| Cogent Healthcare Of Arizona Pc | |
|
5410 Maryland Way 300 Brentwood TN 37027-5064 | |
| (615) 377-5600 | |
| (888) 241-1404 |
| Full Name | Cogent Healthcare Of Arizona Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5410 Maryland Way, Brentwood, Tennessee |
| Authorized Official Name and Position | Rachel George (PRESIDENT) |
| Authorized Official Contact | 6153775600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogent Healthcare Of Arizona Pc 300 El Camino Real Sierra Vista AZ 85635-2812 Ph: (615) 377-5600 | Cogent Healthcare Of Arizona Pc 5410 Maryland Way 300 Brentwood TN 37027-5064 Ph: (615) 377-5600 |
| NPI Number | 1568758266 |
|---|---|
| Provider Enumeration Date | 06/22/2011 |
| Last Update Date | 06/22/2011 |
| Medicare PECOS PAC ID | 0648441006 |
|---|---|
| Medicare Enrollment ID | O20110915000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568758266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Manoj Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972520708 PECOS PAC ID: 3274439013 Enrollment ID: I20031211000274 |
| Provider Name | Adrienne Pettit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912993445 PECOS PAC ID: 5496651929 Enrollment ID: I20031211000339 |
| Provider Name | Joseph Harcourt Acton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861452765 PECOS PAC ID: 8123924867 Enrollment ID: I20031211000872 |
| Provider Name | Ghada A Raban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336109529 PECOS PAC ID: 7214820703 Enrollment ID: I20040206000915 |
| Provider Name | Veronica Pimienta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952482663 PECOS PAC ID: 6901793843 Enrollment ID: I20040303001263 |
| Provider Name | Isaac G Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841279130 PECOS PAC ID: 6204726797 Enrollment ID: I20040318000259 |
| Provider Name | Nusrum Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538191929 PECOS PAC ID: 5496747016 Enrollment ID: I20040401001322 |
| Provider Name | Wen Zhong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356381537 PECOS PAC ID: 7810980752 Enrollment ID: I20040406001017 |
| Provider Name | David Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760555882 PECOS PAC ID: 3072506922 Enrollment ID: I20040412001516 |
| Provider Name | Stephanie M Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871583062 PECOS PAC ID: 7810982295 Enrollment ID: I20040415001030 |
| Provider Name | Michael Kedansky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215902333 PECOS PAC ID: 3779571518 Enrollment ID: I20040503000297 |
| Provider Name | Daniel Beruti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710970983 PECOS PAC ID: 0648269092 Enrollment ID: I20040510001584 |
| Provider Name | David G Bowman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700873189 PECOS PAC ID: 0749181246 Enrollment ID: I20040512000369 |
| Provider Name | Vicente Diaz-gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790745776 PECOS PAC ID: 1557353356 Enrollment ID: I20040513001258 |
| Provider Name | Timothy E Kratzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659368231 PECOS PAC ID: 3274441969 Enrollment ID: I20040518000517 |
| Provider Name | Michael Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366426074 PECOS PAC ID: 3678464187 Enrollment ID: I20040522000346 |
| Provider Name | Michael Castro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639170293 PECOS PAC ID: 5092705004 Enrollment ID: I20040618001331 |
| Provider Name | Geronimo Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407947054 PECOS PAC ID: 3173509296 Enrollment ID: I20040628001438 |
| Provider Name | Jeffrey Thomas Maudlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811930423 PECOS PAC ID: 1052397130 Enrollment ID: I20040629000211 |
| Provider Name | Richard M Ernst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417944802 PECOS PAC ID: 5991784001 Enrollment ID: I20040714000205 |
| Provider Name | Saba W Tesfamariam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952347957 PECOS PAC ID: 8224017983 Enrollment ID: I20040715001340 |
| Provider Name | Nariel C Offomah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851380489 PECOS PAC ID: 5799758983 Enrollment ID: I20040816001375 |
| Provider Name | George Haloftis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740277268 PECOS PAC ID: 2860388147 Enrollment ID: I20040818000460 |
| Provider Name | Edwin E Gilliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952383143 PECOS PAC ID: 0547236416 Enrollment ID: I20040902000908 |
| Provider Name | Shivani S Kaul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841288248 PECOS PAC ID: 1153314513 Enrollment ID: I20040916000513 |
| Provider Name | Robert E Mutterperl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861438822 PECOS PAC ID: 3971561101 Enrollment ID: I20041222000558 |
| Provider Name | William L Bartholomew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285626754 PECOS PAC ID: 0446218986 Enrollment ID: I20041229000955 |
| Provider Name | Sujatha Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386600625 PECOS PAC ID: 2961452578 Enrollment ID: I20050131000739 |
| Provider Name | Gregory E Sneep |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770529737 PECOS PAC ID: 5890753024 Enrollment ID: I20050207000616 |
| Provider Name | Christopher R Pruitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659394286 PECOS PAC ID: 3072569508 Enrollment ID: I20050328000484 |
| Provider Name | Mark C Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760456032 PECOS PAC ID: 1557317898 Enrollment ID: I20050329001327 |
| Provider Name | Li S Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588681464 PECOS PAC ID: 4486693264 Enrollment ID: I20050502000140 |
| Provider Name | Virginia Rowland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134132772 PECOS PAC ID: 1456391036 Enrollment ID: I20050504000157 |
| Provider Name | Roxana Orbegoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255326138 PECOS PAC ID: 9537100052 Enrollment ID: I20050516000301 |
| Provider Name | Harsimran Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801878962 PECOS PAC ID: 2466489323 Enrollment ID: I20050721000810 |
| Provider Name | Adam J Boyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760440317 PECOS PAC ID: 1557391695 Enrollment ID: I20050817001105 |
| Provider Name | Scott J Biehler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518940089 PECOS PAC ID: 9638153752 Enrollment ID: I20050923000634 |
| Provider Name | Maria E Pina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518934074 PECOS PAC ID: 7618992298 Enrollment ID: I20051012000975 |
| Provider Name | James G Belitsos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942217914 PECOS PAC ID: 1850318387 Enrollment ID: I20051025000117 |
| Provider Name | Ashini R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376521625 PECOS PAC ID: 1355362674 Enrollment ID: I20051214000946 |
| Provider Name | Lissa M Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770555476 PECOS PAC ID: 1759303860 Enrollment ID: I20060103000454 |
| Provider Name | Asligul C Hendershot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346234804 PECOS PAC ID: 8921022237 Enrollment ID: I20060125000278 |
| Provider Name | Anthony Perry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326008095 PECOS PAC ID: 5092760413 Enrollment ID: I20060202000862 |
| Provider Name | Misael Chaen Alonso |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1487603312 PECOS PAC ID: 2567479819 Enrollment ID: I20060313000274 |
| Provider Name | Sandhya Venugopal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730115338 PECOS PAC ID: 7113936634 Enrollment ID: I20060411000780 |
| Provider Name | Susana Myung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649215617 PECOS PAC ID: 4082627237 Enrollment ID: I20060711000274 |
| Provider Name | Wookjin Chun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689688699 PECOS PAC ID: 7012911134 Enrollment ID: I20060901000395 |
| Provider Name | Alkeshkumar H Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881616290 PECOS PAC ID: 3476550484 Enrollment ID: I20061106000365 |
| Provider Name | Oyesiji A Arojojoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790873222 PECOS PAC ID: 6608876636 Enrollment ID: I20061222000001 |
| Provider Name | Muhammad Vasiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750357836 PECOS PAC ID: 8325048044 Enrollment ID: I20070103000323 |
| Provider Name | Sarmad P Makdesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801960802 PECOS PAC ID: 7214939065 Enrollment ID: I20070207000119 |
| Provider Name | Hemang M Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467560565 PECOS PAC ID: 0345242814 Enrollment ID: I20070213000262 |
| Provider Name | Asjad Sardar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568500924 PECOS PAC ID: 3072611680 Enrollment ID: I20070605000658 |
| Provider Name | Moti Salloum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205904240 PECOS PAC ID: 8527169119 Enrollment ID: I20070726000516 |
| Provider Name | Abram A Aguilar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700080900 PECOS PAC ID: 5496848012 Enrollment ID: I20070912000317 |
| Provider Name | Sanjay S Bommakanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114111002 PECOS PAC ID: 9335233063 Enrollment ID: I20070925000628 |
| Provider Name | Mohamad Altriki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619061736 PECOS PAC ID: 8022003185 Enrollment ID: I20071009000151 |
| Provider Name | Jason Buchwald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285675439 PECOS PAC ID: 1951215599 Enrollment ID: I20071023000616 |
| Provider Name | Eunlee Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962697920 PECOS PAC ID: 3870680291 Enrollment ID: I20071101000484 |
| Provider Name | Teresa Lanier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104865658 PECOS PAC ID: 2163501669 Enrollment ID: I20080509000017 |
| Provider Name | Ashish M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851372585 PECOS PAC ID: 1052482338 Enrollment ID: I20080613000084 |
| Provider Name | Leta A Hice |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205006186 PECOS PAC ID: 8123199353 Enrollment ID: I20080616000768 |
| Provider Name | Anne C Koss Leland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184633851 PECOS PAC ID: 8224101449 Enrollment ID: I20080722000322 |
| Provider Name | Scott S Weiss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861440232 PECOS PAC ID: 5193899284 Enrollment ID: I20080807000469 |
| Provider Name | Gerald R Bush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811087653 PECOS PAC ID: 3779561428 Enrollment ID: I20080825000578 |
| Provider Name | Camille E Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164611000 PECOS PAC ID: 9032285895 Enrollment ID: I20080903000231 |
| Provider Name | Benjamin K Sarsah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144483132 PECOS PAC ID: 3779659347 Enrollment ID: I20080904000616 |
| Provider Name | Agnes O Ovienmhada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902028871 PECOS PAC ID: 7012084007 Enrollment ID: I20080917000082 |
| Provider Name | Tauqir Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558357285 PECOS PAC ID: 8426125196 Enrollment ID: I20080922000473 |
| Provider Name | Amar P Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245415710 PECOS PAC ID: 9739256991 Enrollment ID: I20080930000445 |
| Provider Name | Tina H Pithawalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235340456 PECOS PAC ID: 5294803102 Enrollment ID: I20081006000227 |
| Provider Name | Charles Deakins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669658670 PECOS PAC ID: 7911065453 Enrollment ID: I20081027000893 |
| Provider Name | Jack Rzepka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306839790 PECOS PAC ID: 3678575255 Enrollment ID: I20081105000457 |
| Provider Name | Sharon M Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629251343 PECOS PAC ID: 7719049287 Enrollment ID: I20081217000114 |
| Provider Name | Shawn Win Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427210210 PECOS PAC ID: 5092878504 Enrollment ID: I20090109000369 |
| Provider Name | Francene A Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932373693 PECOS PAC ID: 5294882593 Enrollment ID: I20090402000120 |
| Provider Name | Chiedozie C Obioha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750311577 PECOS PAC ID: 3779635024 Enrollment ID: I20090716000547 |
| Provider Name | Dipak B K C |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013146422 PECOS PAC ID: 3577617406 Enrollment ID: I20090812000269 |
| Provider Name | Mei Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538336292 PECOS PAC ID: 7810041571 Enrollment ID: I20090813000833 |
| Provider Name | Kevin T Yu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861613275 PECOS PAC ID: 5991859662 Enrollment ID: I20090813000851 |
| Provider Name | Kara L Asbury |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184653263 PECOS PAC ID: 6305990938 Enrollment ID: I20090817000791 |
| Provider Name | Abboud Hanna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922237072 PECOS PAC ID: 8123172533 Enrollment ID: I20090819000929 |
| Provider Name | Ryan D Trune |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609017334 PECOS PAC ID: 7810041233 Enrollment ID: I20090820000154 |
| Provider Name | Amit Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275780991 PECOS PAC ID: 0547314643 Enrollment ID: I20090824000302 |
| Provider Name | Fadi Makdesi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639393051 PECOS PAC ID: 9234284357 Enrollment ID: I20090825000780 |
| Provider Name | Paul Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891727129 PECOS PAC ID: 4587719521 Enrollment ID: I20090827000308 |
| Provider Name | Waheed S Ibrahimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174716583 PECOS PAC ID: 1254487010 Enrollment ID: I20090918000433 |
| Provider Name | Jatinder Pal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386977742 PECOS PAC ID: 1355487513 Enrollment ID: I20091001000753 |
| Provider Name | Kashif Nasim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144467135 PECOS PAC ID: 8224174313 Enrollment ID: I20091002000355 |
| Provider Name | Asha Mary Kurian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083880470 PECOS PAC ID: 7416093091 Enrollment ID: I20091013000310 |
| Provider Name | Chi Q Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285642108 PECOS PAC ID: 4587658307 Enrollment ID: I20091021000534 |
| Provider Name | Karan Bhasin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265678569 PECOS PAC ID: 7416094412 Enrollment ID: I20091023000435 |
| Provider Name | Mariana D Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841523180 PECOS PAC ID: 3678611233 Enrollment ID: I20091119000163 |
| Provider Name | Warren M Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750339784 PECOS PAC ID: 5991892671 Enrollment ID: I20091208000471 |
| Provider Name | Joseph Lykins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447205174 PECOS PAC ID: 4789624289 Enrollment ID: I20100209000804 |
| Provider Name | Wyssem A Ramdani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104840693 PECOS PAC ID: 2668463936 Enrollment ID: I20100211000474 |
| Provider Name | Niki M Putzar-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215265426 PECOS PAC ID: 0648308221 Enrollment ID: I20100503000857 |
| Provider Name | Dilipkumar R Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184698623 PECOS PAC ID: 7315920154 Enrollment ID: I20100507000317 |
| Provider Name | Mirela E Ponduchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902059652 PECOS PAC ID: 1254485600 Enrollment ID: I20100728000706 |
| Provider Name | Sydney J Lazarus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386837060 PECOS PAC ID: 1850424821 Enrollment ID: I20100728000935 |
| Provider Name | Ahmed R Abouzeid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871619601 PECOS PAC ID: 9830223296 Enrollment ID: I20100820000248 |
| Provider Name | Essam E Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083948400 PECOS PAC ID: 5092830455 Enrollment ID: I20100909000355 |
| Provider Name | Catherine K Aspinwall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033106604 PECOS PAC ID: 6204951502 Enrollment ID: I20100909001018 |
| Provider Name | Shubhang M Mazumdar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003887183 PECOS PAC ID: 2466429527 Enrollment ID: I20100923001276 |
| Provider Name | John Reagan D Mendoza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346403680 PECOS PAC ID: 5597959502 Enrollment ID: I20101103001357 |
| Provider Name | Leslie E Easley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265639637 PECOS PAC ID: 6002002268 Enrollment ID: I20101130000627 |
| Provider Name | Elsi M Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487972477 PECOS PAC ID: 1254527310 Enrollment ID: I20101201000585 |
| Provider Name | Robert B Arashahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003995457 PECOS PAC ID: 8426016320 Enrollment ID: I20110113000773 |
| Provider Name | Douglas E Bischoff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821085333 PECOS PAC ID: 3476732769 Enrollment ID: I20110119000205 |
| Provider Name | Paden C Hendrickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154434637 PECOS PAC ID: 0547337800 Enrollment ID: I20110318000852 |
| Provider Name | Jeffrey Rein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760460323 PECOS PAC ID: 0941483580 Enrollment ID: I20110321000140 |
| Provider Name | Manish Sahni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558477984 PECOS PAC ID: 9436128584 Enrollment ID: I20110324000398 |
| Provider Name | Romina Lo Montano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306165485 PECOS PAC ID: 9032396932 Enrollment ID: I20110601000700 |
| Provider Name | Ankur M Bant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164544979 PECOS PAC ID: 9638232549 Enrollment ID: I20110602000563 |
| Provider Name | Tammy M Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861550865 PECOS PAC ID: 0244256196 Enrollment ID: I20110617000301 |
| Provider Name | Sadaf Jamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396052254 PECOS PAC ID: 7012187214 Enrollment ID: I20110825000520 |
| Provider Name | Bret Bitza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831345529 PECOS PAC ID: 6204006455 Enrollment ID: I20110826000380 |
| Provider Name | Tomas Rivera-bonilla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881855294 PECOS PAC ID: 1850561820 Enrollment ID: I20110830000556 |
| Provider Name | Fadi Domit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922263938 PECOS PAC ID: 1355513979 Enrollment ID: I20111004000252 |
| Provider Name | Moses Imohi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437438041 PECOS PAC ID: 2163694639 Enrollment ID: I20111005000008 |
| Provider Name | Nazeer M Jalal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235370933 PECOS PAC ID: 4486790672 Enrollment ID: I20111005000011 |
| Provider Name | Navneet B Jalal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316188014 PECOS PAC ID: 6800069840 Enrollment ID: I20111107000829 |
| Provider Name | Kam Fun Pang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104020783 PECOS PAC ID: 0840389334 Enrollment ID: I20111116000875 |
| Provider Name | Hassan Hussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710142518 PECOS PAC ID: 0042488165 Enrollment ID: I20111219000622 |
| Provider Name | Ali M Eskandar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902095094 PECOS PAC ID: 1153588652 Enrollment ID: I20120213000111 |
| Provider Name | Rebecca L Zaner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306072905 PECOS PAC ID: 9537327846 Enrollment ID: I20120215000918 |
| Provider Name | Arun S Kannan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467683847 PECOS PAC ID: 9133375264 Enrollment ID: I20120806000615 |
| Provider Name | Suha Ayoub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427387422 PECOS PAC ID: 6709032188 Enrollment ID: I20120820000435 |
| Provider Name | Jonathon P Mahn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629206065 PECOS PAC ID: 8426205840 Enrollment ID: I20120820000977 |
| Provider Name | Eias S Murad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194954032 PECOS PAC ID: 4688821002 Enrollment ID: I20120820001011 |
| Provider Name | Abdalla F Fadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467682021 PECOS PAC ID: 1951558394 Enrollment ID: I20120821000045 |
| Provider Name | Matthew D Skinner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396070819 PECOS PAC ID: 0749437994 Enrollment ID: I20120823000592 |
| Provider Name | Rasheedat Abdul-azeez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952636169 PECOS PAC ID: 9830349224 Enrollment ID: I20121019000477 |
| Provider Name | Basel Channis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982834594 PECOS PAC ID: 0345490736 Enrollment ID: I20121019000513 |
| Provider Name | Nicole Dianne Strutzenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396096293 PECOS PAC ID: 2365692449 Enrollment ID: I20121025000758 |
| Provider Name | Mohd J Jibreel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225267156 PECOS PAC ID: 9436300209 Enrollment ID: I20121105000408 |
| Provider Name | David A Horwitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942512199 PECOS PAC ID: 1759534712 Enrollment ID: I20121227000218 |
| Provider Name | Paul Mchenry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962422923 PECOS PAC ID: 3072590348 Enrollment ID: I20130103000476 |
| Provider Name | Nathaniel S Rial |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750510327 PECOS PAC ID: 2769635903 Enrollment ID: I20130121000107 |
| Provider Name | Kranthi Andhavarapu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396040655 PECOS PAC ID: 5698928877 Enrollment ID: I20130122000259 |
| Provider Name | Heather M Hodnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932444304 PECOS PAC ID: 5799921177 Enrollment ID: I20130410000309 |
| Provider Name | Muzna Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558691493 PECOS PAC ID: 0244476562 Enrollment ID: I20130411000200 |
| Provider Name | John S. Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336137538 PECOS PAC ID: 3274432869 Enrollment ID: I20130514000579 |
| Provider Name | Cedric Emden Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356534994 PECOS PAC ID: 9931243128 Enrollment ID: I20130604000629 |
| Provider Name | Attila Mady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063478188 PECOS PAC ID: 2769576990 Enrollment ID: I20130610000759 |
| Provider Name | Christopher Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851603674 PECOS PAC ID: 6608017744 Enrollment ID: I20130801000159 |
| Provider Name | Mohamad N Haboukh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841443975 PECOS PAC ID: 2961566419 Enrollment ID: I20130805000923 |
| Provider Name | Sridhar Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992981153 PECOS PAC ID: 5597774000 Enrollment ID: I20130820001065 |
| Provider Name | Pierrette Tantchou Dsamou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396066049 PECOS PAC ID: 0446493563 Enrollment ID: I20130821000301 |
| Provider Name | Judy Y Wu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801122957 PECOS PAC ID: 4183806656 Enrollment ID: I20130826000012 |
| Provider Name | David J Byron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831400597 PECOS PAC ID: 8921241241 Enrollment ID: I20130905000198 |
| Provider Name | Mridula Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932193885 PECOS PAC ID: 5890972640 Enrollment ID: I20130917000392 |
| Provider Name | Dinraj B Hegde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184612178 PECOS PAC ID: 0941240964 Enrollment ID: I20131022002343 |
| Provider Name | Hassan Shafeeq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154378164 PECOS PAC ID: 3173527108 Enrollment ID: I20131030000329 |
| Provider Name | Zaid Fadul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740593797 PECOS PAC ID: 4385885276 Enrollment ID: I20131031001131 |
| Provider Name | Rathan Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386956720 PECOS PAC ID: 9830325349 Enrollment ID: I20131111001180 |
| Provider Name | William Nassour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104131820 PECOS PAC ID: 2264668615 Enrollment ID: I20131113002100 |
| Provider Name | Chika P Madike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619317989 PECOS PAC ID: 4789812777 Enrollment ID: I20140121001312 |
| Provider Name | Anna J Hamernick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699102780 PECOS PAC ID: 7618106220 Enrollment ID: I20140130001825 |
| Provider Name | Philip P Maharaj-prasad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295046621 PECOS PAC ID: 1759510712 Enrollment ID: I20140214001563 |
| Provider Name | Ghassan Fraij |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225253800 PECOS PAC ID: 3274684394 Enrollment ID: I20140227000684 |
| Provider Name | Mansoor Jatoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922366772 PECOS PAC ID: 9537399142 Enrollment ID: I20140227000741 |
| Provider Name | Omair Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740420041 PECOS PAC ID: 8628242229 Enrollment ID: I20140730002791 |
| Provider Name | Monique M Moona |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568781771 PECOS PAC ID: 7113160631 Enrollment ID: I20140805002539 |
| Provider Name | Jacqueline E Corcoran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659401834 PECOS PAC ID: 1658455100 Enrollment ID: I20140821000040 |
| Provider Name | Kaveh Karandish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346485919 PECOS PAC ID: 2769528702 Enrollment ID: I20140826001056 |
| Provider Name | Palitha V Kalpage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386931483 PECOS PAC ID: 9133347271 Enrollment ID: I20140902001556 |
| Provider Name | Wally Folad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326331893 PECOS PAC ID: 8022237841 Enrollment ID: I20140909002842 |
| Provider Name | Dereje F Moti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962792499 PECOS PAC ID: 7416177217 Enrollment ID: I20140929002796 |
| Provider Name | Himmat Mal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962613182 PECOS PAC ID: 0244390722 Enrollment ID: I20141010000900 |
| Provider Name | Neeja N. Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780998237 PECOS PAC ID: 3678796026 Enrollment ID: I20141027001411 |
| Provider Name | Mohanad T Al-qaisi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376838862 PECOS PAC ID: 9436370780 Enrollment ID: I20141030000075 |
| Provider Name | Samer Muala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790943900 PECOS PAC ID: 9234292384 Enrollment ID: I20141030000134 |
| Provider Name | Imam Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346685781 PECOS PAC ID: 5698996858 Enrollment ID: I20141031002265 |
| Provider Name | Nithya V Krishnaswamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710273693 PECOS PAC ID: 0042456113 Enrollment ID: I20141107002132 |
| Provider Name | Delia Story |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265831838 PECOS PAC ID: 8224250808 Enrollment ID: I20141114001899 |
| Provider Name | Joel B Freedman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235413378 PECOS PAC ID: 8628290004 Enrollment ID: I20141119002752 |
| Provider Name | Ileana I Ortiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124316856 PECOS PAC ID: 9335461680 Enrollment ID: I20141124001021 |
| Provider Name | Preethi Subramanian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760731863 PECOS PAC ID: 5294057220 Enrollment ID: I20141202002512 |
| Provider Name | Shahruq R Sarela |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831487271 PECOS PAC ID: 7810219649 Enrollment ID: I20141208000002 |
| Provider Name | Sudheer K Polisetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811211428 PECOS PAC ID: 4385885755 Enrollment ID: I20141212002180 |
| Provider Name | Darcel Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598168288 PECOS PAC ID: 6608190764 Enrollment ID: I20150120000801 |
| Provider Name | Stephanie L Kokseng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194983437 PECOS PAC ID: 7618143025 Enrollment ID: I20150204000321 |
| Provider Name | Benjamin Mishra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669741575 PECOS PAC ID: 9234454935 Enrollment ID: I20150220000048 |
| Provider Name | Jaspreet A Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326307448 PECOS PAC ID: 9032436423 Enrollment ID: I20150324000873 |
| Provider Name | Joshua S Garber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891060612 PECOS PAC ID: 8123251923 Enrollment ID: I20150413002290 |
| Provider Name | Khoi Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932494549 PECOS PAC ID: 2163740184 Enrollment ID: I20150422002170 |
| Provider Name | Gabriel El-kass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821295353 PECOS PAC ID: 9537257506 Enrollment ID: I20150506002568 |
| Provider Name | Dana Caforio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942695622 PECOS PAC ID: 3173843695 Enrollment ID: I20150526000934 |
| Provider Name | Then E Tong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447578992 PECOS PAC ID: 7214161520 Enrollment ID: I20150526002599 |
| Provider Name | Nathan R Duffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497016190 PECOS PAC ID: 8921329814 Enrollment ID: I20150603002592 |
| Provider Name | Greg Buot Alaestante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710247887 PECOS PAC ID: 1254657133 Enrollment ID: I20150630002488 |
| Provider Name | Sabrina K Rocke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194086611 PECOS PAC ID: 3870806029 Enrollment ID: I20150717000863 |
| Provider Name | Ahmad M Ahmad Salameh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548574320 PECOS PAC ID: 1850604653 Enrollment ID: I20150722006556 |
| Provider Name | Amanda V Bisla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598028011 PECOS PAC ID: 3779897905 Enrollment ID: I20150731017280 |
| Provider Name | Fadi K Alrabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609131499 PECOS PAC ID: 6507171105 Enrollment ID: I20150811005276 |
| Provider Name | Michael N. Igwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023374352 PECOS PAC ID: 0648583393 Enrollment ID: I20150825004812 |
| Provider Name | John R Kercheval |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659458842 PECOS PAC ID: 7618069410 Enrollment ID: I20150903001580 |
| Provider Name | Elissa R Abbruscato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356603021 PECOS PAC ID: 4486960416 Enrollment ID: I20150904001419 |
| Provider Name | Tonya I Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740544253 PECOS PAC ID: 9931415866 Enrollment ID: I20150908002509 |
| Provider Name | Kyle C Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184970592 PECOS PAC ID: 5395065353 Enrollment ID: I20150909002075 |
| Provider Name | Emad Hammode |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437407921 PECOS PAC ID: 9335456102 Enrollment ID: I20150911001329 |
| Provider Name | Jill A Krmpotic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649654179 PECOS PAC ID: 8022325158 Enrollment ID: I20150922001098 |
| Provider Name | Madhubindu Kanneganti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205194438 PECOS PAC ID: 9931416971 Enrollment ID: I20150923001770 |
| Provider Name | Zeeshan Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962780536 PECOS PAC ID: 2163730193 Enrollment ID: I20150924002039 |
| Provider Name | Shawn Fazel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861444986 PECOS PAC ID: 4082659149 Enrollment ID: I20150929000850 |
| Provider Name | Nagachandra K Dharmavaram-harirao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447506712 PECOS PAC ID: 5597073825 Enrollment ID: I20151006000976 |
| Provider Name | Khaled Hamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891043386 PECOS PAC ID: 7810206968 Enrollment ID: I20151012002493 |
| Provider Name | Mary K Kemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881984342 PECOS PAC ID: 9739366055 Enrollment ID: I20151119002723 |
| Provider Name | Jonathan S Becker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821014721 PECOS PAC ID: 7315930948 Enrollment ID: I20151202000783 |
| Provider Name | Gregory M Kohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912383522 PECOS PAC ID: 2668772468 Enrollment ID: I20151203003278 |
| Provider Name | Ahmad A Kadhim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083971014 PECOS PAC ID: 0547561342 Enrollment ID: I20151221002249 |
| Provider Name | Shahid Nafees Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205182284 PECOS PAC ID: 5991019705 Enrollment ID: I20160209001258 |
| Provider Name | Ali Y Hamidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518254663 PECOS PAC ID: 8921237181 Enrollment ID: I20160219001701 |
| Provider Name | Carrie Van Curan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760858906 PECOS PAC ID: 5890091797 Enrollment ID: I20160302001256 |
| Provider Name | Laurel V Layton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467813212 PECOS PAC ID: 2163720194 Enrollment ID: I20160407001350 |
| Provider Name | David I Plumb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487686002 PECOS PAC ID: 9931407905 Enrollment ID: I20160408000258 |
| Provider Name | Carol Avila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629443502 PECOS PAC ID: 7517265457 Enrollment ID: I20160411000914 |
| Provider Name | Sneha Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427351600 PECOS PAC ID: 6204089774 Enrollment ID: I20160526001453 |
| Provider Name | Sandra Lynn Till |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164658761 PECOS PAC ID: 2860677267 Enrollment ID: I20160623002310 |
| Provider Name | Mohammad Hudeeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164863569 PECOS PAC ID: 6103118989 Enrollment ID: I20160714002468 |
| Provider Name | Rabea Shaheen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578820684 PECOS PAC ID: 0648563239 Enrollment ID: I20160719002508 |
| Provider Name | Farah Al-saffar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972846285 PECOS PAC ID: 2163649294 Enrollment ID: I20160825000719 |
| Provider Name | Benjamin Barker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932390432 PECOS PAC ID: 4183759459 Enrollment ID: I20160826001621 |
| Provider Name | Hui Gao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093158933 PECOS PAC ID: 3779879770 Enrollment ID: I20160830002863 |
| Provider Name | Satyendra Pratap Singh Raghaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669818308 PECOS PAC ID: 2860788155 Enrollment ID: I20160913001721 |
| Provider Name | Sonal S Gandhi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992047104 PECOS PAC ID: 7911206107 Enrollment ID: I20160913001840 |
| Provider Name | Jennifer M Segar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225478068 PECOS PAC ID: 2466740055 Enrollment ID: I20161014000410 |
| Provider Name | Kevin Nesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407116858 PECOS PAC ID: 2163737453 Enrollment ID: I20161014001600 |
| Provider Name | Saranya Wongchai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346583275 PECOS PAC ID: 7012205487 Enrollment ID: I20161018001651 |
| Provider Name | Mohammad Afzal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396181905 PECOS PAC ID: 7315241288 Enrollment ID: I20161122001209 |
| Provider Name | Zubair B Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245543578 PECOS PAC ID: 4688812712 Enrollment ID: I20161123001545 |
| Provider Name | Jyothsna Talluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689830911 PECOS PAC ID: 3779761259 Enrollment ID: I20161206002408 |
| Provider Name | Lydia Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235243346 PECOS PAC ID: 5991754244 Enrollment ID: I20161223000275 |
| Provider Name | Erica M Flores |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851685309 PECOS PAC ID: 3274814637 Enrollment ID: I20161227001801 |
| Provider Name | Arooj S Kayani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851653521 PECOS PAC ID: 8820370216 Enrollment ID: I20170119001326 |
| Provider Name | Alicia S Hodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720036411 PECOS PAC ID: 8325041213 Enrollment ID: I20170223000164 |
| Provider Name | Michael Hake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417259805 PECOS PAC ID: 2961625173 Enrollment ID: I20170306000334 |
| Provider Name | David Michael Boyd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700042827 PECOS PAC ID: 1557421971 Enrollment ID: I20170308002605 |
| Provider Name | Joshua Reischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538507405 PECOS PAC ID: 1254616436 Enrollment ID: I20170330002547 |
| Provider Name | Katherine J Huls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679012017 PECOS PAC ID: 5496031775 Enrollment ID: I20170421001113 |
| Provider Name | Mohammad M Jaradat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568726644 PECOS PAC ID: 1456673524 Enrollment ID: I20170427002304 |
| Provider Name | Heather Harasty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790941490 PECOS PAC ID: 7618145301 Enrollment ID: I20170505000438 |
| Provider Name | Steven S Lock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629409644 PECOS PAC ID: 6901026392 Enrollment ID: I20170622001736 |
| Provider Name | Michael Tawadrous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972892339 PECOS PAC ID: 3577789163 Enrollment ID: I20170623001916 |
| Provider Name | Desiree Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518415389 PECOS PAC ID: 4385913862 Enrollment ID: I20170627003150 |
| Provider Name | Steven Carl Nuanes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922413285 PECOS PAC ID: 5193094357 Enrollment ID: I20170630001468 |
| Provider Name | Sarah M Richards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144630831 PECOS PAC ID: 9234409574 Enrollment ID: I20170719003753 |
| Provider Name | Amy Priftakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508212960 PECOS PAC ID: 4385915008 Enrollment ID: I20170728002897 |
| Provider Name | Mohammad Aamir Abdullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477968428 PECOS PAC ID: 7719258086 Enrollment ID: I20170804000021 |
| Provider Name | Ilyas Vahora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801109111 PECOS PAC ID: 5092931170 Enrollment ID: I20170809002369 |
| Provider Name | Raymond A F Romero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326450636 PECOS PAC ID: 0547532012 Enrollment ID: I20170817002087 |
| Provider Name | Nina Sukhrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265737977 PECOS PAC ID: 4385895135 Enrollment ID: I20170821003481 |
| Provider Name | Ghassan Kabbach |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730596040 PECOS PAC ID: 1759653710 Enrollment ID: I20170825001076 |
| Provider Name | Nicol Montez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871016394 PECOS PAC ID: 4385916352 Enrollment ID: I20170825001621 |
| Provider Name | Julia Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669891735 PECOS PAC ID: 5890067888 Enrollment ID: I20170825002703 |
| Provider Name | Matthew S Merrill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073955381 PECOS PAC ID: 6305118274 Enrollment ID: I20170828002311 |
| Provider Name | Yoyen A Espartero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972981348 PECOS PAC ID: 5092027748 Enrollment ID: I20170829003058 |
| Provider Name | Christine Oxley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902219322 PECOS PAC ID: 5092088393 Enrollment ID: I20170908000810 |
| Provider Name | Omar B Waheed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063832889 PECOS PAC ID: 9133492440 Enrollment ID: I20170908001071 |
| Provider Name | Mary Angeli Del Rosario Lock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174948905 PECOS PAC ID: 2365749025 Enrollment ID: I20170915000021 |
| Provider Name | Mohammad A Abdulrasool |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053738096 PECOS PAC ID: 4284909581 Enrollment ID: I20171012003289 |
| Provider Name | Simon C Tong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174938757 PECOS PAC ID: 2769757913 Enrollment ID: I20171013001976 |
| Provider Name | Doris Ngemasong Menekeng Chafac |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881008803 PECOS PAC ID: 5799001145 Enrollment ID: I20171117002723 |
| Provider Name | Seyed Sohail Habibi Pasdar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205241270 PECOS PAC ID: 4183981525 Enrollment ID: I20171120002830 |
| Provider Name | Karen D Banks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083998371 PECOS PAC ID: 4587899570 Enrollment ID: I20171129003670 |
| Provider Name | Gregory Shane White |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295146991 PECOS PAC ID: 6002031648 Enrollment ID: I20171130003072 |
| Provider Name | Tuong C Ta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235546805 PECOS PAC ID: 7315204849 Enrollment ID: I20171207003157 |
| Provider Name | Moses A Tarhsong Ashukem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285052696 PECOS PAC ID: 6608134002 Enrollment ID: I20171222000456 |
| Provider Name | Jenniffer Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982120457 PECOS PAC ID: 2769740323 Enrollment ID: I20180103001914 |
| Provider Name | Nafis A Shamsid-deen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326451220 PECOS PAC ID: 6103187547 Enrollment ID: I20180228001642 |
| Provider Name | Natalija De Retana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447768130 PECOS PAC ID: 4486916012 Enrollment ID: I20180320001291 |
| Provider Name | Thu Ngoc Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780942037 PECOS PAC ID: 9931461969 Enrollment ID: I20180402002169 |
| Provider Name | Shujera Bhutta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316357957 PECOS PAC ID: 3971819756 Enrollment ID: I20180522002465 |
| Provider Name | Armando Sanchez Abucejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649785288 PECOS PAC ID: 6507121167 Enrollment ID: I20180531001908 |
| Provider Name | Joseph T Bergerson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558658369 PECOS PAC ID: 6406073659 Enrollment ID: I20180719001158 |
| Provider Name | Sandra Violetta Mele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265811418 PECOS PAC ID: 0446507008 Enrollment ID: I20180727001883 |
| Provider Name | Luke Hise |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629481080 PECOS PAC ID: 3173872132 Enrollment ID: I20180823003306 |
| Provider Name | Brenden M Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043692593 PECOS PAC ID: 2961717723 Enrollment ID: I20180828003532 |
| Provider Name | Edward Charles Mulligan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881060283 PECOS PAC ID: 3779833108 Enrollment ID: I20180906000746 |
| Provider Name | George Salfity |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932588563 PECOS PAC ID: 6507187499 Enrollment ID: I20180907001075 |
| Provider Name | Winola Rachel Purushotham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124294756 PECOS PAC ID: 3274782388 Enrollment ID: I20180919002505 |
| Provider Name | Rebecca Anne Franzi-osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801806294 PECOS PAC ID: 6507866100 Enrollment ID: I20181003001691 |
| Provider Name | Rebecca Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609119478 PECOS PAC ID: 1456583517 Enrollment ID: I20181005001187 |
| Provider Name | Matthew Reed Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194110965 PECOS PAC ID: 8224343322 Enrollment ID: I20181024002718 |
| Provider Name | David Warren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487947180 PECOS PAC ID: 3375767312 Enrollment ID: I20181025001381 |
| Provider Name | Suhaireirene Suady Barake |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407127160 PECOS PAC ID: 2668698994 Enrollment ID: I20181030003177 |
| Provider Name | Madhavi Boga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346622289 PECOS PAC ID: 9739474057 Enrollment ID: I20181031002801 |
| Provider Name | Sagar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376939769 PECOS PAC ID: 7517272776 Enrollment ID: I20181105000039 |
| Provider Name | Edward Distler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891180352 PECOS PAC ID: 8224381421 Enrollment ID: I20181105000709 |
| Provider Name | Christopher T Thuruthumaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316331549 PECOS PAC ID: 1355656471 Enrollment ID: I20181117000340 |
| Provider Name | Rayna Elise Sloane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255810909 PECOS PAC ID: 8820342108 Enrollment ID: I20181127000611 |
| Provider Name | Omar Velasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275845570 PECOS PAC ID: 5991060188 Enrollment ID: I20181210002058 |
| Provider Name | Lomda Lual |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104212190 PECOS PAC ID: 6406190966 Enrollment ID: I20181211000218 |
| Provider Name | Ahmad A Shir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144615303 PECOS PAC ID: 5799080651 Enrollment ID: I20181211000942 |
| Provider Name | Emily A Wilkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154768075 PECOS PAC ID: 9436452992 Enrollment ID: I20181213000691 |
| Provider Name | John P Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306330691 PECOS PAC ID: 9638415979 Enrollment ID: I20190108002319 |
| Provider Name | Nicole Elizabeth Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104206895 PECOS PAC ID: 2163738329 Enrollment ID: I20190123001184 |
| Provider Name | Abigail S Hawke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699114272 PECOS PAC ID: 8426344995 Enrollment ID: I20190123001739 |
| Provider Name | Joel Timothy Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942781281 PECOS PAC ID: 8224375423 Enrollment ID: I20190125002159 |
| Provider Name | Melissa Lockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801366455 PECOS PAC ID: 0446590681 Enrollment ID: I20190325002658 |
| Provider Name | Jaafar Al-dahwi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639551435 PECOS PAC ID: 7911250303 Enrollment ID: I20190408001327 |
| Provider Name | Alicia Jarrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639634884 PECOS PAC ID: 3476894742 Enrollment ID: I20190415001416 |
| Provider Name | Rachel C Gable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881172260 PECOS PAC ID: 6002140423 Enrollment ID: I20190618003499 |
| Provider Name | Jessica Ivy Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285089441 PECOS PAC ID: 0840525259 Enrollment ID: I20190708001878 |
| Provider Name | Hong Seok Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750767273 PECOS PAC ID: 5890074322 Enrollment ID: I20190711003628 |
| Provider Name | Sarah A Snoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538543863 PECOS PAC ID: 7810204567 Enrollment ID: I20190719002905 |
| Provider Name | Ceon Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861843682 PECOS PAC ID: 2961738141 Enrollment ID: I20190725001735 |
| Provider Name | Daniel Steven Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851749055 PECOS PAC ID: 2769776244 Enrollment ID: I20190806000766 |
| Provider Name | Yang Xuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043668304 PECOS PAC ID: 4082941422 Enrollment ID: I20190808001367 |
| Provider Name | David Nathaniel Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538557210 PECOS PAC ID: 3274860515 Enrollment ID: I20190809001298 |
| Provider Name | Ahmed K Agha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063413524 PECOS PAC ID: 0547471799 Enrollment ID: I20190809001704 |
| Provider Name | Sangram Singh Randhawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306291323 PECOS PAC ID: 4587992128 Enrollment ID: I20190821001253 |
| Provider Name | Phuoc Nam Van Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962853135 PECOS PAC ID: 2466718168 Enrollment ID: I20190823002824 |
| Provider Name | Kristin Pauline Meharry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720583685 PECOS PAC ID: 3274861463 Enrollment ID: I20190826004034 |
| Provider Name | Jennifer Carolyn Vanfossan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376907501 PECOS PAC ID: 3072806504 Enrollment ID: I20190904000631 |
| Provider Name | Mansi D Dave |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508211673 PECOS PAC ID: 6204165772 Enrollment ID: I20190909001993 |
| Provider Name | Yuzhou Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386096535 PECOS PAC ID: 4789920067 Enrollment ID: I20190925003739 |
| Provider Name | Jonathan Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164075545 PECOS PAC ID: 3476883638 Enrollment ID: I20191001002505 |
| Provider Name | Sachin Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831572221 PECOS PAC ID: 2769779834 Enrollment ID: I20191003000876 |
| Provider Name | Alyssa Marie Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053896902 PECOS PAC ID: 6901137694 Enrollment ID: I20191010001516 |
| Provider Name | John Sungwon Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497041883 PECOS PAC ID: 5698995421 Enrollment ID: I20191017002793 |
| Provider Name | Natasha Lee Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639681919 PECOS PAC ID: 6507198603 Enrollment ID: I20191022002861 |
| Provider Name | Kareem Naji Raad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629423926 PECOS PAC ID: 1759613763 Enrollment ID: I20191024000437 |
| Provider Name | Justina Anita Cychowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790331445 PECOS PAC ID: 8527390582 Enrollment ID: I20191024002588 |
| Provider Name | Tarreq M Noori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801250071 PECOS PAC ID: 4486986346 Enrollment ID: I20191024003475 |
| Provider Name | Nicole Marie Musabelliu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457772311 PECOS PAC ID: 8628297900 Enrollment ID: I20191025001818 |
| Provider Name | Debra Lynn Jackley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104475482 PECOS PAC ID: 9133451081 Enrollment ID: I20191028000603 |
| Provider Name | Jawad Bilal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174939623 PECOS PAC ID: 2163773706 Enrollment ID: I20191028001554 |
| Provider Name | Joseph A Linton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871944777 PECOS PAC ID: 7517254246 Enrollment ID: I20191030002398 |
| Provider Name | Saba Najeeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902252281 PECOS PAC ID: 8123450319 Enrollment ID: I20191108000678 |
| Provider Name | Daise C Vieira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598155749 PECOS PAC ID: 7113359365 Enrollment ID: I20191109000032 |
| Provider Name | Kiyan Rad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649690769 PECOS PAC ID: 0143592881 Enrollment ID: I20191209000531 |
| Provider Name | Sung-wook Jesse Bang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992159305 PECOS PAC ID: 4688965510 Enrollment ID: I20191209000736 |
| Provider Name | Elizabeth N Lowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770133282 PECOS PAC ID: 2860613478 Enrollment ID: I20191210001798 |
| Provider Name | Rodolphe Taby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710271697 PECOS PAC ID: 8022233634 Enrollment ID: I20191227002155 |
| Provider Name | Lylla Ngo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366754673 PECOS PAC ID: 9436445103 Enrollment ID: I20200102002492 |
| Provider Name | Walkennia E Simpson-earl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861052094 PECOS PAC ID: 8325472996 Enrollment ID: I20200107002970 |
| Provider Name | Sandra R Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134761240 PECOS PAC ID: 7618302613 Enrollment ID: I20200122001090 |
| Provider Name | Yeo K Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538569603 PECOS PAC ID: 5092012641 Enrollment ID: I20200122001161 |
| Provider Name | Renee Marie Rundle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457990913 PECOS PAC ID: 6204262033 Enrollment ID: I20200214000235 |
| Provider Name | Mark Talmage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114038403 PECOS PAC ID: 7810989365 Enrollment ID: I20200311001008 |
| Provider Name | Shehran Islam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942688023 PECOS PAC ID: 0042509705 Enrollment ID: I20200401002048 |
| Provider Name | Djamshed Samiev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902245178 PECOS PAC ID: 6608120035 Enrollment ID: I20200408000265 |
| Provider Name | Harrison Wilson Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013924612 PECOS PAC ID: 2860595980 Enrollment ID: I20200519003096 |
| Provider Name | Martin Watterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184669749 PECOS PAC ID: 5496740581 Enrollment ID: I20200527003250 |
| Provider Name | Rebecca A Rist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497284590 PECOS PAC ID: 1052681582 Enrollment ID: I20200714001616 |
| Provider Name | Andrew L Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629506811 PECOS PAC ID: 1153745443 Enrollment ID: I20200720002194 |
| Provider Name | Ammad Raina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003341835 PECOS PAC ID: 2860816154 Enrollment ID: I20200720002266 |
| Provider Name | Justin Meyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588195473 PECOS PAC ID: 6608145420 Enrollment ID: I20200827001054 |
| Provider Name | Jennifer H Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669404810 PECOS PAC ID: 0042234007 Enrollment ID: I20201002002590 |
| Provider Name | Jason Snarr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164959136 PECOS PAC ID: 0840610648 Enrollment ID: I20201016000612 |
| Provider Name | Bruce Camilleri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912938333 PECOS PAC ID: 1951325786 Enrollment ID: I20201016002012 |
| Provider Name | Omar Tareq Mahfouz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184158222 PECOS PAC ID: 7911327614 Enrollment ID: I20201019002620 |
| Provider Name | Lakshmi Kocherlakota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386171320 PECOS PAC ID: 2062752165 Enrollment ID: I20201026000825 |
| Provider Name | Tatyana N Aurigemma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932743119 PECOS PAC ID: 4385058866 Enrollment ID: I20210125000350 |
| Provider Name | Liza N Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891229266 PECOS PAC ID: 6002227667 Enrollment ID: I20210210002673 |
| Provider Name | Ian Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720599780 PECOS PAC ID: 6002158474 Enrollment ID: I20210324002318 |
| Provider Name | Daniel Itano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194133041 PECOS PAC ID: 6002131067 Enrollment ID: I20210324002719 |
| Provider Name | Ankita Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265870935 PECOS PAC ID: 2769623107 Enrollment ID: I20210412001146 |
| Provider Name | Roland K Kafuuma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962615732 PECOS PAC ID: 3072681709 Enrollment ID: I20210414002316 |
| Provider Name | Julius Larosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780605071 PECOS PAC ID: 2466477997 Enrollment ID: I20210419000564 |
| Provider Name | David M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477144681 PECOS PAC ID: 1557779980 Enrollment ID: I20210422002916 |
| Provider Name | Kasandra Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902454655 PECOS PAC ID: 5092123356 Enrollment ID: I20210426002812 |
| Provider Name | Enrique Rodriguez-paz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235770074 PECOS PAC ID: 7315350428 Enrollment ID: I20210426002903 |
| Provider Name | Richard Ciezki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669834537 PECOS PAC ID: 5395030050 Enrollment ID: I20210525001744 |
| Provider Name | Francis Hinsberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275574105 PECOS PAC ID: 5698709202 Enrollment ID: I20210526003311 |
| Provider Name | Matthew R Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750875191 PECOS PAC ID: 9931509767 Enrollment ID: I20210615002621 |
| Provider Name | Miguel Pineda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174057400 PECOS PAC ID: 2365797479 Enrollment ID: I20210624000682 |
| Provider Name | Wasiq Syed Zaidi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457771321 PECOS PAC ID: 1658636246 Enrollment ID: I20210707001601 |
| Provider Name | Ali Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679951461 PECOS PAC ID: 1850679937 Enrollment ID: I20210713002789 |
| Provider Name | Cathryn Ann Griepentrog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104402114 PECOS PAC ID: 6709289564 Enrollment ID: I20210730002339 |
| Provider Name | Varnitha Baddam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306013875 PECOS PAC ID: 6002953981 Enrollment ID: I20210803001165 |
| Provider Name | Prabath Madusanka Herath Mudiyanselage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619463130 PECOS PAC ID: 2668876095 Enrollment ID: I20210809000002 |
| Provider Name | Sarah N Bodine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427511898 PECOS PAC ID: 2062748361 Enrollment ID: I20210820003172 |
| Provider Name | Travis Richard Cole Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972572535 PECOS PAC ID: 2860415338 Enrollment ID: I20210826001240 |
| Provider Name | Amanda Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760975924 PECOS PAC ID: 1355749508 Enrollment ID: I20211001002681 |
| Provider Name | Sreeja Biswas Roy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902218480 PECOS PAC ID: 0345663589 Enrollment ID: I20211013001835 |
| Provider Name | Jonathan Weiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699739862 PECOS PAC ID: 8022030857 Enrollment ID: I20211019003093 |
| Provider Name | Keith A Podolak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568138527 PECOS PAC ID: 9739579707 Enrollment ID: I20211206001953 |
| Provider Name | Stacy Rebecca Rummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235750258 PECOS PAC ID: 1153711122 Enrollment ID: I20211206002114 |
| Provider Name | Michael A Wilk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386050383 PECOS PAC ID: 9234417528 Enrollment ID: I20211229002233 |
| Provider Name | Sheryl Galt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699796680 PECOS PAC ID: 4880625698 Enrollment ID: I20211230001035 |
| Provider Name | Mansoor Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639583321 PECOS PAC ID: 2365747862 Enrollment ID: I20220401002247 |
| Provider Name | Faraz Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609071661 PECOS PAC ID: 8426242066 Enrollment ID: I20220524002196 |
| Provider Name | Laeeq Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684735 PECOS PAC ID: 2264719335 Enrollment ID: I20220524003300 |
| Provider Name | Sherif Latif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518167188 PECOS PAC ID: 9830221233 Enrollment ID: I20220623003350 |
| Provider Name | John C Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235628033 PECOS PAC ID: 7315327988 Enrollment ID: I20220629002594 |
| Provider Name | Mian Rizwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437380276 PECOS PAC ID: 0042460412 Enrollment ID: I20220707002252 |
| Provider Name | Ashley Nicolette Squier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912659251 PECOS PAC ID: 0042690950 Enrollment ID: I20220709000791 |
| Provider Name | Kartik Kailesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568786465 PECOS PAC ID: 2466693346 Enrollment ID: I20220715000394 |
| Provider Name | Sanober Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275549529 PECOS PAC ID: 8729031620 Enrollment ID: I20220722002856 |
| Provider Name | Meghan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679232839 PECOS PAC ID: 7214310606 Enrollment ID: I20220817003176 |
| Provider Name | Christopher Lew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043771082 PECOS PAC ID: 9032592431 Enrollment ID: I20220817003677 |
| Provider Name | Shahin Shahnia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598938946 PECOS PAC ID: 5395920938 Enrollment ID: I20220817003791 |
| Provider Name | Jason Tarno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114077278 PECOS PAC ID: 7911984455 Enrollment ID: I20220914003531 |
| Provider Name | Taryn L Bolling |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619400439 PECOS PAC ID: 9739508482 Enrollment ID: I20220916003042 |
| Provider Name | Rachael Nambusi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255985 PECOS PAC ID: 8729394267 Enrollment ID: I20221004003889 |
| Provider Name | Rajiv A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063434314 PECOS PAC ID: 9931154978 Enrollment ID: I20221004003899 |
| Provider Name | James Wilson Mar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982267449 PECOS PAC ID: 6204212707 Enrollment ID: I20221006003112 |
| Provider Name | Adnan Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063893733 PECOS PAC ID: 6406192293 Enrollment ID: I20221017003017 |
| Provider Name | Daniel Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881157014 PECOS PAC ID: 7113393984 Enrollment ID: I20221019001325 |
| Provider Name | Breanna Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760077093 PECOS PAC ID: 6305213679 Enrollment ID: I20221031001836 |
| Provider Name | Ronald Zack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104375732 PECOS PAC ID: 4082081740 Enrollment ID: I20221109001465 |
| Provider Name | Kruti Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659803518 PECOS PAC ID: 2668717075 Enrollment ID: I20221202001178 |
| Provider Name | Bilaal Zahoui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073075081 PECOS PAC ID: 1254700859 Enrollment ID: I20221202001408 |
| Provider Name | Daniel Kyongsoo Yu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174029912 PECOS PAC ID: 5799180188 Enrollment ID: I20221213003113 |
| Provider Name | Pawan A Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073560702 PECOS PAC ID: 3870569569 Enrollment ID: I20221214000827 |
| Provider Name | Chirag Chavda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023314655 PECOS PAC ID: 9638347370 Enrollment ID: I20221219001654 |
| Provider Name | Poyani Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902285141 PECOS PAC ID: 7113271438 Enrollment ID: I20221219001748 |
| Provider Name | Savita Kurup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568457968 PECOS PAC ID: 0840253399 Enrollment ID: I20221219001926 |
| Provider Name | Vishnu Vardhan Madireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811063761 PECOS PAC ID: 2860597671 Enrollment ID: I20221219002040 |
| Provider Name | Emad Shoukry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053318857 PECOS PAC ID: 1759353337 Enrollment ID: I20221219002456 |
| Provider Name | Renuka Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720374051 PECOS PAC ID: 0840514030 Enrollment ID: I20221220001505 |
| Provider Name | Salem R Al Rabadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104388511 PECOS PAC ID: 1254666746 Enrollment ID: I20221227001018 |
| Provider Name | Fernando Madero Gorostieta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720219637 PECOS PAC ID: 2365608916 Enrollment ID: I20230103002763 |
| Provider Name | Daniel Earl Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508211921 PECOS PAC ID: 2062708191 Enrollment ID: I20230119000317 |
| Provider Name | Emily Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083812028 PECOS PAC ID: 0749455228 Enrollment ID: I20230207002058 |
| Provider Name | Cherise Ann Brimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366168809 PECOS PAC ID: 8022480078 Enrollment ID: I20230221000790 |
| Provider Name | Shana Fogarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104879899 PECOS PAC ID: 3173577269 Enrollment ID: I20230308002812 |
| Provider Name | Mukti J Patel-prineas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083932990 PECOS PAC ID: 0840439840 Enrollment ID: I20230310001999 |
| Provider Name | Sesha Adusumilli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720212699 PECOS PAC ID: 4385809029 Enrollment ID: I20230315001614 |
| Provider Name | Mariana Mounir Tawadrous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881639029 PECOS PAC ID: 5294790283 Enrollment ID: I20230320000280 |
| Provider Name | Marcos Nathaniel Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760187868 PECOS PAC ID: 7416322078 Enrollment ID: I20230412002503 |
| Provider Name | Jonathan Robert Martens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184335085 PECOS PAC ID: 0547625824 Enrollment ID: I20230421000587 |
| Provider Name | Zakaria Tawadrous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336290444 PECOS PAC ID: 3577691757 Enrollment ID: I20230511003497 |
| Provider Name | Jayson Alan Weir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518257138 PECOS PAC ID: 2163647355 Enrollment ID: I20230627001498 |
| Provider Name | Marianne Elizabeth Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003206749 PECOS PAC ID: 0749509826 Enrollment ID: I20230711000634 |
| Provider Name | Saif Alrabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518413871 PECOS PAC ID: 9830485424 Enrollment ID: I20230711002825 |
| Provider Name | Hannah E Parry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659991552 PECOS PAC ID: 8820411887 Enrollment ID: I20230725002896 |
| Provider Name | Maria M Dahar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790104008 PECOS PAC ID: 7315243250 Enrollment ID: I20230731001449 |
| Provider Name | Shyama Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659908077 PECOS PAC ID: 2062867187 Enrollment ID: I20231010002560 |
| Provider Name | Pooja Shivananjappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619587508 PECOS PAC ID: 9931557048 Enrollment ID: I20231130001276 |
| Provider Name | Osman Atiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720540347 PECOS PAC ID: 6204285166 Enrollment ID: I20231218002394 |
| Provider Name | Vanessa Piscoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669092581 PECOS PAC ID: 8123441300 Enrollment ID: I20240112000646 |
| Provider Name | Virgilio R Huerta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275774598 PECOS PAC ID: 5294973533 Enrollment ID: I20240604004378 |
A Sound Mind Behavioral Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Continental Pl, Brentwood, TN 37027 Phone: 615-445-7600 Fax: 615-332-8939 | |
Bill G. Sekulovski, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Eastpark Dr, Suite 102, Brentwood, TN 37027 Phone: 615-373-5700 | |
Monogram Health Professional Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5410 Maryland Way Ste 301, Brentwood, TN 37027 Phone: 615-673-4455 | |
Hospitalist Medicine Physicians Of Florida - Palm Coast, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5410 Maryland Way Ste 300, Brentwood, TN 37027 Phone: 615-377-5658 | |
Vanguard Crewcare Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 Maryland Way Ste 200, Brentwood, TN 37027 Phone: 615-577-4927 | |
Bluesky Housecalls, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 Westpark Dr, Brentwood, TN 37027 Phone: 615-340-6840 Fax: 615-600-4804 | |
Brentwood Family Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5046 Thoroughbred Ln, Brentwood, TN 37027 Phone: 615-370-8080 Fax: 615-371-8906 |