| Chi Health Clinic | |
|
800 Mercy Dr Council Bluffs IA 51503-3128 | |
| (855) 524-4001 | |
| Not Available |
| Full Name | Chi Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 800 Mercy Dr, Council Bluffs, Iowa |
| Authorized Official Name and Position | David Pritza (SVP) |
| Authorized Official Contact | 4023434477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chi Health Clinic 7261 Mercy Rd Attn: Credentialing Omaha NE 68124-2311 Ph: (402) 398-6255 | Chi Health Clinic 800 Mercy Dr Council Bluffs IA 51503-3128 Ph: (855) 524-4001 |
| NPI Number | 1598811069 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 09/18/2023 |
| Medicare PECOS PAC ID | 1951210418 |
|---|---|
| Medicare Enrollment ID | O20040116000817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598811069 | NPI | - | NPPES |
| 41446 | Other | IA | MEDICARE PTAN |
| 41453 | Other | IA | MEDICARE PTAN |
| 41464 | Other | IA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Terrence T Slattery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396826871 PECOS PAC ID: 9537068432 Enrollment ID: I20040108000483 |
| Provider Name | Larry E Siref |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043219546 PECOS PAC ID: 3072594191 Enrollment ID: I20040525001706 |
| Provider Name | Adrian Dreessen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396795779 PECOS PAC ID: 2264331842 Enrollment ID: I20040609001165 |
| Provider Name | Curtis L Boeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881659787 PECOS PAC ID: 6608863170 Enrollment ID: I20040706000122 |
| Provider Name | Eric J Van De Graaff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790861920 PECOS PAC ID: 9335127299 Enrollment ID: I20040802000093 |
| Provider Name | Renee S Kreifels |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326156258 PECOS PAC ID: 3870496011 Enrollment ID: I20040902000682 |
| Provider Name | Michael Emory Tadlock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609837350 PECOS PAC ID: 5799743498 Enrollment ID: I20041228000793 |
| Provider Name | Wason W Louie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881645273 PECOS PAC ID: 9739153206 Enrollment ID: I20050207000852 |
| Provider Name | Ronald A Sarno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295785400 PECOS PAC ID: 1254238322 Enrollment ID: I20050222001017 |
| Provider Name | David T Mortensen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518024520 PECOS PAC ID: 2961459961 Enrollment ID: I20050401000402 |
| Provider Name | Robert J Fitzgibbons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437264124 PECOS PAC ID: 2062459365 Enrollment ID: I20050408000181 |
| Provider Name | Dawn Marie Bodnar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164475729 PECOS PAC ID: 8123052768 Enrollment ID: I20050923000873 |
| Provider Name | Jon G Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437209434 PECOS PAC ID: 6002824059 Enrollment ID: I20060403000073 |
| Provider Name | Barclay A Monaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962418640 PECOS PAC ID: 5092723049 Enrollment ID: I20060403000082 |
| Provider Name | Eneh E Okoruwa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568512564 PECOS PAC ID: 4082622030 Enrollment ID: I20060403000088 |
| Provider Name | Mark A Otto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386794386 PECOS PAC ID: 6709894751 Enrollment ID: I20060403000098 |
| Provider Name | Kevin B Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316084098 PECOS PAC ID: 1951319946 Enrollment ID: I20060403000377 |
| Provider Name | Amy C Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679623672 PECOS PAC ID: 9739197674 Enrollment ID: I20060404000102 |
| Provider Name | Rao Gutta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811936792 PECOS PAC ID: 3274544077 Enrollment ID: I20061006000620 |
| Provider Name | Khalid Bashir |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013021815 PECOS PAC ID: 5991759789 Enrollment ID: I20061228000078 |
| Provider Name | Michael G Delcore |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467555920 PECOS PAC ID: 4789686932 Enrollment ID: I20070201000244 |
| Provider Name | Robert P Diego |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295844140 PECOS PAC ID: 3870557465 Enrollment ID: I20070411000464 |
| Provider Name | Krista L Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578571188 PECOS PAC ID: 3375577489 Enrollment ID: I20070518000451 |
| Provider Name | Wendy M Schwery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215151014 PECOS PAC ID: 3072611946 Enrollment ID: I20070822000462 |
| Provider Name | Gregory G Krauth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114035631 PECOS PAC ID: 5193817146 Enrollment ID: I20070822000553 |
| Provider Name | Scott D Wilt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245348754 PECOS PAC ID: 3375635337 Enrollment ID: I20070822000652 |
| Provider Name | Thuc H Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780792200 PECOS PAC ID: 4880786862 Enrollment ID: I20070822000805 |
| Provider Name | Timothy J Goc |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598873002 PECOS PAC ID: 9537251533 Enrollment ID: I20070822000997 |
| Provider Name | Edward P Drobny |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114035649 PECOS PAC ID: 5294820247 Enrollment ID: I20071017000829 |
| Provider Name | Laurence M Raynor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891898946 PECOS PAC ID: 9830284884 Enrollment ID: I20071018000466 |
| Provider Name | Himanshu Md Agarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942280672 PECOS PAC ID: 2365449337 Enrollment ID: I20071023000647 |
| Provider Name | Joseph B Thibodeau |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316973381 PECOS PAC ID: 3476653932 Enrollment ID: I20071029000685 |
| Provider Name | Tin H Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770786972 PECOS PAC ID: 1759474604 Enrollment ID: I20071031000538 |
| Provider Name | Tony V Tran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124056569 PECOS PAC ID: 4688678931 Enrollment ID: I20071102000076 |
| Provider Name | Andrew T Herd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972653715 PECOS PAC ID: 0941397012 Enrollment ID: I20071114000416 |
| Provider Name | Christy Quillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598962870 PECOS PAC ID: 1951472059 Enrollment ID: I20080617000739 |
| Provider Name | Atul A Ramachandran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811075773 PECOS PAC ID: 3678548773 Enrollment ID: I20080620000668 |
| Provider Name | David S Quimby |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235183369 PECOS PAC ID: 3072524438 Enrollment ID: I20080926000024 |
| Provider Name | Ann E Narmi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134348071 PECOS PAC ID: 6608935531 Enrollment ID: I20081107000104 |
| Provider Name | Stephen O'connor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548238512 PECOS PAC ID: 9638234818 Enrollment ID: I20090223000571 |
| Provider Name | Adam J Bierbaum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114190162 PECOS PAC ID: 6002985793 Enrollment ID: I20090225000186 |
| Provider Name | Cheryl L Madson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821053406 PECOS PAC ID: 7416866330 Enrollment ID: I20090313000108 |
| Provider Name | Ronald J Pritza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164490140 PECOS PAC ID: 1951466580 Enrollment ID: I20090423000361 |
| Provider Name | David Randall Pritza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942277272 PECOS PAC ID: 5991860512 Enrollment ID: I20090423000398 |
| Provider Name | Kimberly Hagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407005333 PECOS PAC ID: 1153472519 Enrollment ID: I20090624000421 |
| Provider Name | Michael Paul Fullenkamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053408864 PECOS PAC ID: 1456403948 Enrollment ID: I20090714000550 |
| Provider Name | Kathryn A Newcomb |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639193527 PECOS PAC ID: 6507918034 Enrollment ID: I20090715000060 |
| Provider Name | Robert M Kent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043434525 PECOS PAC ID: 3072688266 Enrollment ID: I20090804000123 |
| Provider Name | Eric M Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417183914 PECOS PAC ID: 0042363830 Enrollment ID: I20090805000137 |
| Provider Name | Amy B Houlihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306861265 PECOS PAC ID: 9931103710 Enrollment ID: I20090805000392 |
| Provider Name | Tommora A Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154558765 PECOS PAC ID: 6800942830 Enrollment ID: I20090916000648 |
| Provider Name | Brenda Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053541276 PECOS PAC ID: 2567518087 Enrollment ID: I20090924000043 |
| Provider Name | Pauline Felker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710118732 PECOS PAC ID: 6406992130 Enrollment ID: I20091009000019 |
| Provider Name | Jeremy M Snow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912191081 PECOS PAC ID: 5597852509 Enrollment ID: I20100113000077 |
| Provider Name | Louis Violi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922002633 PECOS PAC ID: 1456312933 Enrollment ID: I20100113000573 |
| Provider Name | Bryan J Krajicek |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689654303 PECOS PAC ID: 1557364445 Enrollment ID: I20100201000192 |
| Provider Name | Sina J Linman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609946243 PECOS PAC ID: 0446393284 Enrollment ID: I20100202000857 |
| Provider Name | Hussam S Abuissa |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679500862 PECOS PAC ID: 6204901721 Enrollment ID: I20100223000515 |
| Provider Name | Galen M Meyer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881692903 PECOS PAC ID: 6800818709 Enrollment ID: I20100318000320 |
| Provider Name | Jillianne M Danahay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811180151 PECOS PAC ID: 7012001993 Enrollment ID: I20100422000930 |
| Provider Name | Tara L Sands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992035778 PECOS PAC ID: 9436284130 Enrollment ID: I20100528000245 |
| Provider Name | Wayne E Penka |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417093279 PECOS PAC ID: 3577694777 Enrollment ID: I20100702000413 |
| Provider Name | Kavish Rohatgi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710177944 PECOS PAC ID: 5294869509 Enrollment ID: I20100820001115 |
| Provider Name | Christopher J. Huerter |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1801906326 PECOS PAC ID: 6709912736 Enrollment ID: I20100830000060 |
| Provider Name | Alan M Parks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467667345 PECOS PAC ID: 3476606625 Enrollment ID: I20100902000059 |
| Provider Name | Jay G Kenik |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063522266 PECOS PAC ID: 3476693748 Enrollment ID: I20100903000438 |
| Provider Name | Patrick Joseph Bogard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386693455 PECOS PAC ID: 5991829434 Enrollment ID: I20100903000895 |
| Provider Name | Mel F Roca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841427564 PECOS PAC ID: 3072638394 Enrollment ID: I20100909001200 |
| Provider Name | Herman M Greenwald |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295733020 PECOS PAC ID: 2567361082 Enrollment ID: I20100910001140 |
| Provider Name | Durgalakshmi Duraikannan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518184332 PECOS PAC ID: 2769519495 Enrollment ID: I20100929000868 |
| Provider Name | Richard G Runge |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104888775 PECOS PAC ID: 7416149216 Enrollment ID: I20101012001048 |
| Provider Name | Michelle Dawn Wehrly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982916979 PECOS PAC ID: 6709910367 Enrollment ID: I20101019000887 |
| Provider Name | Anthony J Halat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104811538 PECOS PAC ID: 1456367556 Enrollment ID: I20101112001212 |
| Provider Name | Nancye D Hasiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952300451 PECOS PAC ID: 2769381920 Enrollment ID: I20101124000122 |
| Provider Name | Jon R Goldsmith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548225816 PECOS PAC ID: 5193738722 Enrollment ID: I20110114000099 |
| Provider Name | David Lojero |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881700136 PECOS PAC ID: 1850365503 Enrollment ID: I20110124000516 |
| Provider Name | Sami Khalil Zeineddine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225242597 PECOS PAC ID: 8921176090 Enrollment ID: I20110308000333 |
| Provider Name | Thomas W Frederickson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295728368 PECOS PAC ID: 8527026491 Enrollment ID: I20110414000665 |
| Provider Name | Peter M Daher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528053006 PECOS PAC ID: 1658350939 Enrollment ID: I20110518000023 |
| Provider Name | Jamie O Armbruster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699939538 PECOS PAC ID: 1850579764 Enrollment ID: I20110623000675 |
| Provider Name | Brent F Goodrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649567991 PECOS PAC ID: 8426226200 Enrollment ID: I20110721000594 |
| Provider Name | Pooja A Deshmukh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700022704 PECOS PAC ID: 8426227984 Enrollment ID: I20110818000142 |
| Provider Name | Eyad Skaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477568137 PECOS PAC ID: 6608958756 Enrollment ID: I20111024000575 |
| Provider Name | Savio C Reddymasu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598981979 PECOS PAC ID: 4183724248 Enrollment ID: I20120127000212 |
| Provider Name | Robert T Kizer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770500514 PECOS PAC ID: 1951319805 Enrollment ID: I20120210000209 |
| Provider Name | Tracy L Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215208871 PECOS PAC ID: 9436318300 Enrollment ID: I20120313000230 |
| Provider Name | Joseph C Toulouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013934801 PECOS PAC ID: 3577558428 Enrollment ID: I20120320000887 |
| Provider Name | Sunil K Jagadesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932320066 PECOS PAC ID: 0143485086 Enrollment ID: I20120627000576 |
| Provider Name | Eric C Rice |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366545212 PECOS PAC ID: 1153463989 Enrollment ID: I20120711000520 |
| Provider Name | Thomas R Murphy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457369712 PECOS PAC ID: 1557352861 Enrollment ID: I20121207000492 |
| Provider Name | Venkata Mb Alla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598984965 PECOS PAC ID: 9830355973 Enrollment ID: I20121228000305 |
| Provider Name | Jill F Puetz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386872372 PECOS PAC ID: 0648434829 Enrollment ID: I20130204000550 |
| Provider Name | Vanessa C Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972817328 PECOS PAC ID: 6709028350 Enrollment ID: I20130809000396 |
| Provider Name | Ramesh K.r. Gadiraju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699087007 PECOS PAC ID: 0042453052 Enrollment ID: I20130823000322 |
| Provider Name | Jayanthi Ganesan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033128251 PECOS PAC ID: 1355255548 Enrollment ID: I20131029001523 |
| Provider Name | Kristin L Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982792107 PECOS PAC ID: 4385643014 Enrollment ID: I20140109000548 |
| Provider Name | Christopher J Holewinski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043643687 PECOS PAC ID: 2264667518 Enrollment ID: I20140121000467 |
| Provider Name | Mohammed T Zalabani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427345966 PECOS PAC ID: 7618106659 Enrollment ID: I20140214001083 |
| Provider Name | Tammy J Rixey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851672067 PECOS PAC ID: 3173778230 Enrollment ID: I20140314001034 |
| Provider Name | Gregg A Drabek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629180054 PECOS PAC ID: 5890785034 Enrollment ID: I20140403001328 |
| Provider Name | Megan Brady |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376701896 PECOS PAC ID: 9638201742 Enrollment ID: I20140512000133 |
| Provider Name | Anthony J Macdissi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194036723 PECOS PAC ID: 7113169665 Enrollment ID: I20140520002268 |
| Provider Name | Rohini Garg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598997835 PECOS PAC ID: 7416102140 Enrollment ID: I20140604000423 |
| Provider Name | Domingo L. Maynes |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770795791 PECOS PAC ID: 3779747910 Enrollment ID: I20140605001733 |
| Provider Name | Pranith Surabhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891074803 PECOS PAC ID: 3173748951 Enrollment ID: I20140711000445 |
| Provider Name | Venketraman Sahasranaman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710142039 PECOS PAC ID: 3779709761 Enrollment ID: I20140728002675 |
| Provider Name | Christopher J Acker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811283989 PECOS PAC ID: 2567680978 Enrollment ID: I20140827000736 |
| Provider Name | Samuel Dubrow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639349590 PECOS PAC ID: 2769626480 Enrollment ID: I20140827001526 |
| Provider Name | Sandeep Mukherjee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760432066 PECOS PAC ID: 6901948413 Enrollment ID: I20140908000920 |
| Provider Name | Kelly M Osborn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982016754 PECOS PAC ID: 8224258447 Enrollment ID: I20141009001677 |
| Provider Name | Sumeet K Mittal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780795609 PECOS PAC ID: 6103961230 Enrollment ID: I20141020002095 |
| Provider Name | Casie I Dorr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437555257 PECOS PAC ID: 5799007571 Enrollment ID: I20141205000590 |
| Provider Name | Ahmed Aboeata |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376709808 PECOS PAC ID: 7315262904 Enrollment ID: I20150202000845 |
| Provider Name | Kalyana C Nandipati |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740420975 PECOS PAC ID: 1658400031 Enrollment ID: I20150205001328 |
| Provider Name | Pradeep Pallati |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033323274 PECOS PAC ID: 5496902488 Enrollment ID: I20150224000482 |
| Provider Name | Zia A Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457396921 PECOS PAC ID: 2062453400 Enrollment ID: I20150317000115 |
| Provider Name | Mary Catherine Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831357599 PECOS PAC ID: 5496802696 Enrollment ID: I20150317002391 |
| Provider Name | Lacy L Rowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821487679 PECOS PAC ID: 0547587164 Enrollment ID: I20150319001397 |
| Provider Name | Joseph A Nahas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497903520 PECOS PAC ID: 7517101348 Enrollment ID: I20150323001104 |
| Provider Name | Amanda J Nastase |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578959904 PECOS PAC ID: 9931429875 Enrollment ID: I20150518001027 |
| Provider Name | Angela Karsten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851652028 PECOS PAC ID: 3375863376 Enrollment ID: I20150520000313 |
| Provider Name | Rammohan R Sankaraneni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790942795 PECOS PAC ID: 9830314038 Enrollment ID: I20150601001441 |
| Provider Name | Karl A Bergmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447497649 PECOS PAC ID: 0042367468 Enrollment ID: I20150608000239 |
| Provider Name | Michael Patrick Feloney |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073620712 PECOS PAC ID: 7911968557 Enrollment ID: I20150610002108 |
| Provider Name | Daniel Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003966003 PECOS PAC ID: 8123017548 Enrollment ID: I20150710001799 |
| Provider Name | Michaela Lintner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649651928 PECOS PAC ID: 9739492158 Enrollment ID: I20150714002273 |
| Provider Name | Andrea Jennifer Chamczuk |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831475730 PECOS PAC ID: 1759548787 Enrollment ID: I20150825003197 |
| Provider Name | David E Odegaard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023236213 PECOS PAC ID: 8527110600 Enrollment ID: I20150908000945 |
| Provider Name | Gokul Subhas |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1669672408 PECOS PAC ID: 2264748136 Enrollment ID: I20150909000599 |
| Provider Name | Tessa D O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629445937 PECOS PAC ID: 5496061384 Enrollment ID: I20150909001197 |
| Provider Name | Regina Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447673363 PECOS PAC ID: 1355565326 Enrollment ID: I20151130000854 |
| Provider Name | Leanne Marie Vitito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992774426 PECOS PAC ID: 9931102100 Enrollment ID: I20151229001818 |
| Provider Name | Toufik Mahfood Haddad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932541000 PECOS PAC ID: 8820391154 Enrollment ID: I20160120002736 |
| Provider Name | Karoweso Chipendo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881095503 PECOS PAC ID: 0547583320 Enrollment ID: I20160129001112 |
| Provider Name | Paul A Jackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902289820 PECOS PAC ID: 2961716428 Enrollment ID: I20160204001415 |
| Provider Name | Lindee Abe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912378845 PECOS PAC ID: 2769782903 Enrollment ID: I20160205001481 |
| Provider Name | Allison M Mcleay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710114749 PECOS PAC ID: 9335290683 Enrollment ID: I20160302002187 |
| Provider Name | Brian A Dumstorff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477997708 PECOS PAC ID: 1456599257 Enrollment ID: I20160310001555 |
| Provider Name | Juanita D Alvarez Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447616313 PECOS PAC ID: 5799082764 Enrollment ID: I20160318001638 |
| Provider Name | Tiffany Marie Kalin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083074652 PECOS PAC ID: 2860799806 Enrollment ID: I20160318001717 |
| Provider Name | William Abrahams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124251442 PECOS PAC ID: 7618124850 Enrollment ID: I20160421002392 |
| Provider Name | Jason E Lambrecht |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134431018 PECOS PAC ID: 1850546482 Enrollment ID: I20160427002318 |
| Provider Name | Edward Chartrand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710291257 PECOS PAC ID: 3678798865 Enrollment ID: I20160610001113 |
| Provider Name | Yuttana Chawengsub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518306570 PECOS PAC ID: 7618190968 Enrollment ID: I20160615002231 |
| Provider Name | Joseph Thirumalareddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356611941 PECOS PAC ID: 6406097187 Enrollment ID: I20160715001385 |
| Provider Name | Michael J Sanley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437388741 PECOS PAC ID: 9133375082 Enrollment ID: I20160725002207 |
| Provider Name | Douglas R Moore |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265696876 PECOS PAC ID: 2860680378 Enrollment ID: I20160725002225 |
| Provider Name | Zachary S Depew |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063618106 PECOS PAC ID: 7416071238 Enrollment ID: I20160725002408 |
| Provider Name | Felicitas Mavunga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871957340 PECOS PAC ID: 1658670153 Enrollment ID: I20160815000195 |
| Provider Name | Spencer Borns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215387907 PECOS PAC ID: 4587955125 Enrollment ID: I20160823001875 |
| Provider Name | Brandon G Echtenkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801349253 PECOS PAC ID: 9335434836 Enrollment ID: I20160823002088 |
| Provider Name | Mohamad Ali Alhajhusain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770713257 PECOS PAC ID: 8729227145 Enrollment ID: I20160823002247 |
| Provider Name | Bridget Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528413523 PECOS PAC ID: 2264725167 Enrollment ID: I20160824001523 |
| Provider Name | Katherine Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1588781926 PECOS PAC ID: 0941387310 Enrollment ID: I20160825002578 |
| Provider Name | Temple Ann Anzalone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265546642 PECOS PAC ID: 2769457779 Enrollment ID: I20160922001339 |
| Provider Name | Helenka Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609216753 PECOS PAC ID: 4789977596 Enrollment ID: I20160923001234 |
| Provider Name | Luris De Calero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750613618 PECOS PAC ID: 3971593112 Enrollment ID: I20160930001200 |
| Provider Name | Avdesh R Buragadda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295935864 PECOS PAC ID: 2062690100 Enrollment ID: I20161011002983 |
| Provider Name | Margaret Leigh Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124475439 PECOS PAC ID: 2769777150 Enrollment ID: I20161012000760 |
| Provider Name | Trina K Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386095172 PECOS PAC ID: 2668760109 Enrollment ID: I20161017000052 |
| Provider Name | Michael A Hovey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366429458 PECOS PAC ID: 8123021433 Enrollment ID: I20161027001271 |
| Provider Name | Jennifer M Cohorst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508015454 PECOS PAC ID: 9335202167 Enrollment ID: I20161111001011 |
| Provider Name | Corey L Farnum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881707834 PECOS PAC ID: 2668412776 Enrollment ID: I20161111001151 |
| Provider Name | Erin Mclaughlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548523152 PECOS PAC ID: 1658529607 Enrollment ID: I20161111001395 |
| Provider Name | Theresa Keefe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710954904 PECOS PAC ID: 5698720217 Enrollment ID: I20161114000033 |
| Provider Name | Kelli Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467853424 PECOS PAC ID: 4880816438 Enrollment ID: I20161128000645 |
| Provider Name | Date K Amouzou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942755954 PECOS PAC ID: 7719267046 Enrollment ID: I20161202001956 |
| Provider Name | Angelica M Griffiths |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508314709 PECOS PAC ID: 4880972330 Enrollment ID: I20161206000429 |
| Provider Name | Meaghan Shanahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083844765 PECOS PAC ID: 0941441844 Enrollment ID: I20161209000833 |
| Provider Name | Ronette Lammers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396904587 PECOS PAC ID: 7012080849 Enrollment ID: I20161212001166 |
| Provider Name | Salam S Salman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255303251 PECOS PAC ID: 8628030525 Enrollment ID: I20170109000050 |
| Provider Name | Mohsin M Mirza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053743229 PECOS PAC ID: 8820382823 Enrollment ID: I20170131000159 |
| Provider Name | Sahil Mullick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033550421 PECOS PAC ID: 6406142835 Enrollment ID: I20170131000252 |
| Provider Name | Dennis Thiel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770712085 PECOS PAC ID: 9032343405 Enrollment ID: I20170303000713 |
| Provider Name | Venkata Andukuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790902344 PECOS PAC ID: 2466578786 Enrollment ID: I20170404001781 |
| Provider Name | Adam Macdissi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720399116 PECOS PAC ID: 9739321365 Enrollment ID: I20170412000530 |
| Provider Name | Naresh A Dewan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730294711 PECOS PAC ID: 3971647355 Enrollment ID: I20170502001469 |
| Provider Name | Steffany J Chedel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528503851 PECOS PAC ID: 7012293236 Enrollment ID: I20170508000922 |
| Provider Name | Allyson Kristine Doerr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205371572 PECOS PAC ID: 5092091215 Enrollment ID: I20170508001046 |
| Provider Name | Nicholas Dietz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396833737 PECOS PAC ID: 5294912739 Enrollment ID: I20170515001625 |
| Provider Name | Poonam Sharma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336253913 PECOS PAC ID: 5193799567 Enrollment ID: I20170517001692 |
| Provider Name | Robert A Ruelaz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881749026 PECOS PAC ID: 5597847723 Enrollment ID: I20170531000058 |
| Provider Name | Rima I El-herte |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164787412 PECOS PAC ID: 3476790957 Enrollment ID: I20170602000356 |
| Provider Name | Robert W Plambeck |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780945162 PECOS PAC ID: 7214205954 Enrollment ID: I20170621001460 |
| Provider Name | Paul Millner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962817817 PECOS PAC ID: 8820377062 Enrollment ID: I20170706001599 |
| Provider Name | Angelica Z Wong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467896720 PECOS PAC ID: 5294969713 Enrollment ID: I20170811003035 |
| Provider Name | Felina S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588196299 PECOS PAC ID: 3971889346 Enrollment ID: I20170814000989 |
| Provider Name | Benjamin Bumgarner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588073399 PECOS PAC ID: 7416239322 Enrollment ID: I20170817002757 |
| Provider Name | Haleigh M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851814222 PECOS PAC ID: 7416220389 Enrollment ID: I20170829002688 |
| Provider Name | Adam D Wells |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376863886 PECOS PAC ID: 9638312234 Enrollment ID: I20171006001410 |
| Provider Name | Amber Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023540374 PECOS PAC ID: 4486922564 Enrollment ID: I20171010002205 |
| Provider Name | Bradley William Devrieze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255564365 PECOS PAC ID: 0648414771 Enrollment ID: I20171128000436 |
| Provider Name | Erik R. Jacobson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447541743 PECOS PAC ID: 0345472072 Enrollment ID: I20171129001735 |
| Provider Name | Sarah Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447764758 PECOS PAC ID: 9638436587 Enrollment ID: I20171130001831 |
| Provider Name | Adrienne Perfilio Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609908078 PECOS PAC ID: 2163607086 Enrollment ID: I20171207001181 |
| Provider Name | Robert Gallegos |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1205870805 PECOS PAC ID: 2365436417 Enrollment ID: I20171207002287 |
| Provider Name | Katie Ann Mcgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972912202 PECOS PAC ID: 0345546644 Enrollment ID: I20171208000835 |
| Provider Name | Sarah K Shomshor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265946107 PECOS PAC ID: 9537426093 Enrollment ID: I20171208001348 |
| Provider Name | Adam Donald Highley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316234131 PECOS PAC ID: 3577883834 Enrollment ID: I20180108000418 |
| Provider Name | Nada Skaf |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073735817 PECOS PAC ID: 1355536525 Enrollment ID: I20180108000620 |
| Provider Name | Jocelyn A Ramadan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134477201 PECOS PAC ID: 8628385242 Enrollment ID: I20180115000022 |
| Provider Name | Ilya G Berim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588801567 PECOS PAC ID: 6002068376 Enrollment ID: I20180124002548 |
| Provider Name | Laura P Denning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922515030 PECOS PAC ID: 8325307010 Enrollment ID: I20180126000700 |
| Provider Name | Mohammed N Nazmul |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659351328 PECOS PAC ID: 2163314469 Enrollment ID: I20180126000739 |
| Provider Name | Shehnaz Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932321809 PECOS PAC ID: 4486720968 Enrollment ID: I20180126000997 |
| Provider Name | Gangadasu Ecvs Reddy |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1366739625 PECOS PAC ID: 3779739446 Enrollment ID: I20180126001074 |
| Provider Name | Kassie A Lueth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144746363 PECOS PAC ID: 0648543355 Enrollment ID: I20180129000136 |
| Provider Name | Jalila Hudson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598773889 PECOS PAC ID: 4284615337 Enrollment ID: I20180130000264 |
| Provider Name | Stacie R. Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205212677 PECOS PAC ID: 0042525396 Enrollment ID: I20180208002591 |
| Provider Name | Paislee R Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225537012 PECOS PAC ID: 3870853872 Enrollment ID: I20180213001537 |
| Provider Name | Phillip L Bassing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427571371 PECOS PAC ID: 4183997422 Enrollment ID: I20180315002404 |
| Provider Name | Courtney Stagemeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245698273 PECOS PAC ID: 5496048217 Enrollment ID: I20180403000858 |
| Provider Name | Julie Ann Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861682452 PECOS PAC ID: 7416265566 Enrollment ID: I20180403002646 |
| Provider Name | Mitchell Edward Weber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467749499 PECOS PAC ID: 6305067992 Enrollment ID: I20180411002165 |
| Provider Name | Twethida Oung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790946481 PECOS PAC ID: 7810179256 Enrollment ID: I20180531000805 |
| Provider Name | Amir Batman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316351281 PECOS PAC ID: 4880819143 Enrollment ID: I20180618002541 |
| Provider Name | Darren Matthew Groh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710277447 PECOS PAC ID: 3678838331 Enrollment ID: I20180705000462 |
| Provider Name | Erin Hale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801237706 PECOS PAC ID: 6901183466 Enrollment ID: I20180717000652 |
| Provider Name | Arun Kanmanthareddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013143122 PECOS PAC ID: 6406136654 Enrollment ID: I20180720002841 |
| Provider Name | Vinit V Patil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194005231 PECOS PAC ID: 5799905253 Enrollment ID: I20180725003610 |
| Provider Name | Venkata Sandeep Koripalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013390723 PECOS PAC ID: 3173870771 Enrollment ID: I20180726002853 |
| Provider Name | Toan D Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295118776 PECOS PAC ID: 2961784871 Enrollment ID: I20180801003150 |
| Provider Name | Stephanie Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457762148 PECOS PAC ID: 7618256835 Enrollment ID: I20180814003243 |
| Provider Name | Clayton Carl Thor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366704082 PECOS PAC ID: 1052542719 Enrollment ID: I20180817000508 |
| Provider Name | Michael Ryan Zimmerman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699118224 PECOS PAC ID: 3577706563 Enrollment ID: I20180824000164 |
| Provider Name | Christine Bruno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20180824002293 |
| Provider Name | Naomi Kigondu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518451152 PECOS PAC ID: 7416204920 Enrollment ID: I20180827000612 |
| Provider Name | Joseph Michael Mowery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386919579 PECOS PAC ID: 3577879550 Enrollment ID: I20180828003434 |
| Provider Name | Artem Ryazantsev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043653108 PECOS PAC ID: 9335431204 Enrollment ID: I20180828004029 |
| Provider Name | Katherine M. Erlandson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801374384 PECOS PAC ID: 0749530145 Enrollment ID: I20180905003582 |
| Provider Name | Joan Delto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275769093 PECOS PAC ID: 4587933361 Enrollment ID: I20180910000594 |
| Provider Name | Jeffrey Stearnes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356491351 PECOS PAC ID: 0244208783 Enrollment ID: I20180917000255 |
| Provider Name | Nicole M Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114408531 PECOS PAC ID: 7113279910 Enrollment ID: I20181015000803 |
| Provider Name | William M Pruett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487005542 PECOS PAC ID: 9931492121 Enrollment ID: I20181015001266 |
| Provider Name | Akshat Sood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326319138 PECOS PAC ID: 5193947174 Enrollment ID: I20181016002078 |
| Provider Name | Joyce M Kovar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336350636 PECOS PAC ID: 1658569009 Enrollment ID: I20181017000611 |
| Provider Name | Angela Lynn Fisher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407869498 PECOS PAC ID: 0941380075 Enrollment ID: I20181204001514 |
| Provider Name | Melissa Klutts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215445077 PECOS PAC ID: 2769727395 Enrollment ID: I20181228002404 |
| Provider Name | Suleman Akbar Umar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568789485 PECOS PAC ID: 1456649102 Enrollment ID: I20190124002937 |
| Provider Name | Michel Randolph Peter Wagner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447200647 PECOS PAC ID: 4486725561 Enrollment ID: I20190208002835 |
| Provider Name | Heather E Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306804067 PECOS PAC ID: 9638151079 Enrollment ID: I20190225000125 |
| Provider Name | Deepak Kumar Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861703555 PECOS PAC ID: 5193966265 Enrollment ID: I20190311002833 |
| Provider Name | Ashley M Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083161889 PECOS PAC ID: 6608164637 Enrollment ID: I20190315000142 |
| Provider Name | Lucinda Jean Heavican |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770711582 PECOS PAC ID: 4385798354 Enrollment ID: I20190426001096 |
| Provider Name | John A Aucar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033141965 PECOS PAC ID: 2466450630 Enrollment ID: I20190510000220 |
| Provider Name | Siva Madineedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699921635 PECOS PAC ID: 1456522960 Enrollment ID: I20190514003102 |
| Provider Name | Jedidiah Amos Ballard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023329976 PECOS PAC ID: 8224342738 Enrollment ID: I20190529001161 |
| Provider Name | Michelle R Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700325883 PECOS PAC ID: 7517237753 Enrollment ID: I20190607001769 |
| Provider Name | Christopher Joseph Gasho |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063778272 PECOS PAC ID: 1850631862 Enrollment ID: I20190612003846 |
| Provider Name | Amjad Kabach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891137758 PECOS PAC ID: 2163703307 Enrollment ID: I20190620001794 |
| Provider Name | Jessica R Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215597588 PECOS PAC ID: 7416281217 Enrollment ID: I20190627003124 |
| Provider Name | Akwaugo Uzoegwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033506332 PECOS PAC ID: 1254678071 Enrollment ID: I20190708000230 |
| Provider Name | Bala Prakash |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033315932 PECOS PAC ID: 7719103829 Enrollment ID: I20190725000511 |
| Provider Name | Suchitra Pilli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750649844 PECOS PAC ID: 1153681937 Enrollment ID: I20190727000170 |
| Provider Name | Kirsten A Boedeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538712260 PECOS PAC ID: 9830426576 Enrollment ID: I20190803000115 |
| Provider Name | Neil Mendoza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407146632 PECOS PAC ID: 6305083544 Enrollment ID: I20190815000263 |
| Provider Name | Stanley V Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942526371 PECOS PAC ID: 1456584424 Enrollment ID: I20190815000568 |
| Provider Name | Stephanie Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205491891 PECOS PAC ID: 9638405376 Enrollment ID: I20190823001086 |
| Provider Name | Nicholas N Sakis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932582848 PECOS PAC ID: 9234447285 Enrollment ID: I20190911001753 |
| Provider Name | Meagan Driesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902469661 PECOS PAC ID: 4981930245 Enrollment ID: I20190918000292 |
| Provider Name | Tracy A Schoening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962050914 PECOS PAC ID: 7517297435 Enrollment ID: I20190919000930 |
| Provider Name | Carolina A Landeen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659719565 PECOS PAC ID: 1052554490 Enrollment ID: I20191009002645 |
| Provider Name | Stephen Walter Leslie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598756959 PECOS PAC ID: 0345154670 Enrollment ID: I20191010001597 |
| Provider Name | Nikhil Jagan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427480284 PECOS PAC ID: 5597053264 Enrollment ID: I20191011002345 |
| Provider Name | Amanda S Boardman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902141286 PECOS PAC ID: 2264660505 Enrollment ID: I20191018002553 |
| Provider Name | Melissa M Hohenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548822257 PECOS PAC ID: 0143557959 Enrollment ID: I20191106000125 |
| Provider Name | Sangeeta Mutnuri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962790477 PECOS PAC ID: 1254629496 Enrollment ID: I20191107001885 |
| Provider Name | Andrea Marie Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669026613 PECOS PAC ID: 0547592750 Enrollment ID: I20191118000142 |
| Provider Name | Erika M De Mont |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861969453 PECOS PAC ID: 3577807577 Enrollment ID: I20191122001718 |
| Provider Name | Rachael R Rice |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417907437 PECOS PAC ID: 7315210697 Enrollment ID: I20191122001886 |
| Provider Name | David A Clough |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1316971781 PECOS PAC ID: 3678541166 Enrollment ID: I20191216000702 |
| Provider Name | Jennifer Jean Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558726026 PECOS PAC ID: 3779882444 Enrollment ID: I20200109000519 |
| Provider Name | Jose Mayorquin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881009884 PECOS PAC ID: 4082833108 Enrollment ID: I20200113002537 |
| Provider Name | Brianna J Hoden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245780659 PECOS PAC ID: 7012299001 Enrollment ID: I20200212002627 |
| Provider Name | Stephen Grove |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184038044 PECOS PAC ID: 3375768625 Enrollment ID: I20200303000744 |
| Provider Name | Jason T Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851644512 PECOS PAC ID: 1153567938 Enrollment ID: I20200311001074 |
| Provider Name | Rebecca A Stratton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831319813 PECOS PAC ID: 7214114750 Enrollment ID: I20200324003859 |
| Provider Name | David M Beard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053376079 PECOS PAC ID: 7113918566 Enrollment ID: I20200327002787 |
| Provider Name | Andrea L Husen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588201875 PECOS PAC ID: 9032544002 Enrollment ID: I20200327002926 |
| Provider Name | David Cantu Duran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881964625 PECOS PAC ID: 1850694027 Enrollment ID: I20200407002424 |
| Provider Name | Nathan M Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881044089 PECOS PAC ID: 4880986280 Enrollment ID: I20200407003365 |
| Provider Name | Amna Sohail |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154737963 PECOS PAC ID: 9931401403 Enrollment ID: I20200422001586 |
| Provider Name | Jagkirat Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639584105 PECOS PAC ID: 5395067540 Enrollment ID: I20200422001959 |
| Provider Name | John Michael Horne |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306166244 PECOS PAC ID: 6002129269 Enrollment ID: I20200506001197 |
| Provider Name | Jeana R Westover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699334565 PECOS PAC ID: 9931438009 Enrollment ID: I20200506001800 |
| Provider Name | Alisha Ann Josephson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760968341 PECOS PAC ID: 1951732940 Enrollment ID: I20200506002938 |
| Provider Name | Richard B Thompson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699989772 PECOS PAC ID: 4981778594 Enrollment ID: I20200529000467 |
| Provider Name | James White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770045536 PECOS PAC ID: 3678816188 Enrollment ID: I20200602001669 |
| Provider Name | Saleem Jafilan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295116911 PECOS PAC ID: 4789990821 Enrollment ID: I20200609002225 |
| Provider Name | Attila Roka |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1396927448 PECOS PAC ID: 6002042678 Enrollment ID: I20200609002251 |
| Provider Name | Toni Cordes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588297170 PECOS PAC ID: 1456781004 Enrollment ID: I20200616001416 |
| Provider Name | Molly Jane Hiatt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760902977 PECOS PAC ID: 0749554202 Enrollment ID: I20200622002511 |
| Provider Name | Jennifer E Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770106783 PECOS PAC ID: 6406278266 Enrollment ID: I20200624000928 |
| Provider Name | Craig S Cookman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770997462 PECOS PAC ID: 8426274366 Enrollment ID: I20200630002138 |
| Provider Name | Sandia Iskandar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184986614 PECOS PAC ID: 2062719354 Enrollment ID: I20200702001710 |
| Provider Name | Ankur Saini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144529397 PECOS PAC ID: 4486889060 Enrollment ID: I20200706000854 |
| Provider Name | Rebecca M Toomsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275158909 PECOS PAC ID: 3577986553 Enrollment ID: I20200729002471 |
| Provider Name | Sunil Nair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306259866 PECOS PAC ID: 9830455971 Enrollment ID: I20200730003537 |
| Provider Name | Jonathan M Shields |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356862148 PECOS PAC ID: 7315211596 Enrollment ID: I20200803001213 |
| Provider Name | Sweety Aeilias |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902217946 PECOS PAC ID: 5092080234 Enrollment ID: I20200807002127 |
| Provider Name | Selma Mohammed |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1851504476 PECOS PAC ID: 3678663424 Enrollment ID: I20200810002685 |
| Provider Name | Maureen D Angelo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730446766 PECOS PAC ID: 3779804992 Enrollment ID: I20200813000368 |
| Provider Name | Jeffrey C Macaraeg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730595158 PECOS PAC ID: 4587943923 Enrollment ID: I20200818001304 |
| Provider Name | Sona K Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083667695 PECOS PAC ID: 6507878477 Enrollment ID: I20200819001913 |
| Provider Name | Khagendra Dahal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851521892 PECOS PAC ID: 8729230511 Enrollment ID: I20200820002010 |
| Provider Name | Benjamin T Denich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104436575 PECOS PAC ID: 7618394412 Enrollment ID: I20200826002455 |
| Provider Name | Maria Victoria G Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609041573 PECOS PAC ID: 1557373891 Enrollment ID: I20200903002294 |
| Provider Name | Mary Cecilia Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336320043 PECOS PAC ID: 1254421431 Enrollment ID: I20200910003019 |
| Provider Name | Sara Albagoush |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265957021 PECOS PAC ID: 6002231081 Enrollment ID: I20200915002827 |
| Provider Name | Lauren E Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538782875 PECOS PAC ID: 0840611026 Enrollment ID: I20201028001419 |
| Provider Name | Kathryn Huhmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760978464 PECOS PAC ID: 0547513608 Enrollment ID: I20201104000274 |
| Provider Name | Sanjay P Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851342778 PECOS PAC ID: 4688716186 Enrollment ID: I20201112002297 |
| Provider Name | Kyle W Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710592688 PECOS PAC ID: 6608287792 Enrollment ID: I20201120001574 |
| Provider Name | Ashley N Klepinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396342739 PECOS PAC ID: 6507277217 Enrollment ID: I20201202001195 |
| Provider Name | Nathan Hancock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326209537 PECOS PAC ID: 0244417293 Enrollment ID: I20210106001842 |
| Provider Name | Salman Ali Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306253349 PECOS PAC ID: 5890091599 Enrollment ID: I20210114001011 |
| Provider Name | Lyndsey Hinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578120135 PECOS PAC ID: 2163750571 Enrollment ID: I20210203000819 |
| Provider Name | Shanda R Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366030496 PECOS PAC ID: 7810303609 Enrollment ID: I20210302001703 |
| Provider Name | Daniel Edward Hatz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407174584 PECOS PAC ID: 5395152151 Enrollment ID: I20210324001070 |
| Provider Name | Martha Merrill-hall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164411906 PECOS PAC ID: 0446343404 Enrollment ID: I20210407002382 |
| Provider Name | Nicole Mixan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841758372 PECOS PAC ID: 4981945789 Enrollment ID: I20210427000626 |
| Provider Name | Rebecca A Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417539081 PECOS PAC ID: 0143639047 Enrollment ID: I20210505002108 |
| Provider Name | Michael Schooff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306878921 PECOS PAC ID: 8123128709 Enrollment ID: I20210622001741 |
| Provider Name | Blake M Bodendorfer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083000905 PECOS PAC ID: 0547686313 Enrollment ID: I20210709002703 |
| Provider Name | Kelee Peyton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700380383 PECOS PAC ID: 9931455383 Enrollment ID: I20210714000434 |
| Provider Name | Lauren Elizabeth Warneke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689245250 PECOS PAC ID: 4486057098 Enrollment ID: I20210720002601 |
| Provider Name | Sarah L Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306410543 PECOS PAC ID: 7416350558 Enrollment ID: I20210727000998 |
| Provider Name | Dane English Klett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376967901 PECOS PAC ID: 7911286422 Enrollment ID: I20210728001446 |
| Provider Name | Jared Thomas Alberts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295172286 PECOS PAC ID: 9537456629 Enrollment ID: I20210803002593 |
| Provider Name | Alec Hildenbrand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225559057 PECOS PAC ID: 2264859677 Enrollment ID: I20210804002838 |
| Provider Name | Kathryn Mccary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326489139 PECOS PAC ID: 8123257284 Enrollment ID: I20210818000828 |
| Provider Name | Elizabeth A Willmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346819497 PECOS PAC ID: 2769885037 Enrollment ID: I20210820002202 |
| Provider Name | Diva Viteare Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821595877 PECOS PAC ID: 6103163548 Enrollment ID: I20210823001359 |
| Provider Name | Umair Usman Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295220473 PECOS PAC ID: 2264784669 Enrollment ID: I20210901002857 |
| Provider Name | Minky Saini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700165099 PECOS PAC ID: 5395960702 Enrollment ID: I20210916000833 |
| Provider Name | Jeffrey Madsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063627859 PECOS PAC ID: 6800983727 Enrollment ID: I20210923000728 |
| Provider Name | Aubrey A Molgaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427597806 PECOS PAC ID: 6800284928 Enrollment ID: I20211022000479 |
| Provider Name | Ahmad Halawa |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760675847 PECOS PAC ID: 3577651306 Enrollment ID: I20211115001497 |
| Provider Name | Ryan Polich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750044806 PECOS PAC ID: 3476943929 Enrollment ID: I20211124001043 |
| Provider Name | Caitlin Smith Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124782941 PECOS PAC ID: 4183014798 Enrollment ID: I20211213002653 |
| Provider Name | Brooke Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093479396 PECOS PAC ID: 0042601296 Enrollment ID: I20211222001202 |
| Provider Name | Jordan Bontrager |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477184018 PECOS PAC ID: 2365870649 Enrollment ID: I20220104002611 |
| Provider Name | Jalal Vargha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639599467 PECOS PAC ID: 1658681069 Enrollment ID: I20220114001910 |
| Provider Name | Katharine Glantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760157887 PECOS PAC ID: 4587055835 Enrollment ID: I20220203000917 |
| Provider Name | Samantha Bramblett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881369601 PECOS PAC ID: 3476941469 Enrollment ID: I20220217002065 |
| Provider Name | Michelle Pavlish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518333541 PECOS PAC ID: 4789990177 Enrollment ID: I20220217002537 |
| Provider Name | Sushma Komati Reddy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538696158 PECOS PAC ID: 4082009063 Enrollment ID: I20220310001653 |
| Provider Name | Andrew Siref |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982091583 PECOS PAC ID: 0042615452 Enrollment ID: I20220404001260 |
| Provider Name | Sarah E Jerome |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508513748 PECOS PAC ID: 6305232182 Enrollment ID: I20220406001357 |
| Provider Name | Bianca Nicole Caswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710640719 PECOS PAC ID: 3173919768 Enrollment ID: I20220407001438 |
| Provider Name | Kyoko Sterns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336813930 PECOS PAC ID: 3577953835 Enrollment ID: I20220506002064 |
| Provider Name | Briana Harris Mayle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477906196 PECOS PAC ID: 7810271616 Enrollment ID: I20220509001169 |
| Provider Name | April Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942618624 PECOS PAC ID: 8123240165 Enrollment ID: I20220509001378 |
| Provider Name | Kasey Napper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841957073 PECOS PAC ID: 0648657312 Enrollment ID: I20220518001695 |
| Provider Name | Hassan Ahmed Nur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861952947 PECOS PAC ID: 8921486895 Enrollment ID: I20220606000349 |
| Provider Name | Alexander C Yang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811254998 PECOS PAC ID: 7911272141 Enrollment ID: I20220607001848 |
| Provider Name | Faran Ahmad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801204979 PECOS PAC ID: 6305111337 Enrollment ID: I20220615001546 |
| Provider Name | Meyer Schwartz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629188651 PECOS PAC ID: 0749247484 Enrollment ID: I20220630002959 |
| Provider Name | Clay E Jarrell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083130884 PECOS PAC ID: 6709289820 Enrollment ID: I20220706000737 |
| Provider Name | Jessica Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669000733 PECOS PAC ID: 3678994712 Enrollment ID: I20220706001165 |
| Provider Name | Quint Soto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417518887 PECOS PAC ID: 0648502286 Enrollment ID: I20220706001739 |
| Provider Name | Michael Keane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790276533 PECOS PAC ID: 1456608330 Enrollment ID: I20220720003840 |
| Provider Name | Brittany Bowerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760124747 PECOS PAC ID: 8527440130 Enrollment ID: I20220728003488 |
| Provider Name | Alexander Richard Staller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497101919 PECOS PAC ID: 1456647510 Enrollment ID: I20220730000199 |
| Provider Name | Tonya M Flakus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649916529 PECOS PAC ID: 8628450681 Enrollment ID: I20220808001480 |
| Provider Name | Shantanu M Patil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629326509 PECOS PAC ID: 2567776479 Enrollment ID: I20220819000794 |
| Provider Name | Reed Macy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417418898 PECOS PAC ID: 6800220534 Enrollment ID: I20220902002171 |
| Provider Name | Kristi J Kranz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114667532 PECOS PAC ID: 7315320165 Enrollment ID: I20220906001177 |
| Provider Name | Cathy Tsuchiyama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255756169 PECOS PAC ID: 0648654939 Enrollment ID: I20220906002333 |
| Provider Name | Jamie Lynn Wirth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225760382 PECOS PAC ID: 5890170708 Enrollment ID: I20220913003307 |
| Provider Name | Bhanu Odedra Mistry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194742668 PECOS PAC ID: 6406811074 Enrollment ID: I20220916002285 |
| Provider Name | Candace Giles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538435482 PECOS PAC ID: 6103206925 Enrollment ID: I20220916002508 |
| Provider Name | Elisabeth Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861977266 PECOS PAC ID: 3375882137 Enrollment ID: I20220919001829 |
| Provider Name | Sarah Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356919658 PECOS PAC ID: 8820494347 Enrollment ID: I20220926000789 |
| Provider Name | Ricardy Rimpel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871854125 PECOS PAC ID: 2466691167 Enrollment ID: I20221007001216 |
| Provider Name | Bernalda Kay Fritton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386375640 PECOS PAC ID: 7517333883 Enrollment ID: I20221012001743 |
| Provider Name | Elisabeth Anne Elgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588391056 PECOS PAC ID: 3870969579 Enrollment ID: I20221020003091 |
| Provider Name | Mallory Coolidge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629734751 PECOS PAC ID: 8527451756 Enrollment ID: I20221104000605 |
| Provider Name | Jed Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760159453 PECOS PAC ID: 6507255445 Enrollment ID: I20221119000383 |
| Provider Name | Guneet Van De Graaff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740664911 PECOS PAC ID: 5597074625 Enrollment ID: I20221128001237 |
| Provider Name | Alexa L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073246187 PECOS PAC ID: 5294117107 Enrollment ID: I20221209002222 |
| Provider Name | Maryam F Gbadamosi-akindele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619231131 PECOS PAC ID: 8921312455 Enrollment ID: I20221216001835 |
| Provider Name | Enyonam Abalekpor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972227288 PECOS PAC ID: 4183094774 Enrollment ID: I20221222001104 |
| Provider Name | Barkot Gebremichael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538595863 PECOS PAC ID: 9739471509 Enrollment ID: I20221222002384 |
| Provider Name | Logan N Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821727090 PECOS PAC ID: 0143608919 Enrollment ID: I20230112001021 |
| Provider Name | Worku Haile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679951214 PECOS PAC ID: 9133475650 Enrollment ID: I20230124001354 |
| Provider Name | Kate Kloberdanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154919751 PECOS PAC ID: 2961816020 Enrollment ID: I20230306001368 |
| Provider Name | Amandeep K Rakhra |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720430184 PECOS PAC ID: 4284990003 Enrollment ID: I20230322001387 |
| Provider Name | Kelsie I Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689336265 PECOS PAC ID: 8325438286 Enrollment ID: I20230324001373 |
| Provider Name | Prasanna Kumar Reddy Tadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689962441 PECOS PAC ID: 3678791241 Enrollment ID: I20230331001941 |
| Provider Name | Ross Sage |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417253428 PECOS PAC ID: 1658503412 Enrollment ID: I20230412001898 |
| Provider Name | Yolandas Thomason |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417339565 PECOS PAC ID: 6204132038 Enrollment ID: I20230426001742 |
| Provider Name | Ahmed Al-chalabi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801286711 PECOS PAC ID: 5496016206 Enrollment ID: I20230504001466 |
| Provider Name | Ashlee Au |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033843669 PECOS PAC ID: 2769866367 Enrollment ID: I20230511001760 |
| Provider Name | Drew R Krings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821744889 PECOS PAC ID: 8921494014 Enrollment ID: I20230516001435 |
| Provider Name | Rashid Z Syed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083847768 PECOS PAC ID: 3173742335 Enrollment ID: I20230518002649 |
| Provider Name | Vikas Kapoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184100430 PECOS PAC ID: 0244582351 Enrollment ID: I20230519002207 |
| Provider Name | Brittany Victoria Simon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215434808 PECOS PAC ID: 1658737366 Enrollment ID: I20230523002079 |
| Provider Name | Michelle J Kuehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538882022 PECOS PAC ID: 7810364395 Enrollment ID: I20230523003174 |
| Provider Name | Jacqueline Poole |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396033981 PECOS PAC ID: 8022238716 Enrollment ID: I20230525002816 |
| Provider Name | Joshua Homme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275188856 PECOS PAC ID: 4789913146 Enrollment ID: I20230620000846 |
| Provider Name | Makenzi Stevenson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770100901 PECOS PAC ID: 9133544604 Enrollment ID: I20230727000286 |
| Provider Name | Muazzam Mirza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710549159 PECOS PAC ID: 4688903909 Enrollment ID: I20230810002470 |
| Provider Name | Aun R Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982182341 PECOS PAC ID: 6204255292 Enrollment ID: I20230811002593 |
| Provider Name | Samantha Lord |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538658653 PECOS PAC ID: 7517295355 Enrollment ID: I20230831003046 |
| Provider Name | Michael Barsoom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497869291 PECOS PAC ID: 9032250154 Enrollment ID: I20230831004523 |
| Provider Name | Shahabuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174899546 PECOS PAC ID: 7214255819 Enrollment ID: I20230905003560 |
| Provider Name | Marc Mcsherry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114938131 PECOS PAC ID: 4284684366 Enrollment ID: I20230909000201 |
| Provider Name | Erika Felstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902582497 PECOS PAC ID: 6901260793 Enrollment ID: I20230912003830 |
| Provider Name | Liran Bendor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104310887 PECOS PAC ID: 6507114337 Enrollment ID: I20230913004076 |
| Provider Name | Rawel S Randhawa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689781361 PECOS PAC ID: 4789602715 Enrollment ID: I20230914001387 |
| Provider Name | Ingrid H Berg |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1073873766 PECOS PAC ID: 7810115854 Enrollment ID: I20230914002394 |
| Provider Name | Carolyn Frances Kiefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518648963 PECOS PAC ID: 6901260512 Enrollment ID: I20230915002074 |
| Provider Name | Jalal Dufani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619457868 PECOS PAC ID: 0345593927 Enrollment ID: I20230918004049 |
| Provider Name | Michaela Ann Michalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134873698 PECOS PAC ID: 7911391669 Enrollment ID: I20230919003529 |
| Provider Name | Mimi T Van |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801298294 PECOS PAC ID: 0244528024 Enrollment ID: I20230920003699 |
| Provider Name | Stephen F Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154011526 PECOS PAC ID: 5890151153 Enrollment ID: I20230921003819 |
| Provider Name | Kristina M Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801579008 PECOS PAC ID: 1254785017 Enrollment ID: I20230927002154 |
| Provider Name | Renu Kadian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558676296 PECOS PAC ID: 8022280031 Enrollment ID: I20230928003264 |
| Provider Name | Margaret Sheehy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316280316 PECOS PAC ID: 5597075895 Enrollment ID: I20231013001814 |
| Provider Name | Kara Roncin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316493968 PECOS PAC ID: 5395190862 Enrollment ID: I20231018003492 |
| Provider Name | Roger Ohanes Oghlakian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245449461 PECOS PAC ID: 8022286541 Enrollment ID: I20231114003585 |
| Provider Name | Nicole J Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841070513 PECOS PAC ID: 2567816903 Enrollment ID: I20231121001683 |
| Provider Name | Nina Bouchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649933672 PECOS PAC ID: 8022407519 Enrollment ID: I20231205003171 |
| Provider Name | Puja Kandel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861278533 PECOS PAC ID: 4880045566 Enrollment ID: I20240106000458 |
| Provider Name | Taylor Soon-sutton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649766130 PECOS PAC ID: 0648522839 Enrollment ID: I20240125002123 |
| Provider Name | Mohamedanwar Ghandour |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932690526 PECOS PAC ID: 9335474436 Enrollment ID: I20240127000609 |
| Provider Name | Carolyn M Bevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720443245 PECOS PAC ID: 6901105733 Enrollment ID: I20240205000725 |
| Provider Name | Lauren Schreffler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760809156 PECOS PAC ID: 2264659119 Enrollment ID: I20240228002428 |
| Provider Name | Dara E Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447774740 PECOS PAC ID: 9436494457 Enrollment ID: I20240305000631 |
| Provider Name | Allison Marie Briley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467215889 PECOS PAC ID: 3274979950 Enrollment ID: I20240316000405 |
| Provider Name | Anahita Rezaie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821294000 PECOS PAC ID: 7517051782 Enrollment ID: I20240316000492 |
| Provider Name | Nicole Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710756069 PECOS PAC ID: 4183067374 Enrollment ID: I20240322000157 |
| Provider Name | Heidi Horstman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033641253 PECOS PAC ID: 0143593855 Enrollment ID: I20240325003742 |
| Provider Name | Richard E Chernecky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437210341 PECOS PAC ID: 2961551353 Enrollment ID: I20240401000295 |
| Provider Name | Maresa Lorene Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285498634 PECOS PAC ID: 1153769658 Enrollment ID: I20240410001366 |
| Provider Name | Catherine Brignoni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114982048 PECOS PAC ID: 6406894716 Enrollment ID: I20240513002004 |
| Provider Name | Sean Robert Brozek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245677475 PECOS PAC ID: 2961634100 Enrollment ID: I20240606003348 |
Ridge Family Practice, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Ridge St, Suite 201, Council Bluffs, IA 51503 Phone: 712-322-5899 Fax: 712-322-5730 | |
Chi Health Quick Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2323 W Broadway, Council Bluffs, IA 51501 Phone: 800-253-4368 Fax: 712-256-3456 | |
Infectious Disease Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-6000 | |
Diagnostic & Int Med Assoc Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Ridge St, Suite 302, Council Bluffs, IA 51503 Phone: 712-322-5532 Fax: 800-293-4214 | |
Midwest Nutrition, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 North Ave Ste 8, Council Bluffs, IA 51503 Phone: 662-322-9037 | |
Hopp Physical Therapy, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 W Broadway, Council Bluffs, IA 51503 Phone: 712-329-9419 Fax: 712-329-0329 | |
Farid Sadr, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Harmony St Ste 202, Council Bluffs, IA 51503 Phone: 712-308-1563 Fax: 712-388-2722 |