| Cogent Healthcare Of Kentucky, Psc | |
|
200 Abraham Flexner Way Louisville KY 40202-1818 | |
| (502) 569-7983 | |
| Not Available |
| Full Name | Cogent Healthcare Of Kentucky, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Abraham Flexner Way, Louisville, Kentucky |
| Authorized Official Name and Position | Susan A. 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 Kentucky, Psc 5410 Maryland Way Suite 300 Brentwood TN 37027-5064 Ph: (615) 377-5670 | Cogent Healthcare Of Kentucky, Psc 200 Abraham Flexner Way Louisville KY 40202-1818 Ph: (502) 569-7983 |
| NPI Number | 1053362293 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 07/02/2008 |
| Medicare PECOS PAC ID | 0648294157 |
|---|---|
| Medicare Enrollment ID | O20060124000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053362293 | NPI | - | NPPES |
| 65945123 | Medicaid | KY | |
| 000000392108 | Other | KY | BCBS KY |
| Provider Name | Emmanuel C Yumang |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1730135138 PECOS PAC ID: 5294639241 Enrollment ID: I20031121000504 |
| Provider Name | Keith Allen Everitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942255245 PECOS PAC ID: 2062318777 Enrollment ID: I20031211000700 |
| Provider Name | James William Nuss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285715375 PECOS PAC ID: 9931091865 Enrollment ID: I20040326000146 |
| Provider Name | Walter K Kleinsteuber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528041589 PECOS PAC ID: 5597750158 Enrollment ID: I20040415000038 |
| Provider Name | Arif H Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114919800 PECOS PAC ID: 5496741555 Enrollment ID: I20040423000097 |
| Provider Name | Mubashar S Kharal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811292345 PECOS PAC ID: 2466448311 Enrollment ID: I20040424000081 |
| Provider Name | Rizwan Akhtar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669695649 PECOS PAC ID: 3779574785 Enrollment ID: I20040519000981 |
| Provider Name | Edgar Emeric |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619978566 PECOS PAC ID: 1759372477 Enrollment ID: I20040521000109 |
| Provider Name | Patrick Anthony Kelleher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952345522 PECOS PAC ID: 9931185006 Enrollment ID: I20040629000070 |
| Provider Name | Alicia E Fischer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851378327 PECOS PAC ID: 8224936380 Enrollment ID: I20040630000179 |
| Provider Name | Glenn R Puertollano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679544381 PECOS PAC ID: 1254300395 Enrollment ID: I20040927000527 |
| Provider Name | Kristinalin Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841295060 PECOS PAC ID: 6406818053 Enrollment ID: I20041027000479 |
| Provider Name | Raul Heredia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366408213 PECOS PAC ID: 7315995834 Enrollment ID: I20050111000429 |
| Provider Name | Donny Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811981533 PECOS PAC ID: 8628027034 Enrollment ID: I20050112000845 |
| Provider Name | William R Banks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912990953 PECOS PAC ID: 8224087671 Enrollment ID: I20050112001121 |
| Provider Name | Godofredo I Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306896865 PECOS PAC ID: 4981653854 Enrollment ID: I20050118000665 |
| Provider Name | Joan Alice Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285739797 PECOS PAC ID: 5597710632 Enrollment ID: I20050322000350 |
| Provider Name | Lyle E Beard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093777427 PECOS PAC ID: 1951332345 Enrollment ID: I20050830000277 |
| Provider Name | Misha Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043253453 PECOS PAC ID: 2860426889 Enrollment ID: I20050920000613 |
| Provider Name | Amjad Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598739617 PECOS PAC ID: 6305855958 Enrollment ID: I20060411000206 |
| Provider Name | Rahul K Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558377788 PECOS PAC ID: 9537166046 Enrollment ID: I20061025000735 |
| Provider Name | Roshan Pais |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154521979 PECOS PAC ID: 6204923220 Enrollment ID: I20071107000360 |
| Provider Name | Tawfik M Kredan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013079581 PECOS PAC ID: 3779676978 Enrollment ID: I20071213000232 |
| Provider Name | Anton Marek Clemmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225163454 PECOS PAC ID: 5799868451 Enrollment ID: I20080219000287 |
| Provider Name | Thomas E Quisenberry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932239076 PECOS PAC ID: 8022194083 Enrollment ID: I20080401000129 |
| Provider Name | Vijaya L Srinivasan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346208071 PECOS PAC ID: 3779645965 Enrollment ID: I20081223000099 |
| Provider Name | Ignacio F Calvo Sainz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679784961 PECOS PAC ID: 6901962323 Enrollment ID: I20090309000648 |
| Provider Name | Samantha L Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558514570 PECOS PAC ID: 7517014715 Enrollment ID: I20090403000397 |
| Provider Name | Kimberly A Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891922977 PECOS PAC ID: 7012060627 Enrollment ID: I20090729000761 |
| Provider Name | Michael B Humble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912110594 PECOS PAC ID: 9830244979 Enrollment ID: I20090826000149 |
| Provider Name | Jesus Victor Tovar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801059399 PECOS PAC ID: 5799821815 Enrollment ID: I20091003000016 |
| Provider Name | Joshua B Huffman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790765691 PECOS PAC ID: 2264570365 Enrollment ID: I20091110000634 |
| Provider Name | Baher Alhomsi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235464264 PECOS PAC ID: 2668512906 Enrollment ID: I20091218000004 |
| Provider Name | Thomas G Harralson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851559488 PECOS PAC ID: 8628118874 Enrollment ID: I20091218000139 |
| Provider Name | Yvonne T Pfanenstiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295966968 PECOS PAC ID: 5092854786 Enrollment ID: I20091230000189 |
| Provider Name | Andrea M Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992023816 PECOS PAC ID: 5496886384 Enrollment ID: I20100621000521 |
| Provider Name | Jeremie B Hays |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063611564 PECOS PAC ID: 7618091265 Enrollment ID: I20100902000909 |
| Provider Name | Robin Renee Yanguas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619282282 PECOS PAC ID: 8921287566 Enrollment ID: I20110127000936 |
| Provider Name | Baha E Qashou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184888406 PECOS PAC ID: 4587833132 Enrollment ID: I20110816000570 |
| Provider Name | Hossam Zohary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427115179 PECOS PAC ID: 2264321645 Enrollment ID: I20110908002354 |
| Provider Name | Hazem Kakaji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164451258 PECOS PAC ID: 4981617271 Enrollment ID: I20111104000572 |
| Provider Name | Sandra Lucinda Hazelwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285915256 PECOS PAC ID: 9931373495 Enrollment ID: I20111117000753 |
| Provider Name | Hafiz Sarfraz A Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265621411 PECOS PAC ID: 6709051485 Enrollment ID: I20111207000675 |
| Provider Name | George Schloemer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598705980 PECOS PAC ID: 2769661875 Enrollment ID: I20120222000307 |
| Provider Name | George Gad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811144678 PECOS PAC ID: 1658530357 Enrollment ID: I20120316000120 |
| Provider Name | Babar Zuberi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275532640 PECOS PAC ID: 9335165893 Enrollment ID: I20120417000265 |
| Provider Name | Denise D Kilburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790072981 PECOS PAC ID: 2365605474 Enrollment ID: I20120529000286 |
| Provider Name | Stephanie Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588946107 PECOS PAC ID: 5890959209 Enrollment ID: I20120615000270 |
| Provider Name | Yasser A Zohary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629259403 PECOS PAC ID: 4284796541 Enrollment ID: I20120620000701 |
| Provider Name | Mclean J Romain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063644326 PECOS PAC ID: 7214183391 Enrollment ID: I20120806000144 |
| Provider Name | Francis Hinsberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275574105 PECOS PAC ID: 5698709202 Enrollment ID: I20130223000021 |
| Provider Name | Mansoor I Tiwana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073718466 PECOS PAC ID: 2567563877 Enrollment ID: I20130709000715 |
| Provider Name | Valarie J Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689746133 PECOS PAC ID: 2567443815 Enrollment ID: I20130813000514 |
| Provider Name | Stephanie N Jadhav |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427286939 PECOS PAC ID: 6709072887 Enrollment ID: I20130816000729 |
| Provider Name | Scottie L Suttles |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598107476 PECOS PAC ID: 7416190905 Enrollment ID: I20130903000205 |
| Provider Name | Daniel F Gaspar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861562928 PECOS PAC ID: 9638178775 Enrollment ID: I20131022001728 |
| Provider Name | Ammar Al Jajeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538473087 PECOS PAC ID: 2961633367 Enrollment ID: I20140328000353 |
| Provider Name | Gladell Emogene Cima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649335225 PECOS PAC ID: 8123061140 Enrollment ID: I20140805002357 |
| Provider Name | Syed Tayyab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780952994 PECOS PAC ID: 0345468815 Enrollment ID: I20140825001449 |
| Provider Name | Atef H Elgassier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053699934 PECOS PAC ID: 4789824442 Enrollment ID: I20141020001715 |
| Provider Name | Christopher Oti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124066535 PECOS PAC ID: 4082679915 Enrollment ID: I20141209000857 |
| Provider Name | Arej M Sawani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1407832850 PECOS PAC ID: 7911911334 Enrollment ID: I20150306002036 |
| Provider Name | Haider Shamsulddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528366457 PECOS PAC ID: 2062738081 Enrollment ID: I20150309002545 |
| Provider Name | Michele C Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083005516 PECOS PAC ID: 3274850748 Enrollment ID: I20150320000873 |
| Provider Name | Asim Elahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063837912 PECOS PAC ID: 9739491630 Enrollment ID: I20150707001369 |
| Provider Name | Courtney C Palguta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093074726 PECOS PAC ID: 4284947912 Enrollment ID: I20150723007827 |
| Provider Name | Lindsey Carol Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417330630 PECOS PAC ID: 3173837556 Enrollment ID: I20150729007995 |
| Provider Name | Sajjad Haider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396091104 PECOS PAC ID: 3375781313 Enrollment ID: I20150803001685 |
| Provider Name | Deepak G Azad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083636930 PECOS PAC ID: 6305894056 Enrollment ID: I20150807014622 |
| Provider Name | Nina Lum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518217546 PECOS PAC ID: 9436466950 Enrollment ID: I20150916001769 |
| Provider Name | Isioma R Aninyei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235450248 PECOS PAC ID: 0042527574 Enrollment ID: I20150923001190 |
| Provider Name | Thomas A Mullins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972863900 PECOS PAC ID: 2860649548 Enrollment ID: I20151028002514 |
| Provider Name | Mohamed M Hegazi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003206392 PECOS PAC ID: 4082924618 Enrollment ID: I20151110001661 |
| Provider Name | Jacqueline Cassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184095200 PECOS PAC ID: 1658671987 Enrollment ID: I20151118001456 |
| Provider Name | Rickey A Cosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730526864 PECOS PAC ID: 1456592450 Enrollment ID: I20160105001535 |
| Provider Name | Munsif Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881973147 PECOS PAC ID: 2668628371 Enrollment ID: I20160129002039 |
| Provider Name | Abhishek Kapila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750627170 PECOS PAC ID: 2466757471 Enrollment ID: I20160229001086 |
| Provider Name | Aman Gebre-egziabher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568754091 PECOS PAC ID: 1850535527 Enrollment ID: I20160623001622 |
| Provider Name | Osama Elsallabi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588087068 PECOS PAC ID: 0749574069 Enrollment ID: I20160810000430 |
| Provider Name | Chadwick Dale Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255784047 PECOS PAC ID: 9830484971 Enrollment ID: I20160829000401 |
| Provider Name | Nazia Atique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669785515 PECOS PAC ID: 2668692369 Enrollment ID: I20160907002325 |
| Provider Name | Vanessa A Frost |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801236831 PECOS PAC ID: 7911134457 Enrollment ID: I20160913002123 |
| Provider Name | Chance Robertson Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811348204 PECOS PAC ID: 9931497088 Enrollment ID: I20161005002502 |
| Provider Name | Ali Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679951461 PECOS PAC ID: 1850679937 Enrollment ID: I20161024002557 |
| Provider Name | Salgram Jaisinghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265544878 PECOS PAC ID: 1759311806 Enrollment ID: I20161025001480 |
| Provider Name | Robert P Leath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669924296 PECOS PAC ID: 9234410002 Enrollment ID: I20170110002318 |
| Provider Name | Heather Marie Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255780987 PECOS PAC ID: 4183906308 Enrollment ID: I20170124002039 |
| Provider Name | Ketty Maurice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053368043 PECOS PAC ID: 0446143382 Enrollment ID: I20170412001611 |
| Provider Name | Daniel H Hopkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952515728 PECOS PAC ID: 3072608207 Enrollment ID: I20170516002706 |
| Provider Name | Rachel Ash Bernal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851317093 PECOS PAC ID: 4880648393 Enrollment ID: I20170523002100 |
| Provider Name | Ekene Ifeanyi Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372729 PECOS PAC ID: 5395933212 Enrollment ID: I20170531001643 |
| Provider Name | Dwayne Likens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326336793 PECOS PAC ID: 3870894090 Enrollment ID: I20170703001167 |
| Provider Name | Omar S Elbita |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376974253 PECOS PAC ID: 0547483968 Enrollment ID: I20170720002487 |
| Provider Name | Alpana Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740485929 PECOS PAC ID: 1153404306 Enrollment ID: I20170724003641 |
| Provider Name | Edwin Shadzeka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124213459 PECOS PAC ID: 8325132129 Enrollment ID: I20170811002438 |
| Provider Name | Sony Sebastian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396165866 PECOS PAC ID: 0749402758 Enrollment ID: I20170829004464 |
| Provider Name | Faris A Khasawneh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831374594 PECOS PAC ID: 8123195153 Enrollment ID: I20170907002128 |
| Provider Name | Andrew Kiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861811598 PECOS PAC ID: 4981905882 Enrollment ID: I20170920002726 |
| Provider Name | Ashirf Al-ghanoudi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316289564 PECOS PAC ID: 9830401223 Enrollment ID: I20171101000931 |
| Provider Name | Crystal L Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689124141 PECOS PAC ID: 9830461771 Enrollment ID: I20171102003385 |
| Provider Name | Shasta Nicole Bowens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013443191 PECOS PAC ID: 7810253705 Enrollment ID: I20171109000312 |
| Provider Name | Naushad Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447553714 PECOS PAC ID: 6507035490 Enrollment ID: I20171121002123 |
| Provider Name | Emilie Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770015463 PECOS PAC ID: 6901164383 Enrollment ID: I20171212001482 |
| Provider Name | Kelly R Bohl |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1093224594 PECOS PAC ID: 9436415155 Enrollment ID: I20171227000371 |
| Provider Name | Michelle Labrunda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902081318 PECOS PAC ID: 3072695741 Enrollment ID: I20171227001138 |
| Provider Name | Kara G Hibbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295233435 PECOS PAC ID: 8123388642 Enrollment ID: I20180201000691 |
| Provider Name | Fawad Shuaib |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609162767 PECOS PAC ID: 8527202134 Enrollment ID: I20180222002129 |
| Provider Name | Wayne O Wolverton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790941334 PECOS PAC ID: 5991926529 Enrollment ID: I20180306000404 |
| Provider Name | Thomas M England |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710392485 PECOS PAC ID: 7416218516 Enrollment ID: I20180307000147 |
| Provider Name | Anna M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609393578 PECOS PAC ID: 7810259223 Enrollment ID: I20180323000994 |
| Provider Name | Adam Shope |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295966695 PECOS PAC ID: 8224285812 Enrollment ID: I20180424002045 |
| Provider Name | David Sindler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538543087 PECOS PAC ID: 4082977087 Enrollment ID: I20180612002885 |
| Provider Name | Kevin Michael Donohue |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518342286 PECOS PAC ID: 9032467253 Enrollment ID: I20180803002937 |
| Provider Name | Syed Saif Zahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649666900 PECOS PAC ID: 6406105782 Enrollment ID: I20180820002506 |
| Provider Name | James O Calder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447667332 PECOS PAC ID: 0244545788 Enrollment ID: I20180830003707 |
| Provider Name | David Cantrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417997610 PECOS PAC ID: 6305986852 Enrollment ID: I20180920002386 |
| Provider Name | Emhemmid Karem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639576838 PECOS PAC ID: 0446576565 Enrollment ID: I20181019000759 |
| Provider Name | Katherine Redmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619359387 PECOS PAC ID: 6608186739 Enrollment ID: I20181022001110 |
| Provider Name | Mark Owusu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083009930 PECOS PAC ID: 1052617305 Enrollment ID: I20181025001812 |
| Provider Name | Jad Ghandour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659684272 PECOS PAC ID: 4183850316 Enrollment ID: I20181029001043 |
| Provider Name | Kamaldeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114318037 PECOS PAC ID: 1052664646 Enrollment ID: I20181029002543 |
| Provider Name | Erika Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679934558 PECOS PAC ID: 2264777960 Enrollment ID: I20181228000983 |
| Provider Name | Nitin Sainani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952745093 PECOS PAC ID: 8123327921 Enrollment ID: I20190124003564 |
| Provider Name | Krista D Lanham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801351101 PECOS PAC ID: 9638418916 Enrollment ID: I20190304002259 |
| Provider Name | Adarsh Sai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467742940 PECOS PAC ID: 4789801176 Enrollment ID: I20190315000910 |
| Provider Name | Victor Obijuru Njoku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104175009 PECOS PAC ID: 3274758610 Enrollment ID: I20190404001803 |
| Provider Name | Umar Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558802751 PECOS PAC ID: 3577897529 Enrollment ID: I20190625000968 |
| Provider Name | Deborah Ann Zinsius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164922688 PECOS PAC ID: 6002143377 Enrollment ID: I20190808002556 |
| Provider Name | Kimberly Katherine Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063983641 PECOS PAC ID: 4688902174 Enrollment ID: I20190821004001 |
| Provider Name | Stephanie Poonawala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285034223 PECOS PAC ID: 8820219769 Enrollment ID: I20190823000725 |
| Provider Name | Michael Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710336508 PECOS PAC ID: 8628306602 Enrollment ID: I20190829000987 |
| Provider Name | Victoria Ruth Moreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982056073 PECOS PAC ID: 6002198595 Enrollment ID: I20191214000356 |
| Provider Name | Rana Beg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962784165 PECOS PAC ID: 8022303593 Enrollment ID: I20200110002106 |
| Provider Name | Abdussalam Shredi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649727827 PECOS PAC ID: 7416245808 Enrollment ID: I20200220000905 |
| Provider Name | Barbara J Paterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619273596 PECOS PAC ID: 3779701602 Enrollment ID: I20200310001679 |
| Provider Name | Christopher W Enz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992337984 PECOS PAC ID: 7517395742 Enrollment ID: I20200320002275 |
| Provider Name | Hossam Jabbour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770014177 PECOS PAC ID: 5698022242 Enrollment ID: I20200321000571 |
| Provider Name | Heather Girten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245866953 PECOS PAC ID: 9032549779 Enrollment ID: I20200421002885 |
| Provider Name | Richmond Gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700089414 PECOS PAC ID: 1951426386 Enrollment ID: I20200618002811 |
| Provider Name | Paige Nicole Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679014971 PECOS PAC ID: 0446503031 Enrollment ID: I20200720003389 |
| Provider Name | Rachel Nicole Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114547031 PECOS PAC ID: 3476978610 Enrollment ID: I20200804003246 |
| Provider Name | Jataun L Isenhower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306485693 PECOS PAC ID: 0648696856 Enrollment ID: I20200819000867 |
| Provider Name | Dazia Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760015663 PECOS PAC ID: 3678999752 Enrollment ID: I20200819003647 |
| Provider Name | Rebekah Boulanger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942735477 PECOS PAC ID: 0446524144 Enrollment ID: I20200914001479 |
| Provider Name | Joann Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174165989 PECOS PAC ID: 3577974674 Enrollment ID: I20201120001677 |
| Provider Name | Beverly Jean Yamour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376512624 PECOS PAC ID: 0547329161 Enrollment ID: I20210211000856 |
| Provider Name | Denise Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427647783 PECOS PAC ID: 9931515038 Enrollment ID: I20210316001652 |
| Provider Name | Daniel Eichenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255316527 PECOS PAC ID: 4082514773 Enrollment ID: I20210615000599 |
| Provider Name | Marlena Burkhead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023654480 PECOS PAC ID: 2668873407 Enrollment ID: I20210630001674 |
| Provider Name | Kathleen H Fanos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427068782 PECOS PAC ID: 6507769577 Enrollment ID: I20210707002841 |
| Provider Name | Olivia N Gary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619581766 PECOS PAC ID: 1153724448 Enrollment ID: I20210723002322 |
| Provider Name | Samantha Nicole Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841877313 PECOS PAC ID: 3870996671 Enrollment ID: I20210729003849 |
| Provider Name | Agyingi Kimbong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104312776 PECOS PAC ID: 9032460944 Enrollment ID: I20210804004150 |
| Provider Name | Caitlyn Michelle Gary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235751785 PECOS PAC ID: 7315342243 Enrollment ID: I20210816002758 |
| Provider Name | Stephen A Wursta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861922247 PECOS PAC ID: 6002185485 Enrollment ID: I20210818001610 |
| Provider Name | Brandon Finkbeiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528488863 PECOS PAC ID: 2466707773 Enrollment ID: I20210818002742 |
| Provider Name | Melanie N Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346817152 PECOS PAC ID: 0749686095 Enrollment ID: I20210910002792 |
| Provider Name | Sarah Mills |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528621497 PECOS PAC ID: 5395142780 Enrollment ID: I20210928001938 |
| Provider Name | Kelly Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386180354 PECOS PAC ID: 2961786678 Enrollment ID: I20210928002213 |
| Provider Name | Muhanad Hreh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982193702 PECOS PAC ID: 5597162800 Enrollment ID: I20210928003373 |
| Provider Name | Korey Brammell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255820833 PECOS PAC ID: 7012269186 Enrollment ID: I20210929000452 |
| Provider Name | Stephanie Danielle Finney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366026916 PECOS PAC ID: 5991193096 Enrollment ID: I20211021002842 |
| Provider Name | James Adam Bradley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194251744 PECOS PAC ID: 4183951031 Enrollment ID: I20211111002474 |
| Provider Name | Katrina Kay Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558033027 PECOS PAC ID: 8022407071 Enrollment ID: I20211111002642 |
| Provider Name | Patrick Kohlitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962720482 PECOS PAC ID: 5395988620 Enrollment ID: I20211201001147 |
| Provider Name | John Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396125985 PECOS PAC ID: 6608175880 Enrollment ID: I20211201001906 |
| Provider Name | Jeevan Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295182731 PECOS PAC ID: 4183997794 Enrollment ID: I20211214002982 |
| Provider Name | Enoch K Gray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346466299 PECOS PAC ID: 0143320432 Enrollment ID: I20220121001425 |
| Provider Name | Pamela Carty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629438007 PECOS PAC ID: 4789981812 Enrollment ID: I20220228002729 |
| Provider Name | Demetrius Rizos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063491397 PECOS PAC ID: 0648379180 Enrollment ID: I20220323001577 |
| Provider Name | Vonzell Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861674921 PECOS PAC ID: 4082884333 Enrollment ID: I20220421002718 |
| Provider Name | Everald Uriah Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922444363 PECOS PAC ID: 5991933327 Enrollment ID: I20220523001098 |
| Provider Name | Philip Penn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124766738 PECOS PAC ID: 5193104180 Enrollment ID: I20220622001287 |
| Provider Name | Ramy T Husainy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770808156 PECOS PAC ID: 3577738392 Enrollment ID: I20220708000811 |
| Provider Name | Saad Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639604648 PECOS PAC ID: 5294009635 Enrollment ID: I20220715000185 |
| Provider Name | Kenneth Dexter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700347739 PECOS PAC ID: 4981939667 Enrollment ID: I20220811002056 |
| Provider Name | Paula Nicole Popa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306579230 PECOS PAC ID: 1153706296 Enrollment ID: I20220909003016 |
| Provider Name | Trista Bodenstadt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205597515 PECOS PAC ID: 4284026840 Enrollment ID: I20221006002845 |
| Provider Name | Erik Quintero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003480781 PECOS PAC ID: 4284033887 Enrollment ID: I20221017001337 |
| Provider Name | Ismaeel Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386103273 PECOS PAC ID: 0840525903 Enrollment ID: I20221101002279 |
| Provider Name | Hoda Nazari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184185050 PECOS PAC ID: 5799151718 Enrollment ID: I20221109002539 |
| Provider Name | Makayla Gail Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992416424 PECOS PAC ID: 5597136994 Enrollment ID: I20230123001750 |
| Provider Name | Matthew Shotwell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841711413 PECOS PAC ID: 0244603967 Enrollment ID: I20230228002456 |
| Provider Name | Melanie June Winegar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891182358 PECOS PAC ID: 1850602228 Enrollment ID: I20230303001707 |
| Provider Name | Angela Maria Benrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245940907 PECOS PAC ID: 4385001783 Enrollment ID: I20230530002752 |
| Provider Name | Jennifer Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225688336 PECOS PAC ID: 3072948249 Enrollment ID: I20230620002257 |
| Provider Name | Amy Bedan Poff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932394087 PECOS PAC ID: 8325110950 Enrollment ID: I20230724001186 |
| Provider Name | Khurram Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841453958 PECOS PAC ID: 0446324446 Enrollment ID: I20230808003728 |
| Provider Name | Amusa Ntatin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285816322 PECOS PAC ID: 4981758166 Enrollment ID: I20230809001660 |
| Provider Name | Irfan Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487100764 PECOS PAC ID: 8628364858 Enrollment ID: I20230810004263 |
| Provider Name | Kelechi Emmanuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467015982 PECOS PAC ID: 8820326879 Enrollment ID: I20230821001443 |
| Provider Name | Shivani Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982226296 PECOS PAC ID: 2769836832 Enrollment ID: I20230922001235 |
| Provider Name | Saadia Halima Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720616857 PECOS PAC ID: 8224484381 Enrollment ID: I20231025002091 |
| Provider Name | Lauren Dinella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225550023 PECOS PAC ID: 0547532749 Enrollment ID: I20231028000446 |
| Provider Name | Jordan Kay Franxman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114613429 PECOS PAC ID: 0648628917 Enrollment ID: I20231127002301 |
| Provider Name | Farman Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437520301 PECOS PAC ID: 1951694165 Enrollment ID: I20240419001340 |
Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15103 Chestnut Ridge Cir, Louisville, KY 40245 Phone: 502-742-9149 Fax: 502-896-7292 | |
Veloz Medical Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6911 Shepherdsville Rd, Louisville, KY 40219 Phone: 502-644-3076 | |
Kentucky Joint Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir Ste 310, Louisville, KY 40207 Phone: 502-771-5432 Fax: 502-771-5430 | |
Mobile Md Holdings Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9510 Ormsby Station Road, Suite 100b, Louisville, KY 40223 Phone: 502-253-4140 | |
Edina Torlak Md, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 Kresge Way Ste 302, Louisville, KY 40207 Phone: 502-893-7372 | |
Shirley J Meredith, Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Kresge Way, Baptist East Wound Care Center, Louisville, KY 40207 Phone: 502-259-4470 Fax: 502-259-4471 | |
Infectious Disease Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Locust Creek Blvd, Louisville, KY 40245 Phone: 502-916-3130 Fax: 502-916-3230 |