| Central Vermont Medical Center Inc | |
|
130 Fisher Rd Berlin VT 05602-9516 | |
| (802) 371-4100 | |
| (802) 371-4488 |
| Full Name | Central Vermont Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 130 Fisher Rd, Berlin, Vermont |
| Authorized Official Name and Position | Cheyenne Holland (CFO) |
| Authorized Official Contact | 8023714109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Vermont Medical Center Inc Po Box 547 Barre VT 05641-0547 Ph: (802) 371-4100 | Central Vermont Medical Center Inc 130 Fisher Rd Berlin VT 05602-9516 Ph: (802) 371-4100 |
| NPI Number | 1023028784 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 02/16/2024 |
| Medicare PECOS PAC ID | 9335138817 |
|---|---|
| Medicare Enrollment ID | O20051220000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023028784 | NPI | - | NPPES |
| OVN3891 | Medicaid | VT |
| Provider Name | Richard Katzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669416202 PECOS PAC ID: 1850292814 Enrollment ID: I20040114000372 |
| Provider Name | Christian H Bean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831155324 PECOS PAC ID: 4385535533 Enrollment ID: I20040325000192 |
| Provider Name | John Gridley King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811910540 PECOS PAC ID: 5092607697 Enrollment ID: I20040329000162 |
| Provider Name | Kairn S Kelley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821100470 PECOS PAC ID: 5597759456 Enrollment ID: I20040413000956 |
| Provider Name | Michael G Hayes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376562074 PECOS PAC ID: 1153315866 Enrollment ID: I20040414000214 |
| Provider Name | Kristopher L Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144239054 PECOS PAC ID: 5193715126 Enrollment ID: I20040513000245 |
| Provider Name | Carl W Cobb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083650733 PECOS PAC ID: 0840280236 Enrollment ID: I20040517001051 |
| Provider Name | Priscilla W Carr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508887357 PECOS PAC ID: 8224019443 Enrollment ID: I20040525000971 |
| Provider Name | Elisa Vandervort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598741019 PECOS PAC ID: 1759360266 Enrollment ID: I20040719000233 |
| Provider Name | Jamie T Krantz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336187616 PECOS PAC ID: 7012983760 Enrollment ID: I20040903000825 |
| Provider Name | Thomas J Curchin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255352019 PECOS PAC ID: 2264492529 Enrollment ID: I20041012001170 |
| Provider Name | Bram S Starr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720005556 PECOS PAC ID: 3678533940 Enrollment ID: I20041012001202 |
| Provider Name | Lucy Patti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386667897 PECOS PAC ID: 8628038999 Enrollment ID: I20041012001249 |
| Provider Name | Andrew D Felsted |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144252503 PECOS PAC ID: 7911967955 Enrollment ID: I20041014000535 |
| Provider Name | Mark N Yorra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942365713 PECOS PAC ID: 5496716409 Enrollment ID: I20041022000846 |
| Provider Name | Christopher M Meriam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902861560 PECOS PAC ID: 1850282005 Enrollment ID: I20041029000424 |
| Provider Name | John G Koutras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528154697 PECOS PAC ID: 2062496110 Enrollment ID: I20041105000733 |
| Provider Name | David A Kaminsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134132913 PECOS PAC ID: 9931164613 Enrollment ID: I20041122000824 |
| Provider Name | Janusz W Porowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871519942 PECOS PAC ID: 1951359207 Enrollment ID: I20050104000542 |
| Provider Name | Patrick M Keith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306938923 PECOS PAC ID: 8628026168 Enrollment ID: I20050111000539 |
| Provider Name | Laurie Spaulding |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225062425 PECOS PAC ID: 7719936111 Enrollment ID: I20050112000742 |
| Provider Name | Kim Ladue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912010505 PECOS PAC ID: 1254312309 Enrollment ID: I20050309000792 |
| Provider Name | Kristen K Destigter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265459044 PECOS PAC ID: 2961456124 Enrollment ID: I20050310000203 |
| Provider Name | Ael Evan Eyler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487668109 PECOS PAC ID: 9234191719 Enrollment ID: I20050310000262 |
| Provider Name | Janusz Kikut |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053338889 PECOS PAC ID: 1658318712 Enrollment ID: I20050411001218 |
| Provider Name | William Cove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396766150 PECOS PAC ID: 2466496385 Enrollment ID: I20050613000331 |
| Provider Name | Laura A Felsted |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003857178 PECOS PAC ID: 7618904905 Enrollment ID: I20050719000286 |
| Provider Name | Friederike K Keating |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457351835 PECOS PAC ID: 9537197223 Enrollment ID: I20050803000418 |
| Provider Name | Gregory J Macdonald |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386663094 PECOS PAC ID: 5698731958 Enrollment ID: I20050818000670 |
| Provider Name | James S Greenleaf |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1568403798 PECOS PAC ID: 0446283261 Enrollment ID: I20050913000672 |
| Provider Name | Alison Hobart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063450906 PECOS PAC ID: 0648205799 Enrollment ID: I20050928000481 |
| Provider Name | Rose S Ehret |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962429837 PECOS PAC ID: 7517992589 Enrollment ID: I20050928000703 |
| Provider Name | Roger E Ehret |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528089307 PECOS PAC ID: 8426083411 Enrollment ID: I20050928000897 |
| Provider Name | Jennifer B Gelbstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427075290 PECOS PAC ID: 8921033812 Enrollment ID: I20050929000187 |
| Provider Name | Mark R Heitzman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790704401 PECOS PAC ID: 6901862119 Enrollment ID: I20051123000225 |
| Provider Name | Roger Knowlton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588685218 PECOS PAC ID: 7012938061 Enrollment ID: I20051219000128 |
| Provider Name | Richard James |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871674036 PECOS PAC ID: 7911920350 Enrollment ID: I20060111000661 |
| Provider Name | S Glen Neale |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366465429 PECOS PAC ID: 5799774238 Enrollment ID: I20060111000696 |
| Provider Name | Norman Sturtevant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164449963 PECOS PAC ID: 6204840697 Enrollment ID: I20060206000876 |
| Provider Name | Elizabeth A Grupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487855433 PECOS PAC ID: 5193730570 Enrollment ID: I20060207000797 |
| Provider Name | Robert D Monsey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568563450 PECOS PAC ID: 5698782373 Enrollment ID: I20060321000724 |
| Provider Name | Magdalena R Naylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184715294 PECOS PAC ID: 8426066150 Enrollment ID: I20060322000498 |
| Provider Name | Nancy A Drucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013934884 PECOS PAC ID: 7113948944 Enrollment ID: I20060324000308 |
| Provider Name | Terry Rabinowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659388395 PECOS PAC ID: 9335157197 Enrollment ID: I20060405000339 |
| Provider Name | Jonna C Goulding |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962415042 PECOS PAC ID: 4385653583 Enrollment ID: I20060417000663 |
| Provider Name | Benjamin G Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346283561 PECOS PAC ID: 9335152990 Enrollment ID: I20060726000339 |
| Provider Name | Karina Perusse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699784702 PECOS PAC ID: 9335147800 Enrollment ID: I20061116000206 |
| Provider Name | Susanne U Trost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376622613 PECOS PAC ID: 9537167572 Enrollment ID: I20061129000285 |
| Provider Name | Mark R Depman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386714657 PECOS PAC ID: 8820191612 Enrollment ID: I20070315000378 |
| Provider Name | Robert D Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366507154 PECOS PAC ID: 0749387967 Enrollment ID: I20070523000555 |
| Provider Name | Elaine B Owen |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609972306 PECOS PAC ID: 0749388544 Enrollment ID: I20070601000222 |
| Provider Name | David P Keating |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811916687 PECOS PAC ID: 5496856296 Enrollment ID: I20070724000225 |
| Provider Name | Andrea Hildebrand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366469181 PECOS PAC ID: 4486755287 Enrollment ID: I20070724000231 |
| Provider Name | Emily Byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003013608 PECOS PAC ID: 9234029448 Enrollment ID: I20070802000126 |
| Provider Name | Scott D Perrapato |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326034992 PECOS PAC ID: 8224071410 Enrollment ID: I20070808000535 |
| Provider Name | Teresa A Fama |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376660977 PECOS PAC ID: 8527152792 Enrollment ID: I20070919000122 |
| Provider Name | Diane E Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255529962 PECOS PAC ID: 1658469184 Enrollment ID: I20071117000071 |
| Provider Name | Jeremiah M Eckhaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497718928 PECOS PAC ID: 7719076413 Enrollment ID: I20071204000077 |
| Provider Name | Craig Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194701615 PECOS PAC ID: 6204911530 Enrollment ID: I20080311000592 |
| Provider Name | Erin Tsai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356470017 PECOS PAC ID: 6305911231 Enrollment ID: I20080812000597 |
| Provider Name | Kristen Pierce |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548482102 PECOS PAC ID: 3476628314 Enrollment ID: I20080812000628 |
| Provider Name | R Scott Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407972524 PECOS PAC ID: 3274608823 Enrollment ID: I20080818000336 |
| Provider Name | Christine E Payne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558388363 PECOS PAC ID: 0547335747 Enrollment ID: I20080822000560 |
| Provider Name | Nathan K Endres |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184659104 PECOS PAC ID: 5799780409 Enrollment ID: I20080912000092 |
| Provider Name | Paul Crainich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285796045 PECOS PAC ID: 3173681418 Enrollment ID: I20081015000393 |
| Provider Name | Mark Lach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063421295 PECOS PAC ID: 5193754307 Enrollment ID: I20081021000386 |
| Provider Name | Susan Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396993952 PECOS PAC ID: 2365500824 Enrollment ID: I20081028000227 |
| Provider Name | William J Brundage |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255366449 PECOS PAC ID: 6305905431 Enrollment ID: I20081104000799 |
| Provider Name | Christine M Malcolm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790956738 PECOS PAC ID: 6800855750 Enrollment ID: I20081105000224 |
| Provider Name | Emily C Urquhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861584369 PECOS PAC ID: 1254338619 Enrollment ID: I20081105000412 |
| Provider Name | Julie Vogel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396954871 PECOS PAC ID: 2264524594 Enrollment ID: I20081106000061 |
| Provider Name | James G Rose |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497778112 PECOS PAC ID: 8921168410 Enrollment ID: I20081113000263 |
| Provider Name | Peter Weller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568488187 PECOS PAC ID: 8123055050 Enrollment ID: I20081120000305 |
| Provider Name | Christine H Jones |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548271414 PECOS PAC ID: 1254340284 Enrollment ID: I20081122000132 |
| Provider Name | Deborah N Black |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770622896 PECOS PAC ID: 2062573124 Enrollment ID: I20081208000243 |
| Provider Name | Adam B Shafritz |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1104842376 PECOS PAC ID: 2062574122 Enrollment ID: I20081224000102 |
| Provider Name | Peter M Bingham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215955430 PECOS PAC ID: 1850454190 Enrollment ID: I20090113000041 |
| Provider Name | David J Ospina |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1689660912 PECOS PAC ID: 4385707249 Enrollment ID: I20090120000594 |
| Provider Name | Peter Dale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649266966 PECOS PAC ID: 5799712626 Enrollment ID: I20090120000639 |
| Provider Name | Harris Kiva Strokoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497866701 PECOS PAC ID: 0840354619 Enrollment ID: I20090123000306 |
| Provider Name | William G Gaidys |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376564187 PECOS PAC ID: 4688738008 Enrollment ID: I20090130000120 |
| Provider Name | Scott Douglas Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760471460 PECOS PAC ID: 7911063623 Enrollment ID: I20090304000740 |
| Provider Name | Diego Lemos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821142191 PECOS PAC ID: 2365507977 Enrollment ID: I20091013000308 |
| Provider Name | Cathy Rousse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992922983 PECOS PAC ID: 7810034014 Enrollment ID: I20091020000695 |
| Provider Name | Richard A Burgoyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093745580 PECOS PAC ID: 9436296464 Enrollment ID: I20091024000019 |
| Provider Name | Anthony V Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356348007 PECOS PAC ID: 2769419696 Enrollment ID: I20100209000692 |
| Provider Name | Pascale C Stephani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811935430 PECOS PAC ID: 2961406467 Enrollment ID: I20100301000316 |
| Provider Name | Jesse Ritvo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558480707 PECOS PAC ID: 8325179252 Enrollment ID: I20100622000039 |
| Provider Name | Cynthia S Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114076965 PECOS PAC ID: 3173656634 Enrollment ID: I20100804000387 |
| Provider Name | Mark E Crane |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952343881 PECOS PAC ID: 1557495645 Enrollment ID: I20100811000375 |
| Provider Name | Zechariah S Gardner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114141751 PECOS PAC ID: 7618091505 Enrollment ID: I20100830000448 |
| Provider Name | Sarah L Davies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770601544 PECOS PAC ID: 0840315115 Enrollment ID: I20100910000528 |
| Provider Name | Matthew J Greenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477765964 PECOS PAC ID: 1658391412 Enrollment ID: I20100916000012 |
| Provider Name | Justin Karlitz-grodin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275651549 PECOS PAC ID: 8325163256 Enrollment ID: I20100916000165 |
| Provider Name | Andrew Lee-wah Koo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730281668 PECOS PAC ID: 5496870941 Enrollment ID: I20100921000529 |
| Provider Name | Carolyn S Lorenz Greenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770704744 PECOS PAC ID: 3971523747 Enrollment ID: I20100921000556 |
| Provider Name | Sarah A Blair |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043336795 PECOS PAC ID: 5496871329 Enrollment ID: I20100928000932 |
| Provider Name | Katie L John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013236827 PECOS PAC ID: 0345433942 Enrollment ID: I20101014001152 |
| Provider Name | Jessica L Macleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336469337 PECOS PAC ID: 0244423804 Enrollment ID: I20101015000476 |
| Provider Name | Julio A Lemos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689736720 PECOS PAC ID: 1254525835 Enrollment ID: I20101027000960 |
| Provider Name | Duane M Natvig |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245256395 PECOS PAC ID: 3870787823 Enrollment ID: I20101103000782 |
| Provider Name | Katherine Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689834442 PECOS PAC ID: 5991997553 Enrollment ID: I20101108000994 |
| Provider Name | Ryosuke Kawatsuji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134215940 PECOS PAC ID: 1951596436 Enrollment ID: I20101110000226 |
| Provider Name | Kevin A Mcnamara |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609889377 PECOS PAC ID: 9032305545 Enrollment ID: I20101123000753 |
| Provider Name | Andrew C Mahoney |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093796898 PECOS PAC ID: 5597848077 Enrollment ID: I20101129000863 |
| Provider Name | Joshua A A Plavin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073526851 PECOS PAC ID: 3779779889 Enrollment ID: I20101130001370 |
| Provider Name | Gwendolyn Shelton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285649749 PECOS PAC ID: 9739282351 Enrollment ID: I20101221000259 |
| Provider Name | Rima B Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245240753 PECOS PAC ID: 2860497823 Enrollment ID: I20101221000303 |
| Provider Name | Joachim G Mueller |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1093877730 PECOS PAC ID: 7315135977 Enrollment ID: I20101223000104 |
| Provider Name | Barbara A O'mara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528162039 PECOS PAC ID: 2264620848 Enrollment ID: I20101223000314 |
| Provider Name | Deirdre Donaldson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164482923 PECOS PAC ID: 9638368228 Enrollment ID: I20110113000220 |
| Provider Name | Charlotte Teneback |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427110782 PECOS PAC ID: 4082893508 Enrollment ID: I20110128000671 |
| Provider Name | Austin D Sumner |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1609923259 PECOS PAC ID: 7113017310 Enrollment ID: I20110202000666 |
| Provider Name | Richard D Lovett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588686745 PECOS PAC ID: 0042300402 Enrollment ID: I20110214000410 |
| Provider Name | Nanette M Wessel Kissenberth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619133683 PECOS PAC ID: 3476621673 Enrollment ID: I20110610000290 |
| Provider Name | Delores Burroughs Biron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770565863 PECOS PAC ID: 2769669159 Enrollment ID: I20110613000382 |
| Provider Name | Eduards G Ziedins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174545123 PECOS PAC ID: 4587841978 Enrollment ID: I20110613000385 |
| Provider Name | Varun Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851506133 PECOS PAC ID: 5799852687 Enrollment ID: I20110620000045 |
| Provider Name | Margaret Tandoh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396798005 PECOS PAC ID: 8224924246 Enrollment ID: I20110627000568 |
| Provider Name | Meghan Sperry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952695116 PECOS PAC ID: 2365610896 Enrollment ID: I20110727000364 |
| Provider Name | Terry Stein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104098854 PECOS PAC ID: 6608045562 Enrollment ID: I20110810000087 |
| Provider Name | Cindy Noyes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366593808 PECOS PAC ID: 0042480048 Enrollment ID: I20110831000030 |
| Provider Name | Sarah Louise Britton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447538145 PECOS PAC ID: 4880864479 Enrollment ID: I20110909002763 |
| Provider Name | Kelvey Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487828547 PECOS PAC ID: 6608049325 Enrollment ID: I20111025000559 |
| Provider Name | Colleen M Horan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821017583 PECOS PAC ID: 3971533357 Enrollment ID: I20111201000442 |
| Provider Name | Ryan D Clouser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780650382 PECOS PAC ID: 8325072150 Enrollment ID: I20111212000442 |
| Provider Name | Sarah E Swift |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134151434 PECOS PAC ID: 0547392532 Enrollment ID: I20120120000782 |
| Provider Name | Eric Sargent |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023011517 PECOS PAC ID: 5496714636 Enrollment ID: I20120201000277 |
| Provider Name | Javad Scott Mashkuri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518168814 PECOS PAC ID: 7911164025 Enrollment ID: I20120201000372 |
| Provider Name | Jordice Corey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982984316 PECOS PAC ID: 3375715618 Enrollment ID: I20120229000121 |
| Provider Name | Robin E Frantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518239102 PECOS PAC ID: 5395907174 Enrollment ID: I20120425000134 |
| Provider Name | Kevin Kerin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548371263 PECOS PAC ID: 6901825108 Enrollment ID: I20120627000668 |
| Provider Name | Louis T Merriam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710906136 PECOS PAC ID: 4688867104 Enrollment ID: I20120725000440 |
| Provider Name | Jessica E O'neil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124261987 PECOS PAC ID: 8224284039 Enrollment ID: I20120810000190 |
| Provider Name | Heather C Herrington |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679607170 PECOS PAC ID: 1658527460 Enrollment ID: I20120810000218 |
| Provider Name | Jennifer M Hall |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1962521559 PECOS PAC ID: 8527217553 Enrollment ID: I20121005000337 |
| Provider Name | Kevan M Sternberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003078932 PECOS PAC ID: 4284786518 Enrollment ID: I20121109000244 |
| Provider Name | Peter A Holoch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962611962 PECOS PAC ID: 9032375761 Enrollment ID: I20130321000562 |
| Provider Name | Chinwe Oraka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20130402000046 |
| Provider Name | David H Murman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073704763 PECOS PAC ID: 1850579335 Enrollment ID: I20130508000346 |
| Provider Name | Deborah Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336424845 PECOS PAC ID: 8325287428 Enrollment ID: I20130621000200 |
| Provider Name | Colin M Mccreight |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174659858 PECOS PAC ID: 5294881769 Enrollment ID: I20130628000038 |
| Provider Name | Gregory L Holmes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174581516 PECOS PAC ID: 4486697596 Enrollment ID: I20130726000017 |
| Provider Name | Kirsten Berggren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841580859 PECOS PAC ID: 7810174042 Enrollment ID: I20130731000045 |
| Provider Name | Jared A Blum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821226002 PECOS PAC ID: 1951542018 Enrollment ID: I20130801000333 |
| Provider Name | Justin Stinnett Donnelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649594656 PECOS PAC ID: 5092956086 Enrollment ID: I20130802000801 |
| Provider Name | Anna M Westervelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447544127 PECOS PAC ID: 6800074386 Enrollment ID: I20130806000012 |
| Provider Name | Jennifer S Borofsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558685354 PECOS PAC ID: 0547402232 Enrollment ID: I20130808000522 |
| Provider Name | Sarah M Schlein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497070833 PECOS PAC ID: 2567604267 Enrollment ID: I20130808000645 |
| Provider Name | Alison L Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881894558 PECOS PAC ID: 3577731801 Enrollment ID: I20130823000818 |
| Provider Name | Michele H Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215252275 PECOS PAC ID: 8022252121 Enrollment ID: I20130911000273 |
| Provider Name | Courtney A.e. Rauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558708776 PECOS PAC ID: 2567606668 Enrollment ID: I20130911000288 |
| Provider Name | Hannah Swayze-quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184838799 PECOS PAC ID: 0749424398 Enrollment ID: I20130920000367 |
| Provider Name | Deborah Jerard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649291360 PECOS PAC ID: 5890939482 Enrollment ID: I20130923000046 |
| Provider Name | Harriott Shea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861413403 PECOS PAC ID: 9436106283 Enrollment ID: I20130923000498 |
| Provider Name | Christina M Tourangeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083048383 PECOS PAC ID: 3375778053 Enrollment ID: I20131105001519 |
| Provider Name | Beth E Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871720482 PECOS PAC ID: 1850541038 Enrollment ID: I20131107000784 |
| Provider Name | Devika Singh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013944008 PECOS PAC ID: 3476556770 Enrollment ID: I20140113000560 |
| Provider Name | Elizabeth G Suiter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851429690 PECOS PAC ID: 9032348594 Enrollment ID: I20140203000014 |
| Provider Name | Rachel E Gaidys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992918957 PECOS PAC ID: 4688773575 Enrollment ID: I20140203000039 |
| Provider Name | Justin R Knapp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336242528 PECOS PAC ID: 9032283601 Enrollment ID: I20140701002324 |
| Provider Name | Benjamin P Parkhurst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588963086 PECOS PAC ID: 8527285220 Enrollment ID: I20140804000457 |
| Provider Name | David A Rand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851686745 PECOS PAC ID: 0749407245 Enrollment ID: I20140806002077 |
| Provider Name | Brian L Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841587839 PECOS PAC ID: 9234399676 Enrollment ID: I20140814000377 |
| Provider Name | Stefan Lischke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295998094 PECOS PAC ID: 6305066812 Enrollment ID: I20141006000939 |
| Provider Name | Janis C Finelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780647289 PECOS PAC ID: 2365663887 Enrollment ID: I20141028000041 |
| Provider Name | Kate Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891190203 PECOS PAC ID: 1658696117 Enrollment ID: I20150205000123 |
| Provider Name | Amy E Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770989253 PECOS PAC ID: 8325364409 Enrollment ID: I20150309000775 |
| Provider Name | Aidan Raniere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023406717 PECOS PAC ID: 9537486006 Enrollment ID: I20150320000881 |
| Provider Name | Nina H Gaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477850030 PECOS PAC ID: 6608194246 Enrollment ID: I20150413000149 |
| Provider Name | Casey Kolb Nava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649561929 PECOS PAC ID: 2365761780 Enrollment ID: I20150507000638 |
| Provider Name | Daniel R Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982869111 PECOS PAC ID: 1355574864 Enrollment ID: I20150511001089 |
| Provider Name | Caryn E. Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932591658 PECOS PAC ID: 3072833672 Enrollment ID: I20150521002507 |
| Provider Name | Christopher Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669866745 PECOS PAC ID: 7911218144 Enrollment ID: I20150615001941 |
| Provider Name | Eliza W Anti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003205915 PECOS PAC ID: 4981916434 Enrollment ID: I20150713000154 |
| Provider Name | Sarah J Lomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033353172 PECOS PAC ID: 1759694490 Enrollment ID: I20150723008455 |
| Provider Name | Melissa A. Beaudry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598150914 PECOS PAC ID: 4082928874 Enrollment ID: I20150807013510 |
| Provider Name | Sara C Graves |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558535989 PECOS PAC ID: 8820215940 Enrollment ID: I20150901000199 |
| Provider Name | Gillian L Stearns Parr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225294580 PECOS PAC ID: 9133436157 Enrollment ID: I20150923001172 |
| Provider Name | Nicholas A Aunchman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245598119 PECOS PAC ID: 3971729658 Enrollment ID: I20150930000272 |
| Provider Name | Loretta B Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912341306 PECOS PAC ID: 0446474811 Enrollment ID: I20150930002171 |
| Provider Name | Gavin L Noble |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750335014 PECOS PAC ID: 6002861804 Enrollment ID: I20151013001186 |
| Provider Name | Priyanka Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477864114 PECOS PAC ID: 3870803588 Enrollment ID: I20151110000372 |
| Provider Name | Elisabeth B. Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972985745 PECOS PAC ID: 4183934615 Enrollment ID: I20151112000664 |
| Provider Name | John J Horan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932107844 PECOS PAC ID: 9234185232 Enrollment ID: I20151124000407 |
| Provider Name | Matthew D Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316273279 PECOS PAC ID: 5395996110 Enrollment ID: I20151202002384 |
| Provider Name | John Dreslin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427021286 PECOS PAC ID: 2365488038 Enrollment ID: I20151222001017 |
| Provider Name | Kathryn Ann Cunin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831364587 PECOS PAC ID: 8426118860 Enrollment ID: I20160209000502 |
| Provider Name | Nancy Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902146715 PECOS PAC ID: 6305140146 Enrollment ID: I20160215002089 |
| Provider Name | Marissa J Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033534334 PECOS PAC ID: 3072818343 Enrollment ID: I20160224001357 |
| Provider Name | Mark C Bisanzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740249226 PECOS PAC ID: 8729082334 Enrollment ID: I20160227000169 |
| Provider Name | Sarah Sliva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245484724 PECOS PAC ID: 8729271945 Enrollment ID: I20160617000196 |
| Provider Name | Adam Ulano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275762551 PECOS PAC ID: 8325263544 Enrollment ID: I20160714001997 |
| Provider Name | Katie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134589575 PECOS PAC ID: 8921390790 Enrollment ID: I20160714002034 |
| Provider Name | Ciara M Hollister |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720333438 PECOS PAC ID: 9638484090 Enrollment ID: I20160811000157 |
| Provider Name | Geoffrey Michael Scriver |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245452192 PECOS PAC ID: 9638325699 Enrollment ID: I20160811000700 |
| Provider Name | Jonathan N Flyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750525192 PECOS PAC ID: 3072776350 Enrollment ID: I20160822002599 |
| Provider Name | Quincy Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073968723 PECOS PAC ID: 9335434455 Enrollment ID: I20160827000413 |
| Provider Name | Mark A Hoeft |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649461765 PECOS PAC ID: 9931375847 Enrollment ID: I20160831000276 |
| Provider Name | Preeth Sundaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043523186 PECOS PAC ID: 6901106426 Enrollment ID: I20160831001268 |
| Provider Name | Stuart Lollis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891887246 PECOS PAC ID: 4284788472 Enrollment ID: I20160831001591 |
| Provider Name | Sarah Chase Abbot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033555180 PECOS PAC ID: 0345471363 Enrollment ID: I20160929000701 |
| Provider Name | Maya Strange |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740253178 PECOS PAC ID: 5991701138 Enrollment ID: I20161011000823 |
| Provider Name | Shola Cole |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689824286 PECOS PAC ID: 0244545895 Enrollment ID: I20161028001540 |
| Provider Name | David L Cohen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215068960 PECOS PAC ID: 4688705098 Enrollment ID: I20161102002707 |
| Provider Name | Tenylle A Critchlow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467810648 PECOS PAC ID: 0143509307 Enrollment ID: I20161111000769 |
| Provider Name | Mordechai Bronner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780959973 PECOS PAC ID: 0446552756 Enrollment ID: I20161122000107 |
| Provider Name | Jessica Mcnally |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396936035 PECOS PAC ID: 0547323206 Enrollment ID: I20161221000691 |
| Provider Name | Ellen Stein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457694218 PECOS PAC ID: 3971739095 Enrollment ID: I20161230000797 |
| Provider Name | Anthony R Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730421231 PECOS PAC ID: 2062714983 Enrollment ID: I20170103001317 |
| Provider Name | Brady J Heward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487943114 PECOS PAC ID: 2365769866 Enrollment ID: I20170220001940 |
| Provider Name | Aderonke O Adeniyi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407090095 PECOS PAC ID: 8820376502 Enrollment ID: I20170330000097 |
| Provider Name | Shaun D Demers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083681167 PECOS PAC ID: 5496848756 Enrollment ID: I20170502000992 |
| Provider Name | Jose Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316981897 PECOS PAC ID: 9335105592 Enrollment ID: I20170503000274 |
| Provider Name | David Y Harari |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1649667593 PECOS PAC ID: 3971824483 Enrollment ID: I20170508001394 |
| Provider Name | Angela Shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528421377 PECOS PAC ID: 9931476272 Enrollment ID: I20170517000955 |
| Provider Name | Jessie Leyse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710203922 PECOS PAC ID: 1052610151 Enrollment ID: I20170523000126 |
| Provider Name | Dmitriy G Akselrod |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629241336 PECOS PAC ID: 4385805696 Enrollment ID: I20170524000768 |
| Provider Name | Katherine Costello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619104916 PECOS PAC ID: 3577714179 Enrollment ID: I20170606002242 |
| Provider Name | John Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013193093 PECOS PAC ID: 4587848627 Enrollment ID: I20170620001446 |
| Provider Name | Clayton Wilburn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609130681 PECOS PAC ID: 4688942147 Enrollment ID: I20170626000571 |
| Provider Name | Tracy Hobbs-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326372145 PECOS PAC ID: 1850669318 Enrollment ID: I20170626000614 |
| Provider Name | Brendan T Everett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942628847 PECOS PAC ID: 2466755772 Enrollment ID: I20170705002058 |
| Provider Name | Frank Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619311016 PECOS PAC ID: 2264652163 Enrollment ID: I20170707001188 |
| Provider Name | John Motley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417369851 PECOS PAC ID: 2062638794 Enrollment ID: I20170710001863 |
| Provider Name | Catherine M Naden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780946111 PECOS PAC ID: 8921246661 Enrollment ID: I20170720000476 |
| Provider Name | Maria Jose Velasco-acuna |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710232467 PECOS PAC ID: 7416260344 Enrollment ID: I20170720002711 |
| Provider Name | Elizabeth Meehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598108078 PECOS PAC ID: 2466722186 Enrollment ID: I20170727002808 |
| Provider Name | Richard B Bounds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396834669 PECOS PAC ID: 5597764589 Enrollment ID: I20170817000116 |
| Provider Name | Alison Migonis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558774117 PECOS PAC ID: 9335411842 Enrollment ID: I20170817003924 |
| Provider Name | Karen Lewicki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427443324 PECOS PAC ID: 3173825932 Enrollment ID: I20170829000857 |
| Provider Name | Daniel A Barkhuff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306189915 PECOS PAC ID: 7315172277 Enrollment ID: I20170914000815 |
| Provider Name | Anna C Hankins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740353911 PECOS PAC ID: 1456452911 Enrollment ID: I20170921000728 |
| Provider Name | Matthew G Geeslin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457643272 PECOS PAC ID: 8123257144 Enrollment ID: I20171010003535 |
| Provider Name | Elizabeth Watson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487826970 PECOS PAC ID: 9931333523 Enrollment ID: I20171017000458 |
| Provider Name | Francis Louis Kirk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639461684 PECOS PAC ID: 2365691052 Enrollment ID: I20171103000341 |
| Provider Name | George Kurien |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124538855 PECOS PAC ID: 4486910163 Enrollment ID: I20171113003247 |
| Provider Name | Maria Cristina A De Souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689602393 PECOS PAC ID: 8426365917 Enrollment ID: I20171120000213 |
| Provider Name | Margaret Spottswood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144529611 PECOS PAC ID: 3971806043 Enrollment ID: I20180111002574 |
| Provider Name | Misty M Blanchette Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467477380 PECOS PAC ID: 9133148646 Enrollment ID: I20180309000853 |
| Provider Name | William L Burch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760693691 PECOS PAC ID: 4284700543 Enrollment ID: I20180315000740 |
| Provider Name | Sherrie Khadanga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972845584 PECOS PAC ID: 0547562464 Enrollment ID: I20180405002374 |
| Provider Name | Jamie D Bariteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750819371 PECOS PAC ID: 5991077117 Enrollment ID: I20180503000553 |
| Provider Name | Jennifer C Jachowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184861221 PECOS PAC ID: 7113166208 Enrollment ID: I20180613000399 |
| Provider Name | Allison Wasson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932343944 PECOS PAC ID: 5294965059 Enrollment ID: I20180626003096 |
| Provider Name | Andrea L Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689681306 PECOS PAC ID: 2961393103 Enrollment ID: I20180726002525 |
| Provider Name | Brett Erdreich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053725200 PECOS PAC ID: 0941502538 Enrollment ID: I20180802002823 |
| Provider Name | Katelin Morrissette |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639515414 PECOS PAC ID: 4486952256 Enrollment ID: I20180803001447 |
| Provider Name | Elsa M Ingpen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932693355 PECOS PAC ID: 9739437484 Enrollment ID: I20180813001298 |
| Provider Name | Elena Kozakewich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003200551 PECOS PAC ID: 7315240611 Enrollment ID: I20180815000329 |
| Provider Name | Michael A Hoffnung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417391251 PECOS PAC ID: 4981953395 Enrollment ID: I20180817002737 |
| Provider Name | Anubha Md Jati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093782575 PECOS PAC ID: 6002806098 Enrollment ID: I20180822002509 |
| Provider Name | Jason D Brazelton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407098957 PECOS PAC ID: 3274779087 Enrollment ID: I20180822003754 |
| Provider Name | Maya E Carlet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558645614 PECOS PAC ID: 8224387345 Enrollment ID: I20180823001100 |
| Provider Name | Conor S Carpenter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902219694 PECOS PAC ID: 0143524017 Enrollment ID: I20180828002887 |
| Provider Name | Maximilian Klein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104244888 PECOS PAC ID: 9335457266 Enrollment ID: I20180828003579 |
| Provider Name | Hannah Perry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922360510 PECOS PAC ID: 1355691700 Enrollment ID: I20180905001351 |
| Provider Name | Umer Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063806206 PECOS PAC ID: 0143523498 Enrollment ID: I20180905001578 |
| Provider Name | Audrey C Dudzik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669715728 PECOS PAC ID: 4183927916 Enrollment ID: I20180927000165 |
| Provider Name | Erin C Curtis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831552280 PECOS PAC ID: 9638464100 Enrollment ID: I20181003002893 |
| Provider Name | Alyssa Fischer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831518638 PECOS PAC ID: 9638471535 Enrollment ID: I20181008001623 |
| Provider Name | John P Begly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033470703 PECOS PAC ID: 4284986472 Enrollment ID: I20181017000767 |
| Provider Name | Siobhan Marie Mccarty Singleton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790076917 PECOS PAC ID: 8224251996 Enrollment ID: I20181022000730 |
| Provider Name | Vanessa C Hartstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730576851 PECOS PAC ID: 9335428960 Enrollment ID: I20181102001361 |
| Provider Name | Jeniffer Tobon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679768758 PECOS PAC ID: 1759475544 Enrollment ID: I20181214000620 |
| Provider Name | Jenniffer Lynn Funk-weyant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831433135 PECOS PAC ID: 5799938940 Enrollment ID: I20190111002710 |
| Provider Name | Amanda Porter Dauten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699154120 PECOS PAC ID: 2264748458 Enrollment ID: I20190115002336 |
| Provider Name | Shannon M Hogan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265613426 PECOS PAC ID: 6305032731 Enrollment ID: I20190308000193 |
| Provider Name | Brenda Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497210959 PECOS PAC ID: 6709127772 Enrollment ID: I20190402000392 |
| Provider Name | Lara Hammond |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235167149 PECOS PAC ID: 8426051319 Enrollment ID: I20190402001524 |
| Provider Name | Naiim S Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134566102 PECOS PAC ID: 5799087623 Enrollment ID: I20190419000282 |
| Provider Name | Rochelle A Paquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730567629 PECOS PAC ID: 3870868961 Enrollment ID: I20190510001266 |
| Provider Name | Nicholas Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477972370 PECOS PAC ID: 8527369396 Enrollment ID: I20190531000384 |
| Provider Name | Kramer J Wahlberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982067880 PECOS PAC ID: 6800120155 Enrollment ID: I20190620002298 |
| Provider Name | Suman Majumdar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477998045 PECOS PAC ID: 9234476136 Enrollment ID: I20190716003323 |
| Provider Name | Alexis Whittaker Malcom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376830281 PECOS PAC ID: 1557533361 Enrollment ID: I20190716003610 |
| Provider Name | Rachel K Long |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124414271 PECOS PAC ID: 9931499134 Enrollment ID: I20190724002245 |
| Provider Name | Eileen E Davis Roesler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013177559 PECOS PAC ID: 2769548155 Enrollment ID: I20190726002331 |
| Provider Name | Nora Gashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871744474 PECOS PAC ID: 0547457806 Enrollment ID: I20190802002058 |
| Provider Name | Oluwayomi S Akande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326082199 PECOS PAC ID: 0143226951 Enrollment ID: I20190802002487 |
| Provider Name | Rachel A.n. Larocca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861842817 PECOS PAC ID: 5496082166 Enrollment ID: I20190805001073 |
| Provider Name | Emily G Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477916062 PECOS PAC ID: 9133412901 Enrollment ID: I20190806002255 |
| Provider Name | Sergio Apuzzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992261887 PECOS PAC ID: 4486981958 Enrollment ID: I20190806002564 |
| Provider Name | Julia H Barker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427442615 PECOS PAC ID: 5496058794 Enrollment ID: I20190807000856 |
| Provider Name | Ramasubramanian Baalachandran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386085033 PECOS PAC ID: 5294059390 Enrollment ID: I20190808000083 |
| Provider Name | Anne Brereton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952963274 PECOS PAC ID: 0042547127 Enrollment ID: I20190813000295 |
| Provider Name | Grace J Altebrando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609229707 PECOS PAC ID: 1052648052 Enrollment ID: I20190814001581 |
| Provider Name | Justin C Chuang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093179400 PECOS PAC ID: 1052606621 Enrollment ID: I20190814001726 |
| Provider Name | Neha Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366995052 PECOS PAC ID: 0547597452 Enrollment ID: I20190814002820 |
| Provider Name | David Alexander Segel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194384974 PECOS PAC ID: 4880922087 Enrollment ID: I20190827000581 |
| Provider Name | Freyda Neyman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073604278 PECOS PAC ID: 3577744275 Enrollment ID: I20190830000603 |
| Provider Name | Shannon P Rivard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164774808 PECOS PAC ID: 8325290224 Enrollment ID: I20190904000300 |
| Provider Name | Sean Michael Nagle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992184618 PECOS PAC ID: 1557667359 Enrollment ID: I20190905003150 |
| Provider Name | Jolanta Teresa Amblo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962865980 PECOS PAC ID: 3870884240 Enrollment ID: I20190920000552 |
| Provider Name | Usha Abbineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942651344 PECOS PAC ID: 7113257593 Enrollment ID: I20190927000596 |
| Provider Name | Katherine N Amey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942855069 PECOS PAC ID: 3476884560 Enrollment ID: I20191003001220 |
| Provider Name | Andrew D Kehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538720537 PECOS PAC ID: 8325379597 Enrollment ID: I20191021000145 |
| Provider Name | Abbey Lynne Rouleau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265086037 PECOS PAC ID: 4587996772 Enrollment ID: I20191021001479 |
| Provider Name | Trace C Barrett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265850499 PECOS PAC ID: 3072815877 Enrollment ID: I20191029000521 |
| Provider Name | Caitlin S Haxel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518258375 PECOS PAC ID: 3072845783 Enrollment ID: I20191030001756 |
| Provider Name | Minta Trivette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992354112 PECOS PAC ID: 2163854852 Enrollment ID: I20191119000785 |
| Provider Name | Dennis Patrick Grusenmeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871568113 PECOS PAC ID: 0648299644 Enrollment ID: I20191202001964 |
| Provider Name | Evan W Piette |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326331653 PECOS PAC ID: 3971810862 Enrollment ID: I20191209000114 |
| Provider Name | Sean Bullis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508229493 PECOS PAC ID: 8123313863 Enrollment ID: I20191226001630 |
| Provider Name | Louis-bassett Porter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689105652 PECOS PAC ID: 5193096246 Enrollment ID: I20200319000487 |
| Provider Name | Tracy E Hagerty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073722674 PECOS PAC ID: 7719047141 Enrollment ID: I20200320001692 |
| Provider Name | Cally S Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396255725 PECOS PAC ID: 9638437718 Enrollment ID: I20200327001150 |
| Provider Name | Sandra L Molteni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275972127 PECOS PAC ID: 8022242866 Enrollment ID: I20200505002780 |
| Provider Name | Morgan Lamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306476981 PECOS PAC ID: 2264863638 Enrollment ID: I20200519002286 |
| Provider Name | Jonathan Hastings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861855819 PECOS PAC ID: 3779833009 Enrollment ID: I20200520003341 |
| Provider Name | Barbara A Matarazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912527235 PECOS PAC ID: 2264853233 Enrollment ID: I20200623002402 |
| Provider Name | Shawn Wayne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295266443 PECOS PAC ID: 7315218369 Enrollment ID: I20200706002442 |
| Provider Name | Benjamin Sawatzky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235549247 PECOS PAC ID: 0345559357 Enrollment ID: I20200715002569 |
| Provider Name | Edwin Goncharuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255872453 PECOS PAC ID: 7012289507 Enrollment ID: I20200716000429 |
| Provider Name | Ahmed A Harhash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083052252 PECOS PAC ID: 9931491792 Enrollment ID: I20200723000639 |
| Provider Name | Tia Brodeur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730535162 PECOS PAC ID: 6507138112 Enrollment ID: I20200806002994 |
| Provider Name | Ashley Weisman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801158324 PECOS PAC ID: 0042464570 Enrollment ID: I20200810000210 |
| Provider Name | Erin Ostby |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174935381 PECOS PAC ID: 4284960337 Enrollment ID: I20200810002501 |
| Provider Name | David J Coggin-carr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942753033 PECOS PAC ID: 0840563649 Enrollment ID: I20200812000985 |
| Provider Name | Tabitha R Ford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639600232 PECOS PAC ID: 1153675335 Enrollment ID: I20200812001496 |
| Provider Name | Gary J King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659720704 PECOS PAC ID: 9739472622 Enrollment ID: I20200814002336 |
| Provider Name | Peter J Ireland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386175644 PECOS PAC ID: 6901171750 Enrollment ID: I20200819001302 |
| Provider Name | Krista L Buckley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568824787 PECOS PAC ID: 2466747027 Enrollment ID: I20200819004180 |
| Provider Name | Samuel Potter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376074674 PECOS PAC ID: 5597094862 Enrollment ID: I20200901000856 |
| Provider Name | Lorraine A Sutphin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871062505 PECOS PAC ID: 9032450564 Enrollment ID: I20200925001756 |
| Provider Name | Nicole Habel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881081370 PECOS PAC ID: 2567779408 Enrollment ID: I20200929002872 |
| Provider Name | Chason Ziino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033538467 PECOS PAC ID: 4880928605 Enrollment ID: I20201009001890 |
| Provider Name | Nikhil Teja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063866903 PECOS PAC ID: 6800224734 Enrollment ID: I20201013002823 |
| Provider Name | Tyler Fanning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760987473 PECOS PAC ID: 2668736281 Enrollment ID: I20201015000220 |
| Provider Name | Justin E Katz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982131728 PECOS PAC ID: 9335413525 Enrollment ID: I20201021002629 |
| Provider Name | Karen B Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215550116 PECOS PAC ID: 1153731377 Enrollment ID: I20201029000865 |
| Provider Name | Corinna M Gilkey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316330863 PECOS PAC ID: 4486974250 Enrollment ID: I20201105000853 |
| Provider Name | Kirsten M Didrikson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568012961 PECOS PAC ID: 1456783307 Enrollment ID: I20201111000783 |
| Provider Name | Alex Marshall Torstrick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407467137 PECOS PAC ID: 7012328305 Enrollment ID: I20201117002852 |
| Provider Name | Rachel N Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184242042 PECOS PAC ID: 9830500685 Enrollment ID: I20201130001216 |
| Provider Name | Calvin T Gilkey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093246878 PECOS PAC ID: 9931472735 Enrollment ID: I20201130001707 |
| Provider Name | Kayla D Corbett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770014664 PECOS PAC ID: 7315218286 Enrollment ID: I20201221002452 |
| Provider Name | Alexis Bailey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134553001 PECOS PAC ID: 4183995004 Enrollment ID: I20210114002593 |
| Provider Name | Arturo Guajardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376564153 PECOS PAC ID: 4183600620 Enrollment ID: I20210121002135 |
| Provider Name | Kevin Feldman Lutsky |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578594784 PECOS PAC ID: 2466456314 Enrollment ID: I20210122000808 |
| Provider Name | Moataz Behairy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1801215868 PECOS PAC ID: 3375888142 Enrollment ID: I20210127001422 |
| Provider Name | Marc P Belisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649785262 PECOS PAC ID: 2860753068 Enrollment ID: I20210204000576 |
| Provider Name | Jita De |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225287246 PECOS PAC ID: 1951440155 Enrollment ID: I20210215000198 |
| Provider Name | Vy B Rossi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881640951 PECOS PAC ID: 2961445986 Enrollment ID: I20210312000051 |
| Provider Name | Ann Song |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649239609 PECOS PAC ID: 3476524240 Enrollment ID: I20210609000943 |
| Provider Name | Samuel A Evenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124559075 PECOS PAC ID: 6406127349 Enrollment ID: I20210617001257 |
| Provider Name | Lauren Suggs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043605579 PECOS PAC ID: 5799083259 Enrollment ID: I20210811002629 |
| Provider Name | Zachary Blaze Wunrow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306306196 PECOS PAC ID: 0648503490 Enrollment ID: I20210816000687 |
| Provider Name | Brian Joseph Rosen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437610391 PECOS PAC ID: 1052647161 Enrollment ID: I20210816000718 |
| Provider Name | Daniel Sackett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952510372 PECOS PAC ID: 9133360886 Enrollment ID: I20210816002224 |
| Provider Name | Theresa B Flanagan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609372887 PECOS PAC ID: 2668722851 Enrollment ID: I20210818000588 |
| Provider Name | Jeremy A Dressler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1982082442 PECOS PAC ID: 6305154303 Enrollment ID: I20210913001689 |
| Provider Name | Kenyon C Bolton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134623135 PECOS PAC ID: 4183878838 Enrollment ID: I20211008001617 |
| Provider Name | Jacqueline Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588168884 PECOS PAC ID: 5092060665 Enrollment ID: I20211013001005 |
| Provider Name | Beth A Helgerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083686810 PECOS PAC ID: 8921051582 Enrollment ID: I20211111000960 |
| Provider Name | James East |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952763575 PECOS PAC ID: 2961797543 Enrollment ID: I20211116002418 |
| Provider Name | Jeffrey M Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285082164 PECOS PAC ID: 7719223460 Enrollment ID: I20211122002451 |
| Provider Name | Katy Ann Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083984785 PECOS PAC ID: 0244493708 Enrollment ID: I20211122002547 |
| Provider Name | Maria T Ibanez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477724201 PECOS PAC ID: 6901937309 Enrollment ID: I20211210001213 |
| Provider Name | Taylor Galfetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417520339 PECOS PAC ID: 8729478367 Enrollment ID: I20211214001011 |
| Provider Name | Anjuli R Bagley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538422084 PECOS PAC ID: 3173824927 Enrollment ID: I20211228002005 |
| Provider Name | Nejat Zeyneloglu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356569826 PECOS PAC ID: 9133284235 Enrollment ID: I20211230000674 |
| Provider Name | Erika-kristina Pineles-mark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558684845 PECOS PAC ID: 6608906383 Enrollment ID: I20220111002719 |
| Provider Name | Kathryn Vargo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508831207 PECOS PAC ID: 5698796555 Enrollment ID: I20220216000180 |
| Provider Name | Lauren Abramowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548670227 PECOS PAC ID: 6709001258 Enrollment ID: I20220314001864 |
| Provider Name | Alyssa M Warren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811422231 PECOS PAC ID: 8729358437 Enrollment ID: I20220404001609 |
| Provider Name | Avni J Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306377056 PECOS PAC ID: 6002180692 Enrollment ID: I20220420001909 |
| Provider Name | Saeedeh Mirbagheri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376938837 PECOS PAC ID: 7618215161 Enrollment ID: I20220503001946 |
| Provider Name | Brendan L Thoms |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417487273 PECOS PAC ID: 5496027294 Enrollment ID: I20220504001752 |
| Provider Name | Jeanne T Gosselin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376992958 PECOS PAC ID: 8325333594 Enrollment ID: I20220517001714 |
| Provider Name | Brian D Hertz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831273812 PECOS PAC ID: 5496942575 Enrollment ID: I20220523001393 |
| Provider Name | Hayley Roberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235633413 PECOS PAC ID: 6901286285 Enrollment ID: I20220705000127 |
| Provider Name | Hans Pinkert |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225296189 PECOS PAC ID: 7810176534 Enrollment ID: I20220714001661 |
| Provider Name | Joseph Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124516513 PECOS PAC ID: 1759638422 Enrollment ID: I20220718002438 |
| Provider Name | Pedro Staziaki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912358318 PECOS PAC ID: 3577836410 Enrollment ID: I20220802001013 |
| Provider Name | Noah Rohrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336609122 PECOS PAC ID: 6800129941 Enrollment ID: I20220802002510 |
| Provider Name | Katie N Chaucer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285257725 PECOS PAC ID: 5597147660 Enrollment ID: I20220805002027 |
| Provider Name | Karine Sahakyan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689088627 PECOS PAC ID: 1951737766 Enrollment ID: I20220817003639 |
| Provider Name | Michael J Bouchard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801358056 PECOS PAC ID: 2264816412 Enrollment ID: I20220907001890 |
| Provider Name | Katherine M Cornell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053871160 PECOS PAC ID: 8022343359 Enrollment ID: I20220913002380 |
| Provider Name | Aurasch Moaven |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588124994 PECOS PAC ID: 2062745110 Enrollment ID: I20220914002171 |
| Provider Name | Molly P Flanagan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467945592 PECOS PAC ID: 1951786615 Enrollment ID: I20220915002408 |
| Provider Name | Daniel Isaac Gerges |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053773648 PECOS PAC ID: 5799070314 Enrollment ID: I20220921001864 |
| Provider Name | Elizabeth Malik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083146708 PECOS PAC ID: 8022449768 Enrollment ID: I20220922003180 |
| Provider Name | Ena Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235570011 PECOS PAC ID: 3678870375 Enrollment ID: I20220927002059 |
| Provider Name | Tanush Gupta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639413636 PECOS PAC ID: 1153661822 Enrollment ID: I20220927003835 |
| Provider Name | Christopher M Brennan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982749644 PECOS PAC ID: 5799963674 Enrollment ID: I20220930001269 |
| Provider Name | Danielle S Burstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811254006 PECOS PAC ID: 8820338411 Enrollment ID: I20221006001750 |
| Provider Name | Jeremy Leonard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336533876 PECOS PAC ID: 0749687929 Enrollment ID: I20221014000329 |
| Provider Name | Alexander H Buell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295362291 PECOS PAC ID: 2769807841 Enrollment ID: I20221025001404 |
| Provider Name | Jessica L Cotnoir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912639295 PECOS PAC ID: 2264808658 Enrollment ID: I20221027000543 |
| Provider Name | David Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508958323 PECOS PAC ID: 1153354980 Enrollment ID: I20221031001896 |
| Provider Name | Kenneth A Nizza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578593547 PECOS PAC ID: 2264437318 Enrollment ID: I20221117002339 |
| Provider Name | Daniel Louis Lecours |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891322954 PECOS PAC ID: 6901228485 Enrollment ID: I20221202002919 |
| Provider Name | Caroline Linehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770043341 PECOS PAC ID: 7911232665 Enrollment ID: I20221219002375 |
| Provider Name | Jonathan D Burgess |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750844601 PECOS PAC ID: 7810220019 Enrollment ID: I20221219002380 |
| Provider Name | Corinne Roberts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891322574 PECOS PAC ID: 2860814886 Enrollment ID: I20221219002383 |
| Provider Name | James N Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003312604 PECOS PAC ID: 9234565391 Enrollment ID: I20221221000250 |
| Provider Name | Carmen L Pisc |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1356324453 PECOS PAC ID: 8325010945 Enrollment ID: I20221221001822 |
| Provider Name | Margaret Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285205393 PECOS PAC ID: 2062883648 Enrollment ID: I20230118000801 |
| Provider Name | Jodie Maxine Legacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700594066 PECOS PAC ID: 1153792627 Enrollment ID: I20230119001819 |
| Provider Name | Pamela R Derickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750918280 PECOS PAC ID: 5799106118 Enrollment ID: I20230126002983 |
| Provider Name | Christopher David |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508362849 PECOS PAC ID: 5597168310 Enrollment ID: I20230131002335 |
| Provider Name | Sudhin Kanabar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750373882 PECOS PAC ID: 2062590987 Enrollment ID: I20230210001140 |
| Provider Name | Laura Weakland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073591525 PECOS PAC ID: 1153339528 Enrollment ID: I20230224000741 |
| Provider Name | Elizabeth Maring |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922569789 PECOS PAC ID: 8921331901 Enrollment ID: I20230224001977 |
| Provider Name | Gunter Krauthamer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376923508 PECOS PAC ID: 9335453802 Enrollment ID: I20230322001570 |
| Provider Name | Jay G Ingram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679968788 PECOS PAC ID: 2860700267 Enrollment ID: I20230412000591 |
| Provider Name | Benjamin Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326675596 PECOS PAC ID: 7810312998 Enrollment ID: I20230425000395 |
| Provider Name | Maria Del Pilar Solano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508883570 PECOS PAC ID: 3779660469 Enrollment ID: I20230427001194 |
| Provider Name | Leila Khorashadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871781716 PECOS PAC ID: 2466505102 Enrollment ID: I20230627002311 |
| Provider Name | John E Britt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366543910 PECOS PAC ID: 5294728473 Enrollment ID: I20230630002983 |
| Provider Name | Stacy A Shen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174056709 PECOS PAC ID: 9537581012 Enrollment ID: I20230703001848 |
| Provider Name | Dermot Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619320934 PECOS PAC ID: 4284929563 Enrollment ID: I20230713001411 |
| Provider Name | Kyle G Crooker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194352310 PECOS PAC ID: 4880017433 Enrollment ID: I20230715000176 |
| Provider Name | Maria C Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508493164 PECOS PAC ID: 3971926460 Enrollment ID: I20230728001625 |
| Provider Name | Sravan Kakani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508159856 PECOS PAC ID: 2163741109 Enrollment ID: I20230809001245 |
| Provider Name | Asad J Anwar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1992220933 PECOS PAC ID: 5698196533 Enrollment ID: I20230809002178 |
| Provider Name | Jennifer Scontras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659908101 PECOS PAC ID: 3971924820 Enrollment ID: I20230809003396 |
| Provider Name | Rahul Anil |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457872715 PECOS PAC ID: 7113357807 Enrollment ID: I20230821002604 |
| Provider Name | Nolan Neu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811574916 PECOS PAC ID: 6204238447 Enrollment ID: I20230831001873 |
| Provider Name | Wendell A Bliss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356848857 PECOS PAC ID: 4688095920 Enrollment ID: I20230906000312 |
| Provider Name | Cynthia M Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851653513 PECOS PAC ID: 4284976705 Enrollment ID: I20230906000641 |
| Provider Name | Jessica Weeks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669059614 PECOS PAC ID: 4688076243 Enrollment ID: I20230907003794 |
| Provider Name | Derek Rycewicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255872651 PECOS PAC ID: 2264703255 Enrollment ID: I20230918002259 |
| Provider Name | Mason Stillman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346827078 PECOS PAC ID: 2062814627 Enrollment ID: I20230920000503 |
| Provider Name | Louisa Salisbury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871857763 PECOS PAC ID: 8123328457 Enrollment ID: I20230920003314 |
| Provider Name | Dylan Hershkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922538644 PECOS PAC ID: 3577836600 Enrollment ID: I20230920003632 |
| Provider Name | Andrew Tranmer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1841721990 PECOS PAC ID: 1052684396 Enrollment ID: I20230922000411 |
| Provider Name | Mark Sueyoshi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164911038 PECOS PAC ID: 6608220694 Enrollment ID: I20230925002621 |
| Provider Name | Robert Percarpio |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356579171 PECOS PAC ID: 5991948382 Enrollment ID: I20230928000333 |
| Provider Name | Benjamin A Flinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134740962 PECOS PAC ID: 6507210333 Enrollment ID: I20230928000727 |
| Provider Name | Kelsey E Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114604469 PECOS PAC ID: 7618321266 Enrollment ID: I20230929002758 |
| Provider Name | James Levins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679920995 PECOS PAC ID: 3274828454 Enrollment ID: I20231003001118 |
| Provider Name | Michael Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013449768 PECOS PAC ID: 0446605661 Enrollment ID: I20231009000983 |
| Provider Name | Khalil Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639664832 PECOS PAC ID: 8729326103 Enrollment ID: I20231013000972 |
| Provider Name | Nina Harris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215310099 PECOS PAC ID: 1153638523 Enrollment ID: I20231115003373 |
| Provider Name | Theresa M Collier |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205123742 PECOS PAC ID: 9335307479 Enrollment ID: I20231127000242 |
| Provider Name | Kaitlyn Surwilo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043938467 PECOS PAC ID: 4284083106 Enrollment ID: I20231218000526 |
| Provider Name | Alexandra K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134527815 PECOS PAC ID: 1254693856 Enrollment ID: I20231219003713 |
| Provider Name | Nat Anna Mulkey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720665953 PECOS PAC ID: 4880097252 Enrollment ID: I20240110000795 |
| Provider Name | Maxine Dudek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740740539 PECOS PAC ID: 6406189554 Enrollment ID: I20240110000880 |
| Provider Name | Howard Hood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073670527 PECOS PAC ID: 4688027808 Enrollment ID: I20240124001899 |
| Provider Name | Olivia Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023695772 PECOS PAC ID: 6507269537 Enrollment ID: I20240209000611 |
| Provider Name | John Haines |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669793121 PECOS PAC ID: 4082987896 Enrollment ID: I20240415002708 |
| Provider Name | Steven E Deso |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194033464 PECOS PAC ID: 0042502544 Enrollment ID: I20240502000347 |
| Provider Name | Laura Schmitz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003877408 PECOS PAC ID: 2860545969 Enrollment ID: I20240506003962 |
| Provider Name | Joshua Marlow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346602257 PECOS PAC ID: 1759612914 Enrollment ID: I20240514000446 |
| Provider Name | Nancy Kenyon Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811362619 PECOS PAC ID: 5597207696 Enrollment ID: I20240604003760 |
| Provider Name | Jacob Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326508417 PECOS PAC ID: 4688909666 Enrollment ID: I20240613001422 |
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Arkos Vermont, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 Industrial Ln, Berlin, VT 05602 Phone: 480-494-2465 Fax: 480-534-4087 |