| Chi Health Clinic | |
|
7500 Mercy Rd Omaha NE 68124-2319 | |
| (402) 717-2500 | |
| Not Available |
| Full Name | Chi Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 7500 Mercy Rd, Omaha, Nebraska |
| Authorized Official Name and Position | David Pritza (SYSTEM 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 7500 Mercy Rd Omaha NE 68124-2319 Ph: (402) 717-2500 |
| NPI Number | 1548287907 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 09/18/2023 |
| Medicare PECOS PAC ID | 1951210418 |
|---|---|
| Medicare Enrollment ID | O20040407001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548287907 | NPI | - | NPPES |
| 098675 | Other | NE | MEDICARE PTAN |
| 098691 | Other | NE | MEDICARE PTAN |
| 098676 | Other | NE | MEDICARE PTAN |
| 098688 | Other | NE | MEDICARE PTAN |
| 098680 | Other | NE | MEDICARE PTAN |
| 098682 | Other | NE | MEDICARE PTAN |
| 098684 | Other | MEDICARE PTAN | |
| 099398 | Other | NE | MEDICARE PTAN |
| 098672 | Other | NE | MEDICARE PTAN |
| 098678 | Other | NE | MEDICARE PTAN |
| 098694 | Other | NE | MEDICARE PTAN |
| 098695 | Other | NE | MEDICARE PTAN |
| 098673 | Other | NE | MEDICARE PTAN |
| 098684 | Other | NE | MEDICARE PTAN |
| 098685 | Other | NE | MEDICARE PTAN |
| 098686 | Other | NE | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Deanna Larson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710094545 PECOS PAC ID: 9739084963 Enrollment ID: I20031202000053 |
| Provider Name | Jayanthi Ganesan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033128251 PECOS PAC ID: 1355255548 Enrollment ID: I20031210000742 |
| Provider Name | Adrian Dreessen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396795779 PECOS PAC ID: 2264331842 Enrollment ID: I20040102000344 |
| Provider Name | Nancye D Hasiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952300451 PECOS PAC ID: 2769381920 Enrollment ID: I20040107000274 |
| Provider Name | Julie M Sundermeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194841627 PECOS PAC ID: 1759283419 Enrollment ID: I20040122001138 |
| Provider Name | Sanjeev K Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366556839 PECOS PAC ID: 7517869761 Enrollment ID: I20040127000321 |
| Provider Name | Renee S Kreifels |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326156258 PECOS PAC ID: 3870496011 Enrollment ID: I20040127000947 |
| Provider Name | Kristine Walahoski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831255637 PECOS PAC ID: 4385537505 Enrollment ID: I20040203000455 |
| Provider Name | Melissa A Johnson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659481224 PECOS PAC ID: 8325933930 Enrollment ID: I20040220000734 |
| Provider Name | Ann T Glow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184637472 PECOS PAC ID: 8527954668 Enrollment ID: I20040225000499 |
| Provider Name | Diane K Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487694089 PECOS PAC ID: 8729974613 Enrollment ID: I20040226000737 |
| Provider Name | Glenn C Gardner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982653929 PECOS PAC ID: 4789676206 Enrollment ID: I20040402000195 |
| Provider Name | Michael J Mcnamara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326097742 PECOS PAC ID: 1759374259 Enrollment ID: I20040408000064 |
| Provider Name | Mark E Shirley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578504528 PECOS PAC ID: 8921092453 Enrollment ID: I20040408001082 |
| Provider Name | Patricia J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396842100 PECOS PAC ID: 4587650999 Enrollment ID: I20040421001705 |
| Provider Name | Charles E Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376589085 PECOS PAC ID: 9032108915 Enrollment ID: I20040506001425 |
| Provider Name | Guy M Schropp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801946801 PECOS PAC ID: 1254320047 Enrollment ID: I20040507000535 |
| Provider Name | Daniel Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003966003 PECOS PAC ID: 8123017548 Enrollment ID: I20040511000510 |
| Provider Name | Uma D Nooka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790776573 PECOS PAC ID: 6103817317 Enrollment ID: I20040518001080 |
| Provider Name | Heather E Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306804067 PECOS PAC ID: 9638151079 Enrollment ID: I20040601001106 |
| Provider Name | Heather M Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922013531 PECOS PAC ID: 6103809496 Enrollment ID: I20040609000044 |
| Provider Name | John C Puente |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194775916 PECOS PAC ID: 9638155583 Enrollment ID: I20040629001504 |
| Provider Name | Eric J Van De Graaff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790861920 PECOS PAC ID: 9335127299 Enrollment ID: I20040708000894 |
| Provider Name | Thomas J Langdon |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558331777 PECOS PAC ID: 3678562386 Enrollment ID: I20040803000820 |
| Provider Name | Wason W Louie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881645273 PECOS PAC ID: 9739153206 Enrollment ID: I20040820000816 |
| Provider Name | Poonam Sharma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336253913 PECOS PAC ID: 5193799567 Enrollment ID: I20040823000140 |
| Provider Name | Joseph Michael Stavas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821170424 PECOS PAC ID: 5294715025 Enrollment ID: I20040831000995 |
| Provider Name | Thomas G Buglewicz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548374291 PECOS PAC ID: 9638144819 Enrollment ID: I20040901000506 |
| Provider Name | Temple Ann Anzalone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265546642 PECOS PAC ID: 2769457779 Enrollment ID: I20040901000507 |
| Provider Name | David D Hult |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457322281 PECOS PAC ID: 2163497470 Enrollment ID: I20040902001013 |
| Provider Name | Paula E Walters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255481255 PECOS PAC ID: 0345216958 Enrollment ID: I20040904000106 |
| Provider Name | Christine M Inguanzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760532766 PECOS PAC ID: 1052387107 Enrollment ID: I20040909000469 |
| Provider Name | Martin A Silbernagel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598721409 PECOS PAC ID: 7517944184 Enrollment ID: I20040914000954 |
| Provider Name | Sara S Legleiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811966302 PECOS PAC ID: 5991795767 Enrollment ID: I20040920000808 |
| Provider Name | Jeffrey Stearnes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356491351 PECOS PAC ID: 0244208783 Enrollment ID: I20040922000336 |
| Provider Name | Brian P Conroy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528098613 PECOS PAC ID: 6709854276 Enrollment ID: I20040922000574 |
| Provider Name | David A Clough |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1316971781 PECOS PAC ID: 3678541166 Enrollment ID: I20040922000668 |
| Provider Name | Stephen R Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801827431 PECOS PAC ID: 8426026915 Enrollment ID: I20040922000736 |
| Provider Name | Reema Omar Abou Nasr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366553224 PECOS PAC ID: 1355310020 Enrollment ID: I20040929000543 |
| Provider Name | Karen Leigh Bremer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972618502 PECOS PAC ID: 2567431265 Enrollment ID: I20040929000775 |
| Provider Name | Rebecca Ann Mcgee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437350477 PECOS PAC ID: 9234198896 Enrollment ID: I20041008000228 |
| Provider Name | David J Hoeft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215087218 PECOS PAC ID: 5496714834 Enrollment ID: I20041011000109 |
| Provider Name | Jeffrey S Carstens |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730265976 PECOS PAC ID: 0042285140 Enrollment ID: I20041012001454 |
| Provider Name | Craig H Rabb |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538108931 PECOS PAC ID: 1951395292 Enrollment ID: I20041014000496 |
| Provider Name | David R Durand |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1831291483 PECOS PAC ID: 5092776534 Enrollment ID: I20041019000906 |
| Provider Name | Julie Lynn Rothlisberger Castillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376693374 PECOS PAC ID: 1557323441 Enrollment ID: I20041102001115 |
| Provider Name | Andrea M Herman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598741142 PECOS PAC ID: 2668434465 Enrollment ID: I20041103000724 |
| Provider Name | Curtis L Boeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881659787 PECOS PAC ID: 6608863170 Enrollment ID: I20041105000662 |
| Provider Name | Kellie S Westbrook |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477873982 PECOS PAC ID: 3274596390 Enrollment ID: I20041110000193 |
| Provider Name | Brendie D Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740263912 PECOS PAC ID: 6406811389 Enrollment ID: I20041120000155 |
| Provider Name | Stephanie Rae Mastny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376523258 PECOS PAC ID: 9436114295 Enrollment ID: I20041122000609 |
| Provider Name | Greg A Gillham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285655795 PECOS PAC ID: 9739145327 Enrollment ID: I20041206000559 |
| Provider Name | Anne M Perlman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528076601 PECOS PAC ID: 1153387741 Enrollment ID: I20041206000596 |
| Provider Name | Sarah Michelle Hurd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932140134 PECOS PAC ID: 5597721720 Enrollment ID: I20041208000993 |
| Provider Name | Carolyn Meekyung Manhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073619458 PECOS PAC ID: 9335198316 Enrollment ID: I20050117000449 |
| Provider Name | Ronald A Sarno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295785400 PECOS PAC ID: 1254238322 Enrollment ID: I20050222001017 |
| Provider Name | Tyrus S Soares |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154348191 PECOS PAC ID: 1254384191 Enrollment ID: I20050302000975 |
| Provider Name | Khalid Bashir |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013021815 PECOS PAC ID: 5991759789 Enrollment ID: I20050303001078 |
| Provider Name | Theresa Keefe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710954904 PECOS PAC ID: 5698720217 Enrollment ID: I20050316000962 |
| Provider Name | Douglas A Deboise |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851408637 PECOS PAC ID: 8820036866 Enrollment ID: I20050420001128 |
| Provider Name | Cam Nguyen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821190752 PECOS PAC ID: 7416935168 Enrollment ID: I20050429000898 |
| Provider Name | Corey L Farnum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881707834 PECOS PAC ID: 2668412776 Enrollment ID: I20050509000514 |
| Provider Name | Deanna M Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700803327 PECOS PAC ID: 0648248427 Enrollment ID: I20050518000398 |
| Provider Name | Steven G Lapke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710928817 PECOS PAC ID: 5799727889 Enrollment ID: I20050531000352 |
| Provider Name | Jodanne W Hedrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730263948 PECOS PAC ID: 1456395979 Enrollment ID: I20050615000950 |
| Provider Name | Anna C Maio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871684126 PECOS PAC ID: 4183669062 Enrollment ID: I20050621001222 |
| Provider Name | Peter M Daher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528053006 PECOS PAC ID: 1658350939 Enrollment ID: I20050701000579 |
| Provider Name | John A Hurley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255441416 PECOS PAC ID: 8820024193 Enrollment ID: I20050711000045 |
| Provider Name | Frederic P Ogren |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881623569 PECOS PAC ID: 4688574510 Enrollment ID: I20050718000877 |
| Provider Name | Michelle L Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790792372 PECOS PAC ID: 6406883503 Enrollment ID: I20050720000682 |
| Provider Name | Kristi E Newmyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366553950 PECOS PAC ID: 3971530098 Enrollment ID: I20050720000870 |
| Provider Name | Elizabeth A Friesen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477561850 PECOS PAC ID: 1254369820 Enrollment ID: I20050803001196 |
| Provider Name | Keri A Loftus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649569518 PECOS PAC ID: 3476585605 Enrollment ID: I20050908000336 |
| Provider Name | Carmella N Imig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194823302 PECOS PAC ID: 7416943766 Enrollment ID: I20050920001011 |
| Provider Name | Dawn Marie Bodnar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164475729 PECOS PAC ID: 8123052768 Enrollment ID: I20050922000632 |
| Provider Name | Heather D Ramsey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114978442 PECOS PAC ID: 2769407154 Enrollment ID: I20051014000316 |
| Provider Name | Paul I Silverstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356455885 PECOS PAC ID: 3274559612 Enrollment ID: I20051014000848 |
| Provider Name | Donald D Kerr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881708386 PECOS PAC ID: 2264326586 Enrollment ID: I20051017000304 |
| Provider Name | Michael S Pettis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144334665 PECOS PAC ID: 5799679981 Enrollment ID: I20051017000325 |
| Provider Name | Randy W Wobser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619961919 PECOS PAC ID: 0143249946 Enrollment ID: I20051121000860 |
| Provider Name | Paul Watson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740200146 PECOS PAC ID: 9032013255 Enrollment ID: I20051206000366 |
| Provider Name | Krissa L Downey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891843140 PECOS PAC ID: 8325069040 Enrollment ID: I20051209000315 |
| Provider Name | Mohammed A Al-turk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720137961 PECOS PAC ID: 2264453349 Enrollment ID: I20051216000340 |
| Provider Name | Marcus W Balters |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205940186 PECOS PAC ID: 0143249003 Enrollment ID: I20051219000763 |
| Provider Name | Theresa A Townley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699881177 PECOS PAC ID: 5294757753 Enrollment ID: I20051227000399 |
| Provider Name | David Lojero |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881700136 PECOS PAC ID: 1850365503 Enrollment ID: I20060109000781 |
| Provider Name | Jennifer J Dick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841355310 PECOS PAC ID: 3173546561 Enrollment ID: I20060111001193 |
| Provider Name | Peter T Silberstein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952415317 PECOS PAC ID: 8527072800 Enrollment ID: I20060126000420 |
| Provider Name | Jeffrey Sugimoto |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043325681 PECOS PAC ID: 4385650787 Enrollment ID: I20060222000420 |
| Provider Name | Deborah Hoffnung |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588619605 PECOS PAC ID: 2466449814 Enrollment ID: I20060307000598 |
| Provider Name | Robert T Kizer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770500514 PECOS PAC ID: 1951319805 Enrollment ID: I20060404000249 |
| Provider Name | James D Dunning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326198318 PECOS PAC ID: 6507877560 Enrollment ID: I20060505000554 |
| Provider Name | Rao Gutta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811936792 PECOS PAC ID: 3274544077 Enrollment ID: I20060508000847 |
| Provider Name | David S Quimby |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235183369 PECOS PAC ID: 3072524438 Enrollment ID: I20060522000162 |
| Provider Name | Sona K Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083667695 PECOS PAC ID: 6507878477 Enrollment ID: I20060613000254 |
| Provider Name | Jon R Goldsmith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548225816 PECOS PAC ID: 5193738722 Enrollment ID: I20060726000111 |
| Provider Name | Michael A Hovey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366429458 PECOS PAC ID: 8123021433 Enrollment ID: I20060804000359 |
| Provider Name | Leanne Marie Vitito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992774426 PECOS PAC ID: 9931102100 Enrollment ID: I20060809000316 |
| Provider Name | Eric M Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528089174 PECOS PAC ID: 7719997311 Enrollment ID: I20060810000269 |
| Provider Name | Thomas J Connolly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023031036 PECOS PAC ID: 0648273656 Enrollment ID: I20060811000411 |
| Provider Name | John Galligan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194773689 PECOS PAC ID: 0244233609 Enrollment ID: I20060824000563 |
| Provider Name | Krista L Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578571188 PECOS PAC ID: 3375577489 Enrollment ID: I20060824000564 |
| Provider Name | Tony V Tran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124056569 PECOS PAC ID: 4688678931 Enrollment ID: I20060829000468 |
| Provider Name | Amy B Houlihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306861265 PECOS PAC ID: 9931103710 Enrollment ID: I20060909000031 |
| Provider Name | Michael Patrick Feloney |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073620712 PECOS PAC ID: 7911968557 Enrollment ID: I20060915000577 |
| Provider Name | Ellen T Hutteger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841235413 PECOS PAC ID: 6002863891 Enrollment ID: I20060919000573 |
| Provider Name | Yetunde A Ogunleye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811004443 PECOS PAC ID: 5991700213 Enrollment ID: I20060920000261 |
| Provider Name | Scott C Nelson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366448649 PECOS PAC ID: 4789687807 Enrollment ID: I20060921000377 |
| Provider Name | Cindy A Gubbels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497793343 PECOS PAC ID: 2769489103 Enrollment ID: I20061027000417 |
| Provider Name | Mindy K Rathe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730270117 PECOS PAC ID: 9739187964 Enrollment ID: I20061121000720 |
| Provider Name | Edward P Raines |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568414258 PECOS PAC ID: 6002814142 Enrollment ID: I20061127000390 |
| Provider Name | Kristin L Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982792107 PECOS PAC ID: 4385643014 Enrollment ID: I20061207000049 |
| Provider Name | Ann L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679531149 PECOS PAC ID: 5092714378 Enrollment ID: I20061214000237 |
| Provider Name | Amardip S. Bhuller |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1275622052 PECOS PAC ID: 4385620848 Enrollment ID: I20061220000568 |
| Provider Name | Karen M Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316908387 PECOS PAC ID: 1759335680 Enrollment ID: I20070102000101 |
| Provider Name | Shailendra K Saxena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285643403 PECOS PAC ID: 6608876040 Enrollment ID: I20070108000519 |
| Provider Name | Mccann Houng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447240346 PECOS PAC ID: 7012948342 Enrollment ID: I20070110000324 |
| Provider Name | Christina L Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386613487 PECOS PAC ID: 9537183611 Enrollment ID: I20070226000249 |
| Provider Name | Kevin B Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316084098 PECOS PAC ID: 1951319946 Enrollment ID: I20070314000608 |
| Provider Name | Cheryl A Roth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245311570 PECOS PAC ID: 1759485923 Enrollment ID: I20070327000731 |
| Provider Name | Arman K Pajnigar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902841885 PECOS PAC ID: 8820192560 Enrollment ID: I20070405000084 |
| Provider Name | Dana K Zeiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174664676 PECOS PAC ID: 5496850778 Enrollment ID: I20070416000071 |
| Provider Name | Wendy M Schwery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215151014 PECOS PAC ID: 3072611946 Enrollment ID: I20070531000527 |
| Provider Name | Jason Kruger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376597500 PECOS PAC ID: 8224071535 Enrollment ID: I20070625000634 |
| Provider Name | Attila Csordas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821208356 PECOS PAC ID: 5395844708 Enrollment ID: I20070626000688 |
| Provider Name | Robert P Diego |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295844140 PECOS PAC ID: 3870557465 Enrollment ID: I20070705000379 |
| Provider Name | Michael Schooff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306878921 PECOS PAC ID: 8123128709 Enrollment ID: I20070711000814 |
| Provider Name | Joseph B Thibodeau |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316973381 PECOS PAC ID: 3476653932 Enrollment ID: I20070712000460 |
| Provider Name | Yongge Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215153465 PECOS PAC ID: 8022100346 Enrollment ID: I20070816000342 |
| Provider Name | Tin H Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770786972 PECOS PAC ID: 1759474604 Enrollment ID: I20070907000717 |
| Provider Name | Sean T Mullendore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821081365 PECOS PAC ID: 5991898850 Enrollment ID: I20070907000756 |
| Provider Name | Jeffrey R Rapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568410355 PECOS PAC ID: 8820182744 Enrollment ID: I20070921000546 |
| Provider Name | Jillianne M Danahay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811180151 PECOS PAC ID: 7012001993 Enrollment ID: I20070922000228 |
| Provider Name | Aj Nixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740481670 PECOS PAC ID: 8628163870 Enrollment ID: I20071002000811 |
| Provider Name | Sandra E Leaders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629150669 PECOS PAC ID: 2365537164 Enrollment ID: I20071008000542 |
| Provider Name | Susanne L Sasse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609928522 PECOS PAC ID: 8325046543 Enrollment ID: I20071019000050 |
| Provider Name | Anita B Venkataramana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528003191 PECOS PAC ID: 6608807847 Enrollment ID: I20071023000529 |
| Provider Name | Andrew T Herd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972653715 PECOS PAC ID: 0941397012 Enrollment ID: I20071106000623 |
| Provider Name | Julie A Brauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437349511 PECOS PAC ID: 6305934282 Enrollment ID: I20071109000269 |
| Provider Name | Kirtibala Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568671360 PECOS PAC ID: 6800984717 Enrollment ID: I20071109000521 |
| Provider Name | Charles Taylon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851407324 PECOS PAC ID: 8325135759 Enrollment ID: I20071116000082 |
| Provider Name | Caron J Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922119452 PECOS PAC ID: 7911095484 Enrollment ID: I20071116000145 |
| Provider Name | Joseph A Wenzl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588775035 PECOS PAC ID: 5193814127 Enrollment ID: I20071128000784 |
| Provider Name | Carlos A Prendes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649381286 PECOS PAC ID: 2264521293 Enrollment ID: I20071128000812 |
| Provider Name | Mary Cecilia Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336320043 PECOS PAC ID: 1254421431 Enrollment ID: I20071212000562 |
| Provider Name | Michael G Kavan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588774772 PECOS PAC ID: 9638269749 Enrollment ID: I20071213000089 |
| Provider Name | Angela Lynn Fisher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407869498 PECOS PAC ID: 0941380075 Enrollment ID: I20080102000370 |
| Provider Name | Himanshu Md Agarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942280672 PECOS PAC ID: 2365449337 Enrollment ID: I20080506000282 |
| Provider Name | Atul A Ramachandran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811075773 PECOS PAC ID: 3678548773 Enrollment ID: I20080507000485 |
| Provider Name | Susan E Lacy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306023544 PECOS PAC ID: 1759460157 Enrollment ID: I20080510000085 |
| Provider Name | Adam J Bierbaum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114190162 PECOS PAC ID: 6002985793 Enrollment ID: I20080521000350 |
| Provider Name | Michael D White |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851481568 PECOS PAC ID: 4183794290 Enrollment ID: I20080602000364 |
| Provider Name | Steven Drake |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801818299 PECOS PAC ID: 4082784541 Enrollment ID: I20080610000502 |
| Provider Name | Carrie A.b. Hoarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346444585 PECOS PAC ID: 2961573258 Enrollment ID: I20080613000178 |
| Provider Name | Michel Randolph Peter Wagner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447200647 PECOS PAC ID: 4486725561 Enrollment ID: I20080617000539 |
| Provider Name | Salam S Salman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255303251 PECOS PAC ID: 8628030525 Enrollment ID: I20080711000541 |
| Provider Name | Rita Coleen Stice |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871548511 PECOS PAC ID: 1759454291 Enrollment ID: I20080717000096 |
| Provider Name | Lisa S Gentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548270945 PECOS PAC ID: 1557434941 Enrollment ID: I20080717000617 |
| Provider Name | Ronette Lammers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396904587 PECOS PAC ID: 7012080849 Enrollment ID: I20080725000730 |
| Provider Name | Brady J Ohare |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922169663 PECOS PAC ID: 4587600291 Enrollment ID: I20080804000422 |
| Provider Name | Donald R Frey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164531935 PECOS PAC ID: 4688749864 Enrollment ID: I20080822000306 |
| Provider Name | Wesley Larry Smeal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144338286 PECOS PAC ID: 9638175771 Enrollment ID: I20080825000241 |
| Provider Name | Boshra M Rida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093930133 PECOS PAC ID: 9436225067 Enrollment ID: I20080905000420 |
| Provider Name | Marium Ilahi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003020645 PECOS PAC ID: 6305912858 Enrollment ID: I20080905000658 |
| Provider Name | Susan J Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164681714 PECOS PAC ID: 8224104708 Enrollment ID: I20080908000074 |
| Provider Name | Holly T Sennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699923243 PECOS PAC ID: 3274600077 Enrollment ID: I20080919000537 |
| Provider Name | Jason Paul Oberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386768927 PECOS PAC ID: 0244339190 Enrollment ID: I20080922000027 |
| Provider Name | Peggy H Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316169196 PECOS PAC ID: 3173690831 Enrollment ID: I20080922000359 |
| Provider Name | Sami Khalil Zeineddine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225242597 PECOS PAC ID: 8921176090 Enrollment ID: I20081003000150 |
| Provider Name | Mary Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700968500 PECOS PAC ID: 8426116096 Enrollment ID: I20081027000189 |
| Provider Name | Arthur B Wolover |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326075870 PECOS PAC ID: 6507778800 Enrollment ID: I20081107000191 |
| Provider Name | Lynn Allen Ferdig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447364146 PECOS PAC ID: 9638266307 Enrollment ID: I20081113000772 |
| Provider Name | John Michael Bertoni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346354172 PECOS PAC ID: 1951462340 Enrollment ID: I20081203000725 |
| Provider Name | Jennifer M Cohorst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508015454 PECOS PAC ID: 9335202167 Enrollment ID: I20090106000182 |
| Provider Name | Jeffry L Strohmyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275565939 PECOS PAC ID: 7214090489 Enrollment ID: I20090114000362 |
| Provider Name | Charles F Youngblood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346202447 PECOS PAC ID: 9234293549 Enrollment ID: I20090202000275 |
| Provider Name | Chung Chou Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750499091 PECOS PAC ID: 1759446578 Enrollment ID: I20090211000417 |
| Provider Name | Katherine Mcguire |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215949920 PECOS PAC ID: 2567490121 Enrollment ID: I20090212000462 |
| Provider Name | Shirley Landen Huerter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932176260 PECOS PAC ID: 8921163536 Enrollment ID: I20090216000157 |
| Provider Name | David Randall Pritza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942277272 PECOS PAC ID: 5991860512 Enrollment ID: I20090216000280 |
| Provider Name | Ronald J Pritza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164490140 PECOS PAC ID: 1951466580 Enrollment ID: I20090216000341 |
| Provider Name | Scott C Carollo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760459093 PECOS PAC ID: 7113082744 Enrollment ID: I20090216000356 |
| Provider Name | Stephen O'connor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548238512 PECOS PAC ID: 9638234818 Enrollment ID: I20090223000553 |
| Provider Name | Timothy J Bies |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831203710 PECOS PAC ID: 6103982368 Enrollment ID: I20090313000103 |
| Provider Name | Jeremy M Snow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912191081 PECOS PAC ID: 5597852509 Enrollment ID: I20090317000448 |
| Provider Name | Kerry J Canady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225207749 PECOS PAC ID: 3476639394 Enrollment ID: I20090323000102 |
| Provider Name | Lynnette Ann Moseman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386662278 PECOS PAC ID: 5395826960 Enrollment ID: I20090407000224 |
| Provider Name | Lewis W Eirinberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851319743 PECOS PAC ID: 3577644145 Enrollment ID: I20090407000237 |
| Provider Name | Christopher John Connolly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881616167 PECOS PAC ID: 6204917875 Enrollment ID: I20090407000249 |
| Provider Name | Mark Dewey Andersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972525251 PECOS PAC ID: 8022165133 Enrollment ID: I20090407000279 |
| Provider Name | Inaganti M Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295829042 PECOS PAC ID: 3476619792 Enrollment ID: I20090409000124 |
| Provider Name | Samer I Renno |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588758312 PECOS PAC ID: 9335181767 Enrollment ID: I20090409000131 |
| Provider Name | Abraham P Mathews |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568556314 PECOS PAC ID: 7012073331 Enrollment ID: I20090409000150 |
| Provider Name | Jon F Garrigan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609824291 PECOS PAC ID: 1951309467 Enrollment ID: I20090422000482 |
| Provider Name | Jeffery S Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740229384 PECOS PAC ID: 2961477849 Enrollment ID: I20090423000139 |
| Provider Name | Don B Rhoden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023124435 PECOS PAC ID: 7214006873 Enrollment ID: I20090430000095 |
| Provider Name | Jenna Elizabeth Fiala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982683918 PECOS PAC ID: 8426032988 Enrollment ID: I20090526000350 |
| Provider Name | Jin Cai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487861597 PECOS PAC ID: 2365592896 Enrollment ID: I20090604000141 |
| Provider Name | Edward P Drobny |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114035649 PECOS PAC ID: 5294820247 Enrollment ID: I20090608000401 |
| Provider Name | Timothy J Goc |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598873002 PECOS PAC ID: 9537251533 Enrollment ID: I20090608000427 |
| Provider Name | Thuc H Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780792200 PECOS PAC ID: 4880786862 Enrollment ID: I20090608000498 |
| Provider Name | Scott D Wilt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245348754 PECOS PAC ID: 3375635337 Enrollment ID: I20090608000526 |
| Provider Name | Gregory G Krauth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114035631 PECOS PAC ID: 5193817146 Enrollment ID: I20090608000545 |
| Provider Name | Allison M Mcleay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710114749 PECOS PAC ID: 9335290683 Enrollment ID: I20090625000495 |
| Provider Name | Laurence M Raynor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891898946 PECOS PAC ID: 9830284884 Enrollment ID: I20090715000095 |
| Provider Name | David E Odegaard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023236213 PECOS PAC ID: 8527110600 Enrollment ID: I20090721000487 |
| Provider Name | Eric M Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417183914 PECOS PAC ID: 0042363830 Enrollment ID: I20090805000124 |
| Provider Name | Alan M Parks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467667345 PECOS PAC ID: 3476606625 Enrollment ID: I20090805000344 |
| Provider Name | Christina M Vanhorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548441520 PECOS PAC ID: 9537212691 Enrollment ID: I20090806000643 |
| Provider Name | Lucinda Jean Heavican |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770711582 PECOS PAC ID: 4385798354 Enrollment ID: I20090811000406 |
| Provider Name | Eric D Peters |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245442748 PECOS PAC ID: 7618021510 Enrollment ID: I20090812000015 |
| Provider Name | Joan Silverstrand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225278567 PECOS PAC ID: 2961553425 Enrollment ID: I20090812000477 |
| Provider Name | Stephen Walter Leslie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598756959 PECOS PAC ID: 0345154670 Enrollment ID: I20090813000172 |
| Provider Name | Michael Paul Fullenkamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053408864 PECOS PAC ID: 1456403948 Enrollment ID: I20090827000126 |
| Provider Name | Brenda Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053541276 PECOS PAC ID: 2567518087 Enrollment ID: I20090924000021 |
| Provider Name | Colleen E Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386810489 PECOS PAC ID: 1658417431 Enrollment ID: I20091008000151 |
| Provider Name | Pauline Felker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710118732 PECOS PAC ID: 6406992130 Enrollment ID: I20091009000009 |
| Provider Name | Hussam S Abuissa |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679500862 PECOS PAC ID: 6204901721 Enrollment ID: I20091009000094 |
| Provider Name | Naomi A Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124250261 PECOS PAC ID: 1759427420 Enrollment ID: I20091009000403 |
| Provider Name | Thong T Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528263175 PECOS PAC ID: 3971649369 Enrollment ID: I20091015000567 |
| Provider Name | Karen S Staack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831161587 PECOS PAC ID: 4789762600 Enrollment ID: I20091023000367 |
| Provider Name | Anthony F Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083873756 PECOS PAC ID: 3476691726 Enrollment ID: I20091106000543 |
| Provider Name | Marc S Rendell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083725642 PECOS PAC ID: 3274671912 Enrollment ID: I20091117000444 |
| Provider Name | Mark D Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326157124 PECOS PAC ID: 8325186026 Enrollment ID: I20091118000309 |
| Provider Name | Claire C Hunter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386754646 PECOS PAC ID: 5193864742 Enrollment ID: I20091120000370 |
| Provider Name | Mark J Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396847984 PECOS PAC ID: 9335289826 Enrollment ID: I20091214000531 |
| Provider Name | Carol Ann Boelter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417964222 PECOS PAC ID: 1951441484 Enrollment ID: I20091215000039 |
| Provider Name | Thomas O Kraner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083842389 PECOS PAC ID: 7012939689 Enrollment ID: I20091215000451 |
| Provider Name | Jay G Kenik |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063522266 PECOS PAC ID: 3476693748 Enrollment ID: I20091217000129 |
| Provider Name | Edward T Mcgonigal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750492724 PECOS PAC ID: 3577603786 Enrollment ID: I20091221000036 |
| Provider Name | Michael Barsoom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497869291 PECOS PAC ID: 9032250154 Enrollment ID: I20100111000560 |
| Provider Name | Tom T Hee |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881703791 PECOS PAC ID: 8628002961 Enrollment ID: I20100115000372 |
| Provider Name | Lindsay Iverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467787119 PECOS PAC ID: 8527107499 Enrollment ID: I20100116000240 |
| Provider Name | Eric C Rice |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366545212 PECOS PAC ID: 1153463989 Enrollment ID: I20100116000316 |
| Provider Name | Devin J Fox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013025832 PECOS PAC ID: 3678615341 Enrollment ID: I20100119000014 |
| Provider Name | Robert R Recker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275644833 PECOS PAC ID: 6709928377 Enrollment ID: I20100120000115 |
| Provider Name | Sanjay P Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851342778 PECOS PAC ID: 4688716186 Enrollment ID: I20100121000648 |
| Provider Name | Sandeep Mukherjee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760432066 PECOS PAC ID: 6901948413 Enrollment ID: I20100121000704 |
| Provider Name | Larry E Siref |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043219546 PECOS PAC ID: 3072594191 Enrollment ID: I20100127000580 |
| Provider Name | Michael H Davidian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780780163 PECOS PAC ID: 2860534930 Enrollment ID: I20100127000871 |
| Provider Name | Paulajo Malin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861502981 PECOS PAC ID: 1557404506 Enrollment ID: I20100130000055 |
| Provider Name | Bryan J Krajicek |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689654303 PECOS PAC ID: 1557364445 Enrollment ID: I20100130000216 |
| Provider Name | Jimmy P Khandalavala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558471755 PECOS PAC ID: 1658414636 Enrollment ID: I20100201000016 |
| Provider Name | Maureen E Fleming |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801904677 PECOS PAC ID: 7719020791 Enrollment ID: I20100201000050 |
| Provider Name | Steven M Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104935006 PECOS PAC ID: 0941343750 Enrollment ID: I20100202000592 |
| Provider Name | Andrew I Gelbman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316992811 PECOS PAC ID: 8123162898 Enrollment ID: I20100218000409 |
| Provider Name | Bruce L Houghton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649380239 PECOS PAC ID: 6507900297 Enrollment ID: I20100218000580 |
| Provider Name | Henry A Sakowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700994647 PECOS PAC ID: 9234273921 Enrollment ID: I20100218000592 |
| Provider Name | Gregory J Schafer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265546832 PECOS PAC ID: 1557405271 Enrollment ID: I20100218000858 |
| Provider Name | John C Gallagher |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184733966 PECOS PAC ID: 7113061771 Enrollment ID: I20100219000526 |
| Provider Name | Robert J Anderson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225142367 PECOS PAC ID: 1658415211 Enrollment ID: I20100219000538 |
| Provider Name | Khalil J Burhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437373081 PECOS PAC ID: 7911041462 Enrollment ID: I20100222000242 |
| Provider Name | Robert W Dunlay |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083729974 PECOS PAC ID: 7012802424 Enrollment ID: I20100223000699 |
| Provider Name | Lee E Morrow |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194836049 PECOS PAC ID: 9537194675 Enrollment ID: I20100223000725 |
| Provider Name | Naresh A Dewan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730294711 PECOS PAC ID: 3971647355 Enrollment ID: I20100223000729 |
| Provider Name | Farouq A Qaqish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821148826 PECOS PAC ID: 9436293792 Enrollment ID: I20100224000627 |
| Provider Name | Nicholas Steier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174673172 PECOS PAC ID: 3476698598 Enrollment ID: I20100301000533 |
| Provider Name | Robert C Drvol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508916594 PECOS PAC ID: 0042355653 Enrollment ID: I20100308000405 |
| Provider Name | Bernard W Manley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780915215 PECOS PAC ID: 9335284819 Enrollment ID: I20100309000218 |
| Provider Name | Romaine S Sangha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528284262 PECOS PAC ID: 0749345676 Enrollment ID: I20100311000482 |
| Provider Name | Tommora A Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154558765 PECOS PAC ID: 6800942830 Enrollment ID: I20100312000515 |
| Provider Name | Tara L Sands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992035778 PECOS PAC ID: 9436284130 Enrollment ID: I20100319000714 |
| Provider Name | Fredrick Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710037718 PECOS PAC ID: 6103951546 Enrollment ID: I20100324000189 |
| Provider Name | John Russell Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801945043 PECOS PAC ID: 8325173768 Enrollment ID: I20100324000242 |
| Provider Name | James Crew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154471142 PECOS PAC ID: 6103951553 Enrollment ID: I20100324000292 |
| Provider Name | Lisa Schalley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275683278 PECOS PAC ID: 7618002064 Enrollment ID: I20100324000328 |
| Provider Name | Bodo W Treu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346390341 PECOS PAC ID: 4688709033 Enrollment ID: I20100324000359 |
| Provider Name | C Mcminn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922158922 PECOS PAC ID: 7214062678 Enrollment ID: I20100324000377 |
| Provider Name | John J Cote |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336299320 PECOS PAC ID: 3971639295 Enrollment ID: I20100325000918 |
| Provider Name | M O Dada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881744878 PECOS PAC ID: 1254467582 Enrollment ID: I20100325001036 |
| Provider Name | Christopher M Criscuolo |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1518925114 PECOS PAC ID: 4789710997 Enrollment ID: I20100326000767 |
| Provider Name | Michael J Fulton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770633760 PECOS PAC ID: 3274669411 Enrollment ID: I20100327000053 |
| Provider Name | Thomas Besse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184773327 PECOS PAC ID: 5597808337 Enrollment ID: I20100327000065 |
| Provider Name | Subhash Paknikar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215048830 PECOS PAC ID: 1456487693 Enrollment ID: I20100327000067 |
| Provider Name | Kristen B Fulton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861542854 PECOS PAC ID: 6800922048 Enrollment ID: I20100327000076 |
| Provider Name | John Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043360043 PECOS PAC ID: 7517093750 Enrollment ID: I20100327000096 |
| Provider Name | Richard Lang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932259934 PECOS PAC ID: 6103952353 Enrollment ID: I20100327000171 |
| Provider Name | Karen S Rovang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366556094 PECOS PAC ID: 2961558416 Enrollment ID: I20100329000893 |
| Provider Name | Christopher J. Huerter |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1801906326 PECOS PAC ID: 6709912736 Enrollment ID: I20100330000399 |
| Provider Name | Dawn Malene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912015694 PECOS PAC ID: 9234266461 Enrollment ID: I20100420000908 |
| Provider Name | Stephen J Lanspa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851482996 PECOS PAC ID: 1153458245 Enrollment ID: I20100421000703 |
| Provider Name | Luanne M Lundergard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962425652 PECOS PAC ID: 4284761313 Enrollment ID: I20100422000189 |
| Provider Name | Galen M Meyer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881692903 PECOS PAC ID: 6800818709 Enrollment ID: I20100423000158 |
| Provider Name | Robert J Fitzgibbons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437264124 PECOS PAC ID: 2062459365 Enrollment ID: I20100423000318 |
| Provider Name | Durgalakshmi Duraikannan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518184332 PECOS PAC ID: 2769519495 Enrollment ID: I20100428000641 |
| Provider Name | Gary L Gorby |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437260965 PECOS PAC ID: 6103953872 Enrollment ID: I20100429000067 |
| Provider Name | Marvin J Bittner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215041959 PECOS PAC ID: 2264569938 Enrollment ID: I20100429000093 |
| Provider Name | Melissa Anne Oneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265543870 PECOS PAC ID: 0840328241 Enrollment ID: I20100505000713 |
| Provider Name | Tamra Ann Boettcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366556011 PECOS PAC ID: 2860520004 Enrollment ID: I20100510000614 |
| Provider Name | Kristee Zoloty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982754982 PECOS PAC ID: 2264560366 Enrollment ID: I20100511000776 |
| Provider Name | Heather Taggart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528118528 PECOS PAC ID: 7113055245 Enrollment ID: I20100512000041 |
| Provider Name | William A Lowndes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669522660 PECOS PAC ID: 5991801409 Enrollment ID: I20100512000699 |
| Provider Name | Terry Anthony Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447334214 PECOS PAC ID: 5991807406 Enrollment ID: I20100513000283 |
| Provider Name | Mark J Holmberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558470468 PECOS PAC ID: 5597894063 Enrollment ID: I20100520000789 |
| Provider Name | Michael G Delcore |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467555920 PECOS PAC ID: 4789686932 Enrollment ID: I20100520000873 |
| Provider Name | Suzie Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790736197 PECOS PAC ID: 8325015928 Enrollment ID: I20100521000062 |
| Provider Name | Garret S Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194875195 PECOS PAC ID: 0648309062 Enrollment ID: I20100524000607 |
| Provider Name | Andrew Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013070184 PECOS PAC ID: 9032248471 Enrollment ID: I20100524000816 |
| Provider Name | Thomas Pruse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912057910 PECOS PAC ID: 4587707328 Enrollment ID: I20100524000902 |
| Provider Name | David A Charles Sokolowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083798870 PECOS PAC ID: 6608978119 Enrollment ID: I20100622000887 |
| Provider Name | Angela Gilfillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790917854 PECOS PAC ID: 0446352512 Enrollment ID: I20100629000065 |
| Provider Name | Stuart R Schlanger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043324627 PECOS PAC ID: 5991836389 Enrollment ID: I20100629000448 |
| Provider Name | Wayne E Penka |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417093279 PECOS PAC ID: 3577694777 Enrollment ID: I20100702000397 |
| Provider Name | Jessica A Fernandes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013122449 PECOS PAC ID: 0648302406 Enrollment ID: I20100715000082 |
| Provider Name | William Thomas Sorrell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417031295 PECOS PAC ID: 8426150939 Enrollment ID: I20100721000253 |
| Provider Name | Jeffery Todd Merz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750465548 PECOS PAC ID: 7618079120 Enrollment ID: I20100721000290 |
| Provider Name | James V Ortman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154423085 PECOS PAC ID: 6507999505 Enrollment ID: I20100728000098 |
| Provider Name | Beth Mason Ernst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225112014 PECOS PAC ID: 7719089226 Enrollment ID: I20100810000864 |
| Provider Name | Richard Harl Hurd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508898248 PECOS PAC ID: 4587798665 Enrollment ID: I20100811000183 |
| Provider Name | Gopi Kr Sirineni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467638460 PECOS PAC ID: 7214061191 Enrollment ID: I20100813000533 |
| Provider Name | Herman M Greenwald |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295733020 PECOS PAC ID: 2567361082 Enrollment ID: I20100816000127 |
| Provider Name | Aishwarya A Patil |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366595449 PECOS PAC ID: 3375677024 Enrollment ID: I20100817000359 |
| Provider Name | Michelle Dawn Wehrly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982916979 PECOS PAC ID: 6709910367 Enrollment ID: I20100818000179 |
| Provider Name | Karl A Bergmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447497649 PECOS PAC ID: 0042367468 Enrollment ID: I20100825000467 |
| Provider Name | Mark P Woodruff |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952412371 PECOS PAC ID: 1456446491 Enrollment ID: I20100827000232 |
| Provider Name | Naureen O Rafiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114126463 PECOS PAC ID: 3375667389 Enrollment ID: I20100827000428 |
| Provider Name | Erin M Talaska |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427265230 PECOS PAC ID: 5991829897 Enrollment ID: I20100830000584 |
| Provider Name | Timothy J Widhalm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437167038 PECOS PAC ID: 4183748098 Enrollment ID: I20100830000725 |
| Provider Name | Casey D Beran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144479957 PECOS PAC ID: 4880718600 Enrollment ID: I20100831000999 |
| Provider Name | Patrick Joseph Bogard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386693455 PECOS PAC ID: 5991829434 Enrollment ID: I20100903000882 |
| Provider Name | Ann E Narmi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134348071 PECOS PAC ID: 6608935531 Enrollment ID: I20100908000381 |
| Provider Name | Millicent L Palmer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558472175 PECOS PAC ID: 1456476803 Enrollment ID: I20100909000228 |
| Provider Name | Barry M Javadzadeh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356303929 PECOS PAC ID: 3870617459 Enrollment ID: I20100910000967 |
| Provider Name | Elizabeth J Kothenbeutel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265607436 PECOS PAC ID: 8022133776 Enrollment ID: I20100917000635 |
| Provider Name | Brian H Cunningham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619009537 PECOS PAC ID: 9638262033 Enrollment ID: I20100920001189 |
| Provider Name | Margaret M Beran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083807952 PECOS PAC ID: 9537214440 Enrollment ID: I20100922001262 |
| Provider Name | Venkata Andukuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790902344 PECOS PAC ID: 2466578786 Enrollment ID: I20100923001353 |
| Provider Name | Gloria G Kisicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790941763 PECOS PAC ID: 7618169830 Enrollment ID: I20101006000988 |
| Provider Name | Sarah M Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699957951 PECOS PAC ID: 2860684099 Enrollment ID: I20101006001056 |
| Provider Name | Richard G Runge |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104888775 PECOS PAC ID: 7416149216 Enrollment ID: I20101012000984 |
| Provider Name | Kavish Rohatgi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710177944 PECOS PAC ID: 5294869509 Enrollment ID: I20101019000470 |
| Provider Name | Brenda Kay Wallingford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235340258 PECOS PAC ID: 2365636842 Enrollment ID: I20101028000683 |
| Provider Name | Jennifer M Consbruck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083924088 PECOS PAC ID: 5193910941 Enrollment ID: I20101108000022 |
| Provider Name | Joann L Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306957949 PECOS PAC ID: 6608061007 Enrollment ID: I20101111000258 |
| Provider Name | Anthony J Halat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104811538 PECOS PAC ID: 1456367556 Enrollment ID: I20101112001242 |
| Provider Name | Amy Leah Mcgaha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013081199 PECOS PAC ID: 2062517949 Enrollment ID: I20101215000356 |
| Provider Name | Douglas R Moore |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265696876 PECOS PAC ID: 2860680378 Enrollment ID: I20101228000828 |
| Provider Name | James Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235271172 PECOS PAC ID: 8628054798 Enrollment ID: I20110113000372 |
| Provider Name | Mitchell Dean Krueger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528172293 PECOS PAC ID: 4284813775 Enrollment ID: I20110131000419 |
| Provider Name | Nathan R Haecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134135130 PECOS PAC ID: 2466632336 Enrollment ID: I20110209000775 |
| Provider Name | Latrice Diann Martin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932439205 PECOS PAC ID: 8426230848 Enrollment ID: I20110307000634 |
| Provider Name | Hadi Zahra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023242583 PECOS PAC ID: 2769665827 Enrollment ID: I20110328000135 |
| Provider Name | Laeth S Nasir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063462208 PECOS PAC ID: 2163605049 Enrollment ID: I20110330000927 |
| Provider Name | Thomas W Frederickson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295728368 PECOS PAC ID: 8527026491 Enrollment ID: I20110414000676 |
| Provider Name | Adrienne Perfilio Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609908078 PECOS PAC ID: 2163607086 Enrollment ID: I20110419000609 |
| Provider Name | Holly Victoria Lashmet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609839463 PECOS PAC ID: 9234189184 Enrollment ID: I20110503000392 |
| Provider Name | Thomas R Strawmier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043525744 PECOS PAC ID: 8224154638 Enrollment ID: I20110503000417 |
| Provider Name | Imad Alsakaf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295944783 PECOS PAC ID: 4789860297 Enrollment ID: I20110518000362 |
| Provider Name | Andrew J Carlson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659663185 PECOS PAC ID: 2860678000 Enrollment ID: I20110524000047 |
| Provider Name | Mandy R Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396974820 PECOS PAC ID: 4880731991 Enrollment ID: I20110601000752 |
| Provider Name | Rebecca A Stratton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831319813 PECOS PAC ID: 7214114750 Enrollment ID: I20110609000074 |
| Provider Name | Nicholas Dietz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396833737 PECOS PAC ID: 5294912739 Enrollment ID: I20110609000105 |
| Provider Name | Eyad Skaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477568137 PECOS PAC ID: 6608958756 Enrollment ID: I20110721000401 |
| Provider Name | Kalyana C Nandipati |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740420975 PECOS PAC ID: 1658400031 Enrollment ID: I20110726000524 |
| Provider Name | Andrea N Rabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457639296 PECOS PAC ID: 2860662244 Enrollment ID: I20110822000191 |
| Provider Name | Pooja A Deshmukh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700022704 PECOS PAC ID: 8426227984 Enrollment ID: I20110823001056 |
| Provider Name | Christopher M Glowacki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225232119 PECOS PAC ID: 2567633126 Enrollment ID: I20110913000073 |
| Provider Name | Siva Madineedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699921635 PECOS PAC ID: 1456522960 Enrollment ID: I20110913000766 |
| Provider Name | Daniel E Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902061260 PECOS PAC ID: 3072784586 Enrollment ID: I20110913000793 |
| Provider Name | Richard B Thompson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699989772 PECOS PAC ID: 4981778594 Enrollment ID: I20110922000658 |
| Provider Name | Michael Grace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447207584 PECOS PAC ID: 4981616786 Enrollment ID: I20111020000229 |
| Provider Name | James Milder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104930825 PECOS PAC ID: 8325211691 Enrollment ID: I20111101000771 |
| Provider Name | Carrie J Leighow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356652382 PECOS PAC ID: 0749473726 Enrollment ID: I20111110000251 |
| Provider Name | Roni S Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952445702 PECOS PAC ID: 1759556632 Enrollment ID: I20111205000036 |
| Provider Name | Jay Dickey Lake |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538273263 PECOS PAC ID: 5698940377 Enrollment ID: I20111207000697 |
| Provider Name | Dianne Kathleen Greer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861505844 PECOS PAC ID: 3476728163 Enrollment ID: I20111207000753 |
| Provider Name | Johanna Schubert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134353923 PECOS PAC ID: 5698942449 Enrollment ID: I20120118000643 |
| Provider Name | Cynthia A Schmid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154570554 PECOS PAC ID: 1850568692 Enrollment ID: I20120119000703 |
| Provider Name | Analisa D Krahmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831498112 PECOS PAC ID: 8921266388 Enrollment ID: I20120215000340 |
| Provider Name | So Yun Grace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699922476 PECOS PAC ID: 1355496589 Enrollment ID: I20120222000969 |
| Provider Name | Tracy L Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215208871 PECOS PAC ID: 9436318300 Enrollment ID: I20120313000189 |
| Provider Name | Winnie Chawira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528338191 PECOS PAC ID: 7416116041 Enrollment ID: I20120316000538 |
| Provider Name | Susan M Peschel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689971020 PECOS PAC ID: 5991982852 Enrollment ID: I20120327000170 |
| Provider Name | Agnes B Colanta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841595980 PECOS PAC ID: 7315108883 Enrollment ID: I20120410000060 |
| Provider Name | Mignon M Makos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043203748 PECOS PAC ID: 5890681936 Enrollment ID: I20120423000307 |
| Provider Name | Erin R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962715045 PECOS PAC ID: 1951564525 Enrollment ID: I20120517000369 |
| Provider Name | Jill F Puetz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386872372 PECOS PAC ID: 0648434829 Enrollment ID: I20120620000195 |
| Provider Name | Sunil K Jagadesh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932320066 PECOS PAC ID: 0143485086 Enrollment ID: I20120627000819 |
| Provider Name | Yong H Pratt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477789873 PECOS PAC ID: 8022273564 Enrollment ID: I20120706000300 |
| Provider Name | Venkata Mb Alla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598984965 PECOS PAC ID: 9830355973 Enrollment ID: I20120718000387 |
| Provider Name | Terrence T Slattery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396826871 PECOS PAC ID: 9537068432 Enrollment ID: I20120719000057 |
| Provider Name | Mohsen Zena |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548436033 PECOS PAC ID: 2860658390 Enrollment ID: I20120726000721 |
| Provider Name | Jahnavi Koppala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225292998 PECOS PAC ID: 2062668957 Enrollment ID: I20120808000746 |
| Provider Name | William Abrahams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124251442 PECOS PAC ID: 7618124850 Enrollment ID: I20120823000516 |
| Provider Name | Erin Mclaughlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548523152 PECOS PAC ID: 1658529607 Enrollment ID: I20120917000255 |
| Provider Name | Mvikeli Ndebele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275808164 PECOS PAC ID: 0345498101 Enrollment ID: I20120919000843 |
| Provider Name | Debra R Reeg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912284498 PECOS PAC ID: 1153570650 Enrollment ID: I20120926000773 |
| Provider Name | Michael A Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992867683 PECOS PAC ID: 5395994669 Enrollment ID: I20121001000442 |
| Provider Name | Miranda L Reichling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326307174 PECOS PAC ID: 4082863378 Enrollment ID: I20121002000131 |
| Provider Name | Luris De Calero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750613618 PECOS PAC ID: 3971593112 Enrollment ID: I20121103000101 |
| Provider Name | Sarah R Mayhue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043442288 PECOS PAC ID: 6406008242 Enrollment ID: I20121130000398 |
| Provider Name | Adam M Pleas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639374572 PECOS PAC ID: 5991957417 Enrollment ID: I20121210000141 |
| Provider Name | Ilya G Berim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588801567 PECOS PAC ID: 6002068376 Enrollment ID: I20121212000612 |
| Provider Name | Lindsay N Oneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508113929 PECOS PAC ID: 9133371396 Enrollment ID: I20121214000397 |
| Provider Name | James Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811105331 PECOS PAC ID: 2567517568 Enrollment ID: I20121218000598 |
| Provider Name | Jacqueline D Liess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093961898 PECOS PAC ID: 2365695962 Enrollment ID: I20130110000094 |
| Provider Name | Nathan M Sudbeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598032401 PECOS PAC ID: 5496922429 Enrollment ID: I20130117000315 |
| Provider Name | Mark A Otto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386794386 PECOS PAC ID: 6709894751 Enrollment ID: I20130216000017 |
| Provider Name | Dana Zanone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578507968 PECOS PAC ID: 7315912938 Enrollment ID: I20130220000404 |
| Provider Name | Tammy J Rixey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851672067 PECOS PAC ID: 3173778230 Enrollment ID: I20130222000054 |
| Provider Name | Annika L Carl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497093751 PECOS PAC ID: 6406001239 Enrollment ID: I20130228000494 |
| Provider Name | Rohini Garg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598997835 PECOS PAC ID: 7416102140 Enrollment ID: I20130304000446 |
| Provider Name | Jason E Lambrecht |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134431018 PECOS PAC ID: 1850546482 Enrollment ID: I20130304000580 |
| Provider Name | Dawn R Stapleton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770835175 PECOS PAC ID: 0648415075 Enrollment ID: I20130405000338 |
| Provider Name | Jason T Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851644512 PECOS PAC ID: 1153567938 Enrollment ID: I20130424000210 |
| Provider Name | David T Mortensen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518024520 PECOS PAC ID: 2961459961 Enrollment ID: I20130518000110 |
| Provider Name | Becky L Corum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679917975 PECOS PAC ID: 9133367253 Enrollment ID: I20130531000505 |
| Provider Name | Mohamad Ali Alhajhusain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770713257 PECOS PAC ID: 8729227145 Enrollment ID: I20130615000173 |
| Provider Name | Margaret W Ingemansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174842298 PECOS PAC ID: 1951541036 Enrollment ID: I20130712000720 |
| Provider Name | Lindsey M Brezenski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083058846 PECOS PAC ID: 7113168949 Enrollment ID: I20130720000221 |
| Provider Name | Bonnie J Casey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730317405 PECOS PAC ID: 7416003447 Enrollment ID: I20130802000856 |
| Provider Name | Denise A Schmitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932444155 PECOS PAC ID: 7911149901 Enrollment ID: I20130802000864 |
| Provider Name | Adam Macdissi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720399116 PECOS PAC ID: 9739321365 Enrollment ID: I20130812000541 |
| Provider Name | Tyler J Willson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407167620 PECOS PAC ID: 9436313996 Enrollment ID: I20130812000611 |
| Provider Name | Anthony J Macdissi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194036723 PECOS PAC ID: 7113169665 Enrollment ID: I20130813000019 |
| Provider Name | Vanessa C Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972817328 PECOS PAC ID: 6709028350 Enrollment ID: I20130814000345 |
| Provider Name | Avdesh R Buragadda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295935864 PECOS PAC ID: 2062690100 Enrollment ID: I20130815000248 |
| Provider Name | Carla S Church |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295054054 PECOS PAC ID: 4880836188 Enrollment ID: I20130816000119 |
| Provider Name | Erin T Jenkins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174760839 PECOS PAC ID: 4587714456 Enrollment ID: I20130826000152 |
| Provider Name | Carrie A Bertellotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548603640 PECOS PAC ID: 9032352810 Enrollment ID: I20130826001060 |
| Provider Name | Adam D Wells |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376863886 PECOS PAC ID: 9638312234 Enrollment ID: I20130829000724 |
| Provider Name | Bradley William Devrieze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255564365 PECOS PAC ID: 0648414771 Enrollment ID: I20130911000584 |
| Provider Name | Andrew J Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104147800 PECOS PAC ID: 5294979001 Enrollment ID: I20130918000095 |
| Provider Name | Joseph A Nahas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497903520 PECOS PAC ID: 7517101348 Enrollment ID: I20130918000291 |
| Provider Name | Samuel Dubrow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639349590 PECOS PAC ID: 2769626480 Enrollment ID: I20130919000610 |
| Provider Name | Joseph R Wolpert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578791604 PECOS PAC ID: 7810131380 Enrollment ID: I20130924000152 |
| Provider Name | Hamza Ismail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962693903 PECOS PAC ID: 9234209859 Enrollment ID: I20130924000705 |
| Provider Name | Tina J Stringham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154762433 PECOS PAC ID: 5890939110 Enrollment ID: I20130926000137 |
| Provider Name | Benjamin Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437371721 PECOS PAC ID: 6507022993 Enrollment ID: I20131008001697 |
| Provider Name | Renuga Vivekanandan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508003914 PECOS PAC ID: 1658505268 Enrollment ID: I20131015001717 |
| Provider Name | Scott R Lauer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235314188 PECOS PAC ID: 4284868621 Enrollment ID: I20131017001792 |
| Provider Name | Christopher J Holewinski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043643687 PECOS PAC ID: 2264667518 Enrollment ID: I20131023000626 |
| Provider Name | Kristin L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942640073 PECOS PAC ID: 5698900603 Enrollment ID: I20131029001468 |
| Provider Name | Manasa Velagapudi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013226919 PECOS PAC ID: 0244465714 Enrollment ID: I20131109000272 |
| Provider Name | Jon G Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437209434 PECOS PAC ID: 6002824059 Enrollment ID: I20131109000560 |
| Provider Name | Olivia S Woita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922305143 PECOS PAC ID: 6709054406 Enrollment ID: I20131112000853 |
| Provider Name | William C Dorwart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144541335 PECOS PAC ID: 0042334492 Enrollment ID: I20131204001324 |
| Provider Name | Shu Ming Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568495455 PECOS PAC ID: 0547334195 Enrollment ID: I20131220001096 |
| Provider Name | Anne L Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386073468 PECOS PAC ID: 0840428363 Enrollment ID: I20140108000671 |
| Provider Name | Terry Stock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891735205 PECOS PAC ID: 2860424991 Enrollment ID: I20140108001200 |
| Provider Name | Gina Grace Mentzer |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1316168628 PECOS PAC ID: 5991944902 Enrollment ID: I20140211001408 |
| Provider Name | Kathryn Mccary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326489139 PECOS PAC ID: 8123257284 Enrollment ID: I20140212001635 |
| Provider Name | Cassandra L Kuhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235568932 PECOS PAC ID: 4183854946 Enrollment ID: I20140224001428 |
| Provider Name | Deepak Kumar Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861703555 PECOS PAC ID: 5193966265 Enrollment ID: I20140226000130 |
| Provider Name | Erin N Lavin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982985867 PECOS PAC ID: 4284805912 Enrollment ID: I20140227000835 |
| Provider Name | Gregg A Drabek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629180054 PECOS PAC ID: 5890785034 Enrollment ID: I20140414000945 |
| Provider Name | Sarah Thayer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477520187 PECOS PAC ID: 6901888577 Enrollment ID: I20140417002073 |
| Provider Name | Domingo L. Maynes |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770795791 PECOS PAC ID: 3779747910 Enrollment ID: I20140507001210 |
| Provider Name | Jessica Mack Demarco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376803213 PECOS PAC ID: 6709031792 Enrollment ID: I20140509000176 |
| Provider Name | Bradley W Steffens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720231103 PECOS PAC ID: 3173772381 Enrollment ID: I20140515000908 |
| Provider Name | Rebecca Dietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336469550 PECOS PAC ID: 2264655729 Enrollment ID: I20140602001317 |
| Provider Name | Gangadasu Ecvs Reddy |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1366739625 PECOS PAC ID: 3779739446 Enrollment ID: I20140612001015 |
| Provider Name | Regina Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447673363 PECOS PAC ID: 1355565326 Enrollment ID: I20140612001659 |
| Provider Name | Demetrio Aguila |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376503391 PECOS PAC ID: 0547366403 Enrollment ID: I20140625000752 |
| Provider Name | Edward Chartrand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710291257 PECOS PAC ID: 3678798865 Enrollment ID: I20140701002438 |
| Provider Name | Rammohan R Sankaraneni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790942795 PECOS PAC ID: 9830314038 Enrollment ID: I20140701002514 |
| Provider Name | Zachary S Depew |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063618106 PECOS PAC ID: 7416071238 Enrollment ID: I20140701002593 |
| Provider Name | Adil Abdalla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245215292 PECOS PAC ID: 8820981046 Enrollment ID: I20140709001179 |
| Provider Name | Pranith Surabhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891074803 PECOS PAC ID: 3173748951 Enrollment ID: I20140723000113 |
| Provider Name | Kevin D Scharff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255323846 PECOS PAC ID: 7618920356 Enrollment ID: I20140730001231 |
| Provider Name | Corey M Munger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821385527 PECOS PAC ID: 7618193517 Enrollment ID: I20140730001293 |
| Provider Name | Carrie L Wiegert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700298395 PECOS PAC ID: 9931326568 Enrollment ID: I20140805002612 |
| Provider Name | Lauren Schreffler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760809156 PECOS PAC ID: 2264659119 Enrollment ID: I20140816000151 |
| Provider Name | Christopher J Acker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811283989 PECOS PAC ID: 2567680978 Enrollment ID: I20140827000736 |
| Provider Name | Renu Kadian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558676296 PECOS PAC ID: 8022280031 Enrollment ID: I20140829000656 |
| Provider Name | Skye Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457641169 PECOS PAC ID: 8426226507 Enrollment ID: I20140911000193 |
| Provider Name | Juan Antonio Asensio Gonzalez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295793149 PECOS PAC ID: 8628019817 Enrollment ID: I20140926000227 |
| Provider Name | Kelly M Osborn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982016754 PECOS PAC ID: 8224258447 Enrollment ID: I20141009002053 |
| Provider Name | Andrea Jennifer Chamczuk |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831475730 PECOS PAC ID: 1759548787 Enrollment ID: I20141107000461 |
| Provider Name | Kathryn E Graeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972907822 PECOS PAC ID: 4486876380 Enrollment ID: I20141110000155 |
| Provider Name | Kelli Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467853424 PECOS PAC ID: 4880816438 Enrollment ID: I20141114000667 |
| Provider Name | Sonia Acharya-gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437345329 PECOS PAC ID: 9335265651 Enrollment ID: I20141216001182 |
| Provider Name | Christopher R Mascott |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508272899 PECOS PAC ID: 8426371576 Enrollment ID: I20141223000155 |
| Provider Name | Karoweso Chipendo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881095503 PECOS PAC ID: 0547583320 Enrollment ID: I20141231001158 |
| Provider Name | Ahmed Aboeata |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376709808 PECOS PAC ID: 7315262904 Enrollment ID: I20150202000434 |
| Provider Name | Mary Catherine Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831357599 PECOS PAC ID: 5496802696 Enrollment ID: I20150205001353 |
| Provider Name | Casie I Dorr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437555257 PECOS PAC ID: 5799007571 Enrollment ID: I20150216000114 |
| Provider Name | Jessica R Moyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467857557 PECOS PAC ID: 4981924057 Enrollment ID: I20150514000234 |
| Provider Name | Angela Karsten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851652028 PECOS PAC ID: 3375863376 Enrollment ID: I20150514001225 |
| Provider Name | Amanda J Nastase |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578959904 PECOS PAC ID: 9931429875 Enrollment ID: I20150518000869 |
| Provider Name | Mark E Weilage |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700264892 PECOS PAC ID: 0345560124 Enrollment ID: I20150519000378 |
| Provider Name | Dennis Thiel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770712085 PECOS PAC ID: 9032343405 Enrollment ID: I20150519001422 |
| Provider Name | Daniel E Firestone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285836049 PECOS PAC ID: 0648458091 Enrollment ID: I20150519001941 |
| Provider Name | Ramesh K.r. Gadiraju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699087007 PECOS PAC ID: 0042453052 Enrollment ID: I20150522000608 |
| Provider Name | Adam Donald Highley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316234131 PECOS PAC ID: 3577883834 Enrollment ID: I20150528000236 |
| Provider Name | Rivka Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588945075 PECOS PAC ID: 7315112257 Enrollment ID: I20150616000121 |
| Provider Name | Christine K Ilunga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285725697 PECOS PAC ID: 2567487796 Enrollment ID: I20150617000686 |
| Provider Name | Bradley Phillips |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659466449 PECOS PAC ID: 8426083049 Enrollment ID: I20150623001136 |
| Provider Name | Elicia M Devall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821497892 PECOS PAC ID: 7012228547 Enrollment ID: I20150624001612 |
| Provider Name | Erica L Evans |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548515109 PECOS PAC ID: 8224340922 Enrollment ID: I20150709001172 |
| Provider Name | Guiyuan Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851528079 PECOS PAC ID: 9335387448 Enrollment ID: I20150716001356 |
| Provider Name | John Michael Horne |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306166244 PECOS PAC ID: 6002129269 Enrollment ID: I20150716001620 |
| Provider Name | Usha Kiran Kanthety |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033464003 PECOS PAC ID: 0547573586 Enrollment ID: I20150720001665 |
| Provider Name | Jamie Lynne Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205216421 PECOS PAC ID: 4183937121 Enrollment ID: I20150720001685 |
| Provider Name | Sylvia Julie Tschernyavsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407016900 PECOS PAC ID: 1759413297 Enrollment ID: I20150722003464 |
| Provider Name | Bhavish Aubeelauck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043508963 PECOS PAC ID: 7416261003 Enrollment ID: I20150727000872 |
| Provider Name | Bonnie Kathleen Keane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508248121 PECOS PAC ID: 5991019440 Enrollment ID: I20150729006959 |
| Provider Name | Paul A Jackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902289820 PECOS PAC ID: 2961716428 Enrollment ID: I20150729007071 |
| Provider Name | Elizabeth Ann Kelsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306229224 PECOS PAC ID: 8224342787 Enrollment ID: I20150729007087 |
| Provider Name | Alan Yong Yan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376703157 PECOS PAC ID: 1658529235 Enrollment ID: I20150806012042 |
| Provider Name | Kylee V Stanley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619236379 PECOS PAC ID: 9335372663 Enrollment ID: I20150810000387 |
| Provider Name | Kristina M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043694599 PECOS PAC ID: 4688989197 Enrollment ID: I20150812008985 |
| Provider Name | Stacie R. Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205212677 PECOS PAC ID: 0042525396 Enrollment ID: I20150814013481 |
| Provider Name | Brittany M Augustyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780019307 PECOS PAC ID: 7618282658 Enrollment ID: I20150819008430 |
| Provider Name | Michelle Pavlish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518333541 PECOS PAC ID: 4789990177 Enrollment ID: I20150831002149 |
| Provider Name | Shiv Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417246877 PECOS PAC ID: 6103048954 Enrollment ID: I20150901002733 |
| Provider Name | Christina Nicole Hadley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447656012 PECOS PAC ID: 0840506721 Enrollment ID: I20150909000847 |
| Provider Name | Jocelyn A Ramadan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134477201 PECOS PAC ID: 8628385242 Enrollment ID: I20150915001782 |
| Provider Name | Hammam Ghiyas Kemeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912137639 PECOS PAC ID: 5597914036 Enrollment ID: I20150924000333 |
| Provider Name | Kristina C Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659749471 PECOS PAC ID: 5890003271 Enrollment ID: I20151005001790 |
| Provider Name | Katherine Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1588781926 PECOS PAC ID: 0941387310 Enrollment ID: I20151006001786 |
| Provider Name | Angelica Z Wong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467896720 PECOS PAC ID: 5294969713 Enrollment ID: I20151116001598 |
| Provider Name | Lindee Abe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912378845 PECOS PAC ID: 2769782903 Enrollment ID: I20151119002656 |
| Provider Name | Bronson J Boosalis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720426240 PECOS PAC ID: 6709018070 Enrollment ID: I20151120002658 |
| Provider Name | Jessica Jane Williamsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679942353 PECOS PAC ID: 8628378643 Enrollment ID: I20151124001098 |
| Provider Name | Molly M Oertwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215304704 PECOS PAC ID: 3971803826 Enrollment ID: I20151124002541 |
| Provider Name | David L Cornell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962456871 PECOS PAC ID: 1052339256 Enrollment ID: I20151214000550 |
| Provider Name | Carlee A Humm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053713008 PECOS PAC ID: 6608198031 Enrollment ID: I20160104000105 |
| Provider Name | Catherine Brignoni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114982048 PECOS PAC ID: 6406894716 Enrollment ID: I20160105002352 |
| Provider Name | Ashley Rose Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366813438 PECOS PAC ID: 0446552434 Enrollment ID: I20160107002379 |
| Provider Name | Shehnaz Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932321809 PECOS PAC ID: 4486720968 Enrollment ID: I20160114000916 |
| Provider Name | Stanley V Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942526371 PECOS PAC ID: 1456584424 Enrollment ID: I20160126000213 |
| Provider Name | Bridgett M Searls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922464700 PECOS PAC ID: 9436453792 Enrollment ID: I20160205001652 |
| Provider Name | Emi M Wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508222183 PECOS PAC ID: 7810292505 Enrollment ID: I20160217001133 |
| Provider Name | Leah Brianne Ridder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083074751 PECOS PAC ID: 7618273541 Enrollment ID: I20160302002282 |
| Provider Name | Laura Marie Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437529880 PECOS PAC ID: 7214233501 Enrollment ID: I20160314000193 |
| Provider Name | Katie Ann Mcgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972912202 PECOS PAC ID: 0345546644 Enrollment ID: I20160314000663 |
| Provider Name | Kristin Dawn Busse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568821429 PECOS PAC ID: 4981900289 Enrollment ID: I20160314000668 |
| Provider Name | Tiffany Marie Kalin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083074652 PECOS PAC ID: 2860799806 Enrollment ID: I20160318001014 |
| Provider Name | D'layna Marlene Brening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043672561 PECOS PAC ID: 9335447077 Enrollment ID: I20160414000065 |
| Provider Name | Nagendra Natarajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124245618 PECOS PAC ID: 3577728187 Enrollment ID: I20160418001369 |
| Provider Name | Carolyn M Bevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720443245 PECOS PAC ID: 6901105733 Enrollment ID: I20160429000980 |
| Provider Name | Jennifer Jean Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558726026 PECOS PAC ID: 3779882444 Enrollment ID: I20160502000647 |
| Provider Name | Elizabeth Jacobsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013339738 PECOS PAC ID: 0446489231 Enrollment ID: I20160503000545 |
| Provider Name | Felicitas Mavunga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871957340 PECOS PAC ID: 1658670153 Enrollment ID: I20160505000456 |
| Provider Name | Brooke Nicole Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033556113 PECOS PAC ID: 7214226448 Enrollment ID: I20160512001992 |
| Provider Name | Sean Robert Brozek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245677475 PECOS PAC ID: 2961634100 Enrollment ID: I20160519001273 |
| Provider Name | Juanita D Alvarez Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447616313 PECOS PAC ID: 5799082764 Enrollment ID: I20160525001965 |
| Provider Name | Krystal A Sunderman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710331350 PECOS PAC ID: 8628368511 Enrollment ID: I20160606001285 |
| Provider Name | Timothy A Richey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174853725 PECOS PAC ID: 1052440377 Enrollment ID: I20160606001662 |
| Provider Name | Terra Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891153854 PECOS PAC ID: 3072803824 Enrollment ID: I20160607000478 |
| Provider Name | Emily J Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265886279 PECOS PAC ID: 4082904537 Enrollment ID: I20160613000660 |
| Provider Name | Joseph Thirumalareddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356611941 PECOS PAC ID: 6406097187 Enrollment ID: I20160615001884 |
| Provider Name | Kellen L Huston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134358500 PECOS PAC ID: 8527359900 Enrollment ID: I20160616002242 |
| Provider Name | Sue Eileen Holliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750514782 PECOS PAC ID: 9638460439 Enrollment ID: I20160627000996 |
| Provider Name | Michael J Sanley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437388741 PECOS PAC ID: 9133375082 Enrollment ID: I20160628002219 |
| Provider Name | Spencer Borns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215387907 PECOS PAC ID: 4587955125 Enrollment ID: I20160629000449 |
| Provider Name | David Rochelin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093037632 PECOS PAC ID: 1355508532 Enrollment ID: I20160629000928 |
| Provider Name | Michael Ryan Zimmerman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699118224 PECOS PAC ID: 3577706563 Enrollment ID: I20160714001993 |
| Provider Name | Jonathan Stephen Knedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215388004 PECOS PAC ID: 5799078143 Enrollment ID: I20160722002252 |
| Provider Name | Todd J Gaddie |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1801101308 PECOS PAC ID: 5092946152 Enrollment ID: I20160725000573 |
| Provider Name | Kiran Hapke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225480254 PECOS PAC ID: 7113210253 Enrollment ID: I20160726003234 |
| Provider Name | Devi Mukkai Krishnamurty |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467683821 PECOS PAC ID: 6204129349 Enrollment ID: I20160726003250 |
| Provider Name | Vishal B Jani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134350069 PECOS PAC ID: 7214220367 Enrollment ID: I20160727000154 |
| Provider Name | Bridget Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528413523 PECOS PAC ID: 2264725167 Enrollment ID: I20160801000091 |
| Provider Name | Denise L Poland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871945139 PECOS PAC ID: 6800189614 Enrollment ID: I20160801000484 |
| Provider Name | Helenka Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609216753 PECOS PAC ID: 4789977596 Enrollment ID: I20160801000546 |
| Provider Name | Meaghan Shanahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083844765 PECOS PAC ID: 0941441844 Enrollment ID: I20160811001201 |
| Provider Name | Mohana K Loya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649579186 PECOS PAC ID: 2365736485 Enrollment ID: I20160811001404 |
| Provider Name | Jesse M Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770934176 PECOS PAC ID: 1254625205 Enrollment ID: I20160815000165 |
| Provider Name | Anna C Nieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164975066 PECOS PAC ID: 6608160650 Enrollment ID: I20160815000222 |
| Provider Name | Mohsin M Mirza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053743229 PECOS PAC ID: 8820382823 Enrollment ID: I20160815001803 |
| Provider Name | Amy L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740630839 PECOS PAC ID: 7810281730 Enrollment ID: I20160815002528 |
| Provider Name | Erin J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285085126 PECOS PAC ID: 1658666516 Enrollment ID: I20160817001645 |
| Provider Name | Heather D Kaestner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639623887 PECOS PAC ID: 4486949203 Enrollment ID: I20160818000477 |
| Provider Name | Brandon G Echtenkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801349253 PECOS PAC ID: 9335434836 Enrollment ID: I20160823001980 |
| Provider Name | Margaret Leigh Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124475439 PECOS PAC ID: 2769777150 Enrollment ID: I20160824001715 |
| Provider Name | Aiman Smer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073825782 PECOS PAC ID: 6901192483 Enrollment ID: I20160909000227 |
| Provider Name | Traci M Penner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891248720 PECOS PAC ID: 3779879101 Enrollment ID: I20160909002070 |
| Provider Name | Sahil Mullick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033550421 PECOS PAC ID: 6406142835 Enrollment ID: I20160909002086 |
| Provider Name | Jose Mayorquin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881009884 PECOS PAC ID: 4082833108 Enrollment ID: I20160912002352 |
| Provider Name | Dharani Mudugal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346555299 PECOS PAC ID: 4789815192 Enrollment ID: I20160922001810 |
| Provider Name | Teresa M Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467909655 PECOS PAC ID: 9638466378 Enrollment ID: I20160923002256 |
| Provider Name | Ashley M Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083161889 PECOS PAC ID: 6608164637 Enrollment ID: I20161007000059 |
| Provider Name | Scott W Lundgren |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1487092086 PECOS PAC ID: 9436372737 Enrollment ID: I20161010000122 |
| Provider Name | Quan Dang Le |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1811166770 PECOS PAC ID: 7416128863 Enrollment ID: I20161010000397 |
| Provider Name | Trina K Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386095172 PECOS PAC ID: 2668760109 Enrollment ID: I20161017000094 |
| Provider Name | Mohammed T Zalabani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427345966 PECOS PAC ID: 7618106659 Enrollment ID: I20161027001532 |
| Provider Name | Jason A Krupp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083720130 PECOS PAC ID: 5294719076 Enrollment ID: I20161027002104 |
| Provider Name | Adam P Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376098335 PECOS PAC ID: 0143508754 Enrollment ID: I20161102002433 |
| Provider Name | Yetsa Abebo Tuakli Wosornu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174751598 PECOS PAC ID: 9234454133 Enrollment ID: I20161103000348 |
| Provider Name | Angelica M Griffiths |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508314709 PECOS PAC ID: 4880972330 Enrollment ID: I20161104001580 |
| Provider Name | Yulia Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164805057 PECOS PAC ID: 6507166881 Enrollment ID: I20161114000413 |
| Provider Name | Andrea Jean Zurcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306398375 PECOS PAC ID: 7315226867 Enrollment ID: I20161128001481 |
| Provider Name | Date K Amouzou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942755954 PECOS PAC ID: 7719267046 Enrollment ID: I20161202001757 |
| Provider Name | Arun Kanmanthareddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013143122 PECOS PAC ID: 6406136654 Enrollment ID: I20161206001513 |
| Provider Name | Melissa L Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497040174 PECOS PAC ID: 2961672530 Enrollment ID: I20161207000063 |
| Provider Name | Joseph J Hejkal |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659613321 PECOS PAC ID: 2264657287 Enrollment ID: I20161207000237 |
| Provider Name | William Loebig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053440396 PECOS PAC ID: 4688668114 Enrollment ID: I20161212001044 |
| Provider Name | Afoma Jane King |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467890889 PECOS PAC ID: 8820378649 Enrollment ID: I20161213000433 |
| Provider Name | Kathryn Elizabeth Huerter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457893158 PECOS PAC ID: 6800176652 Enrollment ID: I20161213001523 |
| Provider Name | Justin G Adkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346405271 PECOS PAC ID: 3779754528 Enrollment ID: I20161213002462 |
| Provider Name | Lisa M Adkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316102254 PECOS PAC ID: 3072784990 Enrollment ID: I20161214000073 |
| Provider Name | Awinder P Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417204173 PECOS PAC ID: 7911121199 Enrollment ID: I20161214001504 |
| Provider Name | Mary H Wells |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538508296 PECOS PAC ID: 2567686611 Enrollment ID: I20161227000340 |
| Provider Name | Samantha L Rambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144778424 PECOS PAC ID: 2163703364 Enrollment ID: I20161230000928 |
| Provider Name | Hope M Voto |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972747418 PECOS PAC ID: 2567776651 Enrollment ID: I20170126002174 |
| Provider Name | Barkot Gebremichael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538595863 PECOS PAC ID: 9739471509 Enrollment ID: I20170131000418 |
| Provider Name | Patrick A Zoss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538134671 PECOS PAC ID: 8426011818 Enrollment ID: I20170201000076 |
| Provider Name | Richard J Bartl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316018906 PECOS PAC ID: 6608962204 Enrollment ID: I20170201000129 |
| Provider Name | Ashley B Corcoran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467902692 PECOS PAC ID: 5395028815 Enrollment ID: I20170208000244 |
| Provider Name | Carlos A Fernandez Acosta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750594693 PECOS PAC ID: 3870739345 Enrollment ID: I20170209002144 |
| Provider Name | Lacey A Gottula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154868024 PECOS PAC ID: 0042594822 Enrollment ID: I20170222000976 |
| Provider Name | Briana Harris Mayle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477906196 PECOS PAC ID: 7810271616 Enrollment ID: I20170222001743 |
| Provider Name | Nicole J Koricic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427597053 PECOS PAC ID: 7517241185 Enrollment ID: I20170227000637 |
| Provider Name | Thomas E Beare |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922071893 PECOS PAC ID: 5597787143 Enrollment ID: I20170303001397 |
| Provider Name | Vincent Muma |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497293419 PECOS PAC ID: 2961788542 Enrollment ID: I20170413002107 |
| Provider Name | Courtney Stagemeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245698273 PECOS PAC ID: 5496048217 Enrollment ID: I20170413002201 |
| Provider Name | Felina S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588196299 PECOS PAC ID: 3971889346 Enrollment ID: I20170419002167 |
| Provider Name | Haley L Nunes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962853267 PECOS PAC ID: 8325324528 Enrollment ID: I20170424000235 |
| Provider Name | Allyson Kristine Doerr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205371572 PECOS PAC ID: 5092091215 Enrollment ID: I20170424000857 |
| Provider Name | Steffany J Chedel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528503851 PECOS PAC ID: 7012293236 Enrollment ID: I20170424001134 |
| Provider Name | Joseph Carl Pitts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467990481 PECOS PAC ID: 7911274238 Enrollment ID: I20170517000230 |
| Provider Name | David M Schanbacher |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962727933 PECOS PAC ID: 5496971459 Enrollment ID: I20170519000470 |
| Provider Name | Matthew A Halfar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184916744 PECOS PAC ID: 5496974081 Enrollment ID: I20170522000057 |
| Provider Name | Lacey Jean Heikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891229787 PECOS PAC ID: 8022324441 Enrollment ID: I20170606001261 |
| Provider Name | Luka Vlahovic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306109772 PECOS PAC ID: 5991007197 Enrollment ID: I20170608002654 |
| Provider Name | Callie Chace Ogburn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750791547 PECOS PAC ID: 7416174180 Enrollment ID: I20170612001789 |
| Provider Name | Prasanna Kumar Reddy Tadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689962441 PECOS PAC ID: 3678791241 Enrollment ID: I20170612001793 |
| Provider Name | Amber Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023540374 PECOS PAC ID: 4486922564 Enrollment ID: I20170613002861 |
| Provider Name | Robert W Plambeck |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780945162 PECOS PAC ID: 7214205954 Enrollment ID: I20170621001016 |
| Provider Name | Paul Millner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962817817 PECOS PAC ID: 8820377062 Enrollment ID: I20170706001732 |
| Provider Name | Toufik Mahfood Haddad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932541000 PECOS PAC ID: 8820391154 Enrollment ID: I20170712000494 |
| Provider Name | Misty D Wahab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861929168 PECOS PAC ID: 0345517157 Enrollment ID: I20170714002440 |
| Provider Name | Anna Worley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477968493 PECOS PAC ID: 6002195211 Enrollment ID: I20170718000991 |
| Provider Name | Sarah Grauman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831506278 PECOS PAC ID: 1850670233 Enrollment ID: I20170718001821 |
| Provider Name | Eric C Roberts |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992857122 PECOS PAC ID: 3173601549 Enrollment ID: I20170718001970 |
| Provider Name | Lesa Gaye Verplank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285163030 PECOS PAC ID: 2668742081 Enrollment ID: I20170718002181 |
| Provider Name | Dina Sufian Nayef Ahmad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831484005 PECOS PAC ID: 5395972863 Enrollment ID: I20170719001057 |
| Provider Name | Kathleen Sekpe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093155046 PECOS PAC ID: 2668742933 Enrollment ID: I20170719001163 |
| Provider Name | Darius Andres Alan Jahann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861636425 PECOS PAC ID: 5395900906 Enrollment ID: I20170719002567 |
| Provider Name | Trisha E Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639609639 PECOS PAC ID: 4880964121 Enrollment ID: I20170719003720 |
| Provider Name | Michelle R Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700325883 PECOS PAC ID: 7517237753 Enrollment ID: I20170721000408 |
| Provider Name | Joslyn E. Pond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982087375 PECOS PAC ID: 2264729102 Enrollment ID: I20170721000425 |
| Provider Name | Laurel L Duba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669901765 PECOS PAC ID: 1456621507 Enrollment ID: I20170721001248 |
| Provider Name | Danielle Lynn Wooldrik |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1548608326 PECOS PAC ID: 6103056965 Enrollment ID: I20170724002262 |
| Provider Name | Brittani E Moeller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487069985 PECOS PAC ID: 9537386958 Enrollment ID: I20170725000104 |
| Provider Name | Douglas P Wulf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700315660 PECOS PAC ID: 9133499114 Enrollment ID: I20170725000371 |
| Provider Name | Wolfgang Fabio Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568519692 PECOS PAC ID: 5991869315 Enrollment ID: I20170726000402 |
| Provider Name | Liza V S Escobedo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861783789 PECOS PAC ID: 2163649740 Enrollment ID: I20170731001292 |
| Provider Name | Stacy A Froehlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316469380 PECOS PAC ID: 3779854443 Enrollment ID: I20170731001337 |
| Provider Name | Constance Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487005567 PECOS PAC ID: 4486949989 Enrollment ID: I20170809002650 |
| Provider Name | Susann Ashley O'banion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972026995 PECOS PAC ID: 5890066781 Enrollment ID: I20170811000328 |
| Provider Name | Eduardo Herrera Lirio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114268513 PECOS PAC ID: 8426346362 Enrollment ID: I20170814002141 |
| Provider Name | Stephanie L Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295134385 PECOS PAC ID: 9335461581 Enrollment ID: I20170815003051 |
| Provider Name | Alex C Lesiak |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1972802379 PECOS PAC ID: 2567762925 Enrollment ID: I20170817002354 |
| Provider Name | Andrea Kinnan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689014912 PECOS PAC ID: 4789963802 Enrollment ID: I20170818000232 |
| Provider Name | Benjamin Bumgarner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588073399 PECOS PAC ID: 7416239322 Enrollment ID: I20170818000855 |
| Provider Name | Abir Naguib Abdallah |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295086643 PECOS PAC ID: 8820376825 Enrollment ID: I20170818001564 |
| Provider Name | Lauren Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205276326 PECOS PAC ID: 1850671165 Enrollment ID: I20170818002771 |
| Provider Name | Co Thi Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912317694 PECOS PAC ID: 6406128693 Enrollment ID: I20170823001548 |
| Provider Name | Stephen Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851771265 PECOS PAC ID: 2466769203 Enrollment ID: I20170824001432 |
| Provider Name | Nicole M Privitera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144746322 PECOS PAC ID: 1658643747 Enrollment ID: I20170824001527 |
| Provider Name | Terri L Baehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295251494 PECOS PAC ID: 9032481130 Enrollment ID: I20170824001836 |
| Provider Name | Mohammed N Nazmul |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659351328 PECOS PAC ID: 2163314469 Enrollment ID: I20170824002531 |
| Provider Name | Haleigh M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851814222 PECOS PAC ID: 7416220389 Enrollment ID: I20170829003267 |
| Provider Name | Tyson E Becker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205068111 PECOS PAC ID: 1951620541 Enrollment ID: I20170830001606 |
| Provider Name | Kassie A Lueth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144746363 PECOS PAC ID: 0648543355 Enrollment ID: I20170831001021 |
| Provider Name | Kristy Vandergriff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699298372 PECOS PAC ID: 9537432133 Enrollment ID: I20170901001674 |
| Provider Name | Phillip L Bassing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427571371 PECOS PAC ID: 4183997422 Enrollment ID: I20170907001807 |
| Provider Name | Rachael R Rice |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417907437 PECOS PAC ID: 7315210697 Enrollment ID: I20170908000109 |
| Provider Name | Suzanne Renee Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124543681 PECOS PAC ID: 2163795188 Enrollment ID: I20170913000941 |
| Provider Name | Carrie Dahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548785611 PECOS PAC ID: 3274807276 Enrollment ID: I20170914000655 |
| Provider Name | Uneeda M Leverett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962478677 PECOS PAC ID: 9931233384 Enrollment ID: I20170922000896 |
| Provider Name | Alex Bryan Olsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003014044 PECOS PAC ID: 1355663238 Enrollment ID: I20170926000645 |
| Provider Name | Gene Pershwitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588073613 PECOS PAC ID: 7315229226 Enrollment ID: I20170927000229 |
| Provider Name | Mitchell Edward Weber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467749499 PECOS PAC ID: 6305067992 Enrollment ID: I20170927000578 |
| Provider Name | Dustin R Sitzmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154761104 PECOS PAC ID: 0446558662 Enrollment ID: I20170927000962 |
| Provider Name | Jalila Hudson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598773889 PECOS PAC ID: 4284615337 Enrollment ID: I20170927002887 |
| Provider Name | Rajani Rangray |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023270261 PECOS PAC ID: 1850569658 Enrollment ID: I20170929000223 |
| Provider Name | Sandeep Yarlagadda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497872402 PECOS PAC ID: 3072668268 Enrollment ID: I20171003005567 |
| Provider Name | Jessica L Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992173264 PECOS PAC ID: 1850671637 Enrollment ID: I20171010000444 |
| Provider Name | Rachael J Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215343082 PECOS PAC ID: 7214251438 Enrollment ID: I20171010000507 |
| Provider Name | Nathan Thomas Shank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164940466 PECOS PAC ID: 4082980917 Enrollment ID: I20171020002458 |
| Provider Name | Amber K Brown Keebler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548403330 PECOS PAC ID: 1052539277 Enrollment ID: I20171106000077 |
| Provider Name | Justin Douglas Nissen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427568393 PECOS PAC ID: 2668738428 Enrollment ID: I20171110000562 |
| Provider Name | Melinda S Burnett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851365282 PECOS PAC ID: 1759354640 Enrollment ID: I20171113000127 |
| Provider Name | Thomas J Giannaccini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861814238 PECOS PAC ID: 1052535382 Enrollment ID: I20171113001603 |
| Provider Name | Ryan Gerald Buetow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487095055 PECOS PAC ID: 5294091971 Enrollment ID: I20171113003341 |
| Provider Name | Jason D Bolt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326141516 PECOS PAC ID: 9032118476 Enrollment ID: I20171128001560 |
| Provider Name | Kari J Sack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588609325 PECOS PAC ID: 9335157890 Enrollment ID: I20171128001616 |
| Provider Name | Eva Jeanette Lopez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730279068 PECOS PAC ID: 6204998206 Enrollment ID: I20171128002720 |
| Provider Name | Erik R. Jacobson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447541743 PECOS PAC ID: 0345472072 Enrollment ID: I20171129001403 |
| Provider Name | Lindsey N Kerrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013429026 PECOS PAC ID: 7012274046 Enrollment ID: I20171130000233 |
| Provider Name | Kelsie Sue Scheer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609388503 PECOS PAC ID: 5890052658 Enrollment ID: I20171204000046 |
| Provider Name | Melissa Lynn Howey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194238378 PECOS PAC ID: 2466719992 Enrollment ID: I20171207002797 |
| Provider Name | Sarah K Shomshor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265946107 PECOS PAC ID: 9537426093 Enrollment ID: I20171208001006 |
| Provider Name | Mark Swenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316064835 PECOS PAC ID: 3971696071 Enrollment ID: I20171215002779 |
| Provider Name | Mark A Kossick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942296744 PECOS PAC ID: 9335188267 Enrollment ID: I20171218002191 |
| Provider Name | Christopher B Thorson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356315170 PECOS PAC ID: 4688626633 Enrollment ID: I20171219001609 |
| Provider Name | Karla Marie Atchley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427047497 PECOS PAC ID: 0749382539 Enrollment ID: I20171221000990 |
| Provider Name | Lindsey M Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962929935 PECOS PAC ID: 9830457860 Enrollment ID: I20171221001626 |
| Provider Name | David Perkowski |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942226279 PECOS PAC ID: 8022061449 Enrollment ID: I20171229000426 |
| Provider Name | Karen L Pertl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740323070 PECOS PAC ID: 1355523705 Enrollment ID: I20180129000165 |
| Provider Name | Cynthia Trott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326031899 PECOS PAC ID: 9537115118 Enrollment ID: I20180131002755 |
| Provider Name | Jeffrey C Macaraeg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730595158 PECOS PAC ID: 4587943923 Enrollment ID: I20180201000558 |
| Provider Name | Pradeepa P Vimalachandran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265848949 PECOS PAC ID: 4385923457 Enrollment ID: I20180227002101 |
| Provider Name | Julie Ann Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861682452 PECOS PAC ID: 7416265566 Enrollment ID: I20180307002283 |
| Provider Name | Andrea Marie Vacha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922507086 PECOS PAC ID: 1759643547 Enrollment ID: I20180314001101 |
| Provider Name | Abilash R Balmuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912107541 PECOS PAC ID: 0042405649 Enrollment ID: I20180316000054 |
| Provider Name | Barclay A Monaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962418640 PECOS PAC ID: 5092723049 Enrollment ID: I20180320001562 |
| Provider Name | Benigno Cartagena Hernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538315114 PECOS PAC ID: 0648443770 Enrollment ID: I20180321001883 |
| Provider Name | Tabitha Rae Barnard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366944282 PECOS PAC ID: 7214299726 Enrollment ID: I20180321002023 |
| Provider Name | Elizabeth D Cox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316956493 PECOS PAC ID: 4587660485 Enrollment ID: I20180327001341 |
| Provider Name | Venketraman Sahasranaman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710142039 PECOS PAC ID: 3779709761 Enrollment ID: I20180410000107 |
| Provider Name | Rambod Charepoo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205148574 PECOS PAC ID: 6002043577 Enrollment ID: I20180410000217 |
| Provider Name | Awail U Sadiq |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437412566 PECOS PAC ID: 6103142757 Enrollment ID: I20180416000542 |
| Provider Name | Twethida Oung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790946481 PECOS PAC ID: 7810179256 Enrollment ID: I20180417000826 |
| Provider Name | Kayla L Silvus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760987770 PECOS PAC ID: 6709140791 Enrollment ID: I20180426002861 |
| Provider Name | Lauren Elizabeth Havens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730530122 PECOS PAC ID: 0143513036 Enrollment ID: I20180503001801 |
| Provider Name | Wuttiporn Manatsathit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396023834 PECOS PAC ID: 4789993890 Enrollment ID: I20180517002415 |
| Provider Name | Catherine T Stoos |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578998654 PECOS PAC ID: 2961717863 Enrollment ID: I20180524001645 |
| Provider Name | Jessica Elaine Prusa Flores |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598027500 PECOS PAC ID: 2264661354 Enrollment ID: I20180529002433 |
| Provider Name | Darren Matthew Groh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710277447 PECOS PAC ID: 3678838331 Enrollment ID: I20180530000422 |
| Provider Name | Amir Zahra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912268897 PECOS PAC ID: 9133484801 Enrollment ID: I20180530000753 |
| Provider Name | Lauren Joy Hager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215308622 PECOS PAC ID: 6507167384 Enrollment ID: I20180604002276 |
| Provider Name | Alison J Laflan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487032066 PECOS PAC ID: 7113272386 Enrollment ID: I20180613000185 |
| Provider Name | Angie V Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386140770 PECOS PAC ID: 8729333117 Enrollment ID: I20180627000108 |
| Provider Name | Issam N Eid |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609057934 PECOS PAC ID: 6709028871 Enrollment ID: I20180627001632 |
| Provider Name | Ellen Rose Steffensmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730678699 PECOS PAC ID: 5193071520 Enrollment ID: I20180627001994 |
| Provider Name | Joan Delto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275769093 PECOS PAC ID: 4587933361 Enrollment ID: I20180709000717 |
| Provider Name | Carleigh B Golden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174905996 PECOS PAC ID: 3274815733 Enrollment ID: I20180710001419 |
| Provider Name | Brandy M Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114414158 PECOS PAC ID: 8527314186 Enrollment ID: I20180712000244 |
| Provider Name | Naomi Kigondu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518451152 PECOS PAC ID: 7416204920 Enrollment ID: I20180716000264 |
| Provider Name | Erin Hale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801237706 PECOS PAC ID: 6901183466 Enrollment ID: I20180717000785 |
| Provider Name | Alfred P Bowles |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831183052 PECOS PAC ID: 8820045388 Enrollment ID: I20180717002474 |
| Provider Name | Amanda S Boardman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902141286 PECOS PAC ID: 2264660505 Enrollment ID: I20180720001153 |
| Provider Name | Emilea R Harshman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831684216 PECOS PAC ID: 5890042758 Enrollment ID: I20180724000552 |
| Provider Name | Katherine S Moes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477047702 PECOS PAC ID: 8325395288 Enrollment ID: I20180724000589 |
| Provider Name | Andrea George |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215376363 PECOS PAC ID: 2769787662 Enrollment ID: I20180724000908 |
| Provider Name | Vinit V Patil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194005231 PECOS PAC ID: 5799905253 Enrollment ID: I20180725003843 |
| Provider Name | Venkata Sandeep Koripalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013390723 PECOS PAC ID: 3173870771 Enrollment ID: I20180726002532 |
| Provider Name | Trina A Stoneham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871988899 PECOS PAC ID: 1951602671 Enrollment ID: I20180730001326 |
| Provider Name | Joseph Michael Mowery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386919579 PECOS PAC ID: 3577879550 Enrollment ID: I20180731000164 |
| Provider Name | Maria E. Finocchiaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922599091 PECOS PAC ID: 6002164449 Enrollment ID: I20180801002991 |
| Provider Name | Dalia Lawandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891179198 PECOS PAC ID: 3779840665 Enrollment ID: I20180801003137 |
| Provider Name | Toan D Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295118776 PECOS PAC ID: 2961784871 Enrollment ID: I20180801003325 |
| Provider Name | Eric Boggess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891101259 PECOS PAC ID: 6608177712 Enrollment ID: I20180802000370 |
| Provider Name | Stephanie Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457762148 PECOS PAC ID: 7618256835 Enrollment ID: I20180802001627 |
| Provider Name | Angela M Konrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831688787 PECOS PAC ID: 9032467345 Enrollment ID: I20180802002145 |
| Provider Name | Kathleen Mckillip |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1629416177 PECOS PAC ID: 3870724974 Enrollment ID: I20180802002269 |
| Provider Name | Lauren B Magill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871071936 PECOS PAC ID: 7719236496 Enrollment ID: I20180814004020 |
| Provider Name | Lindsey K Dworak-swantek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497233555 PECOS PAC ID: 3577812106 Enrollment ID: I20180815001860 |
| Provider Name | Rebekah Campbell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417213935 PECOS PAC ID: 2567766991 Enrollment ID: I20180816001217 |
| Provider Name | Ryan M Trowbridge |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1770996191 PECOS PAC ID: 3072730274 Enrollment ID: I20180821003491 |
| Provider Name | Abhishek Lunagariya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336582030 PECOS PAC ID: 2961629753 Enrollment ID: I20180822000798 |
| Provider Name | Lynn Ann Jeffrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821476441 PECOS PAC ID: 8921357062 Enrollment ID: I20180822001780 |
| Provider Name | Ronda J Disney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821262734 PECOS PAC ID: 5698024420 Enrollment ID: I20180828000106 |
| Provider Name | Artem Ryazantsev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043653108 PECOS PAC ID: 9335431204 Enrollment ID: I20180828004075 |
| Provider Name | Joyce M Kovar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336350636 PECOS PAC ID: 1658569009 Enrollment ID: I20180829002011 |
| Provider Name | Jeffrey D Bruning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689056681 PECOS PAC ID: 8426308032 Enrollment ID: I20180831001312 |
| Provider Name | Margaret Sheehy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316280316 PECOS PAC ID: 5597075895 Enrollment ID: I20180905003769 |
| Provider Name | Lindsey F Amato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386124188 PECOS PAC ID: 2062762347 Enrollment ID: I20180906003457 |
| Provider Name | Kamille M Skrdla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457845786 PECOS PAC ID: 1153671292 Enrollment ID: I20180911001111 |
| Provider Name | Saleem Jafilan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295116911 PECOS PAC ID: 4789990821 Enrollment ID: I20180918001413 |
| Provider Name | Krista E Goins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295118586 PECOS PAC ID: 7416237896 Enrollment ID: I20180921002827 |
| Provider Name | Terri Jo Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932699444 PECOS PAC ID: 3072768282 Enrollment ID: I20180925000820 |
| Provider Name | Sonny Star Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164909339 PECOS PAC ID: 7911258983 Enrollment ID: I20181002000491 |
| Provider Name | Michael Hyun-ook Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033182795 PECOS PAC ID: 2062460249 Enrollment ID: I20181004002109 |
| Provider Name | Nicole M Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114408531 PECOS PAC ID: 7113279910 Enrollment ID: I20181005000905 |
| Provider Name | Alexis R Fiorini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760960934 PECOS PAC ID: 1052663408 Enrollment ID: I20181011002990 |
| Provider Name | Akshat Sood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326319138 PECOS PAC ID: 5193947174 Enrollment ID: I20181016002021 |
| Provider Name | Kathryn Huhmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760978464 PECOS PAC ID: 0547513608 Enrollment ID: I20181019001583 |
| Provider Name | Emily Liu Burdett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760865323 PECOS PAC ID: 7012261233 Enrollment ID: I20181106002923 |
| Provider Name | Clayton Carl Thor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366704082 PECOS PAC ID: 1052542719 Enrollment ID: I20181113001603 |
| Provider Name | Michael Blute |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376692194 PECOS PAC ID: 7618109679 Enrollment ID: I20181114002861 |
| Provider Name | Melany Dawn Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184192346 PECOS PAC ID: 2961756390 Enrollment ID: I20181121000344 |
| Provider Name | Melanie Elizabeth Hutchinson |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1861872905 PECOS PAC ID: 9537445598 Enrollment ID: I20181126000356 |
| Provider Name | Ali M Eskandar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902095094 PECOS PAC ID: 1153588652 Enrollment ID: I20181130002696 |
| Provider Name | Brittney J Maloley-lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205277225 PECOS PAC ID: 6800173360 Enrollment ID: I20181201000051 |
| Provider Name | Erika M De Mont |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861969453 PECOS PAC ID: 3577807577 Enrollment ID: I20181203000505 |
| Provider Name | Bradly Zurek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528478591 PECOS PAC ID: 2062714041 Enrollment ID: I20181217002544 |
| Provider Name | Fernando Lamounier |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1609826312 PECOS PAC ID: 5991717456 Enrollment ID: I20181221002463 |
| Provider Name | Gabriel Youssef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174974950 PECOS PAC ID: 7214215326 Enrollment ID: I20190103000676 |
| Provider Name | Laszlo Tamas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366478646 PECOS PAC ID: 3274676523 Enrollment ID: I20190201001666 |
| Provider Name | Sanjay Mukerji |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487651477 PECOS PAC ID: 9739146481 Enrollment ID: I20190205000723 |
| Provider Name | Meggan Linck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063724763 PECOS PAC ID: 8123278470 Enrollment ID: I20190206000313 |
| Provider Name | Kevin J Embach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437151974 PECOS PAC ID: 6002991825 Enrollment ID: I20190213000200 |
| Provider Name | Adair Frierson Deberry-carlisle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730110651 PECOS PAC ID: 0941373617 Enrollment ID: I20190213000478 |
| Provider Name | Michael I Stanley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902997414 PECOS PAC ID: 2567656960 Enrollment ID: I20190219000315 |
| Provider Name | Jonathan Nwiloh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194782011 PECOS PAC ID: 1254244932 Enrollment ID: I20190306003112 |
| Provider Name | Kimberly Hagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407005333 PECOS PAC ID: 1153472519 Enrollment ID: I20190308002491 |
| Provider Name | Viren P Punja |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144540295 PECOS PAC ID: 1153553433 Enrollment ID: I20190313002126 |
| Provider Name | Justin A Slavin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790944668 PECOS PAC ID: 9436440757 Enrollment ID: I20190318000477 |
| Provider Name | Brandi Jo Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881001840 PECOS PAC ID: 6103141957 Enrollment ID: I20190320001598 |
| Provider Name | Adebanke Davis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528206109 PECOS PAC ID: 6204016520 Enrollment ID: I20190326001907 |
| Provider Name | Thomas Richard Hurley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558418103 PECOS PAC ID: 9335196716 Enrollment ID: I20190327000500 |
| Provider Name | Jasper Nathaniel Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134686538 PECOS PAC ID: 7618217662 Enrollment ID: I20190329000188 |
| Provider Name | Nicole Mixan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841758372 PECOS PAC ID: 4981945789 Enrollment ID: I20190404000355 |
| Provider Name | John A Aucar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033141965 PECOS PAC ID: 2466450630 Enrollment ID: I20190424000786 |
| Provider Name | Latoya N Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386115913 PECOS PAC ID: 9234471194 Enrollment ID: I20190425002194 |
| Provider Name | James White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770045536 PECOS PAC ID: 3678816188 Enrollment ID: I20190525000051 |
| Provider Name | Terry Thomas Butkus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366570020 PECOS PAC ID: 0749467496 Enrollment ID: I20190606001816 |
| Provider Name | Andrew Robert Fischer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962473553 PECOS PAC ID: 8628020542 Enrollment ID: I20190612002840 |
| Provider Name | Megan Brady |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376701896 PECOS PAC ID: 9638201742 Enrollment ID: I20190612002975 |
| Provider Name | Amjad Kabach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891137758 PECOS PAC ID: 2163703307 Enrollment ID: I20190620001764 |
| Provider Name | Stephanie M Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083278790 PECOS PAC ID: 6709110620 Enrollment ID: I20190627000287 |
| Provider Name | Kruti Kadakia |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1932768637 PECOS PAC ID: 1850625377 Enrollment ID: I20190702003112 |
| Provider Name | Nikhil Jagan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427480284 PECOS PAC ID: 5597053264 Enrollment ID: I20190703001400 |
| Provider Name | Abdullah Abdussalam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932442613 PECOS PAC ID: 1355643701 Enrollment ID: I20190708000617 |
| Provider Name | Amir Batman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316351281 PECOS PAC ID: 4880819143 Enrollment ID: I20190711000319 |
| Provider Name | Michael L Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497104442 PECOS PAC ID: 8921393273 Enrollment ID: I20190712002894 |
| Provider Name | Mara K Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316500119 PECOS PAC ID: 4981939766 Enrollment ID: I20190716003202 |
| Provider Name | Maria Victoria G Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609041573 PECOS PAC ID: 1557373891 Enrollment ID: I20190716003321 |
| Provider Name | Shraddha Mayur Narechania |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760815872 PECOS PAC ID: 5799079315 Enrollment ID: I20190716003644 |
| Provider Name | Carolina A Landeen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659719565 PECOS PAC ID: 1052554490 Enrollment ID: I20190719000580 |
| Provider Name | David V Gonzales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942217989 PECOS PAC ID: 2961594122 Enrollment ID: I20190722000417 |
| Provider Name | Sarah M Waterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407204225 PECOS PAC ID: 1759674591 Enrollment ID: I20190723000530 |
| Provider Name | Meagan Driesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902469661 PECOS PAC ID: 4981930245 Enrollment ID: I20190724000944 |
| Provider Name | Kathryn Moreland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861854259 PECOS PAC ID: 4284913195 Enrollment ID: I20190727000104 |
| Provider Name | Suchitra Pilli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750649844 PECOS PAC ID: 1153681937 Enrollment ID: I20190727000132 |
| Provider Name | Brent Lee Clyde |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700896552 PECOS PAC ID: 6103724679 Enrollment ID: I20190731000061 |
| Provider Name | Stephanie Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205491891 PECOS PAC ID: 9638405376 Enrollment ID: I20190801002419 |
| Provider Name | Travis S Tierney |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467598003 PECOS PAC ID: 6103966973 Enrollment ID: I20190802001137 |
| Provider Name | Kirsten A Boedeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538712260 PECOS PAC ID: 9830426576 Enrollment ID: I20190803000102 |
| Provider Name | Roland W Petri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902889678 PECOS PAC ID: 3779625322 Enrollment ID: I20190808001518 |
| Provider Name | Neil Mendoza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407146632 PECOS PAC ID: 6305083544 Enrollment ID: I20190815000198 |
| Provider Name | Ala' Abdel Jalil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427267871 PECOS PAC ID: 5991868366 Enrollment ID: I20190815000284 |
| Provider Name | Melissa M Hohenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548822257 PECOS PAC ID: 0143557959 Enrollment ID: I20190815002720 |
| Provider Name | Amanda Josephine Dawson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871932731 PECOS PAC ID: 3678877388 Enrollment ID: I20190816000051 |
| Provider Name | Yu-ting Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184038820 PECOS PAC ID: 3577855246 Enrollment ID: I20190816000672 |
| Provider Name | Lyndsey Hinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578120135 PECOS PAC ID: 2163750571 Enrollment ID: I20190822004255 |
| Provider Name | Sonal Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417308511 PECOS PAC ID: 6608132568 Enrollment ID: I20190823000584 |
| Provider Name | Jenni L Iske |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659926269 PECOS PAC ID: 3476881780 Enrollment ID: I20190824000582 |
| Provider Name | Christina Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760833115 PECOS PAC ID: 2769760925 Enrollment ID: I20190826001519 |
| Provider Name | Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134771926 PECOS PAC ID: 8224366497 Enrollment ID: I20190826003214 |
| Provider Name | Colin P Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730741398 PECOS PAC ID: 3870822471 Enrollment ID: I20190906002420 |
| Provider Name | Minday M Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407298409 PECOS PAC ID: 7113169277 Enrollment ID: I20190906002444 |
| Provider Name | Daniel Kirby Harmon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962610709 PECOS PAC ID: 6709073547 Enrollment ID: I20190906002647 |
| Provider Name | Rabie Emsalem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477008571 PECOS PAC ID: 3375800303 Enrollment ID: I20190910001663 |
| Provider Name | Joshua Homme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275188856 PECOS PAC ID: 4789913146 Enrollment ID: I20190910001990 |
| Provider Name | Thamer A Kassim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518410091 PECOS PAC ID: 1759647563 Enrollment ID: I20190911001637 |
| Provider Name | Nicholas N Sakis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932582848 PECOS PAC ID: 9234447285 Enrollment ID: I20190912000310 |
| Provider Name | Jeana R Westover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699334565 PECOS PAC ID: 9931438009 Enrollment ID: I20190916001133 |
| Provider Name | Suyog Mokashi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821241357 PECOS PAC ID: 7214223700 Enrollment ID: I20190919001142 |
| Provider Name | Rebecca Kahrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114589629 PECOS PAC ID: 2668702424 Enrollment ID: I20190923001018 |
| Provider Name | Kaitlin Nicole Desoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689223943 PECOS PAC ID: 3173854734 Enrollment ID: I20191011001646 |
| Provider Name | Losika Sivaganeshan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063864981 PECOS PAC ID: 4587921598 Enrollment ID: I20191011001850 |
| Provider Name | Elise Ann Plautz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023661923 PECOS PAC ID: 1052642675 Enrollment ID: I20191014001333 |
| Provider Name | Nawras Abuhamidah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598140006 PECOS PAC ID: 0547542003 Enrollment ID: I20191018000694 |
| Provider Name | Andrea Marie Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669026613 PECOS PAC ID: 0547592750 Enrollment ID: I20191021002049 |
| Provider Name | Maggie L Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831740760 PECOS PAC ID: 4587996392 Enrollment ID: I20191029000353 |
| Provider Name | Jagkirat Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639584105 PECOS PAC ID: 5395067540 Enrollment ID: I20191031001708 |
| Provider Name | Jonathan Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861041238 PECOS PAC ID: 6507198967 Enrollment ID: I20191105000192 |
| Provider Name | Sangeeta Mutnuri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962790477 PECOS PAC ID: 1254629496 Enrollment ID: I20191107002187 |
| Provider Name | Mark C Watts |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700913738 PECOS PAC ID: 5890858492 Enrollment ID: I20191121000368 |
| Provider Name | Amber Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114561909 PECOS PAC ID: 4284066689 Enrollment ID: I20191122000588 |
| Provider Name | Kerry Jo Cromer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104469329 PECOS PAC ID: 2163854506 Enrollment ID: I20191122002159 |
| Provider Name | April Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942618624 PECOS PAC ID: 8123240165 Enrollment ID: I20191126000672 |
| Provider Name | Jessica Loree Curtice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043861586 PECOS PAC ID: 4789017153 Enrollment ID: I20191126001478 |
| Provider Name | Ahmad J. Khalifa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710947833 PECOS PAC ID: 8628003605 Enrollment ID: I20191212002807 |
| Provider Name | Abbie L Ketcham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356985758 PECOS PAC ID: 9638502172 Enrollment ID: I20191213001474 |
| Provider Name | Lisa M Bruha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992353965 PECOS PAC ID: 9638503857 Enrollment ID: I20191221000712 |
| Provider Name | Briahna Chanelle Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033764840 PECOS PAC ID: 4082048095 Enrollment ID: I20191230000595 |
| Provider Name | Tessa D O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629445937 PECOS PAC ID: 5496061384 Enrollment ID: I20200103000847 |
| Provider Name | Santosh Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265695241 PECOS PAC ID: 1951570092 Enrollment ID: I20200116000260 |
| Provider Name | Tysha L Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669015061 PECOS PAC ID: 7810322039 Enrollment ID: I20200116001838 |
| Provider Name | Andrea L Husen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588201875 PECOS PAC ID: 9032544002 Enrollment ID: I20200122000081 |
| Provider Name | Nicholas Franssen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043610017 PECOS PAC ID: 1052531126 Enrollment ID: I20200122001005 |
| Provider Name | Sampath K Poreddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174726707 PECOS PAC ID: 6800942368 Enrollment ID: I20200205002381 |
| Provider Name | Brianna J Hoden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245780659 PECOS PAC ID: 7012299001 Enrollment ID: I20200212002517 |
| Provider Name | Robert A Ruelaz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881749026 PECOS PAC ID: 5597847723 Enrollment ID: I20200222000028 |
| Provider Name | Erica F Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609434976 PECOS PAC ID: 1951739598 Enrollment ID: I20200315000017 |
| Provider Name | Jordan Bontrager |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477184018 PECOS PAC ID: 2365870649 Enrollment ID: I20200319002779 |
| Provider Name | Megan N Mertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316592629 PECOS PAC ID: 9032548730 Enrollment ID: I20200401000456 |
| Provider Name | David Cantu Duran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881964625 PECOS PAC ID: 1850694027 Enrollment ID: I20200407002586 |
| Provider Name | Christina Shellai Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326672338 PECOS PAC ID: 6406286202 Enrollment ID: I20200419000158 |
| Provider Name | Cortney Mahony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639692916 PECOS PAC ID: 9032475033 Enrollment ID: I20200419000173 |
| Provider Name | Toni Cordes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588297170 PECOS PAC ID: 1456781004 Enrollment ID: I20200422000378 |
| Provider Name | Jared Thomas Alberts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295172286 PECOS PAC ID: 9537456629 Enrollment ID: I20200504001454 |
| Provider Name | Jacqueline Poole |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396033981 PECOS PAC ID: 8022238716 Enrollment ID: I20200504001535 |
| Provider Name | William M Pruett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487005542 PECOS PAC ID: 9931492121 Enrollment ID: I20200504001667 |
| Provider Name | Craig S Cookman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770997462 PECOS PAC ID: 8426274366 Enrollment ID: I20200504001823 |
| Provider Name | Selma Mohammed |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1851504476 PECOS PAC ID: 3678663424 Enrollment ID: I20200506001976 |
| Provider Name | Alisha Ann Josephson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760968341 PECOS PAC ID: 1951732940 Enrollment ID: I20200506003070 |
| Provider Name | Stephen Batuello |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508973843 PECOS PAC ID: 0042107252 Enrollment ID: I20200508001710 |
| Provider Name | Abhishek Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003044793 PECOS PAC ID: 1254642218 Enrollment ID: I20200518000248 |
| Provider Name | Ankur Saini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144529397 PECOS PAC ID: 4486889060 Enrollment ID: I20200521001573 |
| Provider Name | Lauren E Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538782875 PECOS PAC ID: 0840611026 Enrollment ID: I20200526000298 |
| Provider Name | Genevieve Akouba Allou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942836960 PECOS PAC ID: 0840611927 Enrollment ID: I20200527002184 |
| Provider Name | Matthew Schukar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417304940 PECOS PAC ID: 8729329131 Enrollment ID: I20200528000118 |
| Provider Name | Jessica Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669000733 PECOS PAC ID: 3678994712 Enrollment ID: I20200528001331 |
| Provider Name | Jessica Louise Hogan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679868913 PECOS PAC ID: 8123325453 Enrollment ID: I20200529000831 |
| Provider Name | Ellen A Thomsen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114460904 PECOS PAC ID: 7113348947 Enrollment ID: I20200603003188 |
| Provider Name | Attila Roka |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1396927448 PECOS PAC ID: 6002042678 Enrollment ID: I20200609003215 |
| Provider Name | Neil G Powell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114977477 PECOS PAC ID: 9537244884 Enrollment ID: I20200610002635 |
| Provider Name | Ashlie Renae Zima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881237766 PECOS PAC ID: 9638591035 Enrollment ID: I20200611002053 |
| Provider Name | Mohammad Selim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326593021 PECOS PAC ID: 3779840780 Enrollment ID: I20200611002362 |
| Provider Name | Christina Lee Hoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336775857 PECOS PAC ID: 9638591068 Enrollment ID: I20200612000177 |
| Provider Name | Laura Marie Danielson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508251224 PECOS PAC ID: 8921300674 Enrollment ID: I20200612001087 |
| Provider Name | Deyanna Boston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689100539 PECOS PAC ID: 2264760628 Enrollment ID: I20200619000355 |
| Provider Name | Molly Jane Hiatt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760902977 PECOS PAC ID: 0749554202 Enrollment ID: I20200622000318 |
| Provider Name | Lacy L Rowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821487679 PECOS PAC ID: 0547587164 Enrollment ID: I20200622002651 |
| Provider Name | Jennifer Heusinkvelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952924607 PECOS PAC ID: 1951723634 Enrollment ID: I20200625001993 |
| Provider Name | Melissa Klutts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215445077 PECOS PAC ID: 2769727395 Enrollment ID: I20200629000816 |
| Provider Name | Annaliese M Bosco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942654165 PECOS PAC ID: 4385936517 Enrollment ID: I20200630002220 |
| Provider Name | Sandia Iskandar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184986614 PECOS PAC ID: 2062719354 Enrollment ID: I20200702002061 |
| Provider Name | Rebecca M Toomsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275158909 PECOS PAC ID: 3577986553 Enrollment ID: I20200709000811 |
| Provider Name | Kenneth J Shum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013456474 PECOS PAC ID: 3274806252 Enrollment ID: I20200713000507 |
| Provider Name | Khagendra Dahal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851521892 PECOS PAC ID: 8729230511 Enrollment ID: I20200716002025 |
| Provider Name | Jeffrey J Murray |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982019832 PECOS PAC ID: 8022397249 Enrollment ID: I20200717002944 |
| Provider Name | Marcia Marie Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740803022 PECOS PAC ID: 6507280526 Enrollment ID: I20200723002317 |
| Provider Name | Christopher James Vacek |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841645694 PECOS PAC ID: 8527483205 Enrollment ID: I20200729002148 |
| Provider Name | Sunil Nair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306259866 PECOS PAC ID: 9830455971 Enrollment ID: I20200731000525 |
| Provider Name | Traci-lynn Hirai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255782322 PECOS PAC ID: 8325313729 Enrollment ID: I20200731000587 |
| Provider Name | Saurabh Chandan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194145169 PECOS PAC ID: 6406162569 Enrollment ID: I20200731002340 |
| Provider Name | Jonathan M Shields |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356862148 PECOS PAC ID: 7315211596 Enrollment ID: I20200803001669 |
| Provider Name | Haitam Mohamad Buaisha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558770743 PECOS PAC ID: 4486933678 Enrollment ID: I20200804003251 |
| Provider Name | Justin Zheng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740714757 PECOS PAC ID: 5890052872 Enrollment ID: I20200805001078 |
| Provider Name | Maureen D Angelo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730446766 PECOS PAC ID: 3779804992 Enrollment ID: I20200805003139 |
| Provider Name | Sara Albagoush |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265957021 PECOS PAC ID: 6002231081 Enrollment ID: I20200807001628 |
| Provider Name | Sweety Aeilias |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902217946 PECOS PAC ID: 5092080234 Enrollment ID: I20200807001999 |
| Provider Name | Ashlee Ranee Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720565450 PECOS PAC ID: 1153747837 Enrollment ID: I20200812000493 |
| Provider Name | Ashley R Classen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770105868 PECOS PAC ID: 6901222132 Enrollment ID: I20200818002345 |
| Provider Name | Jessica M Veatch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548650492 PECOS PAC ID: 9739505769 Enrollment ID: I20200820001507 |
| Provider Name | Thomas J Capasso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245643873 PECOS PAC ID: 1658603626 Enrollment ID: I20200820001881 |
| Provider Name | Hoang Ngoc Nguyen Mai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215457189 PECOS PAC ID: 4284993601 Enrollment ID: I20200820002882 |
| Provider Name | Benjamin T Denich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104436575 PECOS PAC ID: 7618394412 Enrollment ID: I20200825001720 |
| Provider Name | Ashley M Bauer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942613831 PECOS PAC ID: 3173830973 Enrollment ID: I20200825001959 |
| Provider Name | Alec Hildenbrand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225559057 PECOS PAC ID: 2264859677 Enrollment ID: I20200831003127 |
| Provider Name | Sarah Schultz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669824405 PECOS PAC ID: 8921373317 Enrollment ID: I20200914001376 |
| Provider Name | James Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811105331 PECOS PAC ID: 2567517568 Enrollment ID: I20200929003228 |
| Provider Name | Christin Khayat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932715182 PECOS PAC ID: 5698194967 Enrollment ID: I20201006002322 |
| Provider Name | Eric J Kuncir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053382085 PECOS PAC ID: 9436123452 Enrollment ID: I20201007002596 |
| Provider Name | Robert E Ayer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891902714 PECOS PAC ID: 5193965036 Enrollment ID: I20201014000922 |
| Provider Name | Candy L Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821695461 PECOS PAC ID: 1759701691 Enrollment ID: I20201015000977 |
| Provider Name | Jennifer E Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770106783 PECOS PAC ID: 6406278266 Enrollment ID: I20201022002337 |
| Provider Name | Stephen Grove |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184038044 PECOS PAC ID: 3375768625 Enrollment ID: I20201103000974 |
| Provider Name | Lesley Conrad |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1053554527 PECOS PAC ID: 3971741489 Enrollment ID: I20201105000108 |
| Provider Name | Patricia A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992310080 PECOS PAC ID: 2264842103 Enrollment ID: I20201105000526 |
| Provider Name | Kristal Ann Turpen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407463599 PECOS PAC ID: 1759791114 Enrollment ID: I20201113001621 |
| Provider Name | Kyle W Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710592688 PECOS PAC ID: 6608287792 Enrollment ID: I20201120001481 |
| Provider Name | Ashley N Klepinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396342739 PECOS PAC ID: 6507277217 Enrollment ID: I20201202001228 |
| Provider Name | Brenna M Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356940381 PECOS PAC ID: 9234540824 Enrollment ID: I20201203001368 |
| Provider Name | Hillary Suzanne Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750996831 PECOS PAC ID: 3173935566 Enrollment ID: I20201208002405 |
| Provider Name | Caley Bogatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699377515 PECOS PAC ID: 4082027354 Enrollment ID: I20210105001424 |
| Provider Name | Christian Strong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740627579 PECOS PAC ID: 6709101785 Enrollment ID: I20210106000783 |
| Provider Name | Claudia Gragnoli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083791222 PECOS PAC ID: 9133222672 Enrollment ID: I20210106001137 |
| Provider Name | Nathan Hancock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326209537 PECOS PAC ID: 0244417293 Enrollment ID: I20210106001842 |
| Provider Name | Ryan N Pirraglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861028847 PECOS PAC ID: 3476966490 Enrollment ID: I20210113000837 |
| Provider Name | Noah Bernhardson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457882813 PECOS PAC ID: 4385914316 Enrollment ID: I20210119000727 |
| Provider Name | Amy E Pape |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609475003 PECOS PAC ID: 3375957699 Enrollment ID: I20210128000795 |
| Provider Name | Austin M Remm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144837279 PECOS PAC ID: 3678987716 Enrollment ID: I20210201000543 |
| Provider Name | Kate Kloberdanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154919751 PECOS PAC ID: 2961816020 Enrollment ID: I20210201001370 |
| Provider Name | Sara Denly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649869181 PECOS PAC ID: 1254745268 Enrollment ID: I20210203001569 |
| Provider Name | Rima I El-herte |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164787412 PECOS PAC ID: 3476790957 Enrollment ID: I20210204001047 |
| Provider Name | Adam Linck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093026882 PECOS PAC ID: 2264680289 Enrollment ID: I20210208000657 |
| Provider Name | Shanda R Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366030496 PECOS PAC ID: 7810303609 Enrollment ID: I20210302002136 |
| Provider Name | Zenzile Johnson Mendoza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598891863 PECOS PAC ID: 2769582477 Enrollment ID: I20210318000915 |
| Provider Name | Erin Merrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992214076 PECOS PAC ID: 9830455302 Enrollment ID: I20210407000609 |
| Provider Name | Mackenzie A Bargstadt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770177529 PECOS PAC ID: 8628485737 Enrollment ID: I20210407000819 |
| Provider Name | Nabeel A Herial |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477866101 PECOS PAC ID: 6103043864 Enrollment ID: I20210408001249 |
| Provider Name | Kaitlin Rose Mattice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093261547 PECOS PAC ID: 1951682095 Enrollment ID: I20210408001385 |
| Provider Name | Meghan E Farquhar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609493527 PECOS PAC ID: 6305254442 Enrollment ID: I20210409000877 |
| Provider Name | Elizabeth M Thurber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841750213 PECOS PAC ID: 1153739297 Enrollment ID: I20210409001125 |
| Provider Name | Kelsey Ann Brozek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841506219 PECOS PAC ID: 4486062536 Enrollment ID: I20210409001343 |
| Provider Name | Kathryn Elise George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902347743 PECOS PAC ID: 0547678690 Enrollment ID: I20210409001474 |
| Provider Name | Paige A Harwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659717023 PECOS PAC ID: 1254574726 Enrollment ID: I20210428001482 |
| Provider Name | Rachel A Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679592307 PECOS PAC ID: 4082023189 Enrollment ID: I20210430001347 |
| Provider Name | Nicholas Kurt Wischmeier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700148731 PECOS PAC ID: 2860798964 Enrollment ID: I20210504000860 |
| Provider Name | Rebecca A Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417539081 PECOS PAC ID: 0143639047 Enrollment ID: I20210505002221 |
| Provider Name | Amanda M Guggenmos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356924138 PECOS PAC ID: 1658780259 Enrollment ID: I20210512000722 |
| Provider Name | Christopher Holman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538774724 PECOS PAC ID: 1052720315 Enrollment ID: I20210518000281 |
| Provider Name | Donna K Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265681662 PECOS PAC ID: 2860891876 Enrollment ID: I20210525000902 |
| Provider Name | Maggie Kuhlmann-capek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982049029 PECOS PAC ID: 4789963976 Enrollment ID: I20210604000275 |
| Provider Name | Melissa A Balhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124279211 PECOS PAC ID: 4587064894 Enrollment ID: I20210608002208 |
| Provider Name | Nancy A Kadavy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073762472 PECOS PAC ID: 0446650691 Enrollment ID: I20210610000829 |
| Provider Name | Chanda Lynn Nunnenkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235755182 PECOS PAC ID: 6800296054 Enrollment ID: I20210610000865 |
| Provider Name | Valori E Zobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326297722 PECOS PAC ID: 9436559689 Enrollment ID: I20210610000871 |
| Provider Name | Dana Joseph Hess |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326139163 PECOS PAC ID: 0345463691 Enrollment ID: I20210610000895 |
| Provider Name | Omar Saleh Akbik |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811330285 PECOS PAC ID: 3779983671 Enrollment ID: I20210615001231 |
| Provider Name | Jona K Kerschner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952977118 PECOS PAC ID: 8022418557 Enrollment ID: I20210621001391 |
| Provider Name | Patrick Mulherin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568759207 PECOS PAC ID: 6002101110 Enrollment ID: I20210630001782 |
| Provider Name | Jennifer B Rocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275777468 PECOS PAC ID: 3072915628 Enrollment ID: I20210706001926 |
| Provider Name | Amy L Ruddick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013581685 PECOS PAC ID: 7012319262 Enrollment ID: I20210709001516 |
| Provider Name | Minky Saini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700165099 PECOS PAC ID: 5395960702 Enrollment ID: I20210712001105 |
| Provider Name | Taryn Bradley Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194179168 PECOS PAC ID: 9436564416 Enrollment ID: I20210712001723 |
| Provider Name | Carlos Nedal Nasr El Nimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649706458 PECOS PAC ID: 1153723101 Enrollment ID: I20210713002298 |
| Provider Name | Michael Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730683921 PECOS PAC ID: 5799032074 Enrollment ID: I20210713002445 |
| Provider Name | Lashalle Marie King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871163444 PECOS PAC ID: 0345642294 Enrollment ID: I20210714002361 |
| Provider Name | Vikas Kapoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184100430 PECOS PAC ID: 0244582351 Enrollment ID: I20210714002584 |
| Provider Name | Neha Gupta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578945531 PECOS PAC ID: 2163766163 Enrollment ID: I20210716000441 |
| Provider Name | Taryn Boik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417142506 PECOS PAC ID: 1759436595 Enrollment ID: I20210721002075 |
| Provider Name | Kyle Gibbens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477043800 PECOS PAC ID: 9234476961 Enrollment ID: I20210721003725 |
| Provider Name | Chandrakumaran Anchalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063942464 PECOS PAC ID: 8820369077 Enrollment ID: I20210722002651 |
| Provider Name | Rebecca A Andresen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720662992 PECOS PAC ID: 9234532599 Enrollment ID: I20210723001121 |
| Provider Name | Meghana Vellanki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376939090 PECOS PAC ID: 1153673561 Enrollment ID: I20210723001343 |
| Provider Name | Elizabeth A Willmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346819497 PECOS PAC ID: 2769885037 Enrollment ID: I20210723001640 |
| Provider Name | Jake Schlemmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851824684 PECOS PAC ID: 2567748858 Enrollment ID: I20210723001864 |
| Provider Name | Sarah L Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306410543 PECOS PAC ID: 7416350558 Enrollment ID: I20210727001863 |
| Provider Name | Dane English Klett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376967901 PECOS PAC ID: 7911286422 Enrollment ID: I20210728001308 |
| Provider Name | Pankaj Kulshrestha |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619900065 PECOS PAC ID: 9436154861 Enrollment ID: I20210728001757 |
| Provider Name | Derek L Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104320639 PECOS PAC ID: 6709136849 Enrollment ID: I20210728003017 |
| Provider Name | Jennifer Meyfeldt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326544701 PECOS PAC ID: 1254681398 Enrollment ID: I20210730000249 |
| Provider Name | Ahmad Halawa |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760675847 PECOS PAC ID: 3577651306 Enrollment ID: I20210802003158 |
| Provider Name | Kaily Ewing Casey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225424344 PECOS PAC ID: 8325350101 Enrollment ID: I20210803001732 |
| Provider Name | Neil D Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568857332 PECOS PAC ID: 7113229618 Enrollment ID: I20210803001835 |
| Provider Name | Jo Marie Caga-anan Hewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841786340 PECOS PAC ID: 9739431065 Enrollment ID: I20210804002352 |
| Provider Name | Aobo Du |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619405248 PECOS PAC ID: 8628345220 Enrollment ID: I20210805000374 |
| Provider Name | Amanda M Lisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669966644 PECOS PAC ID: 6507114378 Enrollment ID: I20210806000317 |
| Provider Name | Hailey J. Artz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467958603 PECOS PAC ID: 8527313972 Enrollment ID: I20210806001355 |
| Provider Name | Evangelos Giakoumatos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417478975 PECOS PAC ID: 9931503224 Enrollment ID: I20210809002604 |
| Provider Name | Kelsey L Witherspoon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174972160 PECOS PAC ID: 0446544175 Enrollment ID: I20210810001013 |
| Provider Name | Christopher Velasquez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518490135 PECOS PAC ID: 6507114972 Enrollment ID: I20210813000707 |
| Provider Name | Avin Pothuloori |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245523141 PECOS PAC ID: 0345471249 Enrollment ID: I20210816001716 |
| Provider Name | Yara D Nazzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477845584 PECOS PAC ID: 3173832995 Enrollment ID: I20210816002340 |
| Provider Name | Blake M Bodendorfer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083000905 PECOS PAC ID: 0547686313 Enrollment ID: I20210817002235 |
| Provider Name | Markie Novotny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811563885 PECOS PAC ID: 7810392420 Enrollment ID: I20210819003058 |
| Provider Name | Courtney Ann Herbig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659984342 PECOS PAC ID: 6002211646 Enrollment ID: I20210820000497 |
| Provider Name | Fahad Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518457894 PECOS PAC ID: 2163827718 Enrollment ID: I20210820000673 |
| Provider Name | Jessica L Adrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306420252 PECOS PAC ID: 5496150963 Enrollment ID: I20210820002258 |
| Provider Name | Diva Viteare Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821595877 PECOS PAC ID: 6103163548 Enrollment ID: I20210823001491 |
| Provider Name | Naw Latt Nlam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619471125 PECOS PAC ID: 8628317401 Enrollment ID: I20210823002963 |
| Provider Name | Logan Marie Helge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558035634 PECOS PAC ID: 1557766755 Enrollment ID: I20210826001669 |
| Provider Name | Deanna C Menapace |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891180048 PECOS PAC ID: 4183935828 Enrollment ID: I20210827001427 |
| Provider Name | Luis Ricardo Aponte |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1437230505 PECOS PAC ID: 2264569417 Enrollment ID: I20210902002290 |
| Provider Name | Sarah Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356919658 PECOS PAC ID: 8820494347 Enrollment ID: I20210909000808 |
| Provider Name | Ryan P. Dunn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922458843 PECOS PAC ID: 1052603446 Enrollment ID: I20210909001773 |
| Provider Name | Jalal Dufani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619457868 PECOS PAC ID: 0345593927 Enrollment ID: I20210909003399 |
| Provider Name | Matthew Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902259633 PECOS PAC ID: 0244636660 Enrollment ID: I20210910001213 |
| Provider Name | Sudha Nandala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093177578 PECOS PAC ID: 2668767062 Enrollment ID: I20210922000487 |
| Provider Name | Alexander C Yang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811254998 PECOS PAC ID: 7911272141 Enrollment ID: I20210923001375 |
| Provider Name | Margaret Messersmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144852666 PECOS PAC ID: 0244637858 Enrollment ID: I20210924000981 |
| Provider Name | Arslan Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083193510 PECOS PAC ID: 0345592671 Enrollment ID: I20210930002038 |
| Provider Name | Leslie R Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457025223 PECOS PAC ID: 4082012299 Enrollment ID: I20211001001017 |
| Provider Name | Adnan Iqbal Qureshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184658692 PECOS PAC ID: 4789588377 Enrollment ID: I20211006003422 |
| Provider Name | Abby E Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699115394 PECOS PAC ID: 3072757749 Enrollment ID: I20211011000106 |
| Provider Name | Reza Khodaverdian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700050689 PECOS PAC ID: 1658427307 Enrollment ID: I20211021002416 |
| Provider Name | Samantha Bramblett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881369601 PECOS PAC ID: 3476941469 Enrollment ID: I20211025000775 |
| Provider Name | Brenda M Osborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720740681 PECOS PAC ID: 7719376136 Enrollment ID: I20211105000134 |
| Provider Name | Jed Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760159453 PECOS PAC ID: 6507255445 Enrollment ID: I20211115000540 |
| Provider Name | Amy L Whittle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659786796 PECOS PAC ID: 2567784267 Enrollment ID: I20211115001252 |
| Provider Name | Cassandra L Kilpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548748320 PECOS PAC ID: 5890184634 Enrollment ID: I20211116001829 |
| Provider Name | Joshua Jaramillo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952763047 PECOS PAC ID: 8022302868 Enrollment ID: I20211117002399 |
| Provider Name | Khanh T Vu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538425947 PECOS PAC ID: 3678797875 Enrollment ID: I20211118001436 |
| Provider Name | Nina Bouchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649933672 PECOS PAC ID: 8022407519 Enrollment ID: I20211123001699 |
| Provider Name | Ryan Polich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750044806 PECOS PAC ID: 3476943929 Enrollment ID: I20211124001191 |
| Provider Name | Kyoko Sterns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336813930 PECOS PAC ID: 3577953835 Enrollment ID: I20211201001816 |
| Provider Name | Kelsie I Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689336265 PECOS PAC ID: 8325438286 Enrollment ID: I20211208001076 |
| Provider Name | Nicole L Schleisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104593441 PECOS PAC ID: 4284025529 Enrollment ID: I20211222000483 |
| Provider Name | Katharine Glantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760157887 PECOS PAC ID: 4587055835 Enrollment ID: I20211222000829 |
| Provider Name | Brooke Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093479396 PECOS PAC ID: 0042601296 Enrollment ID: I20211222001283 |
| Provider Name | Jalal Vargha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639599467 PECOS PAC ID: 1658681069 Enrollment ID: I20220114000921 |
| Provider Name | Amarela Okanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346911781 PECOS PAC ID: 9830581180 Enrollment ID: I20220118000918 |
| Provider Name | Mallory Coolidge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629734751 PECOS PAC ID: 8527451756 Enrollment ID: I20220210000168 |
| Provider Name | Courtney Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003567181 PECOS PAC ID: 2961896816 Enrollment ID: I20220218001898 |
| Provider Name | Jasmine L Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225794043 PECOS PAC ID: 3173918141 Enrollment ID: I20220310001109 |
| Provider Name | Sushma Komati Reddy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538696158 PECOS PAC ID: 4082009063 Enrollment ID: I20220310001591 |
| Provider Name | Lee Douglass Roberson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790750065 PECOS PAC ID: 5991806259 Enrollment ID: I20220315001183 |
| Provider Name | Lydia M Klabunde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972254803 PECOS PAC ID: 3678968427 Enrollment ID: I20220315001199 |
| Provider Name | Abigail A Wawers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851962898 PECOS PAC ID: 3779978366 Enrollment ID: I20220317001442 |
| Provider Name | Elizabeth N Traynor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740203835 PECOS PAC ID: 3577608439 Enrollment ID: I20220318000327 |
| Provider Name | Drew R Krings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821744889 PECOS PAC ID: 8921494014 Enrollment ID: I20220329000927 |
| Provider Name | Reina Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336652874 PECOS PAC ID: 6507252467 Enrollment ID: I20220401002367 |
| Provider Name | Andrew Siref |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982091583 PECOS PAC ID: 0042615452 Enrollment ID: I20220404001146 |
| Provider Name | Sarah E Jerome |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508513748 PECOS PAC ID: 6305232182 Enrollment ID: I20220404001219 |
| Provider Name | Bianca Nicole Caswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710640719 PECOS PAC ID: 3173919768 Enrollment ID: I20220407001358 |
| Provider Name | Christina M Vassileva |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124172135 PECOS PAC ID: 4082752662 Enrollment ID: I20220413000900 |
| Provider Name | Roderick Bollinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114446028 PECOS PAC ID: 2264793314 Enrollment ID: I20220420000790 |
| Provider Name | Moneeb Ehtesham |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346413929 PECOS PAC ID: 8820302672 Enrollment ID: I20220426001719 |
| Provider Name | Kasidy Celyn Flink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871248245 PECOS PAC ID: 9830586130 Enrollment ID: I20220504002008 |
| Provider Name | Melinda Janelle Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487100327 PECOS PAC ID: 7618354986 Enrollment ID: I20220509000357 |
| Provider Name | Diane Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104566512 PECOS PAC ID: 8628455755 Enrollment ID: I20220511001639 |
| Provider Name | Gokul Subhas |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1669672408 PECOS PAC ID: 2264748136 Enrollment ID: I20220517000477 |
| Provider Name | Kasey Napper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841957073 PECOS PAC ID: 0648657312 Enrollment ID: I20220518001803 |
| Provider Name | Roger R Good |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881652915 PECOS PAC ID: 8628020534 Enrollment ID: I20220520001360 |
| Provider Name | Megan Ann Sobota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629737556 PECOS PAC ID: 8527445121 Enrollment ID: I20220520001481 |
| Provider Name | Audrina A Mullane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275790461 PECOS PAC ID: 1052608338 Enrollment ID: I20220531002294 |
| Provider Name | Hassan Ahmed Nur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861952947 PECOS PAC ID: 8921486895 Enrollment ID: I20220606000265 |
| Provider Name | Logan N Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821727090 PECOS PAC ID: 0143608919 Enrollment ID: I20220607001652 |
| Provider Name | Rebecca R Ehrig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760138804 PECOS PAC ID: 6608254347 Enrollment ID: I20220608001072 |
| Provider Name | Nicole L Granados |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053058305 PECOS PAC ID: 6800274416 Enrollment ID: I20220609000576 |
| Provider Name | Quint Soto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417518887 PECOS PAC ID: 0648502286 Enrollment ID: I20220609001182 |
| Provider Name | Clay E Jarrell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083130884 PECOS PAC ID: 6709289820 Enrollment ID: I20220609001500 |
| Provider Name | Faran Ahmad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801204979 PECOS PAC ID: 6305111337 Enrollment ID: I20220615001414 |
| Provider Name | Nicholas David Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720718422 PECOS PAC ID: 0749669042 Enrollment ID: I20220616000967 |
| Provider Name | Brindi Pinkelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720674724 PECOS PAC ID: 8123407715 Enrollment ID: I20220628003108 |
| Provider Name | Samantha Lord |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538658653 PECOS PAC ID: 7517295355 Enrollment ID: I20220708002782 |
| Provider Name | Candace Giles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538435482 PECOS PAC ID: 6103206925 Enrollment ID: I20220711000506 |
| Provider Name | Kristen Gerjevic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780927301 PECOS PAC ID: 2365740339 Enrollment ID: I20220711000602 |
| Provider Name | Hadi Amro Jaradeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407408172 PECOS PAC ID: 8426388489 Enrollment ID: I20220716000455 |
| Provider Name | Muazzam Mirza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710549159 PECOS PAC ID: 4688903909 Enrollment ID: I20220718000339 |
| Provider Name | Jasmin Chovatiya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952953887 PECOS PAC ID: 8729318787 Enrollment ID: I20220718002529 |
| Provider Name | Xiaoyi Li |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063754687 PECOS PAC ID: 2264853670 Enrollment ID: I20220719000639 |
| Provider Name | David M Kraus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043698962 PECOS PAC ID: 5193028975 Enrollment ID: I20220720001676 |
| Provider Name | Damian Apollo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144727827 PECOS PAC ID: 2264838424 Enrollment ID: I20220726003150 |
| Provider Name | Elena Kraus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962880872 PECOS PAC ID: 5890098669 Enrollment ID: I20220727000784 |
| Provider Name | Brittany Bowerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760124747 PECOS PAC ID: 8527440130 Enrollment ID: I20220728003679 |
| Provider Name | George John Philip |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639312242 PECOS PAC ID: 7810233038 Enrollment ID: I20220729000619 |
| Provider Name | Paul R Synowicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720540552 PECOS PAC ID: 7719212471 Enrollment ID: I20220729000902 |
| Provider Name | Alexander Richard Staller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497101919 PECOS PAC ID: 1456647510 Enrollment ID: I20220730000221 |
| Provider Name | Drew A Flemming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437611290 PECOS PAC ID: 9638501943 Enrollment ID: I20220730000432 |
| Provider Name | Brooke A Stephens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750942728 PECOS PAC ID: 4789915182 Enrollment ID: I20220801001592 |
| Provider Name | Elisabeth Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861977266 PECOS PAC ID: 3375882137 Enrollment ID: I20220805000236 |
| Provider Name | Rohma Tanveer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770137325 PECOS PAC ID: 2769864867 Enrollment ID: I20220805002755 |
| Provider Name | Tonya M Flakus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649916529 PECOS PAC ID: 8628450681 Enrollment ID: I20220808001662 |
| Provider Name | Alexa L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073246187 PECOS PAC ID: 5294117107 Enrollment ID: I20220809000489 |
| Provider Name | Kristi J Kranz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114667532 PECOS PAC ID: 7315320165 Enrollment ID: I20220811002833 |
| Provider Name | Diana Meyler |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306371968 PECOS PAC ID: 4486072683 Enrollment ID: I20220815001109 |
| Provider Name | Brittney Kercheval-lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770217796 PECOS PAC ID: 1153704598 Enrollment ID: I20220817001160 |
| Provider Name | Gabrielle Abissi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922502400 PECOS PAC ID: 7618211228 Enrollment ID: I20220817002812 |
| Provider Name | Shashank Jolly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902047814 PECOS PAC ID: 3779634522 Enrollment ID: I20220818001509 |
| Provider Name | Shantanu M Patil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629326509 PECOS PAC ID: 2567776479 Enrollment ID: I20220819000858 |
| Provider Name | Guneet Van De Graaff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740664911 PECOS PAC ID: 5597074625 Enrollment ID: I20220819002159 |
| Provider Name | Victor Dreicer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922072834 PECOS PAC ID: 7810989944 Enrollment ID: I20220822000592 |
| Provider Name | Amandeep K Rakhra |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720430184 PECOS PAC ID: 4284990003 Enrollment ID: I20220824002698 |
| Provider Name | Dylan J Seitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568114320 PECOS PAC ID: 9931583861 Enrollment ID: I20220826000716 |
| Provider Name | Daniel John Soden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891432209 PECOS PAC ID: 3072997873 Enrollment ID: I20220829000261 |
| Provider Name | William H Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073074589 PECOS PAC ID: 8729462429 Enrollment ID: I20220830001383 |
| Provider Name | Ashlee Au |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033843669 PECOS PAC ID: 2769866367 Enrollment ID: I20220831001363 |
| Provider Name | Reed Macy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417418898 PECOS PAC ID: 6800220534 Enrollment ID: I20220902001949 |
| Provider Name | Cathy Tsuchiyama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255756169 PECOS PAC ID: 0648654939 Enrollment ID: I20220906002213 |
| Provider Name | Sharon Ann Koehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366162232 PECOS PAC ID: 9133503386 Enrollment ID: I20220907002069 |
| Provider Name | Eric R Christianson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861842759 PECOS PAC ID: 6800182163 Enrollment ID: I20220909002438 |
| Provider Name | Peter J Adamson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043669336 PECOS PAC ID: 7012310899 Enrollment ID: I20220912002486 |
| Provider Name | Jamie Lynn Wirth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225760382 PECOS PAC ID: 5890170708 Enrollment ID: I20220913003089 |
| Provider Name | Ahmed Al-chalabi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801286711 PECOS PAC ID: 5496016206 Enrollment ID: I20220914002921 |
| Provider Name | Mark S Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205298122 PECOS PAC ID: 4880095603 Enrollment ID: I20220916000714 |
| Provider Name | David Knowles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518316348 PECOS PAC ID: 4486941051 Enrollment ID: I20220916001018 |
| Provider Name | Ricardy Rimpel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871854125 PECOS PAC ID: 2466691167 Enrollment ID: I20220919000511 |
| Provider Name | Sunita Jena |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013570266 PECOS PAC ID: 7618205253 Enrollment ID: I20220921002008 |
| Provider Name | Thomas J Percival |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982864435 PECOS PAC ID: 5799906764 Enrollment ID: I20220929000324 |
| Provider Name | Avanija Kanmanthareddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447633201 PECOS PAC ID: 9133417009 Enrollment ID: I20221003001973 |
| Provider Name | Megan D Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740924422 PECOS PAC ID: 7719363258 Enrollment ID: I20221006000453 |
| Provider Name | Bernalda Kay Fritton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386375640 PECOS PAC ID: 7517333883 Enrollment ID: I20221012002051 |
| Provider Name | Elisabeth Anne Elgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588391056 PECOS PAC ID: 3870969579 Enrollment ID: I20221021000923 |
| Provider Name | Madeline S Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376268185 PECOS PAC ID: 0042686602 Enrollment ID: I20221022000135 |
| Provider Name | Dawn Leah Heapy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568944866 PECOS PAC ID: 6204203524 Enrollment ID: I20221029000088 |
| Provider Name | Clarke Latta Henry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750389029 PECOS PAC ID: 9638226301 Enrollment ID: I20221101001151 |
| Provider Name | Bradley Trinidad |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578918520 PECOS PAC ID: 3678865003 Enrollment ID: I20221101001891 |
| Provider Name | Roger Ohanes Oghlakian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245449461 PECOS PAC ID: 8022286541 Enrollment ID: I20221110001236 |
| Provider Name | Maryam F Gbadamosi-akindele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619231131 PECOS PAC ID: 8921312455 Enrollment ID: I20221110002362 |
| Provider Name | Elizabeth M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699498022 PECOS PAC ID: 4981071446 Enrollment ID: I20221114001015 |
| Provider Name | Michelle J Kuehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538882022 PECOS PAC ID: 7810364395 Enrollment ID: I20221114001663 |
| Provider Name | Makayla J Bertelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467175976 PECOS PAC ID: 5698143998 Enrollment ID: I20221117001006 |
| Provider Name | Lauren Elizabeth Warneke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689245250 PECOS PAC ID: 4486057098 Enrollment ID: I20221128001550 |
| Provider Name | Sara J Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952035685 PECOS PAC ID: 6901274521 Enrollment ID: I20221201001180 |
| Provider Name | Nicole M Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003528316 PECOS PAC ID: 2860862562 Enrollment ID: I20221221000240 |
| Provider Name | Enyonam Abalekpor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972227288 PECOS PAC ID: 4183094774 Enrollment ID: I20221222001201 |
| Provider Name | Robert Phillips |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033182290 PECOS PAC ID: 8921007212 Enrollment ID: I20221229001118 |
| Provider Name | Candace Lynn Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386225621 PECOS PAC ID: 9234509639 Enrollment ID: I20221229001348 |
| Provider Name | Andrew H Goldstein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518951284 PECOS PAC ID: 4385629062 Enrollment ID: I20230106000913 |
| Provider Name | Syed Ali R Rizvi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578882916 PECOS PAC ID: 9234400714 Enrollment ID: I20230109000510 |
| Provider Name | Kirsten Emily Leas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538897368 PECOS PAC ID: 6406227214 Enrollment ID: I20230113000757 |
| Provider Name | Robert Peter Kazan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881694552 PECOS PAC ID: 8325937931 Enrollment ID: I20230114000182 |
| Provider Name | Worku Haile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679951214 PECOS PAC ID: 9133475650 Enrollment ID: I20230124001550 |
| Provider Name | Evan David Allen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821101742 PECOS PAC ID: 8426945643 Enrollment ID: I20230130000375 |
| Provider Name | Waddah Badir Al-refaie |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1801825237 PECOS PAC ID: 4688779481 Enrollment ID: I20230202002589 |
| Provider Name | Yusra Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427612589 PECOS PAC ID: 0446684906 Enrollment ID: I20230202003210 |
| Provider Name | Carey L Winkler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669434395 PECOS PAC ID: 1658363031 Enrollment ID: I20230221000255 |
| Provider Name | Danielle Cecilia Calvillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295431500 PECOS PAC ID: 6002289808 Enrollment ID: I20230225000350 |
| Provider Name | Michaela Lintner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649651928 PECOS PAC ID: 9739492158 Enrollment ID: I20230227000224 |
| Provider Name | Elie E Dancour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275824252 PECOS PAC ID: 3577876705 Enrollment ID: I20230228000864 |
| Provider Name | Matheau Julien |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619189933 PECOS PAC ID: 6002118254 Enrollment ID: I20230315002845 |
| Provider Name | Kleve Granger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972023323 PECOS PAC ID: 4284908740 Enrollment ID: I20230317000098 |
| Provider Name | Diana Villazana-kretzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578791190 PECOS PAC ID: 0143655837 Enrollment ID: I20230317002142 |
| Provider Name | Mason B Andrews |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255473054 PECOS PAC ID: 3870732183 Enrollment ID: I20230317002413 |
| Provider Name | Howard B Levene |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952574774 PECOS PAC ID: 8325191513 Enrollment ID: I20230323002782 |
| Provider Name | Somnath N Nair |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023045739 PECOS PAC ID: 8022900307 Enrollment ID: I20230331002003 |
| Provider Name | Jamal Taha |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801861018 PECOS PAC ID: 0446271357 Enrollment ID: I20230331002106 |
| Provider Name | Emily A Gulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568178333 PECOS PAC ID: 6608241716 Enrollment ID: I20230403001795 |
| Provider Name | Alex V Baronowsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952711582 PECOS PAC ID: 0143440644 Enrollment ID: I20230406001626 |
| Provider Name | Daniel J Coughlin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629363213 PECOS PAC ID: 5294967014 Enrollment ID: I20230417002040 |
| Provider Name | Mark Vaughn Larkins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740230317 PECOS PAC ID: 3072565175 Enrollment ID: I20230421002271 |
| Provider Name | Yolandas Thomason |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417339565 PECOS PAC ID: 6204132038 Enrollment ID: I20230426001651 |
| Provider Name | Meyer Schwartz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629188651 PECOS PAC ID: 0749247484 Enrollment ID: I20230505001967 |
| Provider Name | Daniel Columcille O'brien |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356699524 PECOS PAC ID: 2062878473 Enrollment ID: I20230509002445 |
| Provider Name | Ali Sultan-qurraie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114156940 PECOS PAC ID: 4880811710 Enrollment ID: I20230511001121 |
| Provider Name | Stephen F Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154011526 PECOS PAC ID: 5890151153 Enrollment ID: I20230512000307 |
| Provider Name | Ikenna Nweze |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225264849 PECOS PAC ID: 6406195254 Enrollment ID: I20230519000645 |
| Provider Name | Yaw Sarpong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073779435 PECOS PAC ID: 7214188101 Enrollment ID: I20230520000234 |
| Provider Name | Brittany Victoria Simon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215434808 PECOS PAC ID: 1658737366 Enrollment ID: I20230523002441 |
| Provider Name | Vivek Krishna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295920320 PECOS PAC ID: 7719148238 Enrollment ID: I20230527000176 |
| Provider Name | Peter B Letarte |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568579688 PECOS PAC ID: 6305160912 Enrollment ID: I20230601001189 |
| Provider Name | Abubakar Tauseef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588282875 PECOS PAC ID: 4183049505 Enrollment ID: I20230614002453 |
| Provider Name | Michael A Koren |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881914802 PECOS PAC ID: 6901038801 Enrollment ID: I20230615000852 |
| Provider Name | Heidi Horstman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033641253 PECOS PAC ID: 0143593855 Enrollment ID: I20230616000740 |
| Provider Name | Keshia Marie Edsill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922702109 PECOS PAC ID: 6709244874 Enrollment ID: I20230621003321 |
| Provider Name | Andy W. Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992226617 PECOS PAC ID: 9638537749 Enrollment ID: I20230622001024 |
| Provider Name | Victoria K Nwosu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558449603 PECOS PAC ID: 5597811406 Enrollment ID: I20230628000372 |
| Provider Name | Shannon Devries |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801413117 PECOS PAC ID: 6305261728 Enrollment ID: I20230628000939 |
| Provider Name | Umair Usman Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295220473 PECOS PAC ID: 2264784669 Enrollment ID: I20230629002719 |
| Provider Name | Andrew T Patterson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578954731 PECOS PAC ID: 3375902919 Enrollment ID: I20230629003387 |
| Provider Name | Lilian Maria Vargas Barahona |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346761004 PECOS PAC ID: 5698199545 Enrollment ID: I20230630001580 |
| Provider Name | Shagufta Hayat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578979621 PECOS PAC ID: 1658598560 Enrollment ID: I20230706001916 |
| Provider Name | Ram Narayan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780930172 PECOS PAC ID: 7214292879 Enrollment ID: I20230710002401 |
| Provider Name | Maria Victoria Recio-restrepo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245214766 PECOS PAC ID: 9931122835 Enrollment ID: I20230713002320 |
| Provider Name | Danielle Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679863542 PECOS PAC ID: 1951606979 Enrollment ID: I20230715000398 |
| Provider Name | David Mcintosh |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1710050869 PECOS PAC ID: 4183679822 Enrollment ID: I20230718001204 |
| Provider Name | Tyler Evans |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316506249 PECOS PAC ID: 2567790306 Enrollment ID: I20230718003800 |
| Provider Name | Laila Malani Mohammad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720320070 PECOS PAC ID: 1355743717 Enrollment ID: I20230720003035 |
| Provider Name | Jeffrey Madsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063627859 PECOS PAC ID: 6800983727 Enrollment ID: I20230721002356 |
| Provider Name | Rahul M Varman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023539426 PECOS PAC ID: 8426328014 Enrollment ID: I20230728002161 |
| Provider Name | Kathleen Anne Hunley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457792483 PECOS PAC ID: 6002186731 Enrollment ID: I20230731000133 |
| Provider Name | Makenzi Stevenson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770100901 PECOS PAC ID: 9133544604 Enrollment ID: I20230731001799 |
| Provider Name | Padma Priya Gummadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326563453 PECOS PAC ID: 3173940798 Enrollment ID: I20230731002206 |
| Provider Name | Maren M Ruehle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194406603 PECOS PAC ID: 4385005735 Enrollment ID: I20230801002777 |
| Provider Name | Keithstone Young Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346867587 PECOS PAC ID: 6204251879 Enrollment ID: I20230802000182 |
| Provider Name | Douglas A. Hardesty |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013203835 PECOS PAC ID: 5395022909 Enrollment ID: I20230802000384 |
| Provider Name | Rutendo Gracious Jokomo-nyakabau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558989921 PECOS PAC ID: 3476978545 Enrollment ID: I20230803000237 |
| Provider Name | Ali S H Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821617416 PECOS PAC ID: 7113341744 Enrollment ID: I20230803003597 |
| Provider Name | Lillia Cherkasskiy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225514185 PECOS PAC ID: 7214289545 Enrollment ID: I20230804000622 |
| Provider Name | Taj N Becker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497976864 PECOS PAC ID: 6901707512 Enrollment ID: I20230807000925 |
| Provider Name | Sreelakshmi Surendran Pillai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255958443 PECOS PAC ID: 1456776871 Enrollment ID: I20230808003961 |
| Provider Name | Paul V Birinyi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851603906 PECOS PAC ID: 8022310473 Enrollment ID: I20230809002490 |
| Provider Name | Amber Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134649726 PECOS PAC ID: 9638443195 Enrollment ID: I20230810002340 |
| Provider Name | Joseph Maurice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659486413 PECOS PAC ID: 6608880844 Enrollment ID: I20230811001170 |
| Provider Name | Aun R Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982182341 PECOS PAC ID: 6204255292 Enrollment ID: I20230811002426 |
| Provider Name | Ryan Michael Bass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548467764 PECOS PAC ID: 1153454970 Enrollment ID: I20230822002252 |
| Provider Name | Shahabuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174899546 PECOS PAC ID: 7214255819 Enrollment ID: I20230825002575 |
| Provider Name | Matthew W Dorwart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528680709 PECOS PAC ID: 1759700743 Enrollment ID: I20230828001872 |
| Provider Name | Benjamin Gibson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568099786 PECOS PAC ID: 8123443256 Enrollment ID: I20230829001116 |
| Provider Name | Olivia B Tedesco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003543679 PECOS PAC ID: 9931562139 Enrollment ID: I20230905002677 |
| Provider Name | Holly Groteluschen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104449149 PECOS PAC ID: 2769801794 Enrollment ID: I20230906001799 |
| Provider Name | Morgan J Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598444283 PECOS PAC ID: 9335503481 Enrollment ID: I20230908000533 |
| Provider Name | Mariana S Bebawy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598382632 PECOS PAC ID: 1557786977 Enrollment ID: I20230911000714 |
| Provider Name | Cassady I Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851914196 PECOS PAC ID: 6406271097 Enrollment ID: I20230911001548 |
| Provider Name | Erika Felstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902582497 PECOS PAC ID: 6901260793 Enrollment ID: I20230912003725 |
| Provider Name | Liran Bendor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104310887 PECOS PAC ID: 6507114337 Enrollment ID: I20230913003960 |
| Provider Name | Ingrid H Berg |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1073873766 PECOS PAC ID: 7810115854 Enrollment ID: I20230914002262 |
| Provider Name | Zachary Meyer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861053902 PECOS PAC ID: 1456681410 Enrollment ID: I20230914003593 |
| Provider Name | Carolyn Frances Kiefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518648963 PECOS PAC ID: 6901260512 Enrollment ID: I20230915001002 |
| Provider Name | Brian Northcutt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235220591 PECOS PAC ID: 0446498885 Enrollment ID: I20230915001919 |
| Provider Name | Alexander Stein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861440430 PECOS PAC ID: 5698667582 Enrollment ID: I20230919000122 |
| Provider Name | Michaela Ann Michalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134873698 PECOS PAC ID: 7911391669 Enrollment ID: I20230919004249 |
| Provider Name | Lorelle Renee Dunn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356962690 PECOS PAC ID: 7315311008 Enrollment ID: I20230921000792 |
| Provider Name | Carrie L Lechtenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235915497 PECOS PAC ID: 7416301692 Enrollment ID: I20230921001111 |
| Provider Name | Kaitlin Anne Rogge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063196707 PECOS PAC ID: 9931553104 Enrollment ID: I20230922000574 |
| Provider Name | Kristina M Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801579008 PECOS PAC ID: 1254785017 Enrollment ID: I20230927002305 |
| Provider Name | Mary Spivey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073839981 PECOS PAC ID: 3072736719 Enrollment ID: I20230927003932 |
| Provider Name | Britney Scott |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245762723 PECOS PAC ID: 3870869902 Enrollment ID: I20230929000200 |
| Provider Name | Nicole J Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841070513 PECOS PAC ID: 2567816903 Enrollment ID: I20231003003539 |
| Provider Name | Taylor Soon-sutton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649766130 PECOS PAC ID: 0648522839 Enrollment ID: I20231005002311 |
| Provider Name | Robert Gallegos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205870805 PECOS PAC ID: 2365436417 Enrollment ID: I20231010000686 |
| Provider Name | Wing C Yeen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447474861 PECOS PAC ID: 5991842221 Enrollment ID: I20231013000465 |
| Provider Name | Kara Roncin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316493968 PECOS PAC ID: 5395190862 Enrollment ID: I20231018003397 |
| Provider Name | Ali Kimyaghalam |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922455146 PECOS PAC ID: 4587033998 Enrollment ID: I20231019002840 |
| Provider Name | Gary Huang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326432634 PECOS PAC ID: 3577867324 Enrollment ID: I20231030003417 |
| Provider Name | Courtney Meyer Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700566437 PECOS PAC ID: 1759738586 Enrollment ID: I20231115002720 |
| Provider Name | Jerris L Peatrowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871379610 PECOS PAC ID: 3072960707 Enrollment ID: I20231116003183 |
| Provider Name | Capri Renae Steinkuhler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588443378 PECOS PAC ID: 6103273875 Enrollment ID: I20231117000953 |
| Provider Name | Laxmi Kokatnur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851668115 PECOS PAC ID: 9931404803 Enrollment ID: I20231117002983 |
| Provider Name | Saba Rizvi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568677045 PECOS PAC ID: 3274603519 Enrollment ID: I20231121003491 |
| Provider Name | Weily Jae Esch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962289769 PECOS PAC ID: 5890144372 Enrollment ID: I20231208002049 |
| Provider Name | Zoya Voronovich |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215356589 PECOS PAC ID: 1254550502 Enrollment ID: I20231211003254 |
| Provider Name | Jerris-stephanie Okonkwo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710418959 PECOS PAC ID: 4284007394 Enrollment ID: I20231219001479 |
| Provider Name | Erin Gillaspie |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073777470 PECOS PAC ID: 5991946907 Enrollment ID: I20231227002159 |
| Provider Name | Mohamedanwar Ghandour |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932690526 PECOS PAC ID: 9335474436 Enrollment ID: I20240102003403 |
| Provider Name | Puja Kandel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861278533 PECOS PAC ID: 4880045566 Enrollment ID: I20240106000489 |
| Provider Name | Allie Catherine-ann Verzani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871379099 PECOS PAC ID: 4587015102 Enrollment ID: I20240109000312 |
| Provider Name | Hemalatha Subbaratnam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588732036 PECOS PAC ID: 4183611072 Enrollment ID: I20240111002634 |
| Provider Name | Rory Keys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225558562 PECOS PAC ID: 4587089628 Enrollment ID: I20240112002794 |
| Provider Name | Shanthakumari Praveen Jinnur |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457795205 PECOS PAC ID: 4183939648 Enrollment ID: I20240126001361 |
| Provider Name | Michael D Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215956768 PECOS PAC ID: 3971674862 Enrollment ID: I20240201000242 |
| Provider Name | Agatha Critchfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639336019 PECOS PAC ID: 9234253915 Enrollment ID: I20240203000097 |
| Provider Name | Nicole Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710756069 PECOS PAC ID: 4183067374 Enrollment ID: I20240205001746 |
| Provider Name | Tiffanie L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194595579 PECOS PAC ID: 7315380565 Enrollment ID: I20240205003735 |
| Provider Name | Derek W Belt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326663410 PECOS PAC ID: 5698118321 Enrollment ID: I20240208004037 |
| Provider Name | Jeff Herbst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316998396 PECOS PAC ID: 4688694904 Enrollment ID: I20240212000952 |
| Provider Name | Susan A Derry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023109030 PECOS PAC ID: 7214903632 Enrollment ID: I20240212002237 |
| Provider Name | Daniel I Schere |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639369366 PECOS PAC ID: 6002064045 Enrollment ID: I20240220001467 |
| Provider Name | Jacqueline Denise Borzekofski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629848049 PECOS PAC ID: 1456796242 Enrollment ID: I20240304000295 |
| Provider Name | Carlos Donayre |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134191752 PECOS PAC ID: 1254369390 Enrollment ID: I20240316000061 |
| Provider Name | Allison Marie Briley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467215889 PECOS PAC ID: 3274979950 Enrollment ID: I20240316000428 |
| Provider Name | Mitchell L Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912956137 PECOS PAC ID: 3870686462 Enrollment ID: I20240325000589 |
| Provider Name | Maresa Lorene Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285498634 PECOS PAC ID: 1153769658 Enrollment ID: I20240403001327 |
| Provider Name | Sarah Burwell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649038621 PECOS PAC ID: 6406294495 Enrollment ID: I20240410001220 |
| Provider Name | David F Cawthon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063587384 PECOS PAC ID: 2163480005 Enrollment ID: I20240425001879 |
| Provider Name | Jacinto I Manon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326246638 PECOS PAC ID: 8527201789 Enrollment ID: I20240508002997 |
| Provider Name | Kristin Jolene Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730942285 PECOS PAC ID: 6406297456 Enrollment ID: I20240508003357 |
| Provider Name | Akwaugo Uzoegwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033506332 PECOS PAC ID: 1254678071 Enrollment ID: I20240523000323 |
| Provider Name | Joseph D Chabot |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033421623 PECOS PAC ID: 7618196221 Enrollment ID: I20240523000879 |
| Provider Name | Nicolette Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124480660 PECOS PAC ID: 1456625136 Enrollment ID: I20240523000884 |
| Provider Name | James Mclain Bahensky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316729494 PECOS PAC ID: 0042752214 Enrollment ID: I20240604002070 |
Eagle Run Chiropractic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13808 W Maple Rd, Suite 116, Omaha, NE 68164 Phone: 402-491-4087 Fax: 402-491-4091 | |
Bott Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11810 Nicholas St Ste 101, Omaha, NE 68154 Phone: 402-779-8400 Fax: 402-779-8401 | |
Sanchez Family Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3440 S 50th St, Omaha, NE 68106 Phone: 402-214-9040 Fax: 402-884-0088 | |
Powers Chiropractic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11343 Wright Cir, Omaha, NE 68144 Phone: 402-504-4344 Fax: 402-504-1173 | |
Physicians Of Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7710 Mercy Rd Ste 601, Omaha, NE 68124 Phone: 402-397-5236 Fax: 402-397-8864 | |
Trillion Health And Hormone Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12002 Pacific St, Omaha, NE 68154 Phone: 402-201-2373 Fax: 402-201-2432 | |
Jayanthi Ganesan, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4242 Farnam St, #142, Omaha, NE 68131 Phone: 402-552-2212 Fax: 402-552-2263 |