| Centra Medical Group, Llc | |
|
3300 Rivermont Ave Lynchburg VA 24503-2030 | |
| (434) 200-3656 | |
| Not Available |
| Full Name | Centra Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3300 Rivermont Ave, Lynchburg, Virginia |
| Authorized Official Name and Position | Lewis Addison (SR VP, CFO) |
| Authorized Official Contact | 4342003656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centra Medical Group, Llc 2010 Atherholt Rd Lynchburg VA 24501-1106 Ph: () - | Centra Medical Group, Llc 3300 Rivermont Ave Lynchburg VA 24503-2030 Ph: (434) 200-3656 |
| NPI Number | 1649228966 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 09/15/2014 |
| Medicare PECOS PAC ID | 4789606088 |
|---|---|
| Medicare Enrollment ID | O20051230000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649228966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kathy S Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750388674 PECOS PAC ID: 7012820905 Enrollment ID: I20031106000783 |
| Provider Name | David M Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689777070 PECOS PAC ID: 5092612358 Enrollment ID: I20040120000428 |
| Provider Name | Jason M Hackenbracht |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952385452 PECOS PAC ID: 9133022858 Enrollment ID: I20040129001225 |
| Provider Name | John F Plankeel |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1538197744 PECOS PAC ID: 2668375387 Enrollment ID: I20040129001235 |
| Provider Name | Michael R Cook |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073597027 PECOS PAC ID: 1456254176 Enrollment ID: I20040129001251 |
| Provider Name | Donald Mathes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356454730 PECOS PAC ID: 6204729650 Enrollment ID: I20040207000375 |
| Provider Name | William H Cheatwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215911623 PECOS PAC ID: 2062304090 Enrollment ID: I20040325001346 |
| Provider Name | Danielle S Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700849056 PECOS PAC ID: 0143215046 Enrollment ID: I20040419001638 |
| Provider Name | Alan Kauppi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093799322 PECOS PAC ID: 7012903552 Enrollment ID: I20040421001199 |
| Provider Name | Judith A Perrotto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265572945 PECOS PAC ID: 4284620683 Enrollment ID: I20040421001646 |
| Provider Name | Michael C Lilly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487653978 PECOS PAC ID: 4385631787 Enrollment ID: I20040428000338 |
| Provider Name | Robert D Cook |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861590929 PECOS PAC ID: 2365432341 Enrollment ID: I20040512001622 |
| Provider Name | Mohammad Jarvandi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609814383 PECOS PAC ID: 5597755413 Enrollment ID: I20040513000935 |
| Provider Name | Murat T Gezen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780668095 PECOS PAC ID: 9830180280 Enrollment ID: I20040524000396 |
| Provider Name | Stella Ekaette Bassey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821070475 PECOS PAC ID: 8123000387 Enrollment ID: I20040602001226 |
| Provider Name | Timothy R Shaver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417950981 PECOS PAC ID: 4789666751 Enrollment ID: I20040603000426 |
| Provider Name | Brian J Schietinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124232814 PECOS PAC ID: 5092798934 Enrollment ID: I20040610001391 |
| Provider Name | John Bartow Olmsted |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558359349 PECOS PAC ID: 2668457391 Enrollment ID: I20040618000609 |
| Provider Name | James W Robertson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649261082 PECOS PAC ID: 2264411925 Enrollment ID: I20040715001319 |
| Provider Name | Allison B Helgeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659356004 PECOS PAC ID: 5698748887 Enrollment ID: I20040816001379 |
| Provider Name | Thomas A Bradbury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215966692 PECOS PAC ID: 3476458464 Enrollment ID: I20040915000989 |
| Provider Name | Anila Sodhi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154327450 PECOS PAC ID: 6002878972 Enrollment ID: I20041102000975 |
| Provider Name | Daniel M Freed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730157066 PECOS PAC ID: 3779481726 Enrollment ID: I20041104001026 |
| Provider Name | David B Truitte |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518941913 PECOS PAC ID: 9739143033 Enrollment ID: I20041116001106 |
| Provider Name | Stacey C Felmlee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225039316 PECOS PAC ID: 1759347438 Enrollment ID: I20041203000961 |
| Provider Name | Karen A Burnham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093770448 PECOS PAC ID: 3375509805 Enrollment ID: I20041207000577 |
| Provider Name | Mary E Jensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205914157 PECOS PAC ID: 4981661584 Enrollment ID: I20041215000632 |
| Provider Name | Salman S Mufti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649205683 PECOS PAC ID: 0345211025 Enrollment ID: I20041230000084 |
| Provider Name | Larry E Mcbride |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326143389 PECOS PAC ID: 0446201081 Enrollment ID: I20050201000751 |
| Provider Name | Charles R Joseph |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972520476 PECOS PAC ID: 8628021250 Enrollment ID: I20050223000846 |
| Provider Name | Ann Marie Harman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194728980 PECOS PAC ID: 6901854942 Enrollment ID: I20050224000958 |
| Provider Name | Emanuel Cirenza |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1003891854 PECOS PAC ID: 0547213704 Enrollment ID: I20050228000654 |
| Provider Name | Stefan M Gorsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083699961 PECOS PAC ID: 7618920893 Enrollment ID: I20050228000842 |
| Provider Name | Geoffrey B Kostiner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235123530 PECOS PAC ID: 2163476185 Enrollment ID: I20050311000317 |
| Provider Name | Laura L Bauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699733436 PECOS PAC ID: 4385691005 Enrollment ID: I20050405000959 |
| Provider Name | Michael S Steinberg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902801566 PECOS PAC ID: 7517927791 Enrollment ID: I20050411001224 |
| Provider Name | James Donald Pittard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033193354 PECOS PAC ID: 4082689922 Enrollment ID: I20050413001254 |
| Provider Name | Thomas M Meyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518941681 PECOS PAC ID: 2567357064 Enrollment ID: I20050531000099 |
| Provider Name | Brandi T Nicholson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912076548 PECOS PAC ID: 2264477553 Enrollment ID: I20050627001327 |
| Provider Name | Kenneth E Saum |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255312609 PECOS PAC ID: 0244299311 Enrollment ID: I20050628000258 |
| Provider Name | Debra Gang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245268010 PECOS PAC ID: 6507802550 Enrollment ID: I20050630000186 |
| Provider Name | Perry P Kaneriya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316925928 PECOS PAC ID: 1153359054 Enrollment ID: I20050802000308 |
| Provider Name | Kara A Rooney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932100815 PECOS PAC ID: 8426949108 Enrollment ID: I20050803000264 |
| Provider Name | Jason M Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194776864 PECOS PAC ID: 2466480140 Enrollment ID: I20050803000318 |
| Provider Name | Aaron R Quinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154351492 PECOS PAC ID: 7416986138 Enrollment ID: I20050811000939 |
| Provider Name | Jeffrey Scott Kessel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104804913 PECOS PAC ID: 4486612652 Enrollment ID: I20050812000548 |
| Provider Name | William R Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437134384 PECOS PAC ID: 2567492226 Enrollment ID: I20050812000960 |
| Provider Name | Chelsea M Eichelberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104909985 PECOS PAC ID: 9032140454 Enrollment ID: I20050825000684 |
| Provider Name | Jasdeep Dalawari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20050901000604 |
| Provider Name | Roger P Wiley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710907662 PECOS PAC ID: 2567494610 Enrollment ID: I20050909000078 |
| Provider Name | David R Vaughn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659337343 PECOS PAC ID: 5092748988 Enrollment ID: I20050912000939 |
| Provider Name | Edward B Fenton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225093685 PECOS PAC ID: 9638101777 Enrollment ID: I20050923000391 |
| Provider Name | Sheri W Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487616678 PECOS PAC ID: 6901883511 Enrollment ID: I20050928000684 |
| Provider Name | Terry A Brooks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255382917 PECOS PAC ID: 4688609605 Enrollment ID: I20050928001179 |
| Provider Name | Clair Lea Mcstacy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972590941 PECOS PAC ID: 1951328491 Enrollment ID: I20051025000194 |
| Provider Name | Robert K Armock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619959764 PECOS PAC ID: 8628096237 Enrollment ID: I20051102000717 |
| Provider Name | Sarah J Dill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013982479 PECOS PAC ID: 5698793115 Enrollment ID: I20051103000433 |
| Provider Name | Linda S Beahm |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1982602744 PECOS PAC ID: 2264450493 Enrollment ID: I20051107000593 |
| Provider Name | Steven B Ridout |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699746750 PECOS PAC ID: 9133149776 Enrollment ID: I20051129000195 |
| Provider Name | Gary A Sibcy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568463230 PECOS PAC ID: 7911929229 Enrollment ID: I20051230000234 |
| Provider Name | Peter Betz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871592790 PECOS PAC ID: 2264454479 Enrollment ID: I20051230000257 |
| Provider Name | Miranda Breit |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669473567 PECOS PAC ID: 4880616093 Enrollment ID: I20051230000272 |
| Provider Name | John L Hendrickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699775593 PECOS PAC ID: 3779505987 Enrollment ID: I20051230000286 |
| Provider Name | Alexander M Wilgus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194728089 PECOS PAC ID: 3072535178 Enrollment ID: I20060103000343 |
| Provider Name | Brenda L Stokes |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1861491136 PECOS PAC ID: 7517989619 Enrollment ID: I20060103000352 |
| Provider Name | William C Crow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083612931 PECOS PAC ID: 3779505870 Enrollment ID: I20060103000365 |
| Provider Name | Gabrielle K Jackson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487651832 PECOS PAC ID: 1153343264 Enrollment ID: I20060103000411 |
| Provider Name | Russell W Campbell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104880160 PECOS PAC ID: 7618920380 Enrollment ID: I20060109001085 |
| Provider Name | Pamela G Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609873009 PECOS PAC ID: 7012921240 Enrollment ID: I20060126000854 |
| Provider Name | Morris E Mccrary |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265435440 PECOS PAC ID: 4486637816 Enrollment ID: I20060203000225 |
| Provider Name | George A Hurt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598768772 PECOS PAC ID: 0244244770 Enrollment ID: I20060203000245 |
| Provider Name | Cindy L Zerfoss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184627606 PECOS PAC ID: 0547276032 Enrollment ID: I20060221000454 |
| Provider Name | Terry Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336107770 PECOS PAC ID: 8628055662 Enrollment ID: I20060328000546 |
| Provider Name | Christian A Chisholm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013086636 PECOS PAC ID: 2062420185 Enrollment ID: I20060331000373 |
| Provider Name | William A Cook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336121052 PECOS PAC ID: 1557379518 Enrollment ID: I20060403000151 |
| Provider Name | John L Macneill |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1184654584 PECOS PAC ID: 9133137128 Enrollment ID: I20060403000388 |
| Provider Name | Kristi G Kidd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447232228 PECOS PAC ID: 7113936295 Enrollment ID: I20060418000561 |
| Provider Name | Patrick James Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659324002 PECOS PAC ID: 4284644170 Enrollment ID: I20060421000102 |
| Provider Name | Srinivas K Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821189457 PECOS PAC ID: 6800787029 Enrollment ID: I20060508000651 |
| Provider Name | Tara D Balint |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932156304 PECOS PAC ID: 5395757124 Enrollment ID: I20060619000175 |
| Provider Name | Angelo P Guanzon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669421079 PECOS PAC ID: 1355353525 Enrollment ID: I20060707000253 |
| Provider Name | Timothy Hellewell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922030733 PECOS PAC ID: 7113930306 Enrollment ID: I20060710000105 |
| Provider Name | Christopher W Lewis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972557874 PECOS PAC ID: 7810900057 Enrollment ID: I20060711000175 |
| Provider Name | Nicole R Scanlon Rowlett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376591560 PECOS PAC ID: 2567475775 Enrollment ID: I20060717000032 |
| Provider Name | Susan K Krzyzanowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538167416 PECOS PAC ID: 9638174162 Enrollment ID: I20060915000389 |
| Provider Name | Albert M Baker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619904034 PECOS PAC ID: 6800891169 Enrollment ID: I20060921000075 |
| Provider Name | Joseph B Khoury |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053357053 PECOS PAC ID: 4082619242 Enrollment ID: I20060921000082 |
| Provider Name | Michael G Milam |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1588692891 PECOS PAC ID: 6608871868 Enrollment ID: I20060921000103 |
| Provider Name | Shawn Michael Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871518076 PECOS PAC ID: 3779588934 Enrollment ID: I20060921000120 |
| Provider Name | James Dillon Cure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003815788 PECOS PAC ID: 1355346529 Enrollment ID: I20060921000185 |
| Provider Name | Michael J Kalafian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639178312 PECOS PAC ID: 8527063791 Enrollment ID: I20060921000192 |
| Provider Name | James W Meadows |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174506679 PECOS PAC ID: 2567467731 Enrollment ID: I20060921000249 |
| Provider Name | Nathan Ramon Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649253154 PECOS PAC ID: 9739184912 Enrollment ID: I20060921000265 |
| Provider Name | Geeta Rakheram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831172337 PECOS PAC ID: 7810992096 Enrollment ID: I20060921000273 |
| Provider Name | Elizabeth A Cook |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811971120 PECOS PAC ID: 7618972746 Enrollment ID: I20060925000355 |
| Provider Name | Stephen M Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003859687 PECOS PAC ID: 7315942356 Enrollment ID: I20060925000482 |
| Provider Name | Brahim Elouardighi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598741191 PECOS PAC ID: 3678503869 Enrollment ID: I20061012000419 |
| Provider Name | Edward Wing |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598792525 PECOS PAC ID: 5991701724 Enrollment ID: I20061018000276 |
| Provider Name | Cecilia M Maccallum |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1114951852 PECOS PAC ID: 9335145093 Enrollment ID: I20061020000140 |
| Provider Name | Matthew C Sackett |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386628774 PECOS PAC ID: 5395746051 Enrollment ID: I20070123000405 |
| Provider Name | Carl A Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083698468 PECOS PAC ID: 4284635913 Enrollment ID: I20070124000287 |
| Provider Name | Janet Diane Gill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467476283 PECOS PAC ID: 1456353416 Enrollment ID: I20070205000672 |
| Provider Name | Peter K Obrien |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518941905 PECOS PAC ID: 5799887824 Enrollment ID: I20070220000854 |
| Provider Name | Christian H Butcher |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831116805 PECOS PAC ID: 9234191891 Enrollment ID: I20070222000673 |
| Provider Name | Justin D Anderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922188523 PECOS PAC ID: 7719089382 Enrollment ID: I20070228000368 |
| Provider Name | Patrick J Wynnyk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194775742 PECOS PAC ID: 3274637566 Enrollment ID: I20070326000449 |
| Provider Name | Neil H Buckley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619927050 PECOS PAC ID: 8921102013 Enrollment ID: I20070329000327 |
| Provider Name | William A Blackman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528067105 PECOS PAC ID: 6305940933 Enrollment ID: I20070409000358 |
| Provider Name | Laura J Potter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841242708 PECOS PAC ID: 4082719562 Enrollment ID: I20070411000157 |
| Provider Name | Micahel C Dunlop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992755979 PECOS PAC ID: 8527073469 Enrollment ID: I20070419000639 |
| Provider Name | Kenneth S Palys |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710937990 PECOS PAC ID: 0042282964 Enrollment ID: I20070419000653 |
| Provider Name | Robert Andrew Dice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134178254 PECOS PAC ID: 0749385748 Enrollment ID: I20070419000679 |
| Provider Name | Elizabeth M Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669568440 PECOS PAC ID: 9830295328 Enrollment ID: I20070430000313 |
| Provider Name | Pradeep K Pradhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568465854 PECOS PAC ID: 3173587359 Enrollment ID: I20070525000362 |
| Provider Name | Joel T Hodges |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902935307 PECOS PAC ID: 6002916954 Enrollment ID: I20070709000103 |
| Provider Name | Tamara M Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194724476 PECOS PAC ID: 0941298210 Enrollment ID: I20070911000540 |
| Provider Name | Gregory W Evers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053442558 PECOS PAC ID: 2961597067 Enrollment ID: I20071004000410 |
| Provider Name | Maile Lherrou |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528069390 PECOS PAC ID: 6204923279 Enrollment ID: I20071107000757 |
| Provider Name | Charles H Coggin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881677565 PECOS PAC ID: 1456319292 Enrollment ID: I20071116000446 |
| Provider Name | Robert R Fuller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386651628 PECOS PAC ID: 9931179322 Enrollment ID: I20080229000188 |
| Provider Name | Rose Campbell Taylor-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538370911 PECOS PAC ID: 8628154333 Enrollment ID: I20080320000499 |
| Provider Name | David E Pruitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730167099 PECOS PAC ID: 4183701154 Enrollment ID: I20080402000180 |
| Provider Name | Margaret J Hobson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437129863 PECOS PAC ID: 9739266636 Enrollment ID: I20080402000516 |
| Provider Name | James A Frenchik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851324198 PECOS PAC ID: 8921187881 Enrollment ID: I20080502000404 |
| Provider Name | James G Warner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184680092 PECOS PAC ID: 9234227844 Enrollment ID: I20080508000225 |
| Provider Name | Karah M Lanier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235168105 PECOS PAC ID: 6608870134 Enrollment ID: I20080620000080 |
| Provider Name | Julie A Suppa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225203698 PECOS PAC ID: 8022180686 Enrollment ID: I20080626000630 |
| Provider Name | Fadi Mohamad El Ahdab |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932316163 PECOS PAC ID: 0042382285 Enrollment ID: I20080703000566 |
| Provider Name | Scott J Hawkes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407020027 PECOS PAC ID: 1557433257 Enrollment ID: I20080711000192 |
| Provider Name | John R Gaughen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942418660 PECOS PAC ID: 7113099854 Enrollment ID: I20080711000449 |
| Provider Name | Winifred Agard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902843725 PECOS PAC ID: 1355313446 Enrollment ID: I20080712000084 |
| Provider Name | Ronald G Morford |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518996347 PECOS PAC ID: 9436123635 Enrollment ID: I20080721000419 |
| Provider Name | Peter J Ploch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609893478 PECOS PAC ID: 5890725717 Enrollment ID: I20080722000715 |
| Provider Name | Audrey E Graham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972725265 PECOS PAC ID: 2466525308 Enrollment ID: I20080724000811 |
| Provider Name | Brian D Hacker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396924676 PECOS PAC ID: 1759454515 Enrollment ID: I20080728000047 |
| Provider Name | Melissa K Holmes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083689087 PECOS PAC ID: 6901847748 Enrollment ID: I20080813000208 |
| Provider Name | Janet M Theimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376516179 PECOS PAC ID: 8123193992 Enrollment ID: I20080814000087 |
| Provider Name | Christopher J Stands |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023228483 PECOS PAC ID: 7315012515 Enrollment ID: I20080822000489 |
| Provider Name | Corey M Passman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316157761 PECOS PAC ID: 9335233733 Enrollment ID: I20080822000602 |
| Provider Name | Russell W Melton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326021486 PECOS PAC ID: 2860568714 Enrollment ID: I20080829000310 |
| Provider Name | Mikhail Michael Levit |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154539955 PECOS PAC ID: 3971671819 Enrollment ID: I20081006000476 |
| Provider Name | Linda Duska |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1447241807 PECOS PAC ID: 4981675980 Enrollment ID: I20081015000763 |
| Provider Name | Clinton S Beverly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275604647 PECOS PAC ID: 6103891676 Enrollment ID: I20090113000660 |
| Provider Name | Carolyn W White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972743664 PECOS PAC ID: 5890852859 Enrollment ID: I20090319000255 |
| Provider Name | Michelle M Donoghue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619118403 PECOS PAC ID: 5395892038 Enrollment ID: I20090415000096 |
| Provider Name | Jamie M Kalafatich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972764165 PECOS PAC ID: 0547318909 Enrollment ID: I20090423000551 |
| Provider Name | Joseph D Hostetler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659547339 PECOS PAC ID: 6204984347 Enrollment ID: I20090429000702 |
| Provider Name | Miklos Szentirmai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619975422 PECOS PAC ID: 5395767677 Enrollment ID: I20090604000475 |
| Provider Name | Michael A Richmond |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497962690 PECOS PAC ID: 5496805277 Enrollment ID: I20090617000181 |
| Provider Name | Thomas M Forsberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225211055 PECOS PAC ID: 6406934595 Enrollment ID: I20090617000528 |
| Provider Name | William N Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629259114 PECOS PAC ID: 3476632902 Enrollment ID: I20090617000547 |
| Provider Name | Matthew W Huffman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639382898 PECOS PAC ID: 5193877959 Enrollment ID: I20090709000321 |
| Provider Name | Maria Semiha Uray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114949468 PECOS PAC ID: 3678625126 Enrollment ID: I20090715000244 |
| Provider Name | Lori A Nelson-madison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215198411 PECOS PAC ID: 6204989239 Enrollment ID: I20090807000628 |
| Provider Name | Jerry Allen Lucas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912016742 PECOS PAC ID: 9032263876 Enrollment ID: I20090813000501 |
| Provider Name | Todd H Dehli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679571558 PECOS PAC ID: 4486703618 Enrollment ID: I20090818000272 |
| Provider Name | Janice Elaine Luth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912905894 PECOS PAC ID: 6305990854 Enrollment ID: I20090818000301 |
| Provider Name | Patricia H Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386642403 PECOS PAC ID: 8820143001 Enrollment ID: I20090911000635 |
| Provider Name | Keith D Pitzer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497919740 PECOS PAC ID: 0749355881 Enrollment ID: I20091023000256 |
| Provider Name | Erin Annette Baird |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003048240 PECOS PAC ID: 6800832619 Enrollment ID: I20091026000693 |
| Provider Name | Carey A Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720238967 PECOS PAC ID: 6709924962 Enrollment ID: I20091109000064 |
| Provider Name | Nicole L Arrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972735512 PECOS PAC ID: 8527106731 Enrollment ID: I20091109000558 |
| Provider Name | Laura P Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073608386 PECOS PAC ID: 7214951219 Enrollment ID: I20091110000418 |
| Provider Name | William R Jones |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841288891 PECOS PAC ID: 9234224536 Enrollment ID: I20091124000729 |
| Provider Name | William L Kittrell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306890207 PECOS PAC ID: 9739275231 Enrollment ID: I20091205000153 |
| Provider Name | John L Guglielmetti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780630988 PECOS PAC ID: 4183710684 Enrollment ID: I20091205000161 |
| Provider Name | Jessica M Jara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659423911 PECOS PAC ID: 8325136435 Enrollment ID: I20091229000051 |
| Provider Name | James T Milam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275536567 PECOS PAC ID: 1658431994 Enrollment ID: I20100209000055 |
| Provider Name | John Alfieri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770501538 PECOS PAC ID: 3173682523 Enrollment ID: I20100324000993 |
| Provider Name | David Gregory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275532921 PECOS PAC ID: 2860414968 Enrollment ID: I20100507000040 |
| Provider Name | Darlene B Bianchino - Nigro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881695393 PECOS PAC ID: 6709914666 Enrollment ID: I20100513000564 |
| Provider Name | Ann C Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164652202 PECOS PAC ID: 3476604018 Enrollment ID: I20100526000325 |
| Provider Name | Robert C Bass |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134113210 PECOS PAC ID: 0042340713 Enrollment ID: I20100608000187 |
| Provider Name | Rakesh K Jain |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013992874 PECOS PAC ID: 7113908088 Enrollment ID: I20100608000820 |
| Provider Name | Amy L Richmond |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770814709 PECOS PAC ID: 4385775873 Enrollment ID: I20100628000296 |
| Provider Name | Erik Stephen Storm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801869789 PECOS PAC ID: 6608969522 Enrollment ID: I20100729000410 |
| Provider Name | Brett T Stadler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205949591 PECOS PAC ID: 7214060656 Enrollment ID: I20100805000166 |
| Provider Name | Nicole Dirienzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316151632 PECOS PAC ID: 2163556887 Enrollment ID: I20100817001269 |
| Provider Name | Dishant Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497963011 PECOS PAC ID: 4880728187 Enrollment ID: I20100820000887 |
| Provider Name | Peter L Konieczny |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285649673 PECOS PAC ID: 2163546300 Enrollment ID: I20100825000585 |
| Provider Name | Janice Gibson Neale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659489474 PECOS PAC ID: 9931224359 Enrollment ID: I20100908001075 |
| Provider Name | Paul Jefferson Bennett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851305569 PECOS PAC ID: 5294623518 Enrollment ID: I20100916000530 |
| Provider Name | Brandon K Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629239959 PECOS PAC ID: 5496870297 Enrollment ID: I20100916001170 |
| Provider Name | Stephanie J Witt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427219674 PECOS PAC ID: 0941326144 Enrollment ID: I20100924000944 |
| Provider Name | Edward Eugene Metzger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013972462 PECOS PAC ID: 7113110859 Enrollment ID: I20101026000606 |
| Provider Name | Leigh A Cantrell |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1306067020 PECOS PAC ID: 2567657935 Enrollment ID: I20101110001433 |
| Provider Name | Melanie H Fastabend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780998393 PECOS PAC ID: 4789871674 Enrollment ID: I20101203000894 |
| Provider Name | Sunil Rajan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407991177 PECOS PAC ID: 7719052505 Enrollment ID: I20101213001131 |
| Provider Name | Barbara F Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528033354 PECOS PAC ID: 4284821489 Enrollment ID: I20101214001083 |
| Provider Name | Moira A Rafferty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124001623 PECOS PAC ID: 5991887952 Enrollment ID: I20101217000688 |
| Provider Name | Alessandro Dellai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447446596 PECOS PAC ID: 8123207172 Enrollment ID: I20110124000914 |
| Provider Name | Dana E Taylor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053542423 PECOS PAC ID: 4981886371 Enrollment ID: I20110307000258 |
| Provider Name | Elizabeth C Dubovsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659394013 PECOS PAC ID: 7517063993 Enrollment ID: I20110407000001 |
| Provider Name | Haritha Babburi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750560793 PECOS PAC ID: 2769564285 Enrollment ID: I20110415000727 |
| Provider Name | Genevieve F Harway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154553170 PECOS PAC ID: 7517142219 Enrollment ID: I20110422000162 |
| Provider Name | Teresa Lynch Brennan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538165345 PECOS PAC ID: 3870778574 Enrollment ID: I20110422000184 |
| Provider Name | Vara P Bonagiri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801810486 PECOS PAC ID: 7012192396 Enrollment ID: I20110502000296 |
| Provider Name | Angel A Medina-bravo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932375722 PECOS PAC ID: 8022294420 Enrollment ID: I20110519000595 |
| Provider Name | Michael Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477652535 PECOS PAC ID: 0648458752 Enrollment ID: I20110620000449 |
| Provider Name | Lisa M Larkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043471485 PECOS PAC ID: 7618145426 Enrollment ID: I20110722000023 |
| Provider Name | Tony R Farmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184887135 PECOS PAC ID: 7012185846 Enrollment ID: I20110722000247 |
| Provider Name | Caesar R Gonzales |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306043393 PECOS PAC ID: 6901075050 Enrollment ID: I20110808000443 |
| Provider Name | Traci M Ogbu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861637480 PECOS PAC ID: 4688844780 Enrollment ID: I20110829000378 |
| Provider Name | Rantik Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538215173 PECOS PAC ID: 3577650654 Enrollment ID: I20110920000505 |
| Provider Name | Marilyn Fisher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023207982 PECOS PAC ID: 1052401288 Enrollment ID: I20111025000115 |
| Provider Name | Adam Kline |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972711661 PECOS PAC ID: 3274616974 Enrollment ID: I20111026000390 |
| Provider Name | Peter K Mciver |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841264769 PECOS PAC ID: 5294708004 Enrollment ID: I20111028000414 |
| Provider Name | Stephen L Rennyson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912035767 PECOS PAC ID: 7113196783 Enrollment ID: I20111107000209 |
| Provider Name | Sudha Koduru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073772455 PECOS PAC ID: 5991978900 Enrollment ID: I20111107000500 |
| Provider Name | Beth B Ulrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821180001 PECOS PAC ID: 5991979304 Enrollment ID: I20111122000115 |
| Provider Name | Richard S Kuk |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588681316 PECOS PAC ID: 4284632498 Enrollment ID: I20111206000559 |
| Provider Name | Julie L Blommel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275512519 PECOS PAC ID: 4587834627 Enrollment ID: I20111212000432 |
| Provider Name | Louis E Nelsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487753372 PECOS PAC ID: 5092985184 Enrollment ID: I20111214000029 |
| Provider Name | Julie A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013970417 PECOS PAC ID: 9335175223 Enrollment ID: I20111221000547 |
| Provider Name | Wolfgang Leesch |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1255453320 PECOS PAC ID: 7911174016 Enrollment ID: I20120112000365 |
| Provider Name | Timothy Coakley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073559985 PECOS PAC ID: 9133128713 Enrollment ID: I20120203000500 |
| Provider Name | Carly M Hunt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861406910 PECOS PAC ID: 2163515289 Enrollment ID: I20120207000348 |
| Provider Name | Simon Md Hatin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1215960331 PECOS PAC ID: 5395882377 Enrollment ID: I20120220000416 |
| Provider Name | Victoria C Klosterman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508136573 PECOS PAC ID: 6406016757 Enrollment ID: I20120326000059 |
| Provider Name | Josie A Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245517770 PECOS PAC ID: 9931369956 Enrollment ID: I20120329000347 |
| Provider Name | Roger J Pede |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275538217 PECOS PAC ID: 1153585013 Enrollment ID: I20120606000199 |
| Provider Name | Peter A Gibbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619105525 PECOS PAC ID: 2264697903 Enrollment ID: I20120703000494 |
| Provider Name | Bikram S Bal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699932517 PECOS PAC ID: 9537342928 Enrollment ID: I20120717000023 |
| Provider Name | Kaneez Salbia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790913721 PECOS PAC ID: 2163679259 Enrollment ID: I20120824000159 |
| Provider Name | Cynthia A Runnells |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841564051 PECOS PAC ID: 4587811484 Enrollment ID: I20120828000916 |
| Provider Name | Elizabeth Ann Melcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518222520 PECOS PAC ID: 1153579602 Enrollment ID: I20120907000407 |
| Provider Name | Jay Scheiner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477604544 PECOS PAC ID: 5395907737 Enrollment ID: I20120914000368 |
| Provider Name | Adam W Stevens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477796563 PECOS PAC ID: 2365617461 Enrollment ID: I20120925000511 |
| Provider Name | Laura C Gilmore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124257654 PECOS PAC ID: 6800045279 Enrollment ID: I20120927000787 |
| Provider Name | Jennifer H Tice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801145461 PECOS PAC ID: 6507015732 Enrollment ID: I20121004000004 |
| Provider Name | Kevin Knight |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285892646 PECOS PAC ID: 0446403216 Enrollment ID: I20130102000255 |
| Provider Name | Heather W Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932452240 PECOS PAC ID: 3779736285 Enrollment ID: I20130114000015 |
| Provider Name | Sarah A Gosnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881933414 PECOS PAC ID: 1456596279 Enrollment ID: I20130327000643 |
| Provider Name | Ashley Butt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598731853 PECOS PAC ID: 3173761764 Enrollment ID: I20130520000697 |
| Provider Name | Kathleen A Page |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861712812 PECOS PAC ID: 3870769086 Enrollment ID: I20130529000980 |
| Provider Name | Aaron T Jagelski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548261357 PECOS PAC ID: 8527045764 Enrollment ID: I20130610000503 |
| Provider Name | Renita M Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588904767 PECOS PAC ID: 1557500030 Enrollment ID: I20130612000698 |
| Provider Name | Hilary F Basham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235335886 PECOS PAC ID: 1951570845 Enrollment ID: I20130702000860 |
| Provider Name | Melissa S Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932497138 PECOS PAC ID: 4587809801 Enrollment ID: I20130719000290 |
| Provider Name | Prema M Pamireddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144466079 PECOS PAC ID: 6608017413 Enrollment ID: I20130720000032 |
| Provider Name | Robert S Brindle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497955348 PECOS PAC ID: 4183896293 Enrollment ID: I20130814000050 |
| Provider Name | Brent H Carothers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780801670 PECOS PAC ID: 6507009487 Enrollment ID: I20130823001266 |
| Provider Name | Jitendra R Annapareddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083908958 PECOS PAC ID: 2567605314 Enrollment ID: I20130827000747 |
| Provider Name | Navneet Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821367228 PECOS PAC ID: 6204079874 Enrollment ID: I20130829000414 |
| Provider Name | Vinitkumar R Jalandhara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477871663 PECOS PAC ID: 1658514112 Enrollment ID: I20130830000615 |
| Provider Name | Waltus Hughes Gill |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013168004 PECOS PAC ID: 1456594910 Enrollment ID: I20130830000644 |
| Provider Name | Emily Oldham Jenkins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710188990 PECOS PAC ID: 9830332261 Enrollment ID: I20130903000807 |
| Provider Name | Arthur M Petrikonis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386085413 PECOS PAC ID: 0042454373 Enrollment ID: I20130926000297 |
| Provider Name | Katherine L Ashwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982997359 PECOS PAC ID: 4082856067 Enrollment ID: I20131022001223 |
| Provider Name | Burak Emin Gezen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215185582 PECOS PAC ID: 0446408991 Enrollment ID: I20131119000615 |
| Provider Name | Leonid N Volodin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215148754 PECOS PAC ID: 8820138712 Enrollment ID: I20131119001636 |
| Provider Name | Ronetta E Marhoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871800698 PECOS PAC ID: 9830370311 Enrollment ID: I20131126000949 |
| Provider Name | Qazi F Uddin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609180306 PECOS PAC ID: 3577713874 Enrollment ID: I20131219001954 |
| Provider Name | Catherine S Schuller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649405820 PECOS PAC ID: 9032346721 Enrollment ID: I20131231000420 |
| Provider Name | Crystal R Ranson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760811533 PECOS PAC ID: 5395973929 Enrollment ID: I20140106000498 |
| Provider Name | William R Simmons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639501695 PECOS PAC ID: 6800024191 Enrollment ID: I20140113001125 |
| Provider Name | Lora J Nissen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720416589 PECOS PAC ID: 7719116623 Enrollment ID: I20140218000805 |
| Provider Name | April M Rowlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649609819 PECOS PAC ID: 3375773005 Enrollment ID: I20140225001951 |
| Provider Name | Thomas J Wigboldy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710988498 PECOS PAC ID: 1658275201 Enrollment ID: I20140305001914 |
| Provider Name | Sarah A Nirewicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689001174 PECOS PAC ID: 7911137153 Enrollment ID: I20140307000906 |
| Provider Name | Heidi J Lipp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447242136 PECOS PAC ID: 2769498914 Enrollment ID: I20140311001262 |
| Provider Name | Jennifer L Parker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558796359 PECOS PAC ID: 2961633441 Enrollment ID: I20140326001203 |
| Provider Name | Jason M Larsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922439264 PECOS PAC ID: 7315178670 Enrollment ID: I20140331000186 |
| Provider Name | Nashawn A Hughes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316361843 PECOS PAC ID: 3173755360 Enrollment ID: I20140423000870 |
| Provider Name | Sridevi Mannem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396066346 PECOS PAC ID: 7517190390 Enrollment ID: I20140501000699 |
| Provider Name | Patrick L West |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265553002 PECOS PAC ID: 2961501515 Enrollment ID: I20140527000795 |
| Provider Name | Houman Tavaf-motamen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255456364 PECOS PAC ID: 7214167493 Enrollment ID: I20140612000196 |
| Provider Name | Eric G Kline |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164502480 PECOS PAC ID: 4688640469 Enrollment ID: I20140614000017 |
| Provider Name | Benjamin Nnadzie Anyanwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679755151 PECOS PAC ID: 7719054170 Enrollment ID: I20140708001869 |
| Provider Name | Michael Bradle Weigner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932131695 PECOS PAC ID: 1658344155 Enrollment ID: I20140731000382 |
| Provider Name | Benjamin E Newman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063654663 PECOS PAC ID: 6305001652 Enrollment ID: I20140731000506 |
| Provider Name | Carl Raymond Hoegerl |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477635647 PECOS PAC ID: 4385644152 Enrollment ID: I20140812000171 |
| Provider Name | Kevin G Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710277587 PECOS PAC ID: 8022233501 Enrollment ID: I20140815002281 |
| Provider Name | Fritz Johanne Personna-policard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164659025 PECOS PAC ID: 6305063264 Enrollment ID: I20140817000026 |
| Provider Name | Susan S Dhivianathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679860639 PECOS PAC ID: 0547487399 Enrollment ID: I20140819000702 |
| Provider Name | Sarah G Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487060299 PECOS PAC ID: 8820216153 Enrollment ID: I20140828002263 |
| Provider Name | Evan D Ownby |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033377007 PECOS PAC ID: 9133265051 Enrollment ID: I20140905002480 |
| Provider Name | Dana Garnand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649684267 PECOS PAC ID: 2567681331 Enrollment ID: I20140910001844 |
| Provider Name | Donald J Dudley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003923095 PECOS PAC ID: 7012064975 Enrollment ID: I20140922000007 |
| Provider Name | Charles N Landen |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1043384282 PECOS PAC ID: 9638113608 Enrollment ID: I20141010001956 |
| Provider Name | Amanda M Gray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558602599 PECOS PAC ID: 8729208855 Enrollment ID: I20141013000696 |
| Provider Name | Constance See-wei Kwan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366734626 PECOS PAC ID: 8022259498 Enrollment ID: I20141015000636 |
| Provider Name | Melissa K Ramsdell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699199323 PECOS PAC ID: 3072734912 Enrollment ID: I20141019000008 |
| Provider Name | Courtney Caughey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073914693 PECOS PAC ID: 8729300918 Enrollment ID: I20141124002405 |
| Provider Name | Dorothy L Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922098821 PECOS PAC ID: 3173565405 Enrollment ID: I20141126001865 |
| Provider Name | Andrew J Overbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104220367 PECOS PAC ID: 1355665449 Enrollment ID: I20150120002070 |
| Provider Name | Lynne Vossen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649566175 PECOS PAC ID: 0648594762 Enrollment ID: I20150121000567 |
| Provider Name | Kristi D Rose |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013176437 PECOS PAC ID: 0042454639 Enrollment ID: I20150129000566 |
| Provider Name | Armand G Mcgibbon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497151047 PECOS PAC ID: 1850616228 Enrollment ID: I20150205000887 |
| Provider Name | Yvonne Staton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497041271 PECOS PAC ID: 9537484910 Enrollment ID: I20150205001090 |
| Provider Name | Li Ouyang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902210685 PECOS PAC ID: 8628393576 Enrollment ID: I20150217001158 |
| Provider Name | Michelle L Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518355726 PECOS PAC ID: 3577889997 Enrollment ID: I20150303000167 |
| Provider Name | Holly G Hart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477829117 PECOS PAC ID: 5991961872 Enrollment ID: I20150303001124 |
| Provider Name | Amy E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295160935 PECOS PAC ID: 7618294398 Enrollment ID: I20150317001154 |
| Provider Name | Robert M Feuerstein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174967467 PECOS PAC ID: 9234371949 Enrollment ID: I20150506002313 |
| Provider Name | David Alonzo Warden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912395765 PECOS PAC ID: 2365761756 Enrollment ID: I20150506002462 |
| Provider Name | Emily L Bradshaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215076377 PECOS PAC ID: 0749500783 Enrollment ID: I20150514002580 |
| Provider Name | Holly B White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689063836 PECOS PAC ID: 8921329616 Enrollment ID: I20150605002526 |
| Provider Name | Stuart A. Kettinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407116916 PECOS PAC ID: 7315263597 Enrollment ID: I20150627000009 |
| Provider Name | Brenden M Burkholder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922374214 PECOS PAC ID: 4789818071 Enrollment ID: I20150702002136 |
| Provider Name | Elizabeth Kettinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710247291 PECOS PAC ID: 3971826793 Enrollment ID: I20150814013361 |
| Provider Name | George Mcclellan Dimeling |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932398161 PECOS PAC ID: 0547575623 Enrollment ID: I20150819006336 |
| Provider Name | Brent H Steinweg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598051138 PECOS PAC ID: 3678719218 Enrollment ID: I20150819008577 |
| Provider Name | Ramiro Ramos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598962615 PECOS PAC ID: 3274620109 Enrollment ID: I20150821013954 |
| Provider Name | Emaculate V Tebit |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174766257 PECOS PAC ID: 5092943951 Enrollment ID: I20150824001267 |
| Provider Name | Ryan J Mclennan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609133958 PECOS PAC ID: 5799096095 Enrollment ID: I20150831001788 |
| Provider Name | Khoi Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578820841 PECOS PAC ID: 4587970744 Enrollment ID: I20150902001664 |
| Provider Name | Jeffrey D Grey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093193633 PECOS PAC ID: 5890001812 Enrollment ID: I20150904000861 |
| Provider Name | Paula Michelle Grey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760893358 PECOS PAC ID: 3072731553 Enrollment ID: I20150904001190 |
| Provider Name | Sylvia M Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205223195 PECOS PAC ID: 8123334059 Enrollment ID: I20150908002476 |
| Provider Name | Matthew Canning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063481299 PECOS PAC ID: 8022325380 Enrollment ID: I20150918000665 |
| Provider Name | Andrew Colin Schomer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144457599 PECOS PAC ID: 8921315227 Enrollment ID: I20150918002007 |
| Provider Name | Stephen C Dillon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396038600 PECOS PAC ID: 2466680392 Enrollment ID: I20150922003006 |
| Provider Name | Joshua B Alley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982816427 PECOS PAC ID: 6608915426 Enrollment ID: I20150926000262 |
| Provider Name | Kayla W Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215166293 PECOS PAC ID: 7416193073 Enrollment ID: I20150929002856 |
| Provider Name | Daniel M Breland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891057394 PECOS PAC ID: 7810136637 Enrollment ID: I20151007002646 |
| Provider Name | Amy N Holmes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235109661 PECOS PAC ID: 0244259836 Enrollment ID: I20151007002700 |
| Provider Name | Robin Brown Dillard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871740324 PECOS PAC ID: 6709813330 Enrollment ID: I20151008003061 |
| Provider Name | Gabrielle Mr Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447631189 PECOS PAC ID: 7618286642 Enrollment ID: I20151014001453 |
| Provider Name | Maureen M Puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962720037 PECOS PAC ID: 8729397666 Enrollment ID: I20151016000170 |
| Provider Name | Benselvan Chandrakaladharan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508181975 PECOS PAC ID: 9537478128 Enrollment ID: I20151021003298 |
| Provider Name | Steven A Koziol |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124047212 PECOS PAC ID: 4082895750 Enrollment ID: I20151116001035 |
| Provider Name | Erika C Matney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710002431 PECOS PAC ID: 1153502430 Enrollment ID: I20151117000116 |
| Provider Name | Allison M Maddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205219649 PECOS PAC ID: 7012217375 Enrollment ID: I20151118002663 |
| Provider Name | Guillermo P Cabrera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104189331 PECOS PAC ID: 1456651157 Enrollment ID: I20151202001954 |
| Provider Name | Haley E Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982072278 PECOS PAC ID: 9537460811 Enrollment ID: I20151209002771 |
| Provider Name | Ines Demoya-cabrera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073877221 PECOS PAC ID: 9133420151 Enrollment ID: I20151216002689 |
| Provider Name | Charles C Ellis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558562652 PECOS PAC ID: 9335249523 Enrollment ID: I20160107001602 |
| Provider Name | Sarah Ann Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184711046 PECOS PAC ID: 1951376052 Enrollment ID: I20160111001493 |
| Provider Name | Brian A Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215279237 PECOS PAC ID: 1658695804 Enrollment ID: I20160229001089 |
| Provider Name | Tracy O Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770957995 PECOS PAC ID: 8628373677 Enrollment ID: I20160229002188 |
| Provider Name | Moriah M Roemmich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205208683 PECOS PAC ID: 5799080693 Enrollment ID: I20160301000928 |
| Provider Name | Morgan E Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801270764 PECOS PAC ID: 6800185125 Enrollment ID: I20160510000770 |
| Provider Name | Xiaoru Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851636658 PECOS PAC ID: 4082929633 Enrollment ID: I20160516001336 |
| Provider Name | Jason A Higey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396963617 PECOS PAC ID: 4587893458 Enrollment ID: I20160630001674 |
| Provider Name | Beatrice Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750639605 PECOS PAC ID: 5799007845 Enrollment ID: I20160809001447 |
| Provider Name | Justin M Rizer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689917411 PECOS PAC ID: 8123256070 Enrollment ID: I20160811001948 |
| Provider Name | Tonya Lynne Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356637607 PECOS PAC ID: 5698921807 Enrollment ID: I20160824000359 |
| Provider Name | Frehiwot Derbew Temesgen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134414667 PECOS PAC ID: 5193011260 Enrollment ID: I20160916000014 |
| Provider Name | Anthony G Hamlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669827952 PECOS PAC ID: 5294022273 Enrollment ID: I20160919001479 |
| Provider Name | Amanda E Wilkins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538517222 PECOS PAC ID: 4880981232 Enrollment ID: I20160928001703 |
| Provider Name | Rachel A Mcgee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497182893 PECOS PAC ID: 8123324944 Enrollment ID: I20161005001044 |
| Provider Name | Kari L. Ring |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790949600 PECOS PAC ID: 6901020866 Enrollment ID: I20161007001788 |
| Provider Name | Brian J Titus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174847891 PECOS PAC ID: 9739317512 Enrollment ID: I20161013000738 |
| Provider Name | Firas Kaddaha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003154337 PECOS PAC ID: 8426346057 Enrollment ID: I20161013001000 |
| 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 | Anoop S Kochar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013356542 PECOS PAC ID: 5991939464 Enrollment ID: I20161027000234 |
| Provider Name | Sarah V Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144672700 PECOS PAC ID: 9436437183 Enrollment ID: I20161031001855 |
| Provider Name | Deryk Christopher Sequeira |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124004452 PECOS PAC ID: 4082993456 Enrollment ID: I20161108001947 |
| Provider Name | Maha Y Ghosn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700080470 PECOS PAC ID: 3476646290 Enrollment ID: I20161110000776 |
| Provider Name | Brinder S Kanda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306008974 PECOS PAC ID: 3375864440 Enrollment ID: I20161115002000 |
| Provider Name | Lisa R Neumann |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538511977 PECOS PAC ID: 2062791973 Enrollment ID: I20161117000852 |
| Provider Name | Joanne R Hosni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396088092 PECOS PAC ID: 4082994231 Enrollment ID: I20161206001758 |
| Provider Name | Debra T Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003363896 PECOS PAC ID: 0042590887 Enrollment ID: I20161213001232 |
| Provider Name | Deborah E Barkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922555804 PECOS PAC ID: 5294015913 Enrollment ID: I20161214002050 |
| Provider Name | Hillary C Neighbors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659829885 PECOS PAC ID: 8527349976 Enrollment ID: I20161227001396 |
| Provider Name | Elizabeth A White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679024996 PECOS PAC ID: 1355623109 Enrollment ID: I20170131001683 |
| Provider Name | Karen K. Ballen |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1821089558 PECOS PAC ID: 2567445968 Enrollment ID: I20170220001486 |
| Provider Name | Karen A Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437601499 PECOS PAC ID: 5193009520 Enrollment ID: I20170303001102 |
| Provider Name | Stacey E Harris |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528502713 PECOS PAC ID: 6901181312 Enrollment ID: I20170328000767 |
| Provider Name | Lauri A Maitland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336182997 PECOS PAC ID: 6305832593 Enrollment ID: I20170502000466 |
| Provider Name | Immaculate Ngum Che Ambe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841737939 PECOS PAC ID: 7618244823 Enrollment ID: I20170518001039 |
| Provider Name | Vincent J Waldron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689783631 PECOS PAC ID: 4385731322 Enrollment ID: I20170531000030 |
| Provider Name | Christopher Steed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912318221 PECOS PAC ID: 4688941032 Enrollment ID: I20170606002533 |
| Provider Name | Kristine M Dixon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881014231 PECOS PAC ID: 3173743739 Enrollment ID: I20170717002258 |
| Provider Name | Shannon Marie Dechant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932639259 PECOS PAC ID: 6507136603 Enrollment ID: I20170724000414 |
| Provider Name | Tara Sutphin Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407396542 PECOS PAC ID: 2860763083 Enrollment ID: I20170818001264 |
| Provider Name | Giuliana A Allega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831404524 PECOS PAC ID: 5991934101 Enrollment ID: I20170828002481 |
| Provider Name | David E Boger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669810842 PECOS PAC ID: 1658509104 Enrollment ID: I20170829002738 |
| Provider Name | John Russell Haas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063711950 PECOS PAC ID: 5193040186 Enrollment ID: I20170829003862 |
| Provider Name | Melissa R Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184917072 PECOS PAC ID: 9133347255 Enrollment ID: I20170830001943 |
| Provider Name | Stephanie C Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598292864 PECOS PAC ID: 2860765914 Enrollment ID: I20170912001206 |
| Provider Name | Matthew Robichaud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114306982 PECOS PAC ID: 9436466257 Enrollment ID: I20170913002417 |
| Provider Name | Kelly Ione Hoffman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871950907 PECOS PAC ID: 8426353368 Enrollment ID: I20170915001086 |
| Provider Name | Kevon B Hekmatdoost |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144581661 PECOS PAC ID: 3971744806 Enrollment ID: I20170929003523 |
| Provider Name | Mateusz Broszko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063853182 PECOS PAC ID: 8426347964 Enrollment ID: I20171011003740 |
| Provider Name | Samuel A Morcom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023495405 PECOS PAC ID: 5698081578 Enrollment ID: I20171031002558 |
| Provider Name | Jamie A Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427574615 PECOS PAC ID: 9739445909 Enrollment ID: I20171106000710 |
| Provider Name | Aneesa Batool |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346655271 PECOS PAC ID: 9638458334 Enrollment ID: I20171107001930 |
| Provider Name | Rafael Rojano Marin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174889166 PECOS PAC ID: 7618274796 Enrollment ID: I20171115002013 |
| Provider Name | Catherine J Cotten - Norman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649538265 PECOS PAC ID: 7719127455 Enrollment ID: I20171130000082 |
| Provider Name | Susan D Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477062479 PECOS PAC ID: 8729346549 Enrollment ID: I20171227000782 |
| Provider Name | Kristen Regina Stafford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336556380 PECOS PAC ID: 8325364367 Enrollment ID: I20171227001588 |
| Provider Name | Kimberly Altizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609397462 PECOS PAC ID: 7012275878 Enrollment ID: I20171227002342 |
| Provider Name | Jordan Arnol Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871014779 PECOS PAC ID: 2466711759 Enrollment ID: I20180111002914 |
| Provider Name | Pamela R Hilty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336662691 PECOS PAC ID: 4789943713 Enrollment ID: I20180118002462 |
| Provider Name | Christina Marie Cray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306353727 PECOS PAC ID: 0244590164 Enrollment ID: I20180213003107 |
| Provider Name | Blair S Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518472711 PECOS PAC ID: 6305107129 Enrollment ID: I20180219001162 |
| Provider Name | Christian Estrada |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598019937 PECOS PAC ID: 4587925292 Enrollment ID: I20180220002893 |
| Provider Name | Kimberly F Parr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205346558 PECOS PAC ID: 2567723802 Enrollment ID: I20180228002140 |
| Provider Name | Richard Zhang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285021873 PECOS PAC ID: 1759694342 Enrollment ID: I20180314000070 |
| Provider Name | Sojung Shim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265945000 PECOS PAC ID: 6103188206 Enrollment ID: I20180402000180 |
| Provider Name | Michael Wade Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801987847 PECOS PAC ID: 9830092188 Enrollment ID: I20180418002860 |
| Provider Name | Michelle Angus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336651504 PECOS PAC ID: 0042574964 Enrollment ID: I20180501001296 |
| Provider Name | Christopher Bradley Lening |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003182007 PECOS PAC ID: 1456628353 Enrollment ID: I20180801002726 |
| Provider Name | Wendy J Wilcoxson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194930909 PECOS PAC ID: 9830253053 Enrollment ID: I20180808001336 |
| Provider Name | Jennifer L Follett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861981409 PECOS PAC ID: 9032467774 Enrollment ID: I20180813001074 |
| Provider Name | Sheree W Marilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215120985 PECOS PAC ID: 6507919776 Enrollment ID: I20180820001464 |
| Provider Name | Elizabeth A Venable |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043702400 PECOS PAC ID: 9537419056 Enrollment ID: I20180904003497 |
| Provider Name | Jeffrey Kang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710963871 PECOS PAC ID: 2567771934 Enrollment ID: I20180918003024 |
| Provider Name | Eric Paul Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932215340 PECOS PAC ID: 0648230680 Enrollment ID: I20180926001932 |
| Provider Name | Supriya Mannepalli |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1811397730 PECOS PAC ID: 5799093746 Enrollment ID: I20181001002996 |
| Provider Name | Peter J Menkhaus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881653293 PECOS PAC ID: 6709772031 Enrollment ID: I20181011002546 |
| Provider Name | Jordan J Synkowski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023308368 PECOS PAC ID: 1759515091 Enrollment ID: I20181018001351 |
| Provider Name | Preyasha Tuladhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861872681 PECOS PAC ID: 0941517213 Enrollment ID: I20181108002317 |
| Provider Name | Lyn Rose Calderoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073091112 PECOS PAC ID: 1759635469 Enrollment ID: I20181115002812 |
| Provider Name | Jessika D Duley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487136040 PECOS PAC ID: 0345584553 Enrollment ID: I20181128003337 |
| Provider Name | John N Smiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245707140 PECOS PAC ID: 3779829171 Enrollment ID: I20190107000163 |
| Provider Name | Caitlin K Willemann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669867800 PECOS PAC ID: 1658677760 Enrollment ID: I20190108001738 |
| Provider Name | Caitlin Patricia Ocallaghan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760826945 PECOS PAC ID: 1759692791 Enrollment ID: I20190108003889 |
| Provider Name | Abigail Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669949277 PECOS PAC ID: 9830435999 Enrollment ID: I20190110000235 |
| Provider Name | Michelle Bridget Byrne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063625614 PECOS PAC ID: 9931232071 Enrollment ID: I20190123003493 |
| Provider Name | Sean R Mlodzinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013362219 PECOS PAC ID: 4587958053 Enrollment ID: I20190201001462 |
| Provider Name | Danielle Madril |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275517575 PECOS PAC ID: 4587635750 Enrollment ID: I20190201002697 |
| Provider Name | Purav Prakash Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972925113 PECOS PAC ID: 9931337417 Enrollment ID: I20190207000244 |
| Provider Name | Luis H Zamora-siliezar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316285521 PECOS PAC ID: 4789922964 Enrollment ID: I20190213002255 |
| Provider Name | Tahmina H Brady |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255714598 PECOS PAC ID: 5193032407 Enrollment ID: I20190214000416 |
| Provider Name | Christina Lanza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497011027 PECOS PAC ID: 5799091930 Enrollment ID: I20190218000366 |
| Provider Name | Erno Csatlos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255809612 PECOS PAC ID: 5890034565 Enrollment ID: I20190225003128 |
| Provider Name | Ricky L Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356791172 PECOS PAC ID: 0345589339 Enrollment ID: I20190311000375 |
| Provider Name | Alexandra Marie March |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275029829 PECOS PAC ID: 8729328521 Enrollment ID: I20190313002643 |
| Provider Name | Christopher Scott Ennen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407836646 PECOS PAC ID: 9335379981 Enrollment ID: I20190320001128 |
| Provider Name | Kevin Sun |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093154635 PECOS PAC ID: 9931440997 Enrollment ID: I20190401002310 |
| Provider Name | Brian Antonio Assent |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699075440 PECOS PAC ID: 8628340031 Enrollment ID: I20190403001431 |
| Provider Name | Donna C Schwarz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891268199 PECOS PAC ID: 3476894080 Enrollment ID: I20190409001426 |
| Provider Name | Pamela Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891756425 PECOS PAC ID: 7911178264 Enrollment ID: I20190426000531 |
| Provider Name | Rebecca M Franco |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023328390 PECOS PAC ID: 9830431667 Enrollment ID: I20190427000036 |
| Provider Name | Michelle F Beale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790240380 PECOS PAC ID: 2860734431 Enrollment ID: I20190501000147 |
| Provider Name | Rebecca Ann Farrell Grinsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912477043 PECOS PAC ID: 6901148279 Enrollment ID: I20190507001894 |
| Provider Name | Igor Krichevsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083617963 PECOS PAC ID: 5991768376 Enrollment ID: I20190601000068 |
| Provider Name | Aric Jordan Moran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003203555 PECOS PAC ID: 0749516045 Enrollment ID: I20190724002364 |
| Provider Name | Albert Gordon Pavalonis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326302563 PECOS PAC ID: 7911809603 Enrollment ID: I20190806000411 |
| Provider Name | Monique S Cornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174049662 PECOS PAC ID: 5698002996 Enrollment ID: I20190808004081 |
| Provider Name | Bibai Ren |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902251101 PECOS PAC ID: 4082942768 Enrollment ID: I20190819002655 |
| Provider Name | Lauren J Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427436104 PECOS PAC ID: 6002122942 Enrollment ID: I20190828003347 |
| Provider Name | Jose Manuel Silva |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194045831 PECOS PAC ID: 5395983027 Enrollment ID: I20190829001294 |
| Provider Name | Weijuan M Li |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366881518 PECOS PAC ID: 0749519676 Enrollment ID: I20190903000170 |
| Provider Name | Parichart Junpaparp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841553575 PECOS PAC ID: 1557691979 Enrollment ID: I20190927002890 |
| Provider Name | Ronald J Pawlak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811346349 PECOS PAC ID: 8628347887 Enrollment ID: I20190930002279 |
| Provider Name | Andrea N Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306404744 PECOS PAC ID: 1658601885 Enrollment ID: I20191001001463 |
| Provider Name | Devin A Bunn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861886228 PECOS PAC ID: 0345557260 Enrollment ID: I20191001001975 |
| Provider Name | William F. Weber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205270196 PECOS PAC ID: 6709193170 Enrollment ID: I20191001003548 |
| Provider Name | Jessica A Welsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346330339 PECOS PAC ID: 4880745983 Enrollment ID: I20191003001340 |
| Provider Name | Rebecca Elizabeth Rieck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184983702 PECOS PAC ID: 9830340975 Enrollment ID: I20191003001874 |
| Provider Name | Sidney V Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679135370 PECOS PAC ID: 8022349851 Enrollment ID: I20191009002327 |
| Provider Name | Brian Nicholas Butala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790104529 PECOS PAC ID: 3971853763 Enrollment ID: I20191016002713 |
| Provider Name | Grayson Scott Goldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174933253 PECOS PAC ID: 2163640442 Enrollment ID: I20191029001322 |
| Provider Name | Andrew Denardo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437154028 PECOS PAC ID: 0749174126 Enrollment ID: I20191112001338 |
| Provider Name | Sebastian J Ksionski |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1033120852 PECOS PAC ID: 6608929047 Enrollment ID: I20191220002281 |
| Provider Name | Galina N Kolycheva |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134434533 PECOS PAC ID: 7214109008 Enrollment ID: I20191230000697 |
| Provider Name | Kristen M Bowen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730730664 PECOS PAC ID: 4183052640 Enrollment ID: I20200316000943 |
| Provider Name | Virginia L Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043855356 PECOS PAC ID: 3577991710 Enrollment ID: I20200321000096 |
| Provider Name | Heather Diane Aldridge Goodwyn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831599208 PECOS PAC ID: 4284956897 Enrollment ID: I20200331003367 |
| Provider Name | Jessica Pack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629609359 PECOS PAC ID: 3173952280 Enrollment ID: I20200409003682 |
| Provider Name | Kara L Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205478633 PECOS PAC ID: 4688005671 Enrollment ID: I20200506002966 |
| Provider Name | William N Pierzala |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871124883 PECOS PAC ID: 9234560574 Enrollment ID: I20200520002754 |
| Provider Name | Sesha Krishna Kotapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851733711 PECOS PAC ID: 1052681319 Enrollment ID: I20200707003127 |
| Provider Name | Karina Ann Mill Lupo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962933960 PECOS PAC ID: 8729351184 Enrollment ID: I20200708000443 |
| Provider Name | Kevin R Hansen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912220997 PECOS PAC ID: 7416084710 Enrollment ID: I20200708000579 |
| Provider Name | Morgan Mandeville |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023075371 PECOS PAC ID: 4183699465 Enrollment ID: I20200708000642 |
| Provider Name | John William Demarino |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063415982 PECOS PAC ID: 6507829645 Enrollment ID: I20200708003769 |
| Provider Name | Gregory Michael Wade |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1942647888 PECOS PAC ID: 5294974283 Enrollment ID: I20200715002603 |
| Provider Name | Scott L Feldman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518498419 PECOS PAC ID: 4385917665 Enrollment ID: I20200724002077 |
| Provider Name | Jennifer M Kariuki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235762915 PECOS PAC ID: 2769807411 Enrollment ID: I20200729001073 |
| Provider Name | Vasutakarn Chongthammakun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932464732 PECOS PAC ID: 5193075539 Enrollment ID: I20200730000585 |
| Provider Name | Karissa L Ratanpal |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386264893 PECOS PAC ID: 5597180141 Enrollment ID: I20200730000952 |
| Provider Name | Brendan A Reiser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386170405 PECOS PAC ID: 6800166547 Enrollment ID: I20200803002103 |
| Provider Name | Allyson D Brasseur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154958585 PECOS PAC ID: 0941625255 Enrollment ID: I20200804001356 |
| Provider Name | Matthew J Schweiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811421290 PECOS PAC ID: 9133544141 Enrollment ID: I20200807002677 |
| Provider Name | Jacqueline Moore |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619173838 PECOS PAC ID: 5395073670 Enrollment ID: I20200825000723 |
| Provider Name | Mahmood Rasheed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699185835 PECOS PAC ID: 6002031036 Enrollment ID: I20200826000395 |
| Provider Name | Julia Mchugh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1487920401 PECOS PAC ID: 8921258096 Enrollment ID: I20200826003395 |
| Provider Name | Jill Ann Frances |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164427142 PECOS PAC ID: 6507924677 Enrollment ID: I20200827003216 |
| Provider Name | David Dwight Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124195581 PECOS PAC ID: 0941462949 Enrollment ID: I20200831002885 |
| Provider Name | Tahnee Wong-okafor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619364833 PECOS PAC ID: 6507173424 Enrollment ID: I20200909002084 |
| Provider Name | William Lee Pearce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194347781 PECOS PAC ID: 5991123440 Enrollment ID: I20200915001758 |
| Provider Name | William A White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407478936 PECOS PAC ID: 7416375787 Enrollment ID: I20200918000370 |
| Provider Name | Heather M Tyree |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821518663 PECOS PAC ID: 4486927548 Enrollment ID: I20200922001791 |
| Provider Name | Daniel W Mclaughlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760621114 PECOS PAC ID: 3678745346 Enrollment ID: I20200928000508 |
| Provider Name | Keri Redman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558802108 PECOS PAC ID: 2365861200 Enrollment ID: I20200928000529 |
| Provider Name | Jean Jun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730711003 PECOS PAC ID: 4082033402 Enrollment ID: I20201002001735 |
| Provider Name | Julia K Taber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164448973 PECOS PAC ID: 5698710028 Enrollment ID: I20201020000239 |
| Provider Name | Jason Randall Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255313532 PECOS PAC ID: 4486724176 Enrollment ID: I20201020001036 |
| Provider Name | Jamie Doster Mcintyre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427369537 PECOS PAC ID: 0345477667 Enrollment ID: I20201023001284 |
| Provider Name | Thinh Huynh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427578335 PECOS PAC ID: 5890068944 Enrollment ID: I20201103002670 |
| Provider Name | John G Alley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417973298 PECOS PAC ID: 7315926573 Enrollment ID: I20201105000675 |
| Provider Name | Satish Mathan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750314068 PECOS PAC ID: 0840234621 Enrollment ID: I20201109000952 |
| Provider Name | Jeffrey Browne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386862704 PECOS PAC ID: 9032200605 Enrollment ID: I20201109002977 |
| Provider Name | Gregory Alexander Bortoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295768596 PECOS PAC ID: 6709771975 Enrollment ID: I20201110001781 |
| Provider Name | Brooks William Taber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679789002 PECOS PAC ID: 7113290115 Enrollment ID: I20201111001883 |
| Provider Name | Gregory C Hinn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235162546 PECOS PAC ID: 9436194859 Enrollment ID: I20201111002362 |
| Provider Name | John Campbell Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578160511 PECOS PAC ID: 4789095035 Enrollment ID: I20201118000857 |
| Provider Name | Elizabeth V Molyneaux |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316076417 PECOS PAC ID: 0143360479 Enrollment ID: I20201123002076 |
| Provider Name | Christopher Matthew Long |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790076347 PECOS PAC ID: 5092086686 Enrollment ID: I20201204000576 |
| Provider Name | Todd Jason Roth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558387365 PECOS PAC ID: 3779575071 Enrollment ID: I20201204000988 |
| Provider Name | Michael K Altenburg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497191548 PECOS PAC ID: 5294025417 Enrollment ID: I20201207002764 |
| Provider Name | Ragan E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992312789 PECOS PAC ID: 4587076880 Enrollment ID: I20201210000704 |
| Provider Name | Laura Oliver Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063438877 PECOS PAC ID: 4284530957 Enrollment ID: I20201210003074 |
| Provider Name | Teerath P Tanpitukpongse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013276021 PECOS PAC ID: 5890007280 Enrollment ID: I20201211001955 |
| Provider Name | Christy M Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902421555 PECOS PAC ID: 4880006642 Enrollment ID: I20201219000038 |
| Provider Name | Robert Sitler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487619706 PECOS PAC ID: 1951713759 Enrollment ID: I20201221002495 |
| Provider Name | Kari M Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235206699 PECOS PAC ID: 6507028826 Enrollment ID: I20201223001237 |
| Provider Name | Elton J Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679526784 PECOS PAC ID: 1759487614 Enrollment ID: I20210107000322 |
| Provider Name | Marissa Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20210107001064 |
| Provider Name | David M Hanrahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033347125 PECOS PAC ID: 2163835398 Enrollment ID: I20210108000173 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20210108000257 |
| Provider Name | Isabella Kanellopoulou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245354083 PECOS PAC ID: 4981782810 Enrollment ID: I20210108001347 |
| Provider Name | Jamie Lorraine Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962664789 PECOS PAC ID: 6901044379 Enrollment ID: I20210108001387 |
| Provider Name | Dillon C Euler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396946554 PECOS PAC ID: 4587980446 Enrollment ID: I20210111001772 |
| Provider Name | Douglas M Ikelheimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508979519 PECOS PAC ID: 1759347396 Enrollment ID: I20210119001213 |
| Provider Name | Thomas J Maliakal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821303413 PECOS PAC ID: 9739306945 Enrollment ID: I20210127000922 |
| Provider Name | Mark Alter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263617 PECOS PAC ID: 5991855330 Enrollment ID: I20210202000728 |
| Provider Name | Jamie Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043318736 PECOS PAC ID: 4486603347 Enrollment ID: I20210216000344 |
| Provider Name | John A Bardini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780669986 PECOS PAC ID: 8426077546 Enrollment ID: I20210225000763 |
| Provider Name | Andrew Gregory Moran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437175239 PECOS PAC ID: 0840262697 Enrollment ID: I20210301001504 |
| Provider Name | Rochelle Morgan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629631338 PECOS PAC ID: 3072856723 Enrollment ID: I20210301001753 |
| Provider Name | Reginald G Tanner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285142703 PECOS PAC ID: 1254688476 Enrollment ID: I20210304001416 |
| Provider Name | Jerry L Watson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497771216 PECOS PAC ID: 4688569858 Enrollment ID: I20210304002285 |
| Provider Name | Christopher C Deramo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659975910 PECOS PAC ID: 6709292246 Enrollment ID: I20210309001192 |
| Provider Name | Olena Z Mahne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275132391 PECOS PAC ID: 0345656773 Enrollment ID: I20210310001385 |
| Provider Name | Michael C Hollingshead |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811102445 PECOS PAC ID: 6406928639 Enrollment ID: I20210310002080 |
| Provider Name | Andrew Dominic Mcbride |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356537492 PECOS PAC ID: 2567618762 Enrollment ID: I20210311001512 |
| Provider Name | Steven R Carter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568488351 PECOS PAC ID: 8527044874 Enrollment ID: I20210312001989 |
| Provider Name | Amie A Mcpherson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164789343 PECOS PAC ID: 1951602143 Enrollment ID: I20210315000930 |
| Provider Name | Joshua B Mitchell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528014891 PECOS PAC ID: 9133121734 Enrollment ID: I20210315002244 |
| Provider Name | Mustafa S Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124331582 PECOS PAC ID: 6002047412 Enrollment ID: I20210316001177 |
| Provider Name | David Richard Sopko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265696140 PECOS PAC ID: 7517010481 Enrollment ID: I20210317000246 |
| Provider Name | Rhonda R Lampen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760412621 PECOS PAC ID: 2163477308 Enrollment ID: I20210325000393 |
| Provider Name | David A Pennington |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609941582 PECOS PAC ID: 8224276142 Enrollment ID: I20210325002118 |
| Provider Name | Thomas Elliott Pendergrast |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548680366 PECOS PAC ID: 7315255247 Enrollment ID: I20210329000693 |
| Provider Name | Brooks T Nielsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114523636 PECOS PAC ID: 1456768092 Enrollment ID: I20210329000962 |
| Provider Name | Katelyn Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205422268 PECOS PAC ID: 2961819453 Enrollment ID: I20210330000733 |
| Provider Name | Ravi Rajendra Dalal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407167687 PECOS PAC ID: 3476847344 Enrollment ID: I20210331002888 |
| Provider Name | Kirk Darrel Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144436569 PECOS PAC ID: 0941352009 Enrollment ID: I20210407000583 |
| Provider Name | Brittany P Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295328987 PECOS PAC ID: 2961810148 Enrollment ID: I20210428001678 |
| Provider Name | Danielle Sydnor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104429489 PECOS PAC ID: 2062821291 Enrollment ID: I20210429001174 |
| Provider Name | Jose Enrique Dominguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942201884 PECOS PAC ID: 6709918204 Enrollment ID: I20210504000385 |
| Provider Name | Sydney P Ray |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255820791 PECOS PAC ID: 2163787805 Enrollment ID: I20210514000614 |
| Provider Name | Christopher K Vincent |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275680266 PECOS PAC ID: 2365484615 Enrollment ID: I20210514001752 |
| Provider Name | Leah J Shirey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245696160 PECOS PAC ID: 7214232644 Enrollment ID: I20210628000064 |
| Provider Name | Ashwini Sakinala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093168577 PECOS PAC ID: 6406274836 Enrollment ID: I20210628001219 |
| Provider Name | Tammy D Maddox Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588029763 PECOS PAC ID: 7113328923 Enrollment ID: I20210630004082 |
| Provider Name | Margaret V Bettin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063868131 PECOS PAC ID: 2567756331 Enrollment ID: I20210707000396 |
| Provider Name | Robert Bee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689178493 PECOS PAC ID: 0244588663 Enrollment ID: I20210713003718 |
| Provider Name | Afua Q Kunadu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740664291 PECOS PAC ID: 0547517369 Enrollment ID: I20210716001227 |
| Provider Name | Timothy D Spooner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629465059 PECOS PAC ID: 5496061343 Enrollment ID: I20210722003794 |
| Provider Name | Samuel Dadzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568858314 PECOS PAC ID: 3274847298 Enrollment ID: I20210805003331 |
| Provider Name | Erin C Brawner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851960926 PECOS PAC ID: 0042614372 Enrollment ID: I20210810000368 |
| Provider Name | Thomas W Neal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801380464 PECOS PAC ID: 0143570341 Enrollment ID: I20210817001061 |
| Provider Name | Lloyd V Das |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962441204 PECOS PAC ID: 9234164781 Enrollment ID: I20210819002864 |
| Provider Name | Graham Casey Nelsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972033512 PECOS PAC ID: 6507136942 Enrollment ID: I20210823000063 |
| Provider Name | Rahul Arya |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1073745188 PECOS PAC ID: 0749412666 Enrollment ID: I20210901002721 |
| Provider Name | Tina Heinemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427543628 PECOS PAC ID: 8729322516 Enrollment ID: I20210909001185 |
| Provider Name | Mary B Murray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376040246 PECOS PAC ID: 1456609080 Enrollment ID: I20210914003562 |
| Provider Name | Andrew Mark Doyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275038622 PECOS PAC ID: 0143578047 Enrollment ID: I20210914003888 |
| Provider Name | Ankit M Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538662390 PECOS PAC ID: 0547509218 Enrollment ID: I20210922001622 |
| Provider Name | Gabriel Sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235525783 PECOS PAC ID: 4789917840 Enrollment ID: I20211004000384 |
| Provider Name | Jacob I Maddela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538652813 PECOS PAC ID: 5799035903 Enrollment ID: I20211005002365 |
| Provider Name | Jasmine A Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427629559 PECOS PAC ID: 1850799685 Enrollment ID: I20211008002176 |
| Provider Name | Amanda R Hallman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467038448 PECOS PAC ID: 1355739129 Enrollment ID: I20211027002127 |
| Provider Name | Kelli Latrell Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801562897 PECOS PAC ID: 8628466455 Enrollment ID: I20211028001362 |
| Provider Name | Caroline C Reynolds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174054399 PECOS PAC ID: 3173912326 Enrollment ID: I20211110001254 |
| Provider Name | Brian Leslie Charnock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912393307 PECOS PAC ID: 0648590984 Enrollment ID: I20211112001785 |
| Provider Name | Hailey Lynn Sparacino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518498062 PECOS PAC ID: 2769808195 Enrollment ID: I20211118000606 |
| Provider Name | Shane M Clary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326660721 PECOS PAC ID: 2062802564 Enrollment ID: I20211123002409 |
| Provider Name | Samantha Elaine James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528730330 PECOS PAC ID: 3375933799 Enrollment ID: I20211129001611 |
| Provider Name | Bruno Perossa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346657889 PECOS PAC ID: 5092934513 Enrollment ID: I20211130001104 |
| Provider Name | Tiffany A Boydoh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043989825 PECOS PAC ID: 5294125506 Enrollment ID: I20211130002740 |
| Provider Name | Jamie R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376113050 PECOS PAC ID: 9436549763 Enrollment ID: I20211201000566 |
| Provider Name | Dena Marie Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285292664 PECOS PAC ID: 5092147678 Enrollment ID: I20211208002442 |
| Provider Name | Kodjovi Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20211227000984 |
| Provider Name | Kimberly H Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174195317 PECOS PAC ID: 7214328160 Enrollment ID: I20220103001601 |
| Provider Name | Courtney D Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881188431 PECOS PAC ID: 1052661246 Enrollment ID: I20220107001274 |
| Provider Name | Kimberly R Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477913879 PECOS PAC ID: 0143612416 Enrollment ID: I20220118001738 |
| Provider Name | Megan A Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558023952 PECOS PAC ID: 6002208139 Enrollment ID: I20220121000740 |
| Provider Name | Trevor M Martinez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043882756 PECOS PAC ID: 3779976188 Enrollment ID: I20220208000714 |
| Provider Name | Maureen B Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487305678 PECOS PAC ID: 2567856354 Enrollment ID: I20220221001100 |
| Provider Name | Erica L Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205580198 PECOS PAC ID: 2365837424 Enrollment ID: I20220328001747 |
| Provider Name | Briana M Bracewell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386216000 PECOS PAC ID: 0244626828 Enrollment ID: I20220407001040 |
| Provider Name | Alice I Solademi Dunkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083144208 PECOS PAC ID: 5890044333 Enrollment ID: I20220419000483 |
| Provider Name | Ahmed Elakkad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518461961 PECOS PAC ID: 5193142248 Enrollment ID: I20220419002676 |
| Provider Name | Aaron E Bond |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104115385 PECOS PAC ID: 2365679594 Enrollment ID: I20220504001445 |
| Provider Name | Ashlyn Brooke Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003564535 PECOS PAC ID: 6305223447 Enrollment ID: I20220511001892 |
| Provider Name | Kerri S Rundstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073260824 PECOS PAC ID: 2365829157 Enrollment ID: I20220517001484 |
| Provider Name | Endra Sookoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386933158 PECOS PAC ID: 3577868934 Enrollment ID: I20220622003314 |
| Provider Name | Brenda M Yarber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265620850 PECOS PAC ID: 2264811900 Enrollment ID: I20220627000681 |
| Provider Name | Karen Severson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689787426 PECOS PAC ID: 0840364030 Enrollment ID: I20220628003804 |
| Provider Name | Theresa D Benedikter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225600877 PECOS PAC ID: 5496135857 Enrollment ID: I20220702000011 |
| Provider Name | James Winters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154836781 PECOS PAC ID: 5991064610 Enrollment ID: I20220712001378 |
| Provider Name | Loryn E Jamison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477149870 PECOS PAC ID: 4183024268 Enrollment ID: I20220719002637 |
| Provider Name | Elizabeth G Spicer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235876293 PECOS PAC ID: 0547642092 Enrollment ID: I20220801002271 |
| Provider Name | Caleb Scott Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831650589 PECOS PAC ID: 1456686427 Enrollment ID: I20220802001048 |
| Provider Name | William T Engel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942706858 PECOS PAC ID: 7911309646 Enrollment ID: I20220802001466 |
| Provider Name | Tiffany Leigh Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770749624 PECOS PAC ID: 2062732050 Enrollment ID: I20220802002470 |
| Provider Name | Cameron D Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104484260 PECOS PAC ID: 1658603808 Enrollment ID: I20220802002675 |
| Provider Name | Kyle P Wessells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083274096 PECOS PAC ID: 2062845290 Enrollment ID: I20220803000276 |
| Provider Name | James E Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104118918 PECOS PAC ID: 5799067237 Enrollment ID: I20220808001174 |
| Provider Name | Amy E Box |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952976664 PECOS PAC ID: 7618350505 Enrollment ID: I20220809003882 |
| Provider Name | Erik Peter Holstege |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194286377 PECOS PAC ID: 8123355302 Enrollment ID: I20220811003574 |
| Provider Name | Kristopher W Arndt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881147056 PECOS PAC ID: 5799168563 Enrollment ID: I20220811003711 |
| Provider Name | William N Fancher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710331509 PECOS PAC ID: 1759673973 Enrollment ID: I20220812000717 |
| Provider Name | Karen S Rymer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528527553 PECOS PAC ID: 0840529970 Enrollment ID: I20220819001935 |
| Provider Name | Wesley Ryan Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932769957 PECOS PAC ID: 5193051597 Enrollment ID: I20220823000315 |
| Provider Name | Paula D Creekmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922668136 PECOS PAC ID: 0345623351 Enrollment ID: I20220823003150 |
| Provider Name | Nancy A Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649237413 PECOS PAC ID: 9436533114 Enrollment ID: I20220830000177 |
| Provider Name | Jade Carden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982368882 PECOS PAC ID: 1850775446 Enrollment ID: I20220831001330 |
| Provider Name | Dyan M Darang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265889414 PECOS PAC ID: 3577898915 Enrollment ID: I20220902002204 |
| Provider Name | Salma Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366009458 PECOS PAC ID: 5294168985 Enrollment ID: I20220909002789 |
| Provider Name | Jonathan D Gumer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922426162 PECOS PAC ID: 5092053520 Enrollment ID: I20220912001158 |
| Provider Name | Toral Rohit Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952796971 PECOS PAC ID: 8325342702 Enrollment ID: I20220915002925 |
| Provider Name | Heather T Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104411636 PECOS PAC ID: 0648655001 Enrollment ID: I20220921001081 |
| Provider Name | Rohit R Koppula |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649614926 PECOS PAC ID: 5193052611 Enrollment ID: I20220921001283 |
| Provider Name | Kenna N Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265179311 PECOS PAC ID: 8123403599 Enrollment ID: I20220921001482 |
| Provider Name | Amie Rose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366902702 PECOS PAC ID: 5799027629 Enrollment ID: I20220927001735 |
| Provider Name | Chukwudi I Okafor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184117970 PECOS PAC ID: 0446500334 Enrollment ID: I20221005003280 |
| Provider Name | Alice Mckinzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720025075 PECOS PAC ID: 7012261167 Enrollment ID: I20221102001453 |
| Provider Name | Jessica Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952023012 PECOS PAC ID: 8022486539 Enrollment ID: I20221115000472 |
| Provider Name | Dana Kristina Daoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437718590 PECOS PAC ID: 0648508168 Enrollment ID: I20221208000873 |
| Provider Name | Whitney Martin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407458284 PECOS PAC ID: 0042689028 Enrollment ID: I20221214000930 |
| Provider Name | Caroline Mills Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922710417 PECOS PAC ID: 1658741053 Enrollment ID: I20221229001056 |
| Provider Name | Kimberly Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053038190 PECOS PAC ID: 9638549926 Enrollment ID: I20230103000130 |
| Provider Name | Taylor A Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760108674 PECOS PAC ID: 7012387319 Enrollment ID: I20230103000513 |
| Provider Name | Amber J Taylor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023618063 PECOS PAC ID: 0840605333 Enrollment ID: I20230103002848 |
| Provider Name | Peter Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033828843 PECOS PAC ID: 5799757613 Enrollment ID: I20230109001702 |
| Provider Name | Lyndsay Alexandra Oancea |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1518304898 PECOS PAC ID: 6709029739 Enrollment ID: I20230110002625 |
| Provider Name | Matthew William Hunt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558717132 PECOS PAC ID: 8325339377 Enrollment ID: I20230113001947 |
| Provider Name | Mary Bailey White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447834957 PECOS PAC ID: 7113319419 Enrollment ID: I20230127001900 |
| Provider Name | Harland Stresing |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144265497 PECOS PAC ID: 0749458511 Enrollment ID: I20230210000684 |
| Provider Name | Kati B Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033828009 PECOS PAC ID: 3375915689 Enrollment ID: I20230215001453 |
| Provider Name | Allison N Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568187581 PECOS PAC ID: 0345613238 Enrollment ID: I20230223000905 |
| Provider Name | Veronica Colmore Richerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538741301 PECOS PAC ID: 0648671206 Enrollment ID: I20230306001991 |
| Provider Name | Douglas A Gatz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497402044 PECOS PAC ID: 2163896275 Enrollment ID: I20230313000666 |
| Provider Name | Hannah T Davidson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669129094 PECOS PAC ID: 1850765967 Enrollment ID: I20230313000828 |
| Provider Name | Robert Dustin Kiser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699130492 PECOS PAC ID: 1254636715 Enrollment ID: I20230323003072 |
| Provider Name | Rebecca L Squier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912604356 PECOS PAC ID: 8921473836 Enrollment ID: I20230406001684 |
| Provider Name | Katherine Lilley Odell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598119133 PECOS PAC ID: 6608168299 Enrollment ID: I20230410001800 |
| Provider Name | Tracey D Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598462343 PECOS PAC ID: 2466827027 Enrollment ID: I20230412002276 |
| Provider Name | Anna E Wickham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194423152 PECOS PAC ID: 7214302751 Enrollment ID: I20230413003146 |
| Provider Name | Alexandra E Bradsher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982316774 PECOS PAC ID: 3375908643 Enrollment ID: I20230421000129 |
| Provider Name | Samuel P Sawyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376075317 PECOS PAC ID: 8527325620 Enrollment ID: I20230504002791 |
| Provider Name | Leslie Stratmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558072942 PECOS PAC ID: 8022473560 Enrollment ID: I20230505000283 |
| Provider Name | Meredith Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831808708 PECOS PAC ID: 0840655205 Enrollment ID: I20230508002533 |
| Provider Name | Eric Altman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376167411 PECOS PAC ID: 7517384522 Enrollment ID: I20230524001020 |
| Provider Name | Kathy N Easter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326733189 PECOS PAC ID: 4789044389 Enrollment ID: I20230713004164 |
| Provider Name | Kelsey Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851086300 PECOS PAC ID: 9739549064 Enrollment ID: I20230719000696 |
| Provider Name | Addie B Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508565227 PECOS PAC ID: 4789044819 Enrollment ID: I20230720001258 |
| Provider Name | Carter Louis Simmers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679137921 PECOS PAC ID: 1254674302 Enrollment ID: I20230731003211 |
| Provider Name | Kevin James Brenzy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760821532 PECOS PAC ID: 8224387717 Enrollment ID: I20230802003743 |
| Provider Name | Nicholas Battaglia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457975518 PECOS PAC ID: 0941627947 Enrollment ID: I20230804002701 |
| Provider Name | Gabriel Babinsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780244079 PECOS PAC ID: 3375879174 Enrollment ID: I20230806000163 |
| Provider Name | Ashok Subramanian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316926439 PECOS PAC ID: 1951399492 Enrollment ID: I20230807001912 |
| Provider Name | Amanda L Barrella |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700868650 PECOS PAC ID: 8820113954 Enrollment ID: I20230816000607 |
| Provider Name | Heather K Willoughby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740973221 PECOS PAC ID: 7113389537 Enrollment ID: I20230817001246 |
| Provider Name | Chinmaya Mareddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336522945 PECOS PAC ID: 4587952387 Enrollment ID: I20230821002864 |
| Provider Name | Meaghan A Tonkin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447942024 PECOS PAC ID: 3971966532 Enrollment ID: I20230829004320 |
| Provider Name | Brian D Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801419940 PECOS PAC ID: 6901269471 Enrollment ID: I20230830004395 |
| Provider Name | Kristin Lakatos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639745334 PECOS PAC ID: 8426450263 Enrollment ID: I20230831000930 |
| Provider Name | Pradeep Satyanarayana Singanallur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114269719 PECOS PAC ID: 1759654460 Enrollment ID: I20230911003556 |
| Provider Name | Natalie O Enoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023797362 PECOS PAC ID: 4880058635 Enrollment ID: I20230912001784 |
| Provider Name | Trenton Ferguson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700415809 PECOS PAC ID: 9931522943 Enrollment ID: I20230918004101 |
| Provider Name | Rebecca Smith Tang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598101115 PECOS PAC ID: 4385884543 Enrollment ID: I20230920004181 |
| Provider Name | Stephen Michael Amos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306514385 PECOS PAC ID: 4981093168 Enrollment ID: I20230920004307 |
| Provider Name | Benjamin Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518595693 PECOS PAC ID: 5193148880 Enrollment ID: I20230922000988 |
| Provider Name | Dennis C Metaxas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780672683 PECOS PAC ID: 0042208043 Enrollment ID: I20230930000649 |
| Provider Name | Kristen N Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265218010 PECOS PAC ID: 7012362759 Enrollment ID: I20231016001850 |
| Provider Name | Saurabh Kashyap |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275068702 PECOS PAC ID: 3678975141 Enrollment ID: I20231017001906 |
| Provider Name | Sherri Ann Hayes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730187733 PECOS PAC ID: 3870497191 Enrollment ID: I20231023003564 |
| Provider Name | Ksenia S Pillai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336657725 PECOS PAC ID: 0244575470 Enrollment ID: I20231106000583 |
| Provider Name | Joseph A Wapenski |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1487654281 PECOS PAC ID: 1153229463 Enrollment ID: I20231114002063 |
| Provider Name | Smita A Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346775632 PECOS PAC ID: 4284906587 Enrollment ID: I20231116003772 |
| Provider Name | Hani Nazha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952501249 PECOS PAC ID: 0244486470 Enrollment ID: I20231117002097 |
| Provider Name | Catherine T Raj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093596959 PECOS PAC ID: 4385092907 Enrollment ID: I20231121000115 |
| Provider Name | William D Watson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083601546 PECOS PAC ID: 1557582780 Enrollment ID: I20231122002378 |
| Provider Name | William D Midgette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700666807 PECOS PAC ID: 4486002797 Enrollment ID: I20231128000573 |
| Provider Name | Maanasa Bandla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063972404 PECOS PAC ID: 7618203035 Enrollment ID: I20231205000111 |
| Provider Name | Johanna Torres-santiago |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659710721 PECOS PAC ID: 6204101744 Enrollment ID: I20231219000457 |
| Provider Name | Simratdeep K Sandhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215498373 PECOS PAC ID: 6305175340 Enrollment ID: I20231220002551 |
| Provider Name | Kim Schultheiss |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831227560 PECOS PAC ID: 4082792510 Enrollment ID: I20231228000362 |
| Provider Name | Rami Abukamil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346685286 PECOS PAC ID: 9335440577 Enrollment ID: I20240102001314 |
| Provider Name | Frederick P Griffith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134589559 PECOS PAC ID: 2466745526 Enrollment ID: I20240109001724 |
| Provider Name | Amy B Rugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528471877 PECOS PAC ID: 8527419977 Enrollment ID: I20240110000889 |
| Provider Name | Beulah M Bolden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851965412 PECOS PAC ID: 9931550357 Enrollment ID: I20240110003502 |
| Provider Name | Justin W Dixon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528796554 PECOS PAC ID: 3971954033 Enrollment ID: I20240112002931 |
| Provider Name | Matthew E Appleby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447797170 PECOS PAC ID: 7416309422 Enrollment ID: I20240116000714 |
| Provider Name | Sarah Marie Czerniak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114693330 PECOS PAC ID: 3577915107 Enrollment ID: I20240119001350 |
| Provider Name | Imran Hamid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275946196 PECOS PAC ID: 1355680778 Enrollment ID: I20240122001315 |
| Provider Name | Ogugua Anene Maidoh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609212000 PECOS PAC ID: 3173881067 Enrollment ID: I20240122002198 |
| Provider Name | Sylvia M Gallagher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962106971 PECOS PAC ID: 9032561311 Enrollment ID: I20240123001465 |
| Provider Name | Erin J Long |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629422233 PECOS PAC ID: 8022461276 Enrollment ID: I20240124002767 |
| Provider Name | Casey M Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205618071 PECOS PAC ID: 4082067988 Enrollment ID: I20240126002824 |
| Provider Name | Alexis A Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619749405 PECOS PAC ID: 5294188090 Enrollment ID: I20240129001528 |
| Provider Name | Matthew D Carpinello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790059194 PECOS PAC ID: 2466888904 Enrollment ID: I20240130000097 |
| Provider Name | Morgan A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487436762 PECOS PAC ID: 4587017140 Enrollment ID: I20240130003421 |
| Provider Name | Sara N Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588123103 PECOS PAC ID: 2365898285 Enrollment ID: I20240212004244 |
| Provider Name | Catherine Lynn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992009153 PECOS PAC ID: 8325227739 Enrollment ID: I20240214000770 |
| Provider Name | Jerome E Rubbelke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164415113 PECOS PAC ID: 4587709472 Enrollment ID: I20240214004305 |
| Provider Name | Latoya L Horsley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801400049 PECOS PAC ID: 1456795202 Enrollment ID: I20240220002221 |
| Provider Name | Brent A Mccraw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932865334 PECOS PAC ID: 8527403500 Enrollment ID: I20240229001613 |
| Provider Name | Bryn A Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386147619 PECOS PAC ID: 9739524729 Enrollment ID: I20240229001908 |
| Provider Name | Daniel J Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861459653 PECOS PAC ID: 1759726656 Enrollment ID: I20240301001575 |
| Provider Name | Michelle C Cenerizio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629410204 PECOS PAC ID: 0840433041 Enrollment ID: I20240304002556 |
| Provider Name | Oluwatosin M Falomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649041609 PECOS PAC ID: 2860838265 Enrollment ID: I20240307002820 |
| Provider Name | Lisa L Jarrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811426869 PECOS PAC ID: 6305282617 Enrollment ID: I20240308002559 |
| Provider Name | Lauren C Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639930977 PECOS PAC ID: 7517303704 Enrollment ID: I20240311001262 |
| Provider Name | Sarah B Austin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306134945 PECOS PAC ID: 3779929963 Enrollment ID: I20240311001373 |
| Provider Name | Mekhla B Raina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669257341 PECOS PAC ID: 1153767066 Enrollment ID: I20240314001004 |
| Provider Name | Leroy C Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629032172 PECOS PAC ID: 3577550201 Enrollment ID: I20240314003540 |
| Provider Name | Amir Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609944586 PECOS PAC ID: 1658431556 Enrollment ID: I20240314003556 |
| Provider Name | Dalia Grayeb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669070801 PECOS PAC ID: 1759799562 Enrollment ID: I20240322002109 |
| Provider Name | Janice H Deeds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295981934 PECOS PAC ID: 3173960135 Enrollment ID: I20240326002352 |
| Provider Name | Joanna D Ajex Palvannan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497449466 PECOS PAC ID: 1456798420 Enrollment ID: I20240326002672 |
| Provider Name | Sahar Derakhshanian Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962065037 PECOS PAC ID: 7113257130 Enrollment ID: I20240329000656 |
| Provider Name | Joylene W Sutton Aransevia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659619765 PECOS PAC ID: 4183869571 Enrollment ID: I20240403002434 |
| Provider Name | Mohamed Said Ahmed |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679667463 PECOS PAC ID: 5698845071 Enrollment ID: I20240403002667 |
| Provider Name | Alexis Nichole Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851848071 PECOS PAC ID: 2668759804 Enrollment ID: I20240405002532 |
| Provider Name | Delaney R Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730940883 PECOS PAC ID: 8426496639 Enrollment ID: I20240408001632 |
| Provider Name | Ashley E Lay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265188940 PECOS PAC ID: 8325433543 Enrollment ID: I20240409001333 |
| Provider Name | Jahleen Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255819298 PECOS PAC ID: 2860736105 Enrollment ID: I20240410003933 |
| Provider Name | Taylor P Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548039134 PECOS PAC ID: 1456799311 Enrollment ID: I20240411000039 |
| Provider Name | Ciara A Antolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740047703 PECOS PAC ID: 8628417110 Enrollment ID: I20240417000293 |
| Provider Name | Lindsay C Holman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437910759 PECOS PAC ID: 5698114601 Enrollment ID: I20240423002363 |
| Provider Name | Meaghan Kebler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548821580 PECOS PAC ID: 4284061110 Enrollment ID: I20240424001094 |
| Provider Name | Amel A Badr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528262904 PECOS PAC ID: 8820156466 Enrollment ID: I20240430002631 |
| Provider Name | Judith W Cook |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891714606 PECOS PAC ID: 4981639770 Enrollment ID: I20240502000006 |
| Provider Name | Rebecca K Richards Hack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548492135 PECOS PAC ID: 2365487758 Enrollment ID: I20240502002533 |
| Provider Name | Herbert Duvivier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710982731 PECOS PAC ID: 6800889742 Enrollment ID: I20240503001359 |
| Provider Name | Trina M Gaston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629663323 PECOS PAC ID: 4688061120 Enrollment ID: I20240508001248 |
| Provider Name | Shela Papillon Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780022590 PECOS PAC ID: 2668691353 Enrollment ID: I20240514002331 |
| Provider Name | Rachel P Giller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235554353 PECOS PAC ID: 3072895069 Enrollment ID: I20240517002203 |
| Provider Name | Ping S Chu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316957368 PECOS PAC ID: 9931126182 Enrollment ID: I20240517003033 |
| Provider Name | Fahima S Frost |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851441281 PECOS PAC ID: 9931207578 Enrollment ID: I20240522003104 |
| Provider Name | Ifeanyichukwu Onukogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386136794 PECOS PAC ID: 7214379767 Enrollment ID: I20240529002588 |
| Provider Name | Bibi S Khoyratty |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922077841 PECOS PAC ID: 6507938347 Enrollment ID: I20240603000060 |
| Provider Name | Sandra L Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962431346 PECOS PAC ID: 6709889116 Enrollment ID: I20240604001036 |
| Provider Name | Onome Agbaza |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669253613 PECOS PAC ID: 7810332327 Enrollment ID: I20240607000307 |
| Provider Name | Ricardo J Quintero |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073511432 PECOS PAC ID: 2668437609 Enrollment ID: I20240614003658 |
Ptc Wellness Centers Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2832 Candlers Mtn Rd, Lynchburg, VA 24502 Phone: 434-455-1550 Fax: 434-455-1556 | |
Liberty Mountain Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2321 Wards Rd, Lynchburg, VA 24502 Phone: 434-582-2273 Fax: 434-582-1363 | |
Lynchburg Internal Medicine A Centra Health Affiliate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 Thomson Dr, Lynchburg, VA 24501 Phone: 434-200-3908 | |
Deborah Armstrong Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Two Creek Dr, Lynchburg, VA 24502 Phone: 804-539-4031 | |
Virginia Baptist Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-947-4000 | |
Orthovirginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2405 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-485-8500 Fax: 434-485-8599 | |
Piedmont Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2091 Langhorne Rd, Lynchburg, VA 24501 Phone: 434-846-7374 Fax: 434-846-1910 |