| Evernorth Care Group Scottsdale Norte Health Center | |
|
10900 N Scottsdale Rd Suite 606 Scottsdale AZ 85254-5216 | |
| (480) 368-2500 | |
| (480) 368-2501 |
| Full Name | Evernorth Care Group Scottsdale Norte Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 10900 N Scottsdale Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Kevin Ellis (CHIEF MEDICAL DIRECTOR) |
| Authorized Official Contact | 6232772246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evernorth Care Group Scottsdale Norte Health Center 8888 E Raintree Dr Fl 3 Scottsdale AZ 85260-3951 Ph: (602) 328-8400 | Evernorth Care Group Scottsdale Norte Health Center 10900 N Scottsdale Rd Suite 606 Scottsdale AZ 85254-5216 Ph: (480) 368-2500 |
| NPI Number | 1043471873 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 06/16/2023 |
| Medicare PECOS PAC ID | 1456263573 |
|---|---|
| Medicare Enrollment ID | O20031105000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043471873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Daniel J Weiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144291501 PECOS PAC ID: 3274437579 Enrollment ID: I20031119000814 |
| Provider Name | Judy Marie Pinsonneault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184627648 PECOS PAC ID: 6204733892 Enrollment ID: I20031212000563 |
| Provider Name | Mark Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750351755 PECOS PAC ID: 6406753292 Enrollment ID: I20031218000697 |
| Provider Name | Edward B Kay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841270576 PECOS PAC ID: 1951294446 Enrollment ID: I20040206000910 |
| Provider Name | Isaac G Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841279130 PECOS PAC ID: 6204726797 Enrollment ID: I20040318000259 |
| Provider Name | Mahdieh Haji Amou Assar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518953926 PECOS PAC ID: 5799675781 Enrollment ID: I20040330000627 |
| Provider Name | Robert F Takacs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366557522 PECOS PAC ID: 7113910605 Enrollment ID: I20040408000708 |
| Provider Name | John N Bode |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033173158 PECOS PAC ID: 0840284352 Enrollment ID: I20040408000982 |
| Provider Name | Rita G Kilgore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861472516 PECOS PAC ID: 3375537525 Enrollment ID: I20040412001054 |
| Provider Name | Mohammad Ali N Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700866928 PECOS PAC ID: 9739173717 Enrollment ID: I20040413000274 |
| Provider Name | Tony P Cohn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316990211 PECOS PAC ID: 6103811203 Enrollment ID: I20040419000132 |
| Provider Name | Dan Dwarka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578763108 PECOS PAC ID: 6103811997 Enrollment ID: I20040420000448 |
| Provider Name | Hollis Ann Burggraf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962484329 PECOS PAC ID: 8527053420 Enrollment ID: I20040421000636 |
| Provider Name | William P Curran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760461883 PECOS PAC ID: 8325034861 Enrollment ID: I20040421001167 |
| Provider Name | Edward W Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679510606 PECOS PAC ID: 7810983145 Enrollment ID: I20040422000776 |
| Provider Name | Candice L Grotsky |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326026352 PECOS PAC ID: 5698761708 Enrollment ID: I20040423000410 |
| Provider Name | Belinda M Barclay White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750350740 PECOS PAC ID: 9931196680 Enrollment ID: I20040426001953 |
| Provider Name | Gregory A Reser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962460972 PECOS PAC ID: 5890780787 Enrollment ID: I20040430000509 |
| Provider Name | Victor M Rosen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831169747 PECOS PAC ID: 2567450976 Enrollment ID: I20040504001309 |
| Provider Name | Pamela H Williams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376513879 PECOS PAC ID: 1759379084 Enrollment ID: I20040504001545 |
| Provider Name | Corey G Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720050727 PECOS PAC ID: 8921097866 Enrollment ID: I20040507000078 |
| Provider Name | Andrew G Poulos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912977992 PECOS PAC ID: 1759370604 Enrollment ID: I20040507000164 |
| Provider Name | Brett D Skidmore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528048394 PECOS PAC ID: 9436148244 Enrollment ID: I20040507000715 |
| Provider Name | Stanley R Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952380420 PECOS PAC ID: 6608865415 Enrollment ID: I20040507000719 |
| Provider Name | Anne Marie Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275553927 PECOS PAC ID: 3971593062 Enrollment ID: I20040512000874 |
| Provider Name | Nagappa S Prakash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245216779 PECOS PAC ID: 0749270973 Enrollment ID: I20040518000464 |
| Provider Name | Phillip V Pileggi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023046430 PECOS PAC ID: 5597756494 Enrollment ID: I20040520000011 |
| Provider Name | William J Reedy |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346210341 PECOS PAC ID: 5092796110 Enrollment ID: I20040525001694 |
| Provider Name | Randy Ray Richardson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326056599 PECOS PAC ID: 5799766648 Enrollment ID: I20040526000991 |
| Provider Name | Deborah R Garland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093776783 PECOS PAC ID: 8426031683 Enrollment ID: I20040609000605 |
| Provider Name | Sheila Sudhakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780654400 PECOS PAC ID: 2062496334 Enrollment ID: I20040615000641 |
| Provider Name | Martine M Hannallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194803056 PECOS PAC ID: 8325022635 Enrollment ID: I20040615000902 |
| Provider Name | Angela Dagirmanjian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184693673 PECOS PAC ID: 5294710992 Enrollment ID: I20040618000431 |
| Provider Name | Samuel M Magazu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184604589 PECOS PAC ID: 5395720700 Enrollment ID: I20040621000963 |
| Provider Name | John Arthur Kuss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366412504 PECOS PAC ID: 6709862345 Enrollment ID: I20040625000127 |
| Provider Name | Diego G Cardenas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831153691 PECOS PAC ID: 2860463767 Enrollment ID: I20040804000534 |
| Provider Name | Sujit P Magiyawala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336109131 PECOS PAC ID: 6608840962 Enrollment ID: I20040823000787 |
| Provider Name | Barry J Pasco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497725642 PECOS PAC ID: 6608841788 Enrollment ID: I20040901000266 |
| Provider Name | Linda L Motsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689630402 PECOS PAC ID: 5799753588 Enrollment ID: I20040920000818 |
| Provider Name | Michael L Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841304052 PECOS PAC ID: 8123096583 Enrollment ID: I20040923000021 |
| Provider Name | Pooja Bhardwaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285621128 PECOS PAC ID: 1456329648 Enrollment ID: I20040924000619 |
| Provider Name | Mara R Baier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407811797 PECOS PAC ID: 1153390869 Enrollment ID: I20040929000883 |
| Provider Name | Erlinda T Rodriquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861462764 PECOS PAC ID: 2769451343 Enrollment ID: I20040930000112 |
| Provider Name | Brian D Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780654970 PECOS PAC ID: 2264497833 Enrollment ID: I20041123000219 |
| Provider Name | Carmela J Hausser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386636199 PECOS PAC ID: 5193781151 Enrollment ID: I20041202000162 |
| Provider Name | Sandra R Schimel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245277185 PECOS PAC ID: 1759339534 Enrollment ID: I20050107000788 |
| Provider Name | John P Ferguson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265412738 PECOS PAC ID: 5597715086 Enrollment ID: I20050122000095 |
| Provider Name | Marichu S Sy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912977653 PECOS PAC ID: 1456306406 Enrollment ID: I20050314000293 |
| Provider Name | George T Ting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003887373 PECOS PAC ID: 6901851963 Enrollment ID: I20050314000370 |
| Provider Name | James W Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659374346 PECOS PAC ID: 3577519198 Enrollment ID: I20050328000345 |
| Provider Name | Courtney L Mitchell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558433870 PECOS PAC ID: 9335186873 Enrollment ID: I20050415000179 |
| Provider Name | Scott T Harrison |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841270295 PECOS PAC ID: 1355382839 Enrollment ID: I20050513000829 |
| Provider Name | Shel-don J Legarreta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902886377 PECOS PAC ID: 2163463191 Enrollment ID: I20050519000420 |
| Provider Name | Amjad Riaz Ul Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629048525 PECOS PAC ID: 9133160195 Enrollment ID: I20050519000706 |
| Provider Name | Scott M Graham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154301653 PECOS PAC ID: 3072554971 Enrollment ID: I20050520000684 |
| Provider Name | Susan Young |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972573640 PECOS PAC ID: 2567404064 Enrollment ID: I20050525000321 |
| Provider Name | Deborah L Baldemor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710966239 PECOS PAC ID: 3870538622 Enrollment ID: I20050622001220 |
| Provider Name | Laura H Adler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912986498 PECOS PAC ID: 3779528427 Enrollment ID: I20050622001314 |
| Provider Name | Neil J Shernoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578543336 PECOS PAC ID: 0547205205 Enrollment ID: I20050622001363 |
| Provider Name | Dennis L Haughton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750361762 PECOS PAC ID: 3971548637 Enrollment ID: I20050622001390 |
| Provider Name | Timothy J Herbst |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942280748 PECOS PAC ID: 5496791154 Enrollment ID: I20050701000985 |
| Provider Name | Gregory O Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922088251 PECOS PAC ID: 1052349743 Enrollment ID: I20050803000371 |
| Provider Name | Dean T Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871573204 PECOS PAC ID: 5597794701 Enrollment ID: I20050808001236 |
| Provider Name | Suzanne D Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609928639 PECOS PAC ID: 1759311863 Enrollment ID: I20050818000403 |
| Provider Name | George M Yanik |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205819489 PECOS PAC ID: 9638101595 Enrollment ID: I20050831000734 |
| Provider Name | Pejman Hedayati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336278431 PECOS PAC ID: 3476587163 Enrollment ID: I20050922000088 |
| Provider Name | Coralee H Mckay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720146178 PECOS PAC ID: 0042245821 Enrollment ID: I20050929001057 |
| Provider Name | David M Franey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679647036 PECOS PAC ID: 8123043502 Enrollment ID: I20051014000215 |
| Provider Name | John P Parente |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801866041 PECOS PAC ID: 2163448465 Enrollment ID: I20051017000291 |
| Provider Name | Poya Hedayati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063523587 PECOS PAC ID: 4789601238 Enrollment ID: I20051025000294 |
| Provider Name | Jobeth C Minks |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326239732 PECOS PAC ID: 7012934300 Enrollment ID: I20051026000612 |
| Provider Name | Zandra S Nocera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255439485 PECOS PAC ID: 1557388204 Enrollment ID: I20051101000542 |
| Provider Name | Sudha Kamineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619957339 PECOS PAC ID: 0547288391 Enrollment ID: I20051109001176 |
| Provider Name | Paul R Ingraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720068596 PECOS PAC ID: 6002834892 Enrollment ID: I20051110000215 |
| Provider Name | Samuel T Figueroa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548263148 PECOS PAC ID: 8921091232 Enrollment ID: I20051128000592 |
| Provider Name | Ron Ayanzen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013901586 PECOS PAC ID: 4385536705 Enrollment ID: I20051219000177 |
| Provider Name | Sathya P Vemuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407889017 PECOS PAC ID: 4880617893 Enrollment ID: I20060105000167 |
| Provider Name | Deborah A Copus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699877357 PECOS PAC ID: 8022031855 Enrollment ID: I20060109000048 |
| Provider Name | Rebecca D Rodie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053379545 PECOS PAC ID: 2062429350 Enrollment ID: I20060310000521 |
| Provider Name | Richard S Dobrusin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578533170 PECOS PAC ID: 8022900653 Enrollment ID: I20060316000344 |
| Provider Name | May H Mohty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174503411 PECOS PAC ID: 9931116753 Enrollment ID: I20060320000151 |
| Provider Name | Ellen P Hand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477533479 PECOS PAC ID: 2163439860 Enrollment ID: I20060321000060 |
| Provider Name | Parwin S Sadaat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487695243 PECOS PAC ID: 1759308935 Enrollment ID: I20060323000806 |
| Provider Name | Nicole E Stovall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336174903 PECOS PAC ID: 1456360106 Enrollment ID: I20060407000580 |
| Provider Name | Renee A Mccoy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700813433 PECOS PAC ID: 5294745360 Enrollment ID: I20060503000719 |
| Provider Name | Mark A Tosca |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053370981 PECOS PAC ID: 1052321155 Enrollment ID: I20060504000042 |
| Provider Name | Zeenat Ara |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164415451 PECOS PAC ID: 2264443209 Enrollment ID: I20060505000431 |
| Provider Name | Paul D Sterrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629020912 PECOS PAC ID: 6901818269 Enrollment ID: I20060705000074 |
| Provider Name | Shane W Theobald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760415947 PECOS PAC ID: 6103839485 Enrollment ID: I20060803000481 |
| Provider Name | William Wall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508844093 PECOS PAC ID: 3274557681 Enrollment ID: I20060916000084 |
| Provider Name | Thomas Y Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912010992 PECOS PAC ID: 7416954060 Enrollment ID: I20061025000092 |
| Provider Name | Carol S Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083729990 PECOS PAC ID: 2769488444 Enrollment ID: I20061103000090 |
| Provider Name | Dillian Lasalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659307569 PECOS PAC ID: 4284689308 Enrollment ID: I20061106000116 |
| Provider Name | Nancy D Santana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740263706 PECOS PAC ID: 0840290284 Enrollment ID: I20070108000543 |
| Provider Name | Linda N Greer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346297991 PECOS PAC ID: 3577665744 Enrollment ID: I20070220000141 |
| Provider Name | Denise Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306845862 PECOS PAC ID: 5193700334 Enrollment ID: I20070308000438 |
| Provider Name | Steven P Sardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013942887 PECOS PAC ID: 5496855538 Enrollment ID: I20070703000119 |
| Provider Name | David Chaffin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992775530 PECOS PAC ID: 7810973559 Enrollment ID: I20070724000169 |
| Provider Name | Joshua A Millstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376749721 PECOS PAC ID: 5092816652 Enrollment ID: I20070726000170 |
| Provider Name | Karen Lasseigne |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336189737 PECOS PAC ID: 1557261294 Enrollment ID: I20070809000620 |
| Provider Name | Mohammad A Khezrian |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922176239 PECOS PAC ID: 3375521727 Enrollment ID: I20070813000495 |
| Provider Name | Mary Lillian Tocyap Aquino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336347400 PECOS PAC ID: 1355432733 Enrollment ID: I20070814000846 |
| Provider Name | Ravinder R Dawke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275730780 PECOS PAC ID: 0042302028 Enrollment ID: I20070822000820 |
| Provider Name | Bradley T Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184694663 PECOS PAC ID: 4981796455 Enrollment ID: I20070829000035 |
| Provider Name | Maria Angeli C Del Mundo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912986225 PECOS PAC ID: 6608968177 Enrollment ID: I20070829000051 |
| Provider Name | Robin S Hanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235355876 PECOS PAC ID: 9638266521 Enrollment ID: I20071024000320 |
| Provider Name | Neeka G Najmi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962545228 PECOS PAC ID: 1355438839 Enrollment ID: I20071031000030 |
| Provider Name | Jeffrey G Reres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346292950 PECOS PAC ID: 9032198379 Enrollment ID: I20080215000204 |
| Provider Name | Theodore A Manos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346270063 PECOS PAC ID: 5698870970 Enrollment ID: I20080507000325 |
| Provider Name | Richard O Suan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245315019 PECOS PAC ID: 3870516859 Enrollment ID: I20080604000738 |
| Provider Name | Kalpana Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265608004 PECOS PAC ID: 4981778073 Enrollment ID: I20080807000495 |
| Provider Name | Jason M Angle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649238403 PECOS PAC ID: 9234158379 Enrollment ID: I20080808000198 |
| Provider Name | Peter Sangbeom Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225228026 PECOS PAC ID: 2365516390 Enrollment ID: I20080808000242 |
| Provider Name | Irene Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881865996 PECOS PAC ID: 0244305043 Enrollment ID: I20080813000420 |
| Provider Name | Holger Kranich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780660266 PECOS PAC ID: 5799872545 Enrollment ID: I20080826000255 |
| Provider Name | Tina Renae Porzukowiak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952347080 PECOS PAC ID: 3870506603 Enrollment ID: I20080827000603 |
| Provider Name | Carol S Lee Faust |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306815220 PECOS PAC ID: 4587632492 Enrollment ID: I20081014000188 |
| Provider Name | Marvin A Hammond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851371876 PECOS PAC ID: 5496813727 Enrollment ID: I20081015000346 |
| Provider Name | Laura M Skrocki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396911848 PECOS PAC ID: 1153489422 Enrollment ID: I20081015000625 |
| Provider Name | Mark Morales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083684864 PECOS PAC ID: 1456410901 Enrollment ID: I20081112000677 |
| Provider Name | Clifford C Podewell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174593370 PECOS PAC ID: 5597824052 Enrollment ID: I20081112000724 |
| Provider Name | Mary C Maselli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942270962 PECOS PAC ID: 6709946478 Enrollment ID: I20081125000737 |
| Provider Name | Mitchell T Gadow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780804229 PECOS PAC ID: 0143392548 Enrollment ID: I20081125000788 |
| Provider Name | Linda Mccoy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306033543 PECOS PAC ID: 4385705359 Enrollment ID: I20081209000488 |
| Provider Name | Saquib Hamid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811181761 PECOS PAC ID: 6002901352 Enrollment ID: I20081229000241 |
| Provider Name | Pierre Claude Gilles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780651737 PECOS PAC ID: 7113080847 Enrollment ID: I20090107000197 |
| Provider Name | Sharad Bellapravalu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679688790 PECOS PAC ID: 8224081302 Enrollment ID: I20090113000736 |
| Provider Name | Victoria A Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679540074 PECOS PAC ID: 7113080037 Enrollment ID: I20090120000272 |
| Provider Name | Connie L Catron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255433231 PECOS PAC ID: 5092623371 Enrollment ID: I20090211000679 |
| Provider Name | Alex J Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457304818 PECOS PAC ID: 5799781811 Enrollment ID: I20090212000721 |
| Provider Name | Sheri D Erwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558503581 PECOS PAC ID: 4688724883 Enrollment ID: I20090610000119 |
| Provider Name | Lisa R Shah Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841425691 PECOS PAC ID: 5395895346 Enrollment ID: I20090612000125 |
| Provider Name | Rishi K Gosalia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174797286 PECOS PAC ID: 8820149511 Enrollment ID: I20090618000726 |
| Provider Name | David J Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699783514 PECOS PAC ID: 6103730650 Enrollment ID: I20090708000751 |
| Provider Name | Jeffrey W Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952451882 PECOS PAC ID: 1658451646 Enrollment ID: I20090709000088 |
| Provider Name | Bonnie J Rouzaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629208400 PECOS PAC ID: 7810041761 Enrollment ID: I20090812000518 |
| Provider Name | Susie Gill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366613010 PECOS PAC ID: 7214081041 Enrollment ID: I20090813000395 |
| Provider Name | Patrick J Roscetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295911030 PECOS PAC ID: 4688710783 Enrollment ID: I20091002000461 |
| Provider Name | Reginald Pius P Baldonado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295966315 PECOS PAC ID: 7416003801 Enrollment ID: I20091016000238 |
| Provider Name | Adrian L Pinzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114096013 PECOS PAC ID: 3971663923 Enrollment ID: I20091019000434 |
| Provider Name | Richard L Scholl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033199872 PECOS PAC ID: 2668512690 Enrollment ID: I20091222000583 |
| Provider Name | Rebecca B Mauck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629219944 PECOS PAC ID: 8921165515 Enrollment ID: I20100112000042 |
| Provider Name | Navdeep S Gill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689697724 PECOS PAC ID: 4284640897 Enrollment ID: I20100113000000 |
| Provider Name | Julie M Desoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275798464 PECOS PAC ID: 8729139639 Enrollment ID: I20100118000035 |
| Provider Name | Arpita Surkunte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548447717 PECOS PAC ID: 5092857607 Enrollment ID: I20100120000529 |
| Provider Name | Joseph R Tafur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912003542 PECOS PAC ID: 7810078490 Enrollment ID: I20100331000218 |
| Provider Name | Robert L Pakter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528039534 PECOS PAC ID: 6406983394 Enrollment ID: I20100426000033 |
| Provider Name | Richard C Alm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437138922 PECOS PAC ID: 1850425950 Enrollment ID: I20100811000475 |
| Provider Name | Keith J Porche |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326018540 PECOS PAC ID: 6002940632 Enrollment ID: I20100817001544 |
| Provider Name | Steven W Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902898620 PECOS PAC ID: 7810943032 Enrollment ID: I20100819001268 |
| Provider Name | Steven I Zell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265610638 PECOS PAC ID: 0244385821 Enrollment ID: I20100825000392 |
| Provider Name | Evelyn Pillor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568574713 PECOS PAC ID: 9133130198 Enrollment ID: I20100901000211 |
| Provider Name | Anuneet K Haas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215960653 PECOS PAC ID: 1557367612 Enrollment ID: I20100910001003 |
| Provider Name | Enrique S Ona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720202211 PECOS PAC ID: 6305931197 Enrollment ID: I20100915000009 |
| Provider Name | Terry C Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811967482 PECOS PAC ID: 5799977591 Enrollment ID: I20101012000982 |
| Provider Name | Jonathon Y Markovitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811977242 PECOS PAC ID: 5890988455 Enrollment ID: I20101015000466 |
| Provider Name | Murat D Mardirossian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326289232 PECOS PAC ID: 0941342638 Enrollment ID: I20101025000471 |
| Provider Name | Hala K Abubakr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780676437 PECOS PAC ID: 8628265030 Enrollment ID: I20101210001041 |
| Provider Name | Susan M Hallman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083694004 PECOS PAC ID: 5395933220 Enrollment ID: I20101220000638 |
| Provider Name | Douglas S Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295705788 PECOS PAC ID: 9931397783 Enrollment ID: I20101221000952 |
| Provider Name | Eric S Limkemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568669430 PECOS PAC ID: 0749479707 Enrollment ID: I20110106001153 |
| Provider Name | Bernadette J Arnecke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851411664 PECOS PAC ID: 6406036987 Enrollment ID: I20110216000200 |
| Provider Name | Noreen C Ruane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033322631 PECOS PAC ID: 4880876838 Enrollment ID: I20110311000311 |
| Provider Name | Goshtasb Javdan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306090998 PECOS PAC ID: 6709069446 Enrollment ID: I20110317000899 |
| Provider Name | Thomas Loi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053587535 PECOS PAC ID: 1153492780 Enrollment ID: I20110407000944 |
| Provider Name | Nenita P Bala-albano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336301944 PECOS PAC ID: 0244400943 Enrollment ID: I20110908001638 |
| Provider Name | Giuseppe Byron B Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144483207 PECOS PAC ID: 2365613338 Enrollment ID: I20110922000728 |
| Provider Name | Cathy L Guinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730328253 PECOS PAC ID: 4082887062 Enrollment ID: I20111108000512 |
| Provider Name | Tamara Djurisic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740213503 PECOS PAC ID: 3072598234 Enrollment ID: I20111116000331 |
| Provider Name | Manisha S Nerkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730130006 PECOS PAC ID: 5395777205 Enrollment ID: I20111201000596 |
| Provider Name | Sanford M Fineman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720067853 PECOS PAC ID: 5294900635 Enrollment ID: I20111213000505 |
| Provider Name | Daniel V Manzanares |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285799197 PECOS PAC ID: 8022094747 Enrollment ID: I20111229000637 |
| Provider Name | Angela M Bribiescas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134435506 PECOS PAC ID: 0648446039 Enrollment ID: I20120106000276 |
| Provider Name | Patrick A Tafoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265696702 PECOS PAC ID: 7012175011 Enrollment ID: I20120222000480 |
| Provider Name | James Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790801355 PECOS PAC ID: 0345406864 Enrollment ID: I20120726000565 |
| Provider Name | Patricia J Stephenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740366988 PECOS PAC ID: 4284668047 Enrollment ID: I20120904000206 |
| Provider Name | John W Torseth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437246808 PECOS PAC ID: 3173513207 Enrollment ID: I20120907000413 |
| Provider Name | Sridivya Ramineni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467681759 PECOS PAC ID: 2860643749 Enrollment ID: I20121127000636 |
| Provider Name | Kendra L Eck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427323997 PECOS PAC ID: 8921250424 Enrollment ID: I20121207000438 |
| Provider Name | Maureen Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871833871 PECOS PAC ID: 3476708728 Enrollment ID: I20130312000583 |
| Provider Name | Anto N Vukancic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093058950 PECOS PAC ID: 6608014667 Enrollment ID: I20130603000428 |
| Provider Name | Jessica A Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093038242 PECOS PAC ID: 4183880941 Enrollment ID: I20130614000338 |
| Provider Name | John David Knochel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063768877 PECOS PAC ID: 8022257385 Enrollment ID: I20130617000555 |
| Provider Name | Benjamin J Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740462894 PECOS PAC ID: 3870732092 Enrollment ID: I20130619000703 |
| Provider Name | William W Burke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417903550 PECOS PAC ID: 0446236491 Enrollment ID: I20130624000082 |
| Provider Name | Ryan R Scott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871756031 PECOS PAC ID: 9931349164 Enrollment ID: I20130710000893 |
| Provider Name | Paige N Wyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871846816 PECOS PAC ID: 4880837756 Enrollment ID: I20130823001115 |
| Provider Name | Charles B Stauffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063726792 PECOS PAC ID: 5395988265 Enrollment ID: I20130823001162 |
| Provider Name | Kurt L Hoffman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962662676 PECOS PAC ID: 3072756840 Enrollment ID: I20130826000902 |
| Provider Name | Hilda M Defoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235470402 PECOS PAC ID: 0446493191 Enrollment ID: I20130827000789 |
| Provider Name | Mahesh Mathews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356570568 PECOS PAC ID: 3870774961 Enrollment ID: I20130903000458 |
| Provider Name | Caren M Pfieffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124469085 PECOS PAC ID: 2567605967 Enrollment ID: I20130904000799 |
| Provider Name | Eamon W Leung |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275547200 PECOS PAC ID: 0749256659 Enrollment ID: I20130911000261 |
| Provider Name | Swapna Chalasani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407067010 PECOS PAC ID: 6507941572 Enrollment ID: I20131015001986 |
| Provider Name | Nicole Adams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760770556 PECOS PAC ID: 1456594951 Enrollment ID: I20131101000868 |
| Provider Name | Laura M Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467894287 PECOS PAC ID: 3779719125 Enrollment ID: I20131113001858 |
| Provider Name | Anupama Doppalapudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356579643 PECOS PAC ID: 0446486807 Enrollment ID: I20131114000163 |
| Provider Name | Lynne M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821303025 PECOS PAC ID: 0648400267 Enrollment ID: I20140227001156 |
| Provider Name | Ronaldo F Luanzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487876348 PECOS PAC ID: 7517008170 Enrollment ID: I20140530000207 |
| Provider Name | Naomi Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073932513 PECOS PAC ID: 8224252358 Enrollment ID: I20140611002081 |
| Provider Name | Donna J Callicutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356753008 PECOS PAC ID: 2264656875 Enrollment ID: I20140620000553 |
| Provider Name | Kyle P Nielson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770583726 PECOS PAC ID: 9638358443 Enrollment ID: I20140714001236 |
| Provider Name | Elliott Jay Wagner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558312579 PECOS PAC ID: 7416856745 Enrollment ID: I20140718001530 |
| Provider Name | Sara A Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518378074 PECOS PAC ID: 9638395411 Enrollment ID: I20140731001243 |
| Provider Name | Eszter D Wolf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164732442 PECOS PAC ID: 6800013285 Enrollment ID: I20140807002061 |
| Provider Name | Deanna O Haller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386624302 PECOS PAC ID: 8729207543 Enrollment ID: I20140909002894 |
| Provider Name | James Marshall Newbern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942216924 PECOS PAC ID: 7618876525 Enrollment ID: I20141002002472 |
| Provider Name | Mikhail A Bargan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790766533 PECOS PAC ID: 9436051414 Enrollment ID: I20141013001918 |
| Provider Name | Tasnim Khalife |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285921544 PECOS PAC ID: 8123249752 Enrollment ID: I20141024001126 |
| Provider Name | Rosa E Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306251327 PECOS PAC ID: 5395967913 Enrollment ID: I20141222002286 |
| Provider Name | Douglas Zeb Crofts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588924658 PECOS PAC ID: 8224351200 Enrollment ID: I20141223002003 |
| Provider Name | Melissa Jung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548495682 PECOS PAC ID: 7618109984 Enrollment ID: I20141230002449 |
| Provider Name | Akosua A Mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689062572 PECOS PAC ID: 8022334184 Enrollment ID: I20150309000103 |
| Provider Name | Linda K Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447658448 PECOS PAC ID: 2163749334 Enrollment ID: I20150327000198 |
| Provider Name | Frederick R Brandon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235118613 PECOS PAC ID: 3274693197 Enrollment ID: I20150518002231 |
| Provider Name | Leilani Dennis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861884447 PECOS PAC ID: 8527379478 Enrollment ID: I20150618000503 |
| Provider Name | Tammam Beydoun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033349014 PECOS PAC ID: 0840501524 Enrollment ID: I20150622002091 |
| Provider Name | Shivi Agrawal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528379245 PECOS PAC ID: 3577787001 Enrollment ID: I20150708003316 |
| Provider Name | Janet D Tate Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215360854 PECOS PAC ID: 9133352024 Enrollment ID: I20150803001111 |
| Provider Name | Travis S Scharnweber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740507839 PECOS PAC ID: 2769796762 Enrollment ID: I20150804006240 |
| Provider Name | Caroline Kilian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386966927 PECOS PAC ID: 1254555022 Enrollment ID: I20150810003073 |
| Provider Name | Ying Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851779342 PECOS PAC ID: 0143535559 Enrollment ID: I20150813012049 |
| Provider Name | Nedda Alemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831458066 PECOS PAC ID: 7113232380 Enrollment ID: I20150817002708 |
| Provider Name | Julia A Brookman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710207972 PECOS PAC ID: 3375858426 Enrollment ID: I20150818005353 |
| Provider Name | Anish A Kadakia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932161486 PECOS PAC ID: 4880688035 Enrollment ID: I20150908002423 |
| Provider Name | Kyle A Ryff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790193597 PECOS PAC ID: 5991924979 Enrollment ID: I20151003000147 |
| Provider Name | William Gallmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033436860 PECOS PAC ID: 6608000609 Enrollment ID: I20151013000580 |
| Provider Name | Heather Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649653668 PECOS PAC ID: 2860701513 Enrollment ID: I20151020000123 |
| Provider Name | Amado B Del Rosario |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821239997 PECOS PAC ID: 2163662776 Enrollment ID: I20151112001658 |
| Provider Name | Marvin E Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932166089 PECOS PAC ID: 8527045293 Enrollment ID: I20151125001365 |
| Provider Name | Kristin M Romesburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134588643 PECOS PAC ID: 1355649914 Enrollment ID: I20160414000996 |
| Provider Name | Jonathan Fosbre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306203195 PECOS PAC ID: 6608174024 Enrollment ID: I20160418001536 |
| Provider Name | Brian Greenbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316300585 PECOS PAC ID: 3476843640 Enrollment ID: I20160531000765 |
| Provider Name | Cassidy J Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730548272 PECOS PAC ID: 4183914872 Enrollment ID: I20160608002387 |
| Provider Name | Nadia A Applegate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861768236 PECOS PAC ID: 9830482389 Enrollment ID: I20160721001720 |
| Provider Name | Tracy L Von Aspen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447605639 PECOS PAC ID: 0547553000 Enrollment ID: I20160721002188 |
| Provider Name | Diana Warncke |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720430291 PECOS PAC ID: 0840583902 Enrollment ID: I20160727000494 |
| Provider Name | Kimberly H Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063776284 PECOS PAC ID: 5597055947 Enrollment ID: I20160817002497 |
| Provider Name | Barbara J Scarcello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063874956 PECOS PAC ID: 6204961394 Enrollment ID: I20160823001466 |
| Provider Name | Daren Barker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194957902 PECOS PAC ID: 1658527643 Enrollment ID: I20160826002486 |
| Provider Name | Lavanya Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972945269 PECOS PAC ID: 3577851609 Enrollment ID: I20161005001873 |
| Provider Name | Robert F Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932462835 PECOS PAC ID: 1850679259 Enrollment ID: I20161104000740 |
| Provider Name | Vanessa J Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053757195 PECOS PAC ID: 6305169434 Enrollment ID: I20161104000818 |
| Provider Name | Amy L Swanholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013398379 PECOS PAC ID: 0244530160 Enrollment ID: I20161109000711 |
| Provider Name | Catherine Samuel-ojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588990394 PECOS PAC ID: 8921254541 Enrollment ID: I20161118001993 |
| Provider Name | Eric R Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730591249 PECOS PAC ID: 4688990450 Enrollment ID: I20161216001454 |
| Provider Name | Suzanne K Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861608861 PECOS PAC ID: 0941582027 Enrollment ID: I20170125001349 |
| Provider Name | David Kipp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528048287 PECOS PAC ID: 3678857851 Enrollment ID: I20170307002400 |
| Provider Name | Lane A Woldum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588609481 PECOS PAC ID: 9739166794 Enrollment ID: I20170309000585 |
| Provider Name | Joelle A Wysoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851827539 PECOS PAC ID: 5890063283 Enrollment ID: I20170607000896 |
| Provider Name | Denise Sample |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083919898 PECOS PAC ID: 5395909683 Enrollment ID: I20170615002500 |
| Provider Name | Agboola Awomolo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073877262 PECOS PAC ID: 7416227129 Enrollment ID: I20170727002503 |
| Provider Name | Heather M Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194256677 PECOS PAC ID: 2264703404 Enrollment ID: I20170804003254 |
| Provider Name | Scott J Brandman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770765729 PECOS PAC ID: 0042489197 Enrollment ID: I20170817002720 |
| Provider Name | Tina Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598177461 PECOS PAC ID: 3678847068 Enrollment ID: I20170925000043 |
| Provider Name | Erin L Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720506389 PECOS PAC ID: 0446526123 Enrollment ID: I20171024003530 |
| Provider Name | Lisa Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609046721 PECOS PAC ID: 3476625286 Enrollment ID: I20171031000050 |
| Provider Name | Mary L Ballard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922040997 PECOS PAC ID: 3173622669 Enrollment ID: I20171110000625 |
| Provider Name | Sandra Carolina Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689193534 PECOS PAC ID: 1456617117 Enrollment ID: I20171113002352 |
| Provider Name | Jillian Brynn Goldney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144733767 PECOS PAC ID: 9830459270 Enrollment ID: I20180205000974 |
| Provider Name | Benjamin T Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831400894 PECOS PAC ID: 7416109186 Enrollment ID: I20180418002516 |
| Provider Name | Mohammad K Dardari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467405357 PECOS PAC ID: 9436106572 Enrollment ID: I20180420000699 |
| Provider Name | Stephen Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730525841 PECOS PAC ID: 0042574048 Enrollment ID: I20180427000455 |
| Provider Name | Kristin L Glaubke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497131320 PECOS PAC ID: 4880973403 Enrollment ID: I20180606002495 |
| Provider Name | Jeremy J Hauptman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487177721 PECOS PAC ID: 1052686649 Enrollment ID: I20180706000382 |
| Provider Name | Bethany Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285062836 PECOS PAC ID: 3779805288 Enrollment ID: I20180801003071 |
| Provider Name | Sumediah Nzuonkwelle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184010571 PECOS PAC ID: 5193074342 Enrollment ID: I20180821001955 |
| Provider Name | Patty J. Crocker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831188911 PECOS PAC ID: 9335128826 Enrollment ID: I20180827003216 |
| Provider Name | Matthew Reed Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194110965 PECOS PAC ID: 8224343322 Enrollment ID: I20181024002718 |
| Provider Name | Yasir M Rudha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861888315 PECOS PAC ID: 8628322856 Enrollment ID: I20181107000294 |
| Provider Name | Carrie M Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316332026 PECOS PAC ID: 7012207400 Enrollment ID: I20181107001863 |
| Provider Name | Daron D Ruckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841772852 PECOS PAC ID: 6709130313 Enrollment ID: I20181119001431 |
| Provider Name | Cindy Sprau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427288430 PECOS PAC ID: 3173669538 Enrollment ID: I20181211003508 |
| Provider Name | Bassam T Hattab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023420189 PECOS PAC ID: 2163767468 Enrollment ID: I20181214000043 |
| Provider Name | Eduardo A Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730422445 PECOS PAC ID: 2769779461 Enrollment ID: I20190114002863 |
| Provider Name | Sarabeth Z Pavelka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043791577 PECOS PAC ID: 5395098032 Enrollment ID: I20190117001406 |
| Provider Name | Benjamin J Hegenbarth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235516675 PECOS PAC ID: 4981910122 Enrollment ID: I20190124002357 |
| Provider Name | Sharmane Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477539252 PECOS PAC ID: 4688732803 Enrollment ID: I20190218002177 |
| Provider Name | Josalyn Camille Funches |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679867709 PECOS PAC ID: 4880815604 Enrollment ID: I20190315000787 |
| Provider Name | Carly Brooke Pravong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396216800 PECOS PAC ID: 7416297809 Enrollment ID: I20190321001786 |
| Provider Name | Kathrina Lynn Ridley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700358322 PECOS PAC ID: 1052629961 Enrollment ID: I20190402001741 |
| Provider Name | Chad J Hays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598914384 PECOS PAC ID: 4880750058 Enrollment ID: I20190430001094 |
| Provider Name | Michael J Bennington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053375139 PECOS PAC ID: 4082627633 Enrollment ID: I20190507000736 |
| Provider Name | Blair L Funk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326493289 PECOS PAC ID: 6305184326 Enrollment ID: I20190620003453 |
| Provider Name | Wail Malaty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922112150 PECOS PAC ID: 7113081308 Enrollment ID: I20190625001330 |
| Provider Name | Katy Lockhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376905729 PECOS PAC ID: 7719219732 Enrollment ID: I20191024001034 |
| Provider Name | Tarreq M Noori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801250071 PECOS PAC ID: 4486986346 Enrollment ID: I20191024003475 |
| Provider Name | Brittany A Mcarthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649653379 PECOS PAC ID: 2062729262 Enrollment ID: I20191029001660 |
| Provider Name | Lauren Ashley Wurster |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306200613 PECOS PAC ID: 1153754429 Enrollment ID: I20191129000058 |
| Provider Name | Melynda Jane Bosch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417479981 PECOS PAC ID: 6002150216 Enrollment ID: I20191211000333 |
| Provider Name | Rebecca S Molden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811392368 PECOS PAC ID: 2769763911 Enrollment ID: I20200130001363 |
| Provider Name | Warner J Coelho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013558352 PECOS PAC ID: 6901233089 Enrollment ID: I20200302002073 |
| Provider Name | Spencer Ruben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669908711 PECOS PAC ID: 1052651510 Enrollment ID: I20200723003118 |
| Provider Name | Priyanka Begur |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285155127 PECOS PAC ID: 2567887813 Enrollment ID: I20200803002452 |
| Provider Name | Patrick L Alore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962607697 PECOS PAC ID: 2769647338 Enrollment ID: I20200805001834 |
| Provider Name | Michael Y Im |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710154794 PECOS PAC ID: 4385800986 Enrollment ID: I20200812002520 |
| Provider Name | Derek Glen Mcallister |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861832230 PECOS PAC ID: 7416190582 Enrollment ID: I20200817000187 |
| Provider Name | Alex B Christensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881227957 PECOS PAC ID: 8123448271 Enrollment ID: I20201012001983 |
| Provider Name | Jonathan Rafael J Lazaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104266956 PECOS PAC ID: 4183940539 Enrollment ID: I20201106001276 |
| Provider Name | Rosabel Loya |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356890362 PECOS PAC ID: 7719216472 Enrollment ID: I20201119001516 |
| Provider Name | Elizabeth Hallstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114233806 PECOS PAC ID: 9436336641 Enrollment ID: I20201119002804 |
| Provider Name | Mini Cherian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225642556 PECOS PAC ID: 5597178251 Enrollment ID: I20210119002492 |
| Provider Name | Joseph Lach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518996792 PECOS PAC ID: 3678528163 Enrollment ID: I20210302002186 |
| Provider Name | Donna Kathryn Tarin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194313494 PECOS PAC ID: 3971919556 Enrollment ID: I20210305000341 |
| Provider Name | Rebecca A Schafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841578739 PECOS PAC ID: 3173939725 Enrollment ID: I20210308000797 |
| Provider Name | Shaun Brierly |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144304213 PECOS PAC ID: 3971408659 Enrollment ID: I20210316002246 |
| Provider Name | Wendy M Bertram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700410578 PECOS PAC ID: 3072920909 Enrollment ID: I20210322000584 |
| Provider Name | Kristal L. Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821690157 PECOS PAC ID: 3870992225 Enrollment ID: I20210604001465 |
| Provider Name | Robert Krasny |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235147638 PECOS PAC ID: 2466356506 Enrollment ID: I20210630003103 |
| Provider Name | Danh Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003999103 PECOS PAC ID: 9537055892 Enrollment ID: I20210701002675 |
| Provider Name | William Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588662068 PECOS PAC ID: 1951293679 Enrollment ID: I20210706002634 |
| Provider Name | Michael C Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124261573 PECOS PAC ID: 7911140868 Enrollment ID: I20210724000095 |
| Provider Name | Zerahlynn M Ballanca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508360587 PECOS PAC ID: 7012310956 Enrollment ID: I20210729001021 |
| Provider Name | Justin Crockett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417583915 PECOS PAC ID: 8022436146 Enrollment ID: I20210818000877 |
| Provider Name | Andrew J Bitney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154815983 PECOS PAC ID: 6901201516 Enrollment ID: I20210819003108 |
| Provider Name | Siamak Dardashti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013942713 PECOS PAC ID: 5799698510 Enrollment ID: I20210822000014 |
| Provider Name | Joshua Hamilton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487850582 PECOS PAC ID: 3375708142 Enrollment ID: I20211008001888 |
| Provider Name | Jennifer Lynn Thatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740745686 PECOS PAC ID: 3678962834 Enrollment ID: I20211110001477 |
| Provider Name | Dawn R Mielke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487754222 PECOS PAC ID: 1850780834 Enrollment ID: I20211112000898 |
| Provider Name | Sanah Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356844120 PECOS PAC ID: 9032449632 Enrollment ID: I20211112001416 |
| Provider Name | Kaci Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437509759 PECOS PAC ID: 3274825120 Enrollment ID: I20211124001354 |
| Provider Name | Curtis Hammerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578591319 PECOS PAC ID: 8224190335 Enrollment ID: I20211129000340 |
| Provider Name | Steven Mitchell Bernstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164453585 PECOS PAC ID: 3577456540 Enrollment ID: I20220423000080 |
| Provider Name | Emily Maire Johanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164195822 PECOS PAC ID: 2860870847 Enrollment ID: I20220602002969 |
| Provider Name | Olubukola Aremu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376901199 PECOS PAC ID: 4486951357 Enrollment ID: I20220718002668 |
| Provider Name | Dyzzy Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871802744 PECOS PAC ID: 4880875624 Enrollment ID: I20221017002929 |
| Provider Name | Erin Marie Luedtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669103990 PECOS PAC ID: 6305213638 Enrollment ID: I20221031000154 |
| Provider Name | Nicholas Edward Rogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932836822 PECOS PAC ID: 3678940590 Enrollment ID: I20221107001961 |
| Provider Name | Nicole Marie Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851852834 PECOS PAC ID: 1355676958 Enrollment ID: I20221107002171 |
| Provider Name | Katherine Lamca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891410809 PECOS PAC ID: 6901276906 Enrollment ID: I20230109002740 |
| Provider Name | Vernon Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679568190 PECOS PAC ID: 0547454670 Enrollment ID: I20230203001154 |
| Provider Name | Geraldine Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831486539 PECOS PAC ID: 8123311818 Enrollment ID: I20230321001798 |
| Provider Name | Neil Anand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508271149 PECOS PAC ID: 8325380900 Enrollment ID: I20230418001274 |
| Provider Name | Sean Burke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669906541 PECOS PAC ID: 8123487212 Enrollment ID: I20230707001365 |
| Provider Name | John M Sassano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447263306 PECOS PAC ID: 1052444098 Enrollment ID: I20230921003204 |
| Provider Name | Nida Fatima Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083234629 PECOS PAC ID: 5991159683 Enrollment ID: I20230928003904 |
| Provider Name | Monika Herdzik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730386186 PECOS PAC ID: 5395915730 Enrollment ID: I20231011002532 |
| Provider Name | April Bute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902597131 PECOS PAC ID: 8022464569 Enrollment ID: I20231019002476 |
| Provider Name | Wilmarie Rosado Cortes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437829173 PECOS PAC ID: 2961858162 Enrollment ID: I20231024003531 |
| Provider Name | Mehak Akhter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720609852 PECOS PAC ID: 4183071731 Enrollment ID: I20231103002184 |
| Provider Name | Jonathan P Coll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679803977 PECOS PAC ID: 3779776539 Enrollment ID: I20231108003677 |
| Provider Name | Shrutisudha Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346860558 PECOS PAC ID: 5294182390 Enrollment ID: I20231110002543 |
| Provider Name | Kim Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508540642 PECOS PAC ID: 9436507712 Enrollment ID: I20231127002880 |
| Provider Name | Jill Furubayashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457587073 PECOS PAC ID: 7517186224 Enrollment ID: I20240211000096 |
| Provider Name | Ryan Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497997050 PECOS PAC ID: 4587789326 Enrollment ID: I20240212003234 |
New Hope Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8945 E Calle Buena Vis, Scottsdale, AZ 85255 Phone: 480-473-9808 Fax: 480-473-7916 | |
Richard J Settles, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10752 N 89th Pl, Suite 218, Scottsdale, AZ 85260 Phone: 480-314-9700 Fax: 480-314-9650 | |
Md Centers Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7814 N Via De La Montana, Scottsdale, AZ 85258 Phone: 480-848-1428 | |
Akos Live Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23565 N Scottsdale Rd, Scottsdale, AZ 85255 Phone: 602-899-4404 | |
Lifescape Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8757 E Bell Rd, Scottsdale, AZ 85260 Phone: 480-860-5500 Fax: 480-860-5511 | |
Nanni B. Bachenheimer Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9630 E Shea Blvd, Scottsdale, AZ 85260 Phone: 480-747-3009 Fax: 480-296-7665 | |
Visitsathomemd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8160 E Butherus Dr, Ste 7, Scottsdale, AZ 85260 Phone: 623-388-3676 |