| Cogent Healthcare Of Jacksonville, Llc | |
|
655 W 8th St Jacksonville FL 32209-6511 | |
| (904) 244-3850 | |
| (904) 244-4799 |
| Full Name | Cogent Healthcare Of Jacksonville, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 655 W 8th St, Jacksonville, Florida |
| Authorized Official Name and Position | Susan Brownie (TREASURER) |
| Authorized Official Contact | 6153775630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogent Healthcare Of Jacksonville, Llc 5410 Maryland Way Suite 300 Brentwood TN 37027-5064 Ph: (615) 377-5600 | Cogent Healthcare Of Jacksonville, Llc 655 W 8th St Jacksonville FL 32209-6511 Ph: (904) 244-3850 |
| NPI Number | 1124252333 |
|---|---|
| Provider Enumeration Date | 05/04/2009 |
| Last Update Date | 04/07/2010 |
| Medicare PECOS PAC ID | 1759435944 |
|---|---|
| Medicare Enrollment ID | O20090824000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124252333 | NPI | - | NPPES |
| 001651500 | Medicaid | FL | |
| 00A4D | Other | FL | BLUE CROSS/BLUE SHIELD OF FLORIDA |
| Provider Name | Humaira Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356344493 PECOS PAC ID: 7618870247 Enrollment ID: I20040130000064 |
| Provider Name | Ibrahim Ahmed Abdalla Wafik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699722827 PECOS PAC ID: 9234029646 Enrollment ID: I20040318001137 |
| Provider Name | Steven M Grieper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508830761 PECOS PAC ID: 8022001114 Enrollment ID: I20040405001658 |
| Provider Name | Walter Gray |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821040353 PECOS PAC ID: 0749274413 Enrollment ID: I20040414000645 |
| Provider Name | Monica Joset Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467432351 PECOS PAC ID: 8022090968 Enrollment ID: I20040603001018 |
| Provider Name | Kristal A Wolfe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821142126 PECOS PAC ID: 1456330489 Enrollment ID: I20040714001181 |
| Provider Name | Sarah Ann Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184711046 PECOS PAC ID: 1951376052 Enrollment ID: I20040901000357 |
| Provider Name | Eugene Rost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700829470 PECOS PAC ID: 6507835063 Enrollment ID: I20040930000861 |
| Provider Name | Jack Haj Obeid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104808054 PECOS PAC ID: 9638139876 Enrollment ID: I20041013000203 |
| Provider Name | Perwaiz Hussain Rahim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629053988 PECOS PAC ID: 7517924434 Enrollment ID: I20041214000114 |
| Provider Name | John Pennington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780657734 PECOS PAC ID: 8426043522 Enrollment ID: I20050126000720 |
| Provider Name | Natali V Rolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275524654 PECOS PAC ID: 9830141787 Enrollment ID: I20050218000387 |
| Provider Name | Muhammed Mustafa Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356326995 PECOS PAC ID: 2769434539 Enrollment ID: I20050221000343 |
| Provider Name | Nagamanikkam Ravichandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871585521 PECOS PAC ID: 6305892274 Enrollment ID: I20050323001047 |
| Provider Name | Elaine C Borne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851352041 PECOS PAC ID: 7618914839 Enrollment ID: I20050409000082 |
| Provider Name | Patrick Gonzalez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548278856 PECOS PAC ID: 0446297279 Enrollment ID: I20050413000925 |
| Provider Name | Suzette Adele Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255539599 PECOS PAC ID: 0042241754 Enrollment ID: I20050823000377 |
| Provider Name | Kathleen Joseph-mc Bean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497853394 PECOS PAC ID: 4981686383 Enrollment ID: I20051004000551 |
| Provider Name | Jose Betancourt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992748149 PECOS PAC ID: 8123043932 Enrollment ID: I20051011000680 |
| Provider Name | Jocelyn A Soto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215928635 PECOS PAC ID: 8628095940 Enrollment ID: I20051026000820 |
| Provider Name | Michael A Wilson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093790032 PECOS PAC ID: 6103815501 Enrollment ID: I20051110000191 |
| Provider Name | John E Prioleau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285613315 PECOS PAC ID: 1052333580 Enrollment ID: I20051228000270 |
| Provider Name | Stuart J Newmark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073552360 PECOS PAC ID: 0042213886 Enrollment ID: I20060816000181 |
| Provider Name | Ernst B Michel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619961091 PECOS PAC ID: 5496751752 Enrollment ID: I20061010000054 |
| Provider Name | James Tremaroli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144269754 PECOS PAC ID: 2961409479 Enrollment ID: I20061025000763 |
| Provider Name | Robert L Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629008073 PECOS PAC ID: 4385642453 Enrollment ID: I20061128000255 |
| Provider Name | Bassel Ramadan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487603361 PECOS PAC ID: 3173592110 Enrollment ID: I20070131000634 |
| Provider Name | Stephanie Ann Salas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154332765 PECOS PAC ID: 9032102769 Enrollment ID: I20070207000424 |
| Provider Name | Vasantha L Gona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114983798 PECOS PAC ID: 7214939834 Enrollment ID: I20070212000389 |
| Provider Name | Rajiv A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063434314 PECOS PAC ID: 9931154978 Enrollment ID: I20070404000035 |
| Provider Name | Todd Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669452264 PECOS PAC ID: 2668578329 Enrollment ID: I20070426000459 |
| Provider Name | Mohammed S Arzu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871552356 PECOS PAC ID: 6204935240 Enrollment ID: I20070615000488 |
| Provider Name | Ali A Harake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154341535 PECOS PAC ID: 0840391553 Enrollment ID: I20070725000416 |
| Provider Name | Chidi U Uche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891828448 PECOS PAC ID: 4587756135 Enrollment ID: I20070827000936 |
| Provider Name | Theresa N Huyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760675599 PECOS PAC ID: 2466548227 Enrollment ID: I20071010000298 |
| Provider Name | Tomislav Zeljko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629261102 PECOS PAC ID: 0345338588 Enrollment ID: I20071121000347 |
| Provider Name | Jacob Hyppolite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255302428 PECOS PAC ID: 2567421936 Enrollment ID: I20071208000027 |
| Provider Name | Mohiuddin A Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649342791 PECOS PAC ID: 6002910627 Enrollment ID: I20071215000239 |
| Provider Name | Alejandro Victoria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043200934 PECOS PAC ID: 2062502560 Enrollment ID: I20071220000601 |
| Provider Name | Sanjay Mughal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538199781 PECOS PAC ID: 9234187261 Enrollment ID: I20080306000465 |
| Provider Name | Rodrick Hurt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922074145 PECOS PAC ID: 8022027002 Enrollment ID: I20080403000213 |
| Provider Name | Eiad Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619153996 PECOS PAC ID: 4587733068 Enrollment ID: I20080523000371 |
| Provider Name | Aktar Dean Jaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568629897 PECOS PAC ID: 7618037029 Enrollment ID: I20081114000543 |
| Provider Name | Manuel A Batlle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154520104 PECOS PAC ID: 9133285844 Enrollment ID: I20090304000714 |
| Provider Name | Nausheen Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235322215 PECOS PAC ID: 5991861312 Enrollment ID: I20090309000569 |
| Provider Name | Saeid Behroozi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952415846 PECOS PAC ID: 2365415114 Enrollment ID: I20090504000528 |
| Provider Name | Elizabeth J Isalguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639304470 PECOS PAC ID: 8325196165 Enrollment ID: I20090504000634 |
| Provider Name | Muhammad Hanif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487792503 PECOS PAC ID: 6901997030 Enrollment ID: I20090508000109 |
| Provider Name | Min Kyung Zimilevich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750529525 PECOS PAC ID: 5193879104 Enrollment ID: I20090810000553 |
| Provider Name | Alexander Zimilevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811156680 PECOS PAC ID: 2668527987 Enrollment ID: I20090909000634 |
| Provider Name | Anton Marek Clemmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225163454 PECOS PAC ID: 5799868451 Enrollment ID: I20091008000617 |
| Provider Name | Volrick Morrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669611711 PECOS PAC ID: 4284771692 Enrollment ID: I20091016000155 |
| Provider Name | Harelle C Duncan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174718837 PECOS PAC ID: 2567509490 Enrollment ID: I20091027000270 |
| Provider Name | Merlyn S Salmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912130246 PECOS PAC ID: 3870631534 Enrollment ID: I20091117000691 |
| Provider Name | Zoe Ann Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437336302 PECOS PAC ID: 2860423431 Enrollment ID: I20100115000059 |
| Provider Name | Shriram S Marathe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134179922 PECOS PAC ID: 4183535487 Enrollment ID: I20100224000223 |
| Provider Name | Sarah Campos-monell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316010853 PECOS PAC ID: 6709921166 Enrollment ID: I20100310000186 |
| Provider Name | Shapour Steve Mirmanesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669407375 PECOS PAC ID: 4789661802 Enrollment ID: I20100512001008 |
| Provider Name | Sasha Boris Grek |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558438085 PECOS PAC ID: 4183753346 Enrollment ID: I20100526000405 |
| Provider Name | Walter B Frady |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255361382 PECOS PAC ID: 7416089115 Enrollment ID: I20100715000677 |
| Provider Name | Hassan Alkhatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952630105 PECOS PAC ID: 4789708827 Enrollment ID: I20100826000653 |
| Provider Name | Bibi S. Roopchand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487986014 PECOS PAC ID: 7810011632 Enrollment ID: I20100901000050 |
| Provider Name | Saw F Po |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366402281 PECOS PAC ID: 6103941414 Enrollment ID: I20100909001037 |
| Provider Name | Fadi R Chalhoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568451557 PECOS PAC ID: 8527183474 Enrollment ID: I20100915000489 |
| Provider Name | Byron Kendall Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20100916000360 |
| Provider Name | Yasser Hussain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821321134 PECOS PAC ID: 3870618408 Enrollment ID: I20100920000202 |
| Provider Name | Arshia Cottey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871562579 PECOS PAC ID: 2466645585 Enrollment ID: I20101021000965 |
| Provider Name | Jaime Orlando Carrillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780877977 PECOS PAC ID: 0446443253 Enrollment ID: I20101025000344 |
| Provider Name | Deqing Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811048622 PECOS PAC ID: 4486849049 Enrollment ID: I20101109001431 |
| Provider Name | Margaret R Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588891618 PECOS PAC ID: 2163605437 Enrollment ID: I20110323000826 |
| Provider Name | Herbert Goldwire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669772406 PECOS PAC ID: 2961685680 Enrollment ID: I20110411000191 |
| Provider Name | Vijaya R Chalamalasetty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487601209 PECOS PAC ID: 6002836111 Enrollment ID: I20110513000734 |
| Provider Name | Pablo Rabosto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316924012 PECOS PAC ID: 8123929643 Enrollment ID: I20110617000359 |
| Provider Name | Lisa Jones |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538131842 PECOS PAC ID: 6507044138 Enrollment ID: I20110629000381 |
| Provider Name | Vijayarama R Vegesna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083877112 PECOS PAC ID: 2567630205 Enrollment ID: I20110722000516 |
| Provider Name | Nelson Kazie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891089744 PECOS PAC ID: 2567631294 Enrollment ID: I20110812000633 |
| Provider Name | Ribal Darwish |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568400117 PECOS PAC ID: 5294914941 Enrollment ID: I20110823000982 |
| Provider Name | Cedric Emden Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356534994 PECOS PAC ID: 9931243128 Enrollment ID: I20110929000686 |
| Provider Name | Shawn Chopra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518122290 PECOS PAC ID: 1456523042 Enrollment ID: I20111003000626 |
| Provider Name | Mohammed Mohiuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437310083 PECOS PAC ID: 3173719549 Enrollment ID: I20111111000198 |
| Provider Name | Alka A Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568605038 PECOS PAC ID: 6709050941 Enrollment ID: I20111128000090 |
| Provider Name | Kalyan Krishna Bachu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497916183 PECOS PAC ID: 9234304494 Enrollment ID: I20111216000296 |
| Provider Name | Priyeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407139256 PECOS PAC ID: 7618144312 Enrollment ID: I20120120000555 |
| Provider Name | Marc B Blatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861498131 PECOS PAC ID: 6305003427 Enrollment ID: I20120201000457 |
| Provider Name | Jaime S Solorzano Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609031442 PECOS PAC ID: 0941467468 Enrollment ID: I20120210000093 |
| Provider Name | Sarah Wiggill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427377886 PECOS PAC ID: 6204095961 Enrollment ID: I20120315000553 |
| Provider Name | Sherene P Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871768861 PECOS PAC ID: 9436319639 Enrollment ID: I20120326000702 |
| Provider Name | Kevin D Crismond |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164428447 PECOS PAC ID: 5092773457 Enrollment ID: I20120410000176 |
| Provider Name | Omar Khashaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942467576 PECOS PAC ID: 5294996492 Enrollment ID: I20120416000463 |
| Provider Name | Jyoti Pradhananga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518115047 PECOS PAC ID: 9133382450 Enrollment ID: I20120524000492 |
| Provider Name | Cristian O Landa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417181249 PECOS PAC ID: 2769646066 Enrollment ID: I20120618000675 |
| Provider Name | Noah P Hoskins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780880484 PECOS PAC ID: 9931383791 Enrollment ID: I20120628000633 |
| Provider Name | Sari Nicole Fandel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619179587 PECOS PAC ID: 3678738259 Enrollment ID: I20120705000276 |
| Provider Name | Khadidja Koraibaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356451041 PECOS PAC ID: 0547268047 Enrollment ID: I20120717000307 |
| Provider Name | Valentyn V Tyulmenkov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548269178 PECOS PAC ID: 4880665470 Enrollment ID: I20120719000098 |
| Provider Name | Jason Edward Szymala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851330807 PECOS PAC ID: 1557368818 Enrollment ID: I20120719000114 |
| Provider Name | Ravi George |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033151873 PECOS PAC ID: 6103015532 Enrollment ID: I20120801000112 |
| Provider Name | Alexandre M Furman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477709632 PECOS PAC ID: 5890950745 Enrollment ID: I20120801000766 |
| Provider Name | Vinay Gagadam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437380797 PECOS PAC ID: 3476709510 Enrollment ID: I20120806000789 |
| Provider Name | Robert Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750557930 PECOS PAC ID: 5698826436 Enrollment ID: I20120831000012 |
| Provider Name | Gregory Royce Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629179494 PECOS PAC ID: 6002877982 Enrollment ID: I20120910000238 |
| Provider Name | Nathalie J Narcisse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255309001 PECOS PAC ID: 0749258788 Enrollment ID: I20120924000250 |
| Provider Name | Rajesh Chawla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750512828 PECOS PAC ID: 0244489631 Enrollment ID: I20120928000172 |
| Provider Name | Niki F Hector |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346471828 PECOS PAC ID: 5294984597 Enrollment ID: I20121002000206 |
| Provider Name | Kelvin James Wiley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194810481 PECOS PAC ID: 3971604638 Enrollment ID: I20121011000564 |
| Provider Name | Francois R. Roche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760795108 PECOS PAC ID: 1557485877 Enrollment ID: I20121012000506 |
| Provider Name | Parveen B Makhni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669414090 PECOS PAC ID: 6103956255 Enrollment ID: I20121017000068 |
| Provider Name | Slavisa Markovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922305440 PECOS PAC ID: 3173799228 Enrollment ID: I20121022000055 |
| Provider Name | Amy L Piper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316297633 PECOS PAC ID: 9335390079 Enrollment ID: I20121106000601 |
| Provider Name | Jigar K Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659508166 PECOS PAC ID: 9830340728 Enrollment ID: I20121128000059 |
| Provider Name | Fariha Esmail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720212210 PECOS PAC ID: 8224280979 Enrollment ID: I20121204000386 |
| Provider Name | Mitaben N Hajirawala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144588310 PECOS PAC ID: 4385896869 Enrollment ID: I20121207000221 |
| Provider Name | Rajesh Mali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20130123000057 |
| Provider Name | Christopher Kempf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033461603 PECOS PAC ID: 1850545625 Enrollment ID: I20130201000099 |
| Provider Name | Olatokunbo Baruwa Obayomi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194772921 PECOS PAC ID: 5991796724 Enrollment ID: I20130213000409 |
| Provider Name | Aimee M Shariat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730317892 PECOS PAC ID: 6103072608 Enrollment ID: I20130215000439 |
| Provider Name | Joseph B Salenga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689819534 PECOS PAC ID: 1456406164 Enrollment ID: I20130220000159 |
| Provider Name | Kyle H Petersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790032530 PECOS PAC ID: 8820233984 Enrollment ID: I20130321000211 |
| Provider Name | Jessica R Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245584754 PECOS PAC ID: 9436395688 Enrollment ID: I20130415000254 |
| Provider Name | Claude Lyne Valcin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144459876 PECOS PAC ID: 5294972238 Enrollment ID: I20130510000059 |
| Provider Name | Bijan N Moradi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376863811 PECOS PAC ID: 3173762846 Enrollment ID: I20130611000200 |
| Provider Name | Amanda J Kowalski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902115868 PECOS PAC ID: 6002055100 Enrollment ID: I20130621000271 |
| Provider Name | Michael L Grobelny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790080422 PECOS PAC ID: 9335389089 Enrollment ID: I20130701000689 |
| Provider Name | Melissa Danielle Newman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659690089 PECOS PAC ID: 9830330703 Enrollment ID: I20130719000269 |
| Provider Name | Pierre M Pierre Louis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417269358 PECOS PAC ID: 9537347406 Enrollment ID: I20130722000432 |
| Provider Name | Rachel M Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164861951 PECOS PAC ID: 7113169566 Enrollment ID: I20130814000362 |
| Provider Name | Aravind Babu Kadiyala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437461282 PECOS PAC ID: 6507009610 Enrollment ID: I20130821000223 |
| Provider Name | Elvys Sacerio Valcarcel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467795252 PECOS PAC ID: 2668615485 Enrollment ID: I20130827000362 |
| Provider Name | Richard Perez Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821331612 PECOS PAC ID: 3678716057 Enrollment ID: I20130904000500 |
| Provider Name | Narsimha R Candula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932545175 PECOS PAC ID: 1254574650 Enrollment ID: I20130904000849 |
| Provider Name | Andres Montanez- Flores |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902039530 PECOS PAC ID: 3173772761 Enrollment ID: I20130918000299 |
| Provider Name | Sirisha Talari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073777926 PECOS PAC ID: 1153580105 Enrollment ID: I20130930000114 |
| Provider Name | Daniel Spinuzzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679881866 PECOS PAC ID: 5991939670 Enrollment ID: I20131011001253 |
| Provider Name | Adrian A Salmon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528282456 PECOS PAC ID: 8123124807 Enrollment ID: I20131017001993 |
| Provider Name | Argentina Gonzalez Zequeira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073856241 PECOS PAC ID: 6002040490 Enrollment ID: I20131018001292 |
| Provider Name | Edmund G Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104854421 PECOS PAC ID: 1658458708 Enrollment ID: I20131021001846 |
| Provider Name | Raja Ramesh Gummalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952618951 PECOS PAC ID: 1456586635 Enrollment ID: I20131023001707 |
| Provider Name | Tanya M Reimschissel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710205539 PECOS PAC ID: 2668607383 Enrollment ID: I20131104001481 |
| Provider Name | Ari M Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386085264 PECOS PAC ID: 4082840392 Enrollment ID: I20131114001878 |
| Provider Name | Waqas Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700065091 PECOS PAC ID: 8820279581 Enrollment ID: I20131219001254 |
| Provider Name | Lawrence Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922442508 PECOS PAC ID: 0244468510 Enrollment ID: I20140113000534 |
| Provider Name | Victor D Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861622060 PECOS PAC ID: 8527297381 Enrollment ID: I20140128000725 |
| Provider Name | Rachel Baerga Duperoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508167628 PECOS PAC ID: 7719120237 Enrollment ID: I20140217000203 |
| Provider Name | Amy S Pleaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619285590 PECOS PAC ID: 0042463259 Enrollment ID: I20140226000553 |
| Provider Name | Priyanka Kapoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306158621 PECOS PAC ID: 1254561780 Enrollment ID: I20140303001447 |
| Provider Name | Jeyavarna Karthikeyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528188034 PECOS PAC ID: 9032245899 Enrollment ID: I20140326001301 |
| Provider Name | Saba Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043465586 PECOS PAC ID: 4688822273 Enrollment ID: I20140417001176 |
| Provider Name | Jovan N Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245653153 PECOS PAC ID: 9830312743 Enrollment ID: I20140522000408 |
| Provider Name | Madel Lumbres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720353097 PECOS PAC ID: 1153544846 Enrollment ID: I20140528000248 |
| Provider Name | Marius Laurinaitis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639174212 PECOS PAC ID: 2163439431 Enrollment ID: I20140715001732 |
| Provider Name | Omar Abumahfouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356621858 PECOS PAC ID: 8921224445 Enrollment ID: I20140718000799 |
| Provider Name | Natasha M Mckay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326205816 PECOS PAC ID: 0446444525 Enrollment ID: I20140721002170 |
| Provider Name | Dhanvantri Muttevi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245542703 PECOS PAC ID: 9638300858 Enrollment ID: I20140724000125 |
| Provider Name | Triveni Abburi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710267497 PECOS PAC ID: 6204052426 Enrollment ID: I20140724001382 |
| Provider Name | Cletus Tanwi Moma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982998373 PECOS PAC ID: 0042446353 Enrollment ID: I20140811002599 |
| Provider Name | Rahul Gujarathi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487934568 PECOS PAC ID: 8527285600 Enrollment ID: I20140813002103 |
| Provider Name | Jacklyn R Pancrudo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003046962 PECOS PAC ID: 7012134992 Enrollment ID: I20140818000730 |
| Provider Name | Muhammad Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841586906 PECOS PAC ID: 5092933598 Enrollment ID: I20140825002540 |
| Provider Name | Vikas Taneja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851606966 PECOS PAC ID: 2365682234 Enrollment ID: I20140917002001 |
| Provider Name | Anthony Roosevelt Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093002768 PECOS PAC ID: 7517186695 Enrollment ID: I20140923000998 |
| Provider Name | Nesreen Kurtom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093861072 PECOS PAC ID: 9335172147 Enrollment ID: I20141001002613 |
| Provider Name | Cyrus K Meshkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497061618 PECOS PAC ID: 4789804121 Enrollment ID: I20141006002440 |
| Provider Name | Claire M Verna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376830984 PECOS PAC ID: 8325206659 Enrollment ID: I20141009002232 |
| Provider Name | Maritess A Saunar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932434222 PECOS PAC ID: 1850535758 Enrollment ID: I20141104000413 |
| Provider Name | Jose C Pinero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538468202 PECOS PAC ID: 0941422521 Enrollment ID: I20141114001584 |
| Provider Name | Shivali Malhotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083880066 PECOS PAC ID: 6204969892 Enrollment ID: I20141210001956 |
| Provider Name | Karthik Chakrala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043633233 PECOS PAC ID: 1456674530 Enrollment ID: I20141222000314 |
| Provider Name | Imran Humayun Mirza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558500587 PECOS PAC ID: 5890947600 Enrollment ID: I20150126001852 |
| Provider Name | Teresa Dawn Summers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992026751 PECOS PAC ID: 8527206564 Enrollment ID: I20150213000793 |
| Provider Name | Gary Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053427690 PECOS PAC ID: 6103846282 Enrollment ID: I20150305001601 |
| Provider Name | Laurette Que Cornel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942691373 PECOS PAC ID: 4789900598 Enrollment ID: I20150312002380 |
| Provider Name | Clifford Jean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285788570 PECOS PAC ID: 5597661603 Enrollment ID: I20150415001944 |
| Provider Name | Mohammad G Abu-farsakh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366755837 PECOS PAC ID: 2264743731 Enrollment ID: I20150624002739 |
| Provider Name | Jun Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477815165 PECOS PAC ID: 0345551784 Enrollment ID: I20150625001801 |
| Provider Name | Christopher Chad Lankford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679869549 PECOS PAC ID: 1456663715 Enrollment ID: I20150630001432 |
| Provider Name | Aamir Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861729170 PECOS PAC ID: 0648429803 Enrollment ID: I20150721001569 |
| Provider Name | Luis A Dominguez Vallejos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194041582 PECOS PAC ID: 2961694732 Enrollment ID: I20150723007903 |
| Provider Name | Maudeen C Scott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396149464 PECOS PAC ID: 0840503470 Enrollment ID: I20150724011603 |
| Provider Name | Rosemary Drufke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619374162 PECOS PAC ID: 1557686227 Enrollment ID: I20150804005594 |
| Provider Name | Marvin A Lopez-medal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801158969 PECOS PAC ID: 5193039923 Enrollment ID: I20150806010915 |
| Provider Name | Karen D Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487904116 PECOS PAC ID: 3678713666 Enrollment ID: I20150812008073 |
| Provider Name | Atif Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114244993 PECOS PAC ID: 9931414414 Enrollment ID: I20150812008092 |
| Provider Name | Caroline G Ferris |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376576652 PECOS PAC ID: 6103821848 Enrollment ID: I20150819007711 |
| Provider Name | Daniel Korsah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538541321 PECOS PAC ID: 1254647092 Enrollment ID: I20150825003702 |
| Provider Name | Deep Bharatbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316338957 PECOS PAC ID: 8527374180 Enrollment ID: I20150827003129 |
| Provider Name | Jason R Sanger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245547223 PECOS PAC ID: 5698082022 Enrollment ID: I20150917002216 |
| Provider Name | Khurram Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053666420 PECOS PAC ID: 2860709938 Enrollment ID: I20150922002258 |
| Provider Name | Leor Azoulay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588922249 PECOS PAC ID: 3971745274 Enrollment ID: I20150923000648 |
| Provider Name | Chintan V Shah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487968137 PECOS PAC ID: 6709194731 Enrollment ID: I20150924002052 |
| Provider Name | Yojana R Dange |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295808830 PECOS PAC ID: 6709988736 Enrollment ID: I20150924003173 |
| Provider Name | Monica J Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962791525 PECOS PAC ID: 8921220773 Enrollment ID: I20150928002196 |
| Provider Name | Tania Lalani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619242765 PECOS PAC ID: 2668617432 Enrollment ID: I20151005000872 |
| Provider Name | Askin Uysal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568441210 PECOS PAC ID: 0749220796 Enrollment ID: I20151026000685 |
| Provider Name | Jasmith Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972900421 PECOS PAC ID: 3072839323 Enrollment ID: I20151201001242 |
| Provider Name | Martha L Mangus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871901850 PECOS PAC ID: 1557661121 Enrollment ID: I20151203002285 |
| Provider Name | Marc E Portner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831222959 PECOS PAC ID: 2769576412 Enrollment ID: I20160107001205 |
| Provider Name | Monica Dorvil-bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861763526 PECOS PAC ID: 5193963445 Enrollment ID: I20160113000182 |
| Provider Name | Bruce G Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700178910 PECOS PAC ID: 8123320751 Enrollment ID: I20160113001686 |
| Provider Name | Aji V Achuthan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023489309 PECOS PAC ID: 0244533396 Enrollment ID: I20160122001153 |
| Provider Name | Zahia Youssef Esber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235340027 PECOS PAC ID: 5294871935 Enrollment ID: I20160211001116 |
| Provider Name | Roberto Guerra Del Castillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003156209 PECOS PAC ID: 4880737147 Enrollment ID: I20160215002663 |
| Provider Name | Kalyanchakravar Mallela |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144596495 PECOS PAC ID: 3375767411 Enrollment ID: I20160309002496 |
| Provider Name | Ernesto Fonts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285990366 PECOS PAC ID: 3678870573 Enrollment ID: I20160321000718 |
| Provider Name | David Kung |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669656922 PECOS PAC ID: 3971656356 Enrollment ID: I20160322000850 |
| Provider Name | Carolyn Mascho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376941799 PECOS PAC ID: 5991029985 Enrollment ID: I20160323001743 |
| Provider Name | Karen Ivette Ossa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801005418 PECOS PAC ID: 7315199569 Enrollment ID: I20160412001574 |
| Provider Name | Susan Ann Hilty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043527153 PECOS PAC ID: 0648455519 Enrollment ID: I20160412001933 |
| Provider Name | Darlene M Valcin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407253545 PECOS PAC ID: 2668792318 Enrollment ID: I20160425000060 |
| Provider Name | Angeli A Niravel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053678805 PECOS PAC ID: 6507165396 Enrollment ID: I20160428002228 |
| Provider Name | Fabrizio Canepa Escaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003047457 PECOS PAC ID: 6204086416 Enrollment ID: I20160504001711 |
| Provider Name | Steve M Dorman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1043519333 PECOS PAC ID: 1850680398 Enrollment ID: I20160523001473 |
| Provider Name | Betina Louis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891946117 PECOS PAC ID: 9133271976 Enrollment ID: I20160524000306 |
| Provider Name | Ram Bandagi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487828158 PECOS PAC ID: 4587837620 Enrollment ID: I20160620000013 |
| Provider Name | Yalew Debella |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700172947 PECOS PAC ID: 9830345768 Enrollment ID: I20160719001363 |
| Provider Name | Michael N Peddycoart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770950420 PECOS PAC ID: 7416240700 Enrollment ID: I20160725001239 |
| Provider Name | Leonardo Pena |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104125533 PECOS PAC ID: 9931348588 Enrollment ID: I20160810000137 |
| Provider Name | Fusun Soraya Devose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982011508 PECOS PAC ID: 3779806849 Enrollment ID: I20161013000759 |
| Provider Name | Claudine J M Aguilera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417121138 PECOS PAC ID: 0840331146 Enrollment ID: I20161101002371 |
| Provider Name | Abraham J Testa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528375078 PECOS PAC ID: 3870899230 Enrollment ID: I20161112000298 |
| Provider Name | Inelisse Otero-diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952735862 PECOS PAC ID: 1557640661 Enrollment ID: I20161114000564 |
| Provider Name | Malhar Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942690193 PECOS PAC ID: 3779862891 Enrollment ID: I20161114000773 |
| Provider Name | Cecile S. Muehrcke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053353318 PECOS PAC ID: 3072427392 Enrollment ID: I20161115002030 |
| Provider Name | Osama Elhilali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780023788 PECOS PAC ID: 7618256587 Enrollment ID: I20161116002318 |
| Provider Name | Azzat Abdulghani Ali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033344627 PECOS PAC ID: 8729227673 Enrollment ID: I20161117001559 |
| Provider Name | Jean Kopsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427288612 PECOS PAC ID: 7214217603 Enrollment ID: I20161130001559 |
| Provider Name | Padmaja Vasireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699962639 PECOS PAC ID: 6103994330 Enrollment ID: I20161203000156 |
| Provider Name | Rabeeh Idris El-refadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780997791 PECOS PAC ID: 4385876960 Enrollment ID: I20161203000190 |
| Provider Name | Wallace Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831490432 PECOS PAC ID: 1052607108 Enrollment ID: I20161229000763 |
| Provider Name | Sura Jermanus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053755785 PECOS PAC ID: 6507171873 Enrollment ID: I20170103000128 |
| Provider Name | Samira Kamali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891186268 PECOS PAC ID: 6204117914 Enrollment ID: I20170111000854 |
| Provider Name | Bryant W Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639501265 PECOS PAC ID: 1850670050 Enrollment ID: I20170120002171 |
| Provider Name | Ayorinde Ogunbameru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134416522 PECOS PAC ID: 6901023514 Enrollment ID: I20170123000350 |
| Provider Name | Christopher L Vanbenschoten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922446848 PECOS PAC ID: 9931481876 Enrollment ID: I20170130000266 |
| Provider Name | Malvinder S Makhni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790729697 PECOS PAC ID: 4486781655 Enrollment ID: I20170131001119 |
| Provider Name | Abiola Latifat Shitta-bey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538365457 PECOS PAC ID: 9830214378 Enrollment ID: I20170218000214 |
| Provider Name | Braulio Mariano Mejia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396026167 PECOS PAC ID: 4981988946 Enrollment ID: I20170313000361 |
| Provider Name | Khaled D Diab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750729679 PECOS PAC ID: 3779882121 Enrollment ID: I20170323000484 |
| Provider Name | Samuel Saad Elias-ausi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639432156 PECOS PAC ID: 5092031377 Enrollment ID: I20170426000514 |
| Provider Name | Anwar S Geleidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548426190 PECOS PAC ID: 5799062865 Enrollment ID: I20170428000198 |
| Provider Name | David E Sanchez Vasquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619285798 PECOS PAC ID: 5991930786 Enrollment ID: I20170504001473 |
| Provider Name | Rami Zebian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558635730 PECOS PAC ID: 2062668601 Enrollment ID: I20170515002101 |
| Provider Name | Alia C Sommerville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023429222 PECOS PAC ID: 1951678002 Enrollment ID: I20170522001642 |
| Provider Name | John Ray Blevins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649438730 PECOS PAC ID: 0244354173 Enrollment ID: I20170526001999 |
| Provider Name | John E David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073596235 PECOS PAC ID: 0840180717 Enrollment ID: I20170613000123 |
| Provider Name | Sayed M Husain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780989376 PECOS PAC ID: 7214161603 Enrollment ID: I20170616000419 |
| Provider Name | David Maynoldi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144591249 PECOS PAC ID: 6002136934 Enrollment ID: I20170621000707 |
| Provider Name | Mohamad Khatib |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679592232 PECOS PAC ID: 5597702001 Enrollment ID: I20170706003007 |
| Provider Name | Marian A Babalola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083026207 PECOS PAC ID: 9537385406 Enrollment ID: I20170726001969 |
| Provider Name | Abdalagani A Baher |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740206937 PECOS PAC ID: 0042312571 Enrollment ID: I20170809001787 |
| Provider Name | Mohamed Ibrahim Ayash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346689742 PECOS PAC ID: 5193011757 Enrollment ID: I20170810002829 |
| Provider Name | Marjan Rabbani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245650548 PECOS PAC ID: 6002037413 Enrollment ID: I20170815000394 |
| Provider Name | Faiz Javed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396162228 PECOS PAC ID: 0648579433 Enrollment ID: I20170815003215 |
| Provider Name | Samreen Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497174486 PECOS PAC ID: 7618249350 Enrollment ID: I20170816000553 |
| Provider Name | Muaz S Osman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992112304 PECOS PAC ID: 2062638075 Enrollment ID: I20170822001423 |
| Provider Name | Jaya Buddineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376742312 PECOS PAC ID: 1850442997 Enrollment ID: I20170929001499 |
| Provider Name | John Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033521174 PECOS PAC ID: 3072738863 Enrollment ID: I20171004003362 |
| Provider Name | Eva Villanueva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063829927 PECOS PAC ID: 2567749476 Enrollment ID: I20171006001687 |
| Provider Name | Antonio M Portilla Cintron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700204005 PECOS PAC ID: 2466673124 Enrollment ID: I20171010003525 |
| Provider Name | Muner Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639420441 PECOS PAC ID: 9739454083 Enrollment ID: I20171012000982 |
| Provider Name | Ljubomir Ilic |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750348843 PECOS PAC ID: 7113020439 Enrollment ID: I20171017002332 |
| Provider Name | Ashraf Dwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689088403 PECOS PAC ID: 6103192588 Enrollment ID: I20171031000426 |
| Provider Name | Casey Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760992317 PECOS PAC ID: 2264799600 Enrollment ID: I20171120002868 |
| Provider Name | Meenu Marie Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013321611 PECOS PAC ID: 9830318989 Enrollment ID: I20171128000050 |
| Provider Name | Iren Marie Ortiz Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295140846 PECOS PAC ID: 7012274038 Enrollment ID: I20171129003483 |
| Provider Name | Ellen Neu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942465000 PECOS PAC ID: 5991865438 Enrollment ID: I20171201002542 |
| Provider Name | Benjamin Solomon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982611729 PECOS PAC ID: 1658361514 Enrollment ID: I20171208001549 |
| Provider Name | Ayaa Mohamed Zarm |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477832012 PECOS PAC ID: 6507124526 Enrollment ID: I20171221001045 |
| Provider Name | Jametria Qwanice Howard-jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487064317 PECOS PAC ID: 7810256435 Enrollment ID: I20180104001968 |
| Provider Name | Komal Hanif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922440163 PECOS PAC ID: 6204138662 Enrollment ID: I20180111000435 |
| Provider Name | Rudra Beharrysingh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366726077 PECOS PAC ID: 0749405801 Enrollment ID: I20180129002364 |
| Provider Name | Amin Elfituri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568898732 PECOS PAC ID: 5597984039 Enrollment ID: I20180413000862 |
| Provider Name | Gregory Saint-fort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316358419 PECOS PAC ID: 2062776297 Enrollment ID: I20180515003115 |
| Provider Name | Carol L Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518011287 PECOS PAC ID: 4284759176 Enrollment ID: I20180611001093 |
| Provider Name | Jonathan Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386023463 PECOS PAC ID: 1557666302 Enrollment ID: I20180612001255 |
| Provider Name | Osama Dasa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053728436 PECOS PAC ID: 8921302902 Enrollment ID: I20180803000885 |
| Provider Name | Maher Homsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538554068 PECOS PAC ID: 8123376399 Enrollment ID: I20180803001053 |
| Provider Name | Abimael Jose Velez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376959742 PECOS PAC ID: 9830457837 Enrollment ID: I20180808000489 |
| Provider Name | Hardik Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760873400 PECOS PAC ID: 8123377728 Enrollment ID: I20180815000802 |
| Provider Name | Harry D Marty Vigo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609201334 PECOS PAC ID: 9335435940 Enrollment ID: I20180905000309 |
| Provider Name | Todd Jon Oswald |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992750434 PECOS PAC ID: 8224289210 Enrollment ID: I20180907002239 |
| Provider Name | Joshua Steven Elder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144615725 PECOS PAC ID: 1759695059 Enrollment ID: I20180912000937 |
| Provider Name | Veronica Marian Romanow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578956876 PECOS PAC ID: 9032410477 Enrollment ID: I20180918000627 |
| Provider Name | Kamal Fadlalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679945380 PECOS PAC ID: 4587915368 Enrollment ID: I20180918000821 |
| Provider Name | Jose A Villamil |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619208543 PECOS PAC ID: 8628211216 Enrollment ID: I20180921002574 |
| Provider Name | Suhair Aldewairey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932428281 PECOS PAC ID: 3577787613 Enrollment ID: I20181009001797 |
| Provider Name | Vivek K Punjabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205272036 PECOS PAC ID: 8820231392 Enrollment ID: I20181019000494 |
| Provider Name | Samsor Y Mateen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407245608 PECOS PAC ID: 9931452851 Enrollment ID: I20181023002062 |
| Provider Name | Fadi H Alkhatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972869717 PECOS PAC ID: 4688818271 Enrollment ID: I20181101000913 |
| Provider Name | Salman Farhat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356780274 PECOS PAC ID: 3072755073 Enrollment ID: I20181106002265 |
| Provider Name | Tania N Espinal-krane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447766068 PECOS PAC ID: 4183978802 Enrollment ID: I20181116000381 |
| Provider Name | Sarah Applewhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063990711 PECOS PAC ID: 2668726183 Enrollment ID: I20181119002056 |
| Provider Name | Pranav Wasti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659634236 PECOS PAC ID: 8426360553 Enrollment ID: I20181121001683 |
| Provider Name | Linoj Panicker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952714289 PECOS PAC ID: 4284978107 Enrollment ID: I20181204002464 |
| Provider Name | Danielle C Arriaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740773548 PECOS PAC ID: 8426392853 Enrollment ID: I20181211003513 |
| Provider Name | Robert Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063825511 PECOS PAC ID: 6901177690 Enrollment ID: I20181220001007 |
| Provider Name | Petrenia A Davis-jenkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710143128 PECOS PAC ID: 4486957123 Enrollment ID: I20190110002490 |
| Provider Name | Zoheb Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528453867 PECOS PAC ID: 8325384266 Enrollment ID: I20190114001352 |
| Provider Name | Bahishta Yaqubi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780061036 PECOS PAC ID: 7315283090 Enrollment ID: I20190117000738 |
| Provider Name | Daniyal Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962881896 PECOS PAC ID: 4688964307 Enrollment ID: I20190117001671 |
| Provider Name | Yatzmellie Lorraine Vega Bonet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417242868 PECOS PAC ID: 5193947992 Enrollment ID: I20190117001844 |
| Provider Name | Jessica Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235524430 PECOS PAC ID: 8325331887 Enrollment ID: I20190125001476 |
| Provider Name | Jeffrey G. Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518071885 PECOS PAC ID: 1355392432 Enrollment ID: I20190131000897 |
| Provider Name | Rashida Tharpe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255725503 PECOS PAC ID: 4587901236 Enrollment ID: I20190204000717 |
| Provider Name | Nicole Rosenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366950685 PECOS PAC ID: 5496000754 Enrollment ID: I20190208002992 |
| Provider Name | Ehssan Tukmachi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356738124 PECOS PAC ID: 8729309851 Enrollment ID: I20190213002324 |
| Provider Name | Salman Farsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720460397 PECOS PAC ID: 3274872072 Enrollment ID: I20190221001987 |
| Provider Name | Larry Joseph Manganello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215417068 PECOS PAC ID: 6507105046 Enrollment ID: I20190228001195 |
| Provider Name | Susie Sennhauser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265811996 PECOS PAC ID: 9830438035 Enrollment ID: I20190306001303 |
| Provider Name | Alia Abida Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699165944 PECOS PAC ID: 1658640180 Enrollment ID: I20190409000749 |
| Provider Name | Jerome Tuitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295197366 PECOS PAC ID: 8921393075 Enrollment ID: I20190423000028 |
| Provider Name | Kevin R Green |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346602927 PECOS PAC ID: 7214220680 Enrollment ID: I20190509000937 |
| Provider Name | Andrea Jean Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346717881 PECOS PAC ID: 5597008664 Enrollment ID: I20190514001228 |
| Provider Name | Peter Staiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932561321 PECOS PAC ID: 3274820394 Enrollment ID: I20190514002154 |
| Provider Name | Chirag R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043497134 PECOS PAC ID: 1557411782 Enrollment ID: I20190607002376 |
| Provider Name | Javier Amhed De La Cruz Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124561592 PECOS PAC ID: 7214261585 Enrollment ID: I20190620002968 |
| Provider Name | Movado Long |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174914329 PECOS PAC ID: 6709190655 Enrollment ID: I20190625001200 |
| Provider Name | Vaibhav Rastogi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255785838 PECOS PAC ID: 2163758327 Enrollment ID: I20190725000775 |
| Provider Name | Mohamad Hatahet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215381140 PECOS PAC ID: 2365778131 Enrollment ID: I20190731003633 |
| Provider Name | James Tyler Rigney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285096800 PECOS PAC ID: 2961738661 Enrollment ID: I20190801000845 |
| Provider Name | Alex Balmir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093175770 PECOS PAC ID: 9234496258 Enrollment ID: I20190815001549 |
| Provider Name | Ayesha Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760844815 PECOS PAC ID: 1557699774 Enrollment ID: I20190827001405 |
| Provider Name | Kelli Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801304357 PECOS PAC ID: 2860722451 Enrollment ID: I20190925000073 |
| Provider Name | Audrea O Vaughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023339355 PECOS PAC ID: 6305009135 Enrollment ID: I20190926002229 |
| Provider Name | Jose Enrique Bird-jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871979732 PECOS PAC ID: 3173854023 Enrollment ID: I20191008002682 |
| Provider Name | Sukhman Singh Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043673494 PECOS PAC ID: 7416294798 Enrollment ID: I20191009000889 |
| Provider Name | Melissa Latoya Bradshaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801259536 PECOS PAC ID: 8729319579 Enrollment ID: I20191009003254 |
| Provider Name | Alain Anthony Chamoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821544230 PECOS PAC ID: 4082046123 Enrollment ID: I20191112001339 |
| Provider Name | Adam Andrew Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659913531 PECOS PAC ID: 0840623054 Enrollment ID: I20191202001524 |
| Provider Name | Sabine Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831515659 PECOS PAC ID: 9830462159 Enrollment ID: I20191212001158 |
| Provider Name | Renee Bridges Morledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912551664 PECOS PAC ID: 6204269780 Enrollment ID: I20191216000174 |
| Provider Name | Kimberly Mcphearson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396196937 PECOS PAC ID: 9436401767 Enrollment ID: I20191218001809 |
| Provider Name | Alice Pharies Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407490097 PECOS PAC ID: 3072948520 Enrollment ID: I20200110002333 |
| Provider Name | Ashley Jessica Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669017349 PECOS PAC ID: 8527493394 Enrollment ID: I20200124001550 |
| Provider Name | Matthew R Lozier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134578370 PECOS PAC ID: 6901155878 Enrollment ID: I20200211000085 |
| Provider Name | Irma I. Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700351053 PECOS PAC ID: 9830528546 Enrollment ID: I20200401000573 |
| Provider Name | Alma Mather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174165708 PECOS PAC ID: 7719316322 Enrollment ID: I20200402002185 |
| Provider Name | Venkata Suresh Patthipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649706631 PECOS PAC ID: 6800227430 Enrollment ID: I20200514000122 |
| Provider Name | Nadav D Fields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689010076 PECOS PAC ID: 2860770237 Enrollment ID: I20200609001270 |
| Provider Name | Janet Marie Goodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114557162 PECOS PAC ID: 0547681009 Enrollment ID: I20200609001626 |
| Provider Name | Matthew Barros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164886735 PECOS PAC ID: 9830461318 Enrollment ID: I20200626002347 |
| Provider Name | Alfonso David Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083097240 PECOS PAC ID: 9638422157 Enrollment ID: I20200701001988 |
| Provider Name | Richard James Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326484429 PECOS PAC ID: 4981993185 Enrollment ID: I20200723000057 |
| Provider Name | Satish V Ravi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417024183 PECOS PAC ID: 1355612466 Enrollment ID: I20200724001332 |
| Provider Name | Zaimat Beiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144753310 PECOS PAC ID: 8426397290 Enrollment ID: I20200730002848 |
| Provider Name | John Jay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710415021 PECOS PAC ID: 7911323399 Enrollment ID: I20200817000086 |
| Provider Name | Michael Shodeinde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285166157 PECOS PAC ID: 2769755149 Enrollment ID: I20200825002525 |
| Provider Name | Edgar L Bustamante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669992590 PECOS PAC ID: 7719236264 Enrollment ID: I20200901000199 |
| Provider Name | Annemarie Jin Boland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265962443 PECOS PAC ID: 8022389675 Enrollment ID: I20200911000013 |
| Provider Name | Sokol Kalaveshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699209882 PECOS PAC ID: 7719318559 Enrollment ID: I20200914002034 |
| Provider Name | Cinthia Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821527599 PECOS PAC ID: 7416206479 Enrollment ID: I20200915001511 |
| Provider Name | Sebastian U Perez- Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447707245 PECOS PAC ID: 0749539054 Enrollment ID: I20201020001480 |
| Provider Name | Adrianna Kelmendi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528475621 PECOS PAC ID: 1456641414 Enrollment ID: I20201021002455 |
| Provider Name | Gautam Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285892455 PECOS PAC ID: 6103094925 Enrollment ID: I20210224000332 |
| Provider Name | Adnan Lakhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871853671 PECOS PAC ID: 8628386539 Enrollment ID: I20210226000483 |
| Provider Name | Donnielle Lynn Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073620530 PECOS PAC ID: 6800810375 Enrollment ID: I20210226000900 |
| Provider Name | Demetria Y Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093700445 PECOS PAC ID: 0749312767 Enrollment ID: I20210301002191 |
| Provider Name | Nabanita Basu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417118522 PECOS PAC ID: 6103090816 Enrollment ID: I20210302000692 |
| Provider Name | David Gunnerson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588602106 PECOS PAC ID: 3577535053 Enrollment ID: I20210302001293 |
| Provider Name | Faraz Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609071661 PECOS PAC ID: 8426242066 Enrollment ID: I20210302001911 |
| Provider Name | Kartik Kailesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568786465 PECOS PAC ID: 2466693346 Enrollment ID: I20210302002270 |
| Provider Name | Chantal Germaine Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740274760 PECOS PAC ID: 6204807696 Enrollment ID: I20210302002471 |
| Provider Name | Tysheena Lanee Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427590538 PECOS PAC ID: 8527338581 Enrollment ID: I20210326000227 |
| Provider Name | Bikramjit Malhotra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942243472 PECOS PAC ID: 0648248039 Enrollment ID: I20210331001291 |
| Provider Name | Christopher Izzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053816355 PECOS PAC ID: 9032462346 Enrollment ID: I20210428001440 |
| Provider Name | Abdulrahman Waleed Anwer Baban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134622954 PECOS PAC ID: 7416366356 Enrollment ID: I20210506000346 |
| Provider Name | John B Passantino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902301542 PECOS PAC ID: 1658611058 Enrollment ID: I20210707003004 |
| Provider Name | Prabhdeep Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285131045 PECOS PAC ID: 6305193962 Enrollment ID: I20210713002770 |
| Provider Name | Muhammad Imran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225428584 PECOS PAC ID: 9436464724 Enrollment ID: I20210722001747 |
| Provider Name | Casey B Peavler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407276538 PECOS PAC ID: 9133412935 Enrollment ID: I20210727002414 |
| Provider Name | Bilal Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225529894 PECOS PAC ID: 8527315233 Enrollment ID: I20210812003912 |
| Provider Name | Abdullah Sarkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558890335 PECOS PAC ID: 4385998442 Enrollment ID: I20210910000521 |
| Provider Name | Marjan Nazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568813533 PECOS PAC ID: 9032402102 Enrollment ID: I20210914002128 |
| Provider Name | Allison Lee Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366104713 PECOS PAC ID: 2860899010 Enrollment ID: I20210930001888 |
| Provider Name | Haleem Shahnawaz Abdul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205369048 PECOS PAC ID: 5193113009 Enrollment ID: I20211026002803 |
| Provider Name | Pujan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497286363 PECOS PAC ID: 5698045557 Enrollment ID: I20211111000080 |
| Provider Name | Sinthia Samad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386173185 PECOS PAC ID: 2668721978 Enrollment ID: I20211122002687 |
| Provider Name | Christine Nobi Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568966794 PECOS PAC ID: 9133451610 Enrollment ID: I20211201001184 |
| Provider Name | Jacqueline Elizabeth Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619562147 PECOS PAC ID: 1355731985 Enrollment ID: I20211214000616 |
| Provider Name | Aliaksandr Savitski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053654863 PECOS PAC ID: 1658679170 Enrollment ID: I20211222001984 |
| Provider Name | George Yazji |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417417924 PECOS PAC ID: 7810225091 Enrollment ID: I20220209001462 |
| Provider Name | Sebastian Alejandro Mikulic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013478650 PECOS PAC ID: 7012245335 Enrollment ID: I20220608001626 |
| Provider Name | Spencer Streit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144780628 PECOS PAC ID: 0446588511 Enrollment ID: I20220614000560 |
| Provider Name | Alauddin El-hag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144884040 PECOS PAC ID: 8022497494 Enrollment ID: I20220615003177 |
| Provider Name | Zekaria Asnake |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689134454 PECOS PAC ID: 6800275785 Enrollment ID: I20220623001403 |
| Provider Name | Michael P Friters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205286481 PECOS PAC ID: 7012250798 Enrollment ID: I20220830000561 |
| Provider Name | Melissa Lichty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235892787 PECOS PAC ID: 6204210388 Enrollment ID: I20220908003828 |
| Provider Name | Betelhem Gebremichel Woldemariam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801322813 PECOS PAC ID: 9133547318 Enrollment ID: I20220926001634 |
| Provider Name | Dharti Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609364777 PECOS PAC ID: 5698174878 Enrollment ID: I20220929000427 |
| Provider Name | Alison Daly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588220727 PECOS PAC ID: 7416333794 Enrollment ID: I20221011000736 |
| Provider Name | Erin Coletti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639733983 PECOS PAC ID: 1850767518 Enrollment ID: I20221020001699 |
| Provider Name | James T Carrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396307963 PECOS PAC ID: 6103157474 Enrollment ID: I20221107002248 |
| Provider Name | Rahul Dasgupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104350354 PECOS PAC ID: 2567734759 Enrollment ID: I20221116003401 |
| Provider Name | Kelsey Deidrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265091391 PECOS PAC ID: 2961730528 Enrollment ID: I20221117000006 |
| Provider Name | Dorothy Desir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144823196 PECOS PAC ID: 4789052994 Enrollment ID: I20221118002886 |
| Provider Name | Julianna Lampropulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588222343 PECOS PAC ID: 9537497185 Enrollment ID: I20221119000007 |
| Provider Name | Harjot Jagdey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083269427 PECOS PAC ID: 9537537766 Enrollment ID: I20221121000115 |
| Provider Name | Abdullah N Najdat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396397675 PECOS PAC ID: 8527398379 Enrollment ID: I20221121001481 |
| Provider Name | Juan Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164080909 PECOS PAC ID: 9931437217 Enrollment ID: I20221229001957 |
| Provider Name | Pankaj Bansal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811108996 PECOS PAC ID: 0648333047 Enrollment ID: I20230208000904 |
| Provider Name | Atif N Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326303793 PECOS PAC ID: 6709102650 Enrollment ID: I20230307001285 |
| Provider Name | Andreea Bente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821615824 PECOS PAC ID: 0941673107 Enrollment ID: I20230308003284 |
| Provider Name | Zachary Chandler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730716382 PECOS PAC ID: 4284090796 Enrollment ID: I20230525000314 |
| Provider Name | Cameron Kahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568099695 PECOS PAC ID: 6608283544 Enrollment ID: I20230525000958 |
| Provider Name | Sehrish B Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881253094 PECOS PAC ID: 2062892938 Enrollment ID: I20230609000594 |
| Provider Name | Aarti Maharaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255939831 PECOS PAC ID: 8224496468 Enrollment ID: I20230621001693 |
| Provider Name | Ahmed A Fadairo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154948818 PECOS PAC ID: 8628491685 Enrollment ID: I20230621001917 |
| Provider Name | Hossein Tohidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053949073 PECOS PAC ID: 6608290135 Enrollment ID: I20230802002016 |
| Provider Name | Taylor J Bracco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104445766 PECOS PAC ID: 1759742075 Enrollment ID: I20230803000859 |
| Provider Name | Loreto E Dacio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134243272 PECOS PAC ID: 7416860531 Enrollment ID: I20230822000083 |
| Provider Name | Bryce Coolidge Simes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710448642 PECOS PAC ID: 3173850971 Enrollment ID: I20230823001015 |
| Provider Name | Tejesh Srinivasa Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922312636 PECOS PAC ID: 3476797366 Enrollment ID: I20230901000050 |
| Provider Name | Stephanie Lee Kolb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053948513 PECOS PAC ID: 5597128785 Enrollment ID: I20230906001790 |
| Provider Name | Sadaf Afraz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598386062 PECOS PAC ID: 0042631681 Enrollment ID: I20231009002226 |
| Provider Name | Kirubel Zerihun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417577784 PECOS PAC ID: 5395190052 Enrollment ID: I20231016002448 |
| Provider Name | Timur Ganapolsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215556261 PECOS PAC ID: 8527480730 Enrollment ID: I20231118000107 |
| Provider Name | Nohora Ximena Torres Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396276143 PECOS PAC ID: 7719214113 Enrollment ID: I20240117002212 |
| Provider Name | Krishna Perumareddi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417069626 PECOS PAC ID: 7113050485 Enrollment ID: I20240122000701 |
| Provider Name | Veronica Ruth Pitocchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982233102 PECOS PAC ID: 0042640708 Enrollment ID: I20240131001306 |
| Provider Name | Christian Almanzar Zorrilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922509736 PECOS PAC ID: 4880047182 Enrollment ID: I20240201003387 |
| Provider Name | Lakeshaman Keshavamurth Maragondanahalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366689028 PECOS PAC ID: 5193910891 Enrollment ID: I20240311000045 |
| Provider Name | Jay Gordon Sailer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407807043 PECOS PAC ID: 4789673310 Enrollment ID: I20240319002113 |
| Provider Name | Sean Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841729449 PECOS PAC ID: 6305184342 Enrollment ID: I20240321000340 |
| Provider Name | Sesha Adusumilli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720212699 PECOS PAC ID: 4385809029 Enrollment ID: I20240403000345 |
| Provider Name | Fidelis Obukowho Ojevwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124468293 PECOS PAC ID: 7810283843 Enrollment ID: I20240403001928 |
| Provider Name | Kenosa Kosicho Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184967838 PECOS PAC ID: 7315239779 Enrollment ID: I20240411000605 |
| Provider Name | Harsh Rawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164804670 PECOS PAC ID: 3779815196 Enrollment ID: I20240418003601 |
| Provider Name | Vamsidhar Vennamaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548886047 PECOS PAC ID: 3678936192 Enrollment ID: I20240510002215 |
| Provider Name | Alison J Denzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629601687 PECOS PAC ID: 4486095734 Enrollment ID: I20240516004073 |
| Provider Name | Nithya Meenakshi Krishnan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396248126 PECOS PAC ID: 2860741733 Enrollment ID: I20240604000170 |
| Provider Name | Sergey Smirnov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699318295 PECOS PAC ID: 3375085038 Enrollment ID: I20240610001075 |
Lem Turner Family Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9390 Lem Turner Rd, Jacksonville, FL 32208 Phone: 904-766-2953 Fax: 904-766-2993 | |
C. Surgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave, Jacksonville, FL 32202 Phone: 904-791-6632 | |
Centerwell Senior Primary Care Fl Jv Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Philips Hwy, Jacksonville, FL 32207 Phone: 407-447-7120 | |
Id Associates Of Jacksonville Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Shircliff Way, Ste 610, Jacksonville, FL 32204 Phone: 904-387-5027 Fax: 904-387-2208 | |
Hong Tek Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4123 University Blvd S, Jacksonville, FL 32216 Phone: 904-388-3351 | |
Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave Ste 103, Jacksonville, FL 32202 Phone: 904-353-5696 Fax: 904-390-7483 | |
Reginald L. Sykes, Sr, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3160 Edgewood Ave W, Jacksonville, FL 32209 Phone: 904-768-8222 Fax: 904-482-0373 |