ID: I20090320000580 |
| 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 | Chad M Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154593036 PECOS PAC ID: 1759432016 Enrollment ID: I20090625000639 |
| Provider Name | David C Keyes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407008212 PECOS PAC ID: 4880745660 Enrollment ID: I20090708000292 |
| Provider Name | Alfred Tanner Shilling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003029620 PECOS PAC ID: 4284786211 Enrollment ID: I20090722000128 |
| Provider Name | Julie R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164652004 PECOS PAC ID: 3577619923 Enrollment ID: I20090925000504 |
| Provider Name | Robert Knowles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013915602 PECOS PAC ID: 1557370517 Enrollment ID: I20100202000546 |
| Provider Name | Edwin J Polverino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194798983 PECOS PAC ID: 6002865581 Enrollment ID: I20100208000252 |
| Provider Name | Saima Sadiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861603789 PECOS PAC ID: 9032244173 Enrollment ID: I20100315000945 |
| Provider Name | James Schmidley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407946981 PECOS PAC ID: 6507906195 Enrollment ID: I20100318000096 |
| Provider Name | David C Sane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780669077 PECOS PAC ID: 3779679410 Enrollment ID: I20100510000350 |
| Provider Name | James R Crews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780689752 PECOS PAC ID: 9234156761 Enrollment ID: I20100517000582 |
| Provider Name | John H Burton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528080017 PECOS PAC ID: 9133157787 Enrollment ID: I20100628000827 |
| 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 | Mark Anderson Schmidt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023000684 PECOS PAC ID: 5193811123 Enrollment ID: I20100902001111 |
| Provider Name | Sarah Klemencic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275722514 PECOS PAC ID: 9931225323 Enrollment ID: I20100922001018 |
| Provider Name | Keel E Coleman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780882365 PECOS PAC ID: 3678699980 Enrollment ID: I20100923001304 |
| Provider Name | Daniel R Karolyi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871779801 PECOS PAC ID: 2466503313 Enrollment ID: I20101018001253 |
| Provider Name | Christopher Maroules |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285861708 PECOS PAC ID: 6507050036 Enrollment ID: I20101028001415 |
| Provider Name | Katherine Paige Conkling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497063747 PECOS PAC ID: 9032305214 Enrollment ID: I20101130000856 |
| Provider Name | Tananchai A Lucktong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578526067 PECOS PAC ID: 2062691744 Enrollment ID: I20110127000112 |
| Provider Name | Joshua D Adams |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932313095 PECOS PAC ID: 8022292036 Enrollment ID: I20110414000775 |
| 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 | Colleen J Mattocks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134387830 PECOS PAC ID: 9133398555 Enrollment ID: I20110801000707 |
| Provider Name | Alecia W Sizemore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831302561 PECOS PAC ID: 3173792728 Enrollment ID: I20110816000495 |
| Provider Name | James G Drougas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013912914 PECOS PAC ID: 1951571660 Enrollment ID: I20110906000621 |
| Provider Name | Ricardo L Riegodedios |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295708709 PECOS PAC ID: 8224209267 Enrollment ID: I20110922000376 |
| Provider Name | Kristin A Childers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790943348 PECOS PAC ID: 4880867597 Enrollment ID: I20111025000407 |
| Provider Name | Kofi Amo-mensah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124289103 PECOS PAC ID: 4385817964 Enrollment ID: I20111026000534 |
| Provider Name | Anna P Littleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093023426 PECOS PAC ID: 7719166222 Enrollment ID: I20120208000626 |
| Provider Name | Anthony L Loschner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124221809 PECOS PAC ID: 4789848391 Enrollment ID: I20120612000234 |
| Provider Name | Mark Coggins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538157359 PECOS PAC ID: 1850378209 Enrollment ID: I20120626000782 |
| Provider Name | Leilani A Pilar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922240977 PECOS PAC ID: 4688830110 Enrollment ID: I20120726000724 |
| Provider Name | Sherry Penland Ismatov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336381383 PECOS PAC ID: 1658527809 Enrollment ID: I20120803000617 |
| Provider Name | Michelle T Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295097996 PECOS PAC ID: 3173779261 Enrollment ID: I20120806000214 |
| Provider Name | Sahil Jaiswal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225261878 PECOS PAC ID: 8022264118 Enrollment ID: I20120806000266 |
| Provider Name | 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 | Christian Klaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275761850 PECOS PAC ID: 0648428847 Enrollment ID: I20120913000050 |
| Provider Name | Srihari Penkulinti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851666515 PECOS PAC ID: 8022266980 Enrollment ID: I20120918000654 |
| Provider Name | Joseph A Hughes |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1134320112 PECOS PAC ID: 5991955270 Enrollment ID: I20121022000816 |
| 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 | 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 | 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 | Khalief E Hamden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740592005 PECOS PAC ID: 4981841475 Enrollment ID: I20130807000746 |
| Provider Name | William D Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386811073 PECOS PAC ID: 9335381904 Enrollment ID: I20130809000667 |
| Provider Name | Ira G Shaywitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932212214 PECOS PAC ID: 4486660727 Enrollment ID: I20130813000398 |
| Provider Name | Om Samantray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477877439 PECOS PAC ID: 6901048156 Enrollment ID: I20130816000866 |
| Provider Name | Courtney K Rocovich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366775496 PECOS PAC ID: 6901048099 Enrollment ID: I20130820001014 |
| 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 | Stephanie Ann Lareau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063654879 PECOS PAC ID: 8123205812 Enrollment ID: I20130910000868 |
| Provider Name | Michelle E Clinton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982831442 PECOS PAC ID: 7113173972 Enrollment ID: I20130910000981 |
| Provider Name | Debra A Timm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639513815 PECOS PAC ID: 9335374727 Enrollment ID: I20131018001425 |
| Provider Name | Susan D Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821425174 PECOS PAC ID: 2961639034 Enrollment ID: I20131217000364 |
| Provider Name | Manil Kukar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538461199 PECOS PAC ID: 6507093572 Enrollment ID: I20131219000127 |
| Provider Name | Ekta Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093948598 PECOS PAC ID: 6507093424 Enrollment ID: I20131220000021 |
| Provider Name | Alison Hester |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740589217 PECOS PAC ID: 9436392271 Enrollment ID: I20140310001420 |
| Provider Name | Biraj M Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235175431 PECOS PAC ID: 7113165259 Enrollment ID: I20140804000924 |
| Provider Name | Peter M Dereus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568774875 PECOS PAC ID: 9931343357 Enrollment ID: I20140819001350 |
| Provider Name | Farrell C Adkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992904882 PECOS PAC ID: 2961620703 Enrollment ID: I20140820001445 |
| Provider Name | Megan N Forster-hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467751651 PECOS PAC ID: 9133362957 Enrollment ID: I20140821002884 |
| Provider Name | Gates E Hoover |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1316973118 PECOS PAC ID: 1254326093 Enrollment ID: I20140826002329 |
| Provider Name | Shyam Sundhar Odeti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154614816 PECOS PAC ID: 0143449785 Enrollment ID: I20140915000966 |
| 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 | Brandi L Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861792400 PECOS PAC ID: 6901089044 Enrollment ID: I20141104000789 |
| Provider Name | Brian J Meier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861750812 PECOS PAC ID: 8123261690 Enrollment ID: I20141202000074 |
| Provider Name | Philip E Wakefield |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679581318 PECOS PAC ID: 2860498722 Enrollment ID: I20141202001538 |
| Provider Name | Harriet Hodgkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912097080 PECOS PAC ID: 1658443288 Enrollment ID: I20141213000250 |
| Provider Name | Greg A Howes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801074661 PECOS PAC ID: 9032296116 Enrollment ID: I20141231001578 |
| Provider Name | Sergey Shvygin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760647051 PECOS PAC ID: 6103094107 Enrollment ID: I20150127000306 |
| Provider Name | Barryton Decruse Waanbah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962790808 PECOS PAC ID: 9739302779 Enrollment ID: I20150309000249 |
| Provider Name | Ido Heletz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982812574 PECOS PAC ID: 1850423286 Enrollment ID: I20150323000129 |
| Provider Name | Hayley H Rose-inman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053678797 PECOS PAC ID: 1951620921 Enrollment ID: I20150425000341 |
| Provider Name | 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 | Kathleen P Bogacz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417973470 PECOS PAC ID: 7810975182 Enrollment ID: I20150616000772 |
| Provider Name | Puja R Ganjwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790188266 PECOS PAC ID: 7416269790 Enrollment ID: I20150629001842 |
| Provider Name | Matthew S Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811262215 PECOS PAC ID: 7618110107 Enrollment ID: I20150714001339 |
| Provider Name | Clay W Tingle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508002833 PECOS PAC ID: 1951614312 Enrollment ID: I20150715000205 |
| Provider Name | Michelle L Shaub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831458041 PECOS PAC ID: 4688996218 Enrollment ID: I20150722005160 |
| Provider Name | Eric A Marvin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407016082 PECOS PAC ID: 4183867278 Enrollment ID: I20150803000952 |
| Provider Name | Christin Nicole Martino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588982227 PECOS PAC ID: 9032358205 Enrollment ID: I20150831000854 |
| Provider Name | Wendy L Woolley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891710281 PECOS PAC ID: 2466558515 Enrollment ID: I20150914003118 |
| Provider Name | Dustin M Boatman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528382587 PECOS PAC ID: 6204064082 Enrollment ID: I20150916000530 |
| Provider Name | Sarah C Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982087359 PECOS PAC ID: 7416264650 Enrollment ID: I20150921000677 |
| Provider Name | Lisa A Saunders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649528381 PECOS PAC ID: 9234372749 Enrollment ID: I20151027000603 |
| Provider Name | Lindsey N Caley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790928141 PECOS PAC ID: 4789822479 Enrollment ID: I20151113002189 |
| Provider Name | Robert Steven Childers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588600761 PECOS PAC ID: 3375579568 Enrollment ID: I20160107002793 |
| Provider Name | Christopher G Cline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265875785 PECOS PAC ID: 8325274855 Enrollment ID: I20160119000686 |
| 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 | Allison Lippert Boatman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891010278 PECOS PAC ID: 1254560964 Enrollment ID: I20160419002078 |
| Provider Name | Michael L Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760827323 PECOS PAC ID: 8022258276 Enrollment ID: I20160510000999 |
| Provider Name | Ritesh Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508109422 PECOS PAC ID: 8224263850 Enrollment ID: I20160705000558 |
| Provider Name | Jessica Gehner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346685559 PECOS PAC ID: 9638304629 Enrollment ID: I20160705001697 |
| Provider Name | Lorne M Dindial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275876245 PECOS PAC ID: 4880829423 Enrollment ID: I20160728001652 |
| Provider Name | Betegelu Y Taye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306257118 PECOS PAC ID: 8426371626 Enrollment ID: I20160808001932 |
| Provider Name | Kristin A Liebrecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881031839 PECOS PAC ID: 7214162791 Enrollment ID: I20160822001510 |
| Provider Name | Krishna Sukayogula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720428766 PECOS PAC ID: 8325333891 Enrollment ID: I20160823001016 |
| Provider Name | Kyle A Prickett |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942591375 PECOS PAC ID: 5395053052 Enrollment ID: I20160826000526 |
| Provider Name | Joshua G Gazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013259449 PECOS PAC ID: 7012142706 Enrollment ID: I20160829003066 |
| Provider Name | Colin T Brandt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811128366 PECOS PAC ID: 5294035754 Enrollment ID: I20160830001365 |
| Provider Name | Fielding C Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376822080 PECOS PAC ID: 4183944093 Enrollment ID: I20160901000219 |
| Provider Name | Mark Witcher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568606747 PECOS PAC ID: 6800105016 Enrollment ID: I20161013002497 |
| Provider Name | Joshua C Nichols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366852436 PECOS PAC ID: 7719107689 Enrollment ID: I20161228001619 |
| Provider Name | Justin A Lodenkemper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619382215 PECOS PAC ID: 7416179205 Enrollment ID: I20170710000910 |
| Provider Name | Caroline M Chisholm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134546070 PECOS PAC ID: 8426342593 Enrollment ID: I20170712002210 |
| Provider Name | Ryan M Curfiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871904938 PECOS PAC ID: 5193049559 Enrollment ID: I20170726001691 |
| Provider Name | Bryant Adam Self |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437576352 PECOS PAC ID: 2769602408 Enrollment ID: I20170801000913 |
| Provider Name | Jonathan C Saks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144640590 PECOS PAC ID: 9234357278 Enrollment ID: I20170814000983 |
| Provider Name | Carla Jeanne Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386980357 PECOS PAC ID: 7618191149 Enrollment ID: I20170816000895 |
| Provider Name | Inna K Massaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629203617 PECOS PAC ID: 2769648351 Enrollment ID: I20170822002539 |
| Provider Name | Ashley A Tuttle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588981286 PECOS PAC ID: 6204053069 Enrollment ID: I20170831002480 |
| Provider Name | James N Casey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366734154 PECOS PAC ID: 2062725625 Enrollment ID: I20170906000142 |
| Provider Name | Sheryl M Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417901125 PECOS PAC ID: 4082611165 Enrollment ID: I20170908002308 |
| 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 | Jonathan K Nogueira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598175341 PECOS PAC ID: 7315167178 Enrollment ID: I20171030001240 |
| Provider Name | Jen G Holofchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235656927 PECOS PAC ID: 9931465804 Enrollment ID: I20171108003564 |
| Provider Name | Carol A Bernier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063711596 PECOS PAC ID: 2163653353 Enrollment ID: I20171215001074 |
| Provider Name | Judith A Collins-cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437147055 PECOS PAC ID: 4587922729 Enrollment ID: I20171218001706 |
| Provider Name | Sharon L Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366635880 PECOS PAC ID: 1456497478 Enrollment ID: I20171227002935 |
| Provider Name | Jonathan Drew Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700814464 PECOS PAC ID: 0042318701 Enrollment ID: I20180102002674 |
| Provider Name | Pamela R Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578074563 PECOS PAC ID: 8325307978 Enrollment ID: I20180106000029 |
| Provider Name | Taaliba Al-alim Sahib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174979587 PECOS PAC ID: 4082973706 Enrollment ID: I20180125000890 |
| Provider Name | Travis Maule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801305586 PECOS PAC ID: 7719247345 Enrollment ID: I20180130002603 |
| 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 | Adeolu Olasunkanmi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609160308 PECOS PAC ID: 0345468054 Enrollment ID: I20180716000985 |
| Provider Name | John J Entwistle |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558682112 PECOS PAC ID: 7416196589 Enrollment ID: I20180717000727 |
| Provider Name | Michael J Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396131124 PECOS PAC ID: 4082920921 Enrollment ID: I20180730000715 |
| Provider Name | Lindsay Mary Searle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215485966 PECOS PAC ID: 7517241730 Enrollment ID: I20180730001228 |
| Provider Name | Blayne K Patton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508253683 PECOS PAC ID: 7911213863 Enrollment ID: I20180803002936 |
| Provider Name | Sarah A Dewitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477931228 PECOS PAC ID: 2264749084 Enrollment ID: I20180919004293 |
| 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 | Zachary Joseph Shaub |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790097434 PECOS PAC ID: 8426270430 Enrollment ID: I20181114003074 |
| Provider Name | Jaimie Nichole Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093281461 PECOS PAC ID: 6608112735 Enrollment ID: I20190110002918 |
| Provider Name | Olga Lucia Marin-hoefner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326105412 PECOS PAC ID: 5496996019 Enrollment ID: I20190207002841 |
| Provider Name | Meghan Allyse Riley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649512823 PECOS PAC ID: 8820393770 Enrollment ID: I20190305002479 |
| Provider Name | Laura Roberts Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467931311 PECOS PAC ID: 8022357201 Enrollment ID: I20190306000324 |
| Provider Name | Gurlal Singh Baidwan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730568411 PECOS PAC ID: 3577876655 Enrollment ID: I20190313001207 |
| Provider Name | Jessica Maerz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295268001 PECOS PAC ID: 3870866213 Enrollment ID: I20190528001176 |
| Provider Name | Saira Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780815738 PECOS PAC ID: 0244475465 Enrollment ID: I20190603002240 |
| Provider Name | Brian A Yeary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053774083 PECOS PAC ID: 0749575991 Enrollment ID: I20190617001247 |
| Provider Name | Jessica Pope Flinchum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467770552 PECOS PAC ID: 9133382757 Enrollment ID: I20190618001567 |
| Provider Name | Christopher Paul Waasdorp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699189720 PECOS PAC ID: 6204123730 Enrollment ID: I20190626001002 |
| Provider Name | Matthew E Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710242219 PECOS PAC ID: 1658699657 Enrollment ID: I20190702003067 |
| Provider Name | Justin Haven Price |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174789465 PECOS PAC ID: 4486822491 Enrollment ID: I20190722000199 |
| Provider Name | Nalliene M Chavez Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952755233 PECOS PAC ID: 7416242870 Enrollment ID: I20190812000881 |
| Provider Name | Yolandas Thomason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417339565 PECOS PAC ID: 6204132038 Enrollment ID: I20190815003051 |
| Provider Name | Robert B Swanson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285893495 PECOS PAC ID: 4385954049 Enrollment ID: I20190821001357 |
| Provider Name | 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 | Stephen Demma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437501459 PECOS PAC ID: 6305279605 Enrollment ID: I20191127000072 |
| Provider Name | Kelsey Campbell Fortin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205485539 PECOS PAC ID: 8921433715 Enrollment ID: I20200124002268 |
| Provider Name | Bradley Allen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396132940 PECOS PAC ID: 5799092607 Enrollment ID: I20200129002406 |
| Provider Name | Daniel Jose Torrent |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285920322 PECOS PAC ID: 2860790383 Enrollment ID: I20200302002353 |
| Provider Name | Adam Ryan Donithan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053721175 PECOS PAC ID: 4587888565 Enrollment ID: I20200311001092 |
| Provider Name | Tessa Lynn Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922643428 PECOS PAC ID: 5991133084 Enrollment ID: I20200402002759 |
| Provider Name | John Randall Finch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740249028 PECOS PAC ID: 6507832367 Enrollment ID: I20200408002982 |
| Provider Name | Titus Dutcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013999796 PECOS PAC ID: 3971581349 Enrollment ID: I20200422002857 |
| Provider Name | Roberta Pritchard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699903518 PECOS PAC ID: 9931472370 Enrollment ID: I20200427000223 |
| Provider Name | Jinoh Sandberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043585904 PECOS PAC ID: 7113358201 Enrollment ID: I20200505000797 |
| Provider Name | Andrew B Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578981049 PECOS PAC ID: 5193020089 Enrollment ID: I20200610002278 |
| Provider Name | Alina Polonsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104347657 PECOS PAC ID: 5193051928 Enrollment ID: I20200619001532 |
| Provider Name | Justin M Gardner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952762601 PECOS PAC ID: 8022300268 Enrollment ID: I20200701002271 |
| Provider Name | Ariel Stearnes Brooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508387051 PECOS PAC ID: 7012243868 Enrollment ID: I20200805000775 |
| Provider Name | Nathaniel Linger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366973042 PECOS PAC ID: 1254604671 Enrollment ID: I20200811000492 |
| Provider Name | Vaibhav Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699034371 PECOS PAC ID: 2466786058 Enrollment ID: I20200811001113 |
| Provider Name | Jacob Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659763290 PECOS PAC ID: 1658647979 Enrollment ID: I20200811002784 |
| Provider Name | David Feigal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013337351 PECOS PAC ID: 0446470199 Enrollment ID: I20200811003949 |
| Provider Name | Kristina Dukes Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992225312 PECOS PAC ID: 6406121979 Enrollment ID: I20200812002054 |
| Provider Name | 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 | 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 | Ryan Kent Martiniuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639608367 PECOS PAC ID: 1052738705 Enrollment ID: I20200826003804 |
| Provider Name | Caleb Cutherell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760877377 PECOS PAC ID: 3971810797 Enrollment ID: I20200827002203 |
| Provider Name | Robert Murrey Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912327164 PECOS PAC ID: 4789923632 Enrollment ID: I20200903002967 |
| Provider Name | Ashley W Gerrish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063830305 PECOS PAC ID: 1456571116 Enrollment ID: I20200909003335 |
| Provider Name | 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 | Erika S Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881126647 PECOS PAC ID: 8224301544 Enrollment ID: I20201009002376 |
| Provider Name | Kristin Mccoy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003202425 PECOS PAC ID: 1456761758 Enrollment ID: I20201027001879 |
| Provider Name | Nicholas Bruce Yelverton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386082956 PECOS PAC ID: 7214150580 Enrollment ID: I20201112001114 |
| Provider Name | Bethany Ellen Elza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619409166 PECOS PAC ID: 0446523666 Enrollment ID: I20201118001002 |
| Provider Name | Mohamed S Nagiub |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134431760 PECOS PAC ID: 8426290479 Enrollment ID: I20201124003072 |
| Provider Name | Chad Burton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891290409 PECOS PAC ID: 6002163458 Enrollment ID: I20201211002236 |
| Provider Name | Ashley P Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265034060 PECOS PAC ID: 8426462979 Enrollment ID: I20210125002872 |
| Provider Name | Elizabeth Bartley Poor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902400799 PECOS PAC ID: 3476968983 Enrollment ID: I20210216000549 |
| Provider Name | Misty Spring Queen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245838267 PECOS PAC ID: 4284040569 Enrollment ID: I20210311000561 |
| Provider Name | Zachary S Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265939433 PECOS PAC ID: 7517215726 Enrollment ID: I20210506000609 |
| Provider Name | David Bai Chang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316443989 PECOS PAC ID: 9638579527 Enrollment ID: I20210615000968 |
| Provider Name | Nicholas Karo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245727502 PECOS PAC ID: 4486906419 Enrollment ID: I20210730003138 |
| Provider Name | Olumide Ojeifo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407116932 PECOS PAC ID: 1658628433 Enrollment ID: I20210827000006 |
| Provider Name | Patricia L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366028425 PECOS PAC ID: 8325444375 Enrollment ID: I20210831001812 |
| Provider Name | James R Humble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508210469 PECOS PAC ID: 1557656238 Enrollment ID: I20210908001228 |
| Provider Name | Murillo Adrados |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124409453 PECOS PAC ID: 1951617836 Enrollment ID: I20210910001627 |
| Provider Name | Scott Harrison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578855011 PECOS PAC ID: 5395984330 Enrollment ID: I20210922000960 |
| Provider Name | Thomas Kodankandath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326313529 PECOS PAC ID: 8820367451 Enrollment ID: I20210927001799 |
| 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 | Anthony Staples |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255727145 PECOS PAC ID: 4486071131 Enrollment ID: I20211011000347 |
| Provider Name | Jessica Pelletier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851852347 PECOS PAC ID: 1850628207 Enrollment ID: I20211025000662 |
| Provider Name | Henry Weigle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710305479 PECOS PAC ID: 3678793379 Enrollment ID: I20211029000347 |
| Provider Name | Aja Hamden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700383957 PECOS PAC ID: 6204185937 Enrollment ID: I20211118000239 |
| Provider Name | Taylor Rae Brogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720753783 PECOS PAC ID: 5890185375 Enrollment ID: I20211124002114 |
| 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 | Eric Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679238851 PECOS PAC ID: 0547653180 Enrollment ID: I20220203001460 |
| Provider Name | Victor Mandanas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356413785 PECOS PAC ID: 8628077948 Enrollment ID: I20220312000145 |
| Provider Name | Stephanie May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215440516 PECOS PAC ID: 2769740166 Enrollment ID: I20220316003465 |
| Provider Name | Anne Ickes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912460494 PECOS PAC ID: 8729315635 Enrollment ID: I20220321000087 |
| Provider Name | Jody Goard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235325051 PECOS PAC ID: 4183876576 Enrollment ID: I20220322002888 |
| Provider Name | 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 | Cheyanne Spradlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649925926 PECOS PAC ID: 0941688774 Enrollment ID: I20220607000124 |
| Provider Name | Lydia Kuhn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033437314 PECOS PAC ID: 0244452035 Enrollment ID: I20220628003312 |
| Provider Name | Zachary Lyon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316485618 PECOS PAC ID: 5698156883 Enrollment ID: I20220719003346 |
| Provider Name | Shefali Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962961060 PECOS PAC ID: 4789917923 Enrollment ID: I20220721001445 |
| Provider Name | William Angelos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174084586 PECOS PAC ID: 5799010997 Enrollment ID: I20220728002468 |
| Provider Name | Desiree Inman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518520618 PECOS PAC ID: 0446585491 Enrollment ID: I20220729001121 |
| Provider Name | Nam Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154883965 PECOS PAC ID: 2860721883 Enrollment ID: I20220801000695 |
| Provider Name | Roger Sequeira |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699933200 PECOS PAC ID: 0345305272 Enrollment ID: I20220805000818 |
| Provider Name | Tomasz Wojciech Zrodlowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316440951 PECOS PAC ID: 8224432919 Enrollment ID: I20220805001154 |
| Provider Name | Adam Maerz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588195044 PECOS PAC ID: 7012280449 Enrollment ID: I20220809001114 |
| Provider Name | Hallie K Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366105090 PECOS PAC ID: 0648653675 Enrollment ID: I20220823004024 |
| Provider Name | Jose Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639631187 PECOS PAC ID: 5799012860 Enrollment ID: I20220824000420 |
| Provider Name | Karla Guerra |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508356734 PECOS PAC ID: 2365791951 Enrollment ID: I20220829001256 |
| Provider Name | David J Vajanyi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659935310 PECOS PAC ID: 0547595753 Enrollment ID: I20220907000743 |
| Provider Name | Ashley Elizabeth Hoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447982806 PECOS PAC ID: 4789069766 Enrollment ID: I20220912000992 |
| Provider Name | Greg Fischer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851886923 PECOS PAC ID: 3072861012 Enrollment ID: I20220923000992 |
| Provider Name | Amie Rose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366902702 PECOS PAC ID: 5799027629 Enrollment ID: I20220927001735 |
| Provider Name | Bhumi K Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649665258 PECOS PAC ID: 7911297361 Enrollment ID: I20221003003134 |
| Provider Name | Gary L Aragon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013978139 PECOS PAC ID: 6305749854 Enrollment ID: I20221020000333 |
| Provider Name | Jordan Rachel Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841913407 PECOS PAC ID: 7416325683 Enrollment ID: I20221118000859 |
| Provider Name | Johanna Steege French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033831805 PECOS PAC ID: 1557739133 Enrollment ID: I20221202000357 |
| Provider Name | William Mahoney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649704479 PECOS PAC ID: 2860743523 Enrollment ID: I20221207000249 |
| 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 | Edward Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306852504 PECOS PAC ID: 4981750460 Enrollment ID: I20230119002617 |
| Provider Name | Daniel Owen Lareaux |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629606173 PECOS PAC ID: 7517380546 Enrollment ID: I20230130001417 |
| Provider Name | Bhumin J Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750720900 PECOS PAC ID: 4082997127 Enrollment ID: I20230131000300 |
| Provider Name | Salah Abdelhadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326453259 PECOS PAC ID: 4688976004 Enrollment ID: I20230131000526 |
| Provider Name | Jeffrey Orear |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780876649 PECOS PAC ID: 7810152410 Enrollment ID: I20230202000583 |
| Provider Name | Bryce David Lokey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225298177 PECOS PAC ID: 1153793872 Enrollment ID: I20230207000355 |
| Provider Name | Michael S Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093030546 PECOS PAC ID: 5597071712 Enrollment ID: I20230208000495 |
| Provider Name | Elizabeth Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033821418 PECOS PAC ID: 7416329867 Enrollment ID: I20230210001395 |
| Provider Name | Amy Marie Drago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245944180 PECOS PAC ID: 9830562347 Enrollment ID: I20230303001376 |
| Provider Name | James Richard Durnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265148019 PECOS PAC ID: 8527431840 Enrollment ID: I20230307000354 |
| Provider Name | John Henry Schwab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649730110 PECOS PAC ID: 7113254608 Enrollment ID: I20230411002473 |
| Provider Name | Ramin Akhavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861561300 PECOS PAC ID: 6103856893 Enrollment ID: I20230503000001 |
| Provider Name | Sian Ellen Lewis-bevan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013545086 PECOS PAC ID: 0345663555 Enrollment ID: I20230503001091 |
| Provider Name | Francine Jacobson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124018890 PECOS PAC ID: 1254379076 Enrollment ID: I20230503002525 |
| Provider Name | Amber Jones Clary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912669086 PECOS PAC ID: 6002272218 Enrollment ID: I20230512002535 |
| Provider Name | Christopher Bayne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144512641 PECOS PAC ID: 5294083853 Enrollment ID: I20230524001742 |
| Provider Name | Sean M Whitty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811526221 PECOS PAC ID: 9234551433 Enrollment ID: I20230525003205 |
| Provider Name | Mandeep Rana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174798581 PECOS PAC ID: 9133398704 Enrollment ID: I20230612000143 |
| Provider Name | Christopher Steel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861755100 PECOS PAC ID: 5991162638 Enrollment ID: I20230612000698 |
| Provider Name | Tymour Jibran Malik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255894572 PECOS PAC ID: 8325405061 Enrollment ID: I20230612000814 |
| Provider Name | Kelly Armentrout |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962030213 PECOS PAC ID: 5799108718 Enrollment ID: I20230616002035 |
| Provider Name | Aaron Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003443037 PECOS PAC ID: 4486077120 Enrollment ID: I20230619001659 |
| Provider Name | Christine Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508483058 PECOS PAC ID: 5597188268 Enrollment ID: I20230622001183 |
| Provider Name | Nora Rader |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790308047 PECOS PAC ID: 5193148534 Enrollment ID: I20230623001336 |
| Provider Name | Kelly Kugach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003445594 PECOS PAC ID: 9133542228 Enrollment ID: I20230623002787 |
| Provider Name | Aaron Markwith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023646437 PECOS PAC ID: 0244277697 Enrollment ID: I20230706003051 |
| Provider Name | Lincoln Pratson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033607643 PECOS PAC ID: 7517212327 Enrollment ID: I20230710003774 |
| Provider Name | Peter Hartung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851920607 PECOS PAC ID: 4284057290 Enrollment ID: I20230711000735 |
| Provider Name | Elizabeth Vass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417586256 PECOS PAC ID: 0345663928 Enrollment ID: I20230711000815 |
| Provider Name | Joseph Birkman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295260958 PECOS PAC ID: 5496139925 Enrollment ID: I20230711003257 |
| Provider Name | Briana Bennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932729894 PECOS PAC ID: 7618390055 Enrollment ID: I20230717000729 |
| Provider Name | Jennifer Marie Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770270803 PECOS PAC ID: 2163882143 Enrollment ID: I20230721003381 |
| Provider Name | Jake Daniel Norris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053947960 PECOS PAC ID: 5395106124 Enrollment ID: I20230726002922 |
| Provider Name | Esmaeel Reza Dadashzadeh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487072260 PECOS PAC ID: 5597126268 Enrollment ID: I20230727001070 |
| Provider Name | Grace Blaylock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497288567 PECOS PAC ID: 5991166548 Enrollment ID: I20230731001745 |
| Provider Name | Haley Hammond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699304162 PECOS PAC ID: 8325461072 Enrollment ID: I20230804003699 |
| 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 | Alden Newcomb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043703465 PECOS PAC ID: 2163779901 Enrollment ID: I20230911001412 |
| Provider Name | Micheala Mccarthy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144727314 PECOS PAC ID: 4385993542 Enrollment ID: I20230929003532 |
| Provider Name | Scott Muffly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023515467 PECOS PAC ID: 0749536597 Enrollment ID: I20231016001951 |
| Provider Name | Tracy Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457134991 PECOS PAC ID: 9032565940 Enrollment ID: I20231031001843 |
| Provider Name | Amanda Kaster |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528737327 PECOS PAC ID: 4789031022 Enrollment ID: I20231108002769 |
| Provider Name | Rawle Seupaul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508975491 PECOS PAC ID: 3476644261 Enrollment ID: I20231220000983 |
| Provider Name | Elizabeth Sugg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205328929 PECOS PAC ID: 2668721093 Enrollment ID: I20231228000844 |
| Provider Name | Brian Fuquay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912584517 PECOS PAC ID: 1355743733 Enrollment ID: I20240102002894 |
| Provider Name | Hema Sivasubramanian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093078248 PECOS PAC ID: 0547579443 Enrollment ID: I20240123003517 |
| Provider Name | Justin Lackey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497333512 PECOS PAC ID: 8224430798 Enrollment ID: I20240212001390 |
| Provider Name | Lana Wahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750701918 PECOS PAC ID: 7911064852 Enrollment ID: I20240222001296 |
| Provider Name | Julian Yet Kwong Horman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598225682 PECOS PAC ID: 1759713829 Enrollment ID: I20240326003824 |
| Provider Name | David T Wells |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437733136 PECOS PAC ID: 7113329368 Enrollment ID: I20240327000199 |
| Provider Name | Benjamin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154199370 PECOS PAC ID: 5597103556 Enrollment ID: I20240410000341 |
| Provider Name | Valerie Renard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922550946 PECOS PAC ID: 5597047803 Enrollment ID: I20240412003797 |
| Provider Name | Nicholas Tsipis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689060865 PECOS PAC ID: 6608124680 Enrollment ID: I20240418002576 |
| Provider Name | Shahbaaz A Sabri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962821777 PECOS PAC ID: 8820422561 Enrollment ID: I20240423002368 |
Carilion Rockbridge Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Health Cir, Lexington, VA 24450 Phone: 540-458-3300 | |
Rockbridge Area Free Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 170 Kendal Dr Ste A, Lexington, VA 24450 Phone: 540-464-8700 Fax: 855-806-0826 | |
Rockbridge Area Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Northridge Ln, Lexington, VA 24450 Phone: 540-464-8700 Fax: 540-464-1323 | |
Augusta Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Comfort Way Ste 1, Lexington, VA 24450 Phone: 540-463-3381 | |
Patient Choice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Comfort Way, Suite 1, Lexington, VA 24450 Phone: 540-463-3381 Fax: 540-463-3477 | |
Washington And Lee University Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 W Washington St, Early-fielding Building, Lexington, VA 24450 Phone: 540-458-8590 Fax: 540-458-8989 |