| Community Care Physicians, Pllc | |
|
6 Wellness Way Ste 201 Latham NY 12110-2156 | |
| (518) 782-3700 | |
| (518) 782-3799 |
| Full Name | Community Care Physicians, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Wellness Way Ste 201, Latham, New York |
| Authorized Official Name and Position | Diane Marie Stamas (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5187823742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Physicians, Pllc 6 Wellness Way Ste 201 Latham NY 12110-2156 Ph: (518) 782-3700 | Community Care Physicians, Pllc 6 Wellness Way Ste 201 Latham NY 12110-2156 Ph: (518) 782-3700 |
| NPI Number | 1922048370 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 03/27/2024 |
| Medicare PECOS PAC ID | 8022904473 |
|---|---|
| Medicare Enrollment ID | O20080130000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922048370 | NPI | - | NPPES |
| 00863552 | Medicaid | NY |
| Provider Name | Jennifer Hutton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790869501 PECOS PAC ID: 5193627032 Enrollment ID: I20040122000371 |
| Provider Name | Lynn L Hickey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265579197 PECOS PAC ID: 7315835857 Enrollment ID: I20040308000366 |
| Provider Name | Philip Paty |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033190541 PECOS PAC ID: 9133017346 Enrollment ID: I20040309000963 |
| Provider Name | Debra C Zimring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437194966 PECOS PAC ID: 3971494873 Enrollment ID: I20040322000717 |
| Provider Name | Arthur L Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740211515 PECOS PAC ID: 1759373996 Enrollment ID: I20040330001544 |
| Provider Name | Peter A. Rienzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336177823 PECOS PAC ID: 2466444625 Enrollment ID: I20040330001692 |
| Provider Name | Dawn M Hoosier-paty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134196827 PECOS PAC ID: 5193719813 Enrollment ID: I20040414000345 |
| Provider Name | Manish Mehta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376534602 PECOS PAC ID: 9436143765 Enrollment ID: I20040416001319 |
| Provider Name | Michael P Morin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396831764 PECOS PAC ID: 2466447230 Enrollment ID: I20040420000326 |
| Provider Name | Tariq N Gill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629069679 PECOS PAC ID: 4981690948 Enrollment ID: I20040423000873 |
| Provider Name | Arsenio G Pascual |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174622799 PECOS PAC ID: 9830186030 Enrollment ID: I20040429000203 |
| Provider Name | Philip R Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033138755 PECOS PAC ID: 8820086085 Enrollment ID: I20040505000781 |
| Provider Name | Lorraine S Lemons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558457911 PECOS PAC ID: 6305835836 Enrollment ID: I20040510001369 |
| Provider Name | Boris Spektor |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912994286 PECOS PAC ID: 1658362033 Enrollment ID: I20040524000616 |
| Provider Name | Christine A Rowe-button |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730174483 PECOS PAC ID: 4880682657 Enrollment ID: I20040525001305 |
| Provider Name | Erin Stemper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942275995 PECOS PAC ID: 7214912021 Enrollment ID: I20040623001547 |
| Provider Name | Steven F Deserre |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891785689 PECOS PAC ID: 5294711313 Enrollment ID: I20040628001489 |
| Provider Name | Michael J Greenblatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619066099 PECOS PAC ID: 1658359344 Enrollment ID: I20040709000481 |
| Provider Name | Nita Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073693032 PECOS PAC ID: 9739169517 Enrollment ID: I20040722000490 |
| Provider Name | Norman W Patterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700966751 PECOS PAC ID: 6406836816 Enrollment ID: I20040724000148 |
| Provider Name | Arun K Puranik |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609950542 PECOS PAC ID: 4688646771 Enrollment ID: I20040810000193 |
| Provider Name | Nasrene R Yadegari Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548262991 PECOS PAC ID: 9638142029 Enrollment ID: I20040813001153 |
| Provider Name | Donna L Rector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790869634 PECOS PAC ID: 4880667989 Enrollment ID: I20040817000754 |
| Provider Name | Carol L Greenblatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245292069 PECOS PAC ID: 6103899851 Enrollment ID: I20040819000592 |
| Provider Name | Kristen H Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386663003 PECOS PAC ID: 8628042769 Enrollment ID: I20040824000552 |
| Provider Name | Rommel Tolentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780768598 PECOS PAC ID: 4385619097 Enrollment ID: I20040826001241 |
| Provider Name | Grahame W Fitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215929377 PECOS PAC ID: 7618942558 Enrollment ID: I20040901001443 |
| Provider Name | Kristine J Campagna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922197300 PECOS PAC ID: 7810964889 Enrollment ID: I20040910000787 |
| Provider Name | Jessica M Kaplan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477633428 PECOS PAC ID: 4981672672 Enrollment ID: I20040921000328 |
| Provider Name | Jessica D Berman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669433496 PECOS PAC ID: 9133183551 Enrollment ID: I20041116000530 |
| Provider Name | Arbind Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851338636 PECOS PAC ID: 9335104157 Enrollment ID: I20041122000393 |
| Provider Name | Lev L Barats |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760492680 PECOS PAC ID: 8729043922 Enrollment ID: I20041130000507 |
| Provider Name | Rebecca A Gildersleeve |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053303107 PECOS PAC ID: 2163480286 Enrollment ID: I20041221000632 |
| Provider Name | Anna M Eardley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043210461 PECOS PAC ID: 2567414196 Enrollment ID: I20050211000403 |
| Provider Name | Michael C Bertram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992882864 PECOS PAC ID: 9739131624 Enrollment ID: I20050218000727 |
| Provider Name | Nagaraja N Patil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962592501 PECOS PAC ID: 4981656717 Enrollment ID: I20050221000034 |
| Provider Name | Katja E Bock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255330916 PECOS PAC ID: 2668448440 Enrollment ID: I20050221000464 |
| Provider Name | Christina E Mcgaffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811008600 PECOS PAC ID: 2264488774 Enrollment ID: I20050329000087 |
| Provider Name | Ashraf E Seedhom |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801870100 PECOS PAC ID: 6103873898 Enrollment ID: I20050405000690 |
| Provider Name | Yoram Beer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659450278 PECOS PAC ID: 2264470152 Enrollment ID: I20050421000116 |
| Provider Name | Edward P Foley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932133022 PECOS PAC ID: 5092754697 Enrollment ID: I20050503000277 |
| Provider Name | Michael L Wolff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649354499 PECOS PAC ID: 6204876741 Enrollment ID: I20050504000757 |
| Provider Name | Ranen K Chakraborty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689764227 PECOS PAC ID: 3173566056 Enrollment ID: I20050602000613 |
| Provider Name | Stephen C Fishel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992891378 PECOS PAC ID: 2769425461 Enrollment ID: I20050603000468 |
| Provider Name | Jockular B Ford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679531289 PECOS PAC ID: 3072405661 Enrollment ID: I20050603000577 |
| Provider Name | Thomas Francis Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518928290 PECOS PAC ID: 4385547595 Enrollment ID: I20050623000579 |
| Provider Name | Shirish J Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245349158 PECOS PAC ID: 1254221955 Enrollment ID: I20050629000900 |
| Provider Name | Leonard A Leonidas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467536391 PECOS PAC ID: 3173554326 Enrollment ID: I20050826000596 |
| Provider Name | Lisa M. Thorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457432833 PECOS PAC ID: 8820022395 Enrollment ID: I20050926001081 |
| Provider Name | Allen Herr |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083798839 PECOS PAC ID: 1052381415 Enrollment ID: I20050927000758 |
| Provider Name | Joseph P Fusella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376563452 PECOS PAC ID: 2961437470 Enrollment ID: I20051004000527 |
| Provider Name | Robert Benton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205820727 PECOS PAC ID: 9436184785 Enrollment ID: I20051005000722 |
| Provider Name | Allison R Detommasi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194719625 PECOS PAC ID: 3678508934 Enrollment ID: I20051005000745 |
| Provider Name | Samantha Ludwig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053393207 PECOS PAC ID: 9133148232 Enrollment ID: I20051118000210 |
| Provider Name | Vasantha Natarajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346380235 PECOS PAC ID: 9638199128 Enrollment ID: I20051129000700 |
| Provider Name | Benjamin Z Cooper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568564300 PECOS PAC ID: 3577595370 Enrollment ID: I20051206000384 |
| Provider Name | Marian B Borgia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073565057 PECOS PAC ID: 3779504170 Enrollment ID: I20051213000677 |
| Provider Name | R. Scott Morris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568457943 PECOS PAC ID: 6608897863 Enrollment ID: I20051215000217 |
| Provider Name | Ronald V Musto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386728210 PECOS PAC ID: 5395766364 Enrollment ID: I20051219000291 |
| Provider Name | Stephen F Sipperly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720170269 PECOS PAC ID: 2062434137 Enrollment ID: I20060104000070 |
| Provider Name | Steffani L Cotugno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982619615 PECOS PAC ID: 7719901800 Enrollment ID: I20060117000063 |
| Provider Name | William G Alderisio |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770582538 PECOS PAC ID: 4981628781 Enrollment ID: I20060119000614 |
| Provider Name | Denis P Manor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326085564 PECOS PAC ID: 3971542879 Enrollment ID: I20060202000622 |
| Provider Name | Barbara C Brazis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992778385 PECOS PAC ID: 8527073998 Enrollment ID: I20060207000725 |
| Provider Name | Naseer A Chowdhrey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174585608 PECOS PAC ID: 8123033701 Enrollment ID: I20060217000688 |
| Provider Name | Lisa A Ribons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053495861 PECOS PAC ID: 3971519141 Enrollment ID: I20060224000342 |
| Provider Name | Gary P Siskin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255415063 PECOS PAC ID: 1254347446 Enrollment ID: I20060224000515 |
| Provider Name | Phuong N Vinh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063596872 PECOS PAC ID: 3476569674 Enrollment ID: I20060224000563 |
| Provider Name | Richard Orsi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962586727 PECOS PAC ID: 2668488768 Enrollment ID: I20060227000682 |
| Provider Name | Tami S Seaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144304908 PECOS PAC ID: 4981610086 Enrollment ID: I20060227000722 |
| Provider Name | Clifford Belden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285619858 PECOS PAC ID: 6507804416 Enrollment ID: I20060228000286 |
| Provider Name | Mitchel A Campito |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144300104 PECOS PAC ID: 4688680630 Enrollment ID: I20060228000386 |
| Provider Name | Alan L Chu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780764746 PECOS PAC ID: 0749234789 Enrollment ID: I20060228000412 |
| Provider Name | Frederick A Eames |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891879607 PECOS PAC ID: 7012923071 Enrollment ID: I20060228000516 |
| Provider Name | William J Hendrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326122136 PECOS PAC ID: 4082620059 Enrollment ID: I20060228000546 |
| Provider Name | Eric D Hoover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891875852 PECOS PAC ID: 2163431875 Enrollment ID: I20060410000082 |
| Provider Name | Christopher Andrew Bloss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518909209 PECOS PAC ID: 1153331780 Enrollment ID: I20060428000555 |
| Provider Name | Donna K Phelan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902864002 PECOS PAC ID: 4082626353 Enrollment ID: I20060705000156 |
| Provider Name | Frederic J Hellwitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245272137 PECOS PAC ID: 9133132202 Enrollment ID: I20060714000051 |
| Provider Name | Robert J Donohue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306871595 PECOS PAC ID: 6608889951 Enrollment ID: I20060803000264 |
| Provider Name | Andrew L Isenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114910437 PECOS PAC ID: 4587639307 Enrollment ID: I20060818000035 |
| Provider Name | Ayman H Morgan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053336255 PECOS PAC ID: 5597760009 Enrollment ID: I20060915000241 |
| Provider Name | Eric Schnakenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831128206 PECOS PAC ID: 0648277293 Enrollment ID: I20061025000145 |
| Provider Name | Vishnudas P Pai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649218538 PECOS PAC ID: 3971500521 Enrollment ID: I20061025000172 |
| Provider Name | Michael E Schuster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295714434 PECOS PAC ID: 8729015128 Enrollment ID: I20070118000340 |
| Provider Name | Theresa M Viola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659398097 PECOS PAC ID: 1850497900 Enrollment ID: I20070507000104 |
| Provider Name | Ping Lu |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1144393265 PECOS PAC ID: 2062519267 Enrollment ID: I20070523000410 |
| Provider Name | Holly L Wasniewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417020090 PECOS PAC ID: 1759488968 Enrollment ID: I20070523000453 |
| Provider Name | Hani L Shahata |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568549525 PECOS PAC ID: 0648378760 Enrollment ID: I20070613000116 |
| Provider Name | Rana B Jacob |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619964236 PECOS PAC ID: 4486745957 Enrollment ID: I20070813000530 |
| Provider Name | Thomas Goodman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699762344 PECOS PAC ID: 0941391411 Enrollment ID: I20070813000557 |
| Provider Name | Parag Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497740864 PECOS PAC ID: 0042303711 Enrollment ID: I20070911000729 |
| Provider Name | Arthur F Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780604868 PECOS PAC ID: 4082709704 Enrollment ID: I20070926000769 |
| Provider Name | Rupal Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063604049 PECOS PAC ID: 3577658343 Enrollment ID: I20071009000459 |
| Provider Name | Shailesh R Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720145246 PECOS PAC ID: 3971591876 Enrollment ID: I20071128000072 |
| Provider Name | Kim Poli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629017629 PECOS PAC ID: 9335238823 Enrollment ID: I20071207000163 |
| Provider Name | Prabhakar Chava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861582405 PECOS PAC ID: 3577653468 Enrollment ID: I20071215000065 |
| Provider Name | James Walders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881783264 PECOS PAC ID: 9931299831 Enrollment ID: I20071215000081 |
| Provider Name | Paul E Gebhard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821187204 PECOS PAC ID: 1456441351 Enrollment ID: I20071215000097 |
| Provider Name | Stefanie L Allison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265626642 PECOS PAC ID: 9638269483 Enrollment ID: I20071217000361 |
| Provider Name | Christopher W Doti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053380477 PECOS PAC ID: 8022108455 Enrollment ID: I20071221000176 |
| Provider Name | Neil C Mitnick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790874170 PECOS PAC ID: 0749370179 Enrollment ID: I20071221000181 |
| Provider Name | Nancy Lynn Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821059742 PECOS PAC ID: 9739279175 Enrollment ID: I20071221000191 |
| Provider Name | Sean P Roche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427078054 PECOS PAC ID: 5991895237 Enrollment ID: I20071226000313 |
| Provider Name | Juanito Antonio Reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518932458 PECOS PAC ID: 8022190537 Enrollment ID: I20080123000425 |
| Provider Name | Susan S Dorsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386733764 PECOS PAC ID: 6800979006 Enrollment ID: I20080212000048 |
| Provider Name | Lance E Sullenberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174623086 PECOS PAC ID: 7416034269 Enrollment ID: I20080404000112 |
| Provider Name | Lee M Stetzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871690743 PECOS PAC ID: 9739267014 Enrollment ID: I20080428000357 |
| Provider Name | Dympna Weil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659542264 PECOS PAC ID: 6709956410 Enrollment ID: I20080607000052 |
| Provider Name | Beth Whiteside |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467654616 PECOS PAC ID: 5799876736 Enrollment ID: I20080610000488 |
| Provider Name | Jeffrey R Uzzilia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548444664 PECOS PAC ID: 2365513165 Enrollment ID: I20080623000406 |
| Provider Name | Christina L Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942494992 PECOS PAC ID: 2062584063 Enrollment ID: I20080709000095 |
| Provider Name | Craig A Maier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871751925 PECOS PAC ID: 3577635275 Enrollment ID: I20080711000170 |
| Provider Name | Carlos L Elguero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962665737 PECOS PAC ID: 2668545914 Enrollment ID: I20080718000450 |
| Provider Name | Elena Rosenbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689797607 PECOS PAC ID: 1153421912 Enrollment ID: I20080805000090 |
| Provider Name | Karen Powers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265640205 PECOS PAC ID: 9931274388 Enrollment ID: I20080819000627 |
| Provider Name | Brigid E Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861612814 PECOS PAC ID: 3274608203 Enrollment ID: I20080826000362 |
| Provider Name | Peter E Fisk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619001468 PECOS PAC ID: 6305905787 Enrollment ID: I20081030000697 |
| Provider Name | Nicole M Monserrate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871520700 PECOS PAC ID: 1254491970 Enrollment ID: I20081125000220 |
| Provider Name | Jill Graham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205815313 PECOS PAC ID: 5294896775 Enrollment ID: I20081202000567 |
| Provider Name | Rebecca R Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649237736 PECOS PAC ID: 4688632524 Enrollment ID: I20090121000006 |
| Provider Name | Shahida P Mirza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285724294 PECOS PAC ID: 8820153760 Enrollment ID: I20090210000495 |
| Provider Name | Zachary H Passaretti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750357349 PECOS PAC ID: 2264597061 Enrollment ID: I20090306000302 |
| Provider Name | Abul K. Azad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003979121 PECOS PAC ID: 6507812971 Enrollment ID: I20090428000000 |
| Provider Name | John P Fantauzzi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649442070 PECOS PAC ID: 9234204108 Enrollment ID: I20090615000081 |
| Provider Name | George Soryal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134356512 PECOS PAC ID: 7517010812 Enrollment ID: I20090804000720 |
| Provider Name | Ruslan Feygin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891946703 PECOS PAC ID: 3779637343 Enrollment ID: I20090817000211 |
| Provider Name | David Mayo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598991572 PECOS PAC ID: 1658426978 Enrollment ID: I20090909000640 |
| Provider Name | Charles H Richman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336238716 PECOS PAC ID: 8527104108 Enrollment ID: I20091013000298 |
| Provider Name | Simon Ouaknine |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548498496 PECOS PAC ID: 4789721945 Enrollment ID: I20091021000477 |
| Provider Name | Elizabeth A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245416387 PECOS PAC ID: 1052458130 Enrollment ID: I20091021000782 |
| Provider Name | Michael Gabor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598754582 PECOS PAC ID: 7618968876 Enrollment ID: I20091104000058 |
| Provider Name | Anthony Malone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033172952 PECOS PAC ID: 4385784347 Enrollment ID: I20091223000023 |
| Provider Name | Aileen B Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790925147 PECOS PAC ID: 4284776667 Enrollment ID: I20100122000597 |
| Provider Name | Barbara K Lahut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497702393 PECOS PAC ID: 0446392591 Enrollment ID: I20100127000719 |
| Provider Name | Saaket Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336229392 PECOS PAC ID: 1355476458 Enrollment ID: I20100315000572 |
| Provider Name | Arthur Robert Vakiener |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750398319 PECOS PAC ID: 0345289245 Enrollment ID: I20100331000836 |
| Provider Name | Susan M Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447251566 PECOS PAC ID: 1759418049 Enrollment ID: I20100419000218 |
| Provider Name | Laura F Brodsky |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174603120 PECOS PAC ID: 3274660451 Enrollment ID: I20100420000372 |
| Provider Name | Marino Baselice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174607014 PECOS PAC ID: 3779610795 Enrollment ID: I20100423000159 |
| Provider Name | Timothy J Nicholson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013091941 PECOS PAC ID: 9436286465 Enrollment ID: I20100423000237 |
| Provider Name | Eugene M.d. Hoffert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043390065 PECOS PAC ID: 4284761180 Enrollment ID: I20100426000200 |
| Provider Name | Peter H Stier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790706216 PECOS PAC ID: 3274689039 Enrollment ID: I20100428000644 |
| Provider Name | Hillary B Siebeneck |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548340599 PECOS PAC ID: 1658400742 Enrollment ID: I20100528000029 |
| Provider Name | Aaron J Siebeneck |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588710529 PECOS PAC ID: 9739218827 Enrollment ID: I20100528000041 |
| Provider Name | Miguel R Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477642858 PECOS PAC ID: 7315076130 Enrollment ID: I20100603000361 |
| Provider Name | James P Gaylord |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831273762 PECOS PAC ID: 2466581293 Enrollment ID: I20100603000421 |
| Provider Name | Holly K Cleney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568551943 PECOS PAC ID: 2860523677 Enrollment ID: I20100623000182 |
| Provider Name | Shenelle R Gaston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285733808 PECOS PAC ID: 3870626906 Enrollment ID: I20100727000207 |
| Provider Name | Louis C Ianniello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427078500 PECOS PAC ID: 9537292453 Enrollment ID: I20100729000313 |
| Provider Name | Kristen L Compa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093814618 PECOS PAC ID: 6103940341 Enrollment ID: I20100825000536 |
| Provider Name | Norbert J Woods |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841208634 PECOS PAC ID: 3577687565 Enrollment ID: I20100827000240 |
| Provider Name | Cindy H Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407879026 PECOS PAC ID: 5890819700 Enrollment ID: I20100830000747 |
| Provider Name | Zofia W Drzymalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225051253 PECOS PAC ID: 7214051135 Enrollment ID: I20100830000813 |
| Provider Name | Richard S Yan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306959812 PECOS PAC ID: 8628193919 Enrollment ID: I20100909000778 |
| Provider Name | James D Saperstone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235167776 PECOS PAC ID: 9133244429 Enrollment ID: I20100909000827 |
| Provider Name | Jennifer M Wiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205837515 PECOS PAC ID: 6305961871 Enrollment ID: I20100921000825 |
| Provider Name | Barbara J Lahey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477757219 PECOS PAC ID: 5890811350 Enrollment ID: I20100922000547 |
| Provider Name | Efrossini A Kolios |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124275797 PECOS PAC ID: 9931225760 Enrollment ID: I20100929000501 |
| Provider Name | Geri L Aitken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649360009 PECOS PAC ID: 1456543875 Enrollment ID: I20101004001184 |
| Provider Name | Lisa R Bevilacqua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336231844 PECOS PAC ID: 1153513577 Enrollment ID: I20101004001221 |
| Provider Name | Oleksiy Loytra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720390354 PECOS PAC ID: 4183749799 Enrollment ID: I20101006000501 |
| Provider Name | Daniel Michael Chernoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235124082 PECOS PAC ID: 7810087988 Enrollment ID: I20101008000135 |
| Provider Name | Allison D Graziadei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265694871 PECOS PAC ID: 9830381755 Enrollment ID: I20101011001108 |
| Provider Name | Carol F Braungart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508977398 PECOS PAC ID: 8123210861 Enrollment ID: I20101013000268 |
| Provider Name | Kelly A Dennin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760455141 PECOS PAC ID: 6204028855 Enrollment ID: I20101014000397 |
| Provider Name | Riaz Mirza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679545297 PECOS PAC ID: 1951316330 Enrollment ID: I20101015000014 |
| Provider Name | Margaret M Woods |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255349916 PECOS PAC ID: 5597958074 Enrollment ID: I20101015000816 |
| Provider Name | Darin M Price |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962430405 PECOS PAC ID: 8123211174 Enrollment ID: I20101022000001 |
| Provider Name | Steven Laplante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336318013 PECOS PAC ID: 6709071103 Enrollment ID: I20101111000245 |
| Provider Name | Rachelle Brilliant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154581692 PECOS PAC ID: 8921293192 Enrollment ID: I20101112000961 |
| Provider Name | Theresa A Sirico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750471132 PECOS PAC ID: 6002002409 Enrollment ID: I20101124000786 |
| Provider Name | Brian S Navarro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245268978 PECOS PAC ID: 9436345410 Enrollment ID: I20101202000702 |
| Provider Name | Carolyn A Eaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346268075 PECOS PAC ID: 5799972261 Enrollment ID: I20101209000533 |
| Provider Name | Lorna C Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477873776 PECOS PAC ID: 6901093269 Enrollment ID: I20101213000448 |
| Provider Name | Sandra C. Taccad Reyes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588679294 PECOS PAC ID: 5193912319 Enrollment ID: I20101214000200 |
| Provider Name | Shannon L O'meara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386959716 PECOS PAC ID: 8426246018 Enrollment ID: I20101227000153 |
| Provider Name | Soo Gil Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063476398 PECOS PAC ID: 7416145685 Enrollment ID: I20110103000956 |
| Provider Name | Eric M Wagle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306810775 PECOS PAC ID: 9638108939 Enrollment ID: I20110111000390 |
| Provider Name | Sasi K Cheruvu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194798926 PECOS PAC ID: 3375572670 Enrollment ID: I20110111000453 |
| Provider Name | Areta M Pidwerbetsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972576635 PECOS PAC ID: 4183653488 Enrollment ID: I20110111000477 |
| Provider Name | Joseph S Pazienza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669445326 PECOS PAC ID: 3274562574 Enrollment ID: I20110111000521 |
| Provider Name | Michael Burke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346213162 PECOS PAC ID: 5294764593 Enrollment ID: I20110119000506 |
| Provider Name | Nicholas Kulbida |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801816665 PECOS PAC ID: 4385824218 Enrollment ID: I20110210000402 |
| Provider Name | Carolyn J Slatch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265431951 PECOS PAC ID: 1658560750 Enrollment ID: I20110210001054 |
| Provider Name | Gowdara Divakara Murthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851302137 PECOS PAC ID: 1456534817 Enrollment ID: I20110322000656 |
| Provider Name | Russell Wenacur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760421127 PECOS PAC ID: 5294918645 Enrollment ID: I20110328000698 |
| Provider Name | John Joseph Obryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992745632 PECOS PAC ID: 4486837838 Enrollment ID: I20110401000104 |
| Provider Name | Kristina M Lahtinen-aley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376662767 PECOS PAC ID: 8921282559 Enrollment ID: I20110406000445 |
| Provider Name | Stephanie E Jorgensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083673727 PECOS PAC ID: 0042494460 Enrollment ID: I20110409000015 |
| Provider Name | Swatantra Kala Mitta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871683417 PECOS PAC ID: 3779767199 Enrollment ID: I20110409000019 |
| Provider Name | Beulah J Puthuparampil-mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346324282 PECOS PAC ID: 8123202546 Enrollment ID: I20110409000026 |
| Provider Name | Christina Marie Brueggemann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861507998 PECOS PAC ID: 0446434740 Enrollment ID: I20110412000141 |
| Provider Name | Emanuel Nicholas Cirenza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043300684 PECOS PAC ID: 0648454959 Enrollment ID: I20110412000247 |
| Provider Name | Jami Marie Hawthorne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952491599 PECOS PAC ID: 8022293927 Enrollment ID: I20110419000441 |
| Provider Name | Laura Yates Lecours |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053401695 PECOS PAC ID: 9739364662 Enrollment ID: I20110419000704 |
| Provider Name | Marvin Md Schwartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548234909 PECOS PAC ID: 4587693890 Enrollment ID: I20110512000617 |
| Provider Name | Deborah A Hirt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992896716 PECOS PAC ID: 9931385218 Enrollment ID: I20110523000067 |
| Provider Name | Laura L Arenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588954689 PECOS PAC ID: 6305023821 Enrollment ID: I20110610000200 |
| Provider Name | Lawrence Keating |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891818233 PECOS PAC ID: 6608044540 Enrollment ID: I20110721000015 |
| Provider Name | Ann E Rutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285895714 PECOS PAC ID: 2062680465 Enrollment ID: I20110728000510 |
| Provider Name | Gloria G Guptill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295994002 PECOS PAC ID: 4880862283 Enrollment ID: I20110728000515 |
| Provider Name | Marissa L Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659691491 PECOS PAC ID: 1951578368 Enrollment ID: I20120125000222 |
| Provider Name | Christopher C Medina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518030402 PECOS PAC ID: 2769646496 Enrollment ID: I20120611000031 |
| Provider Name | Catherine L Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487895579 PECOS PAC ID: 5597933853 Enrollment ID: I20120611000052 |
| Provider Name | Richard E Kittle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881616217 PECOS PAC ID: 2264698331 Enrollment ID: I20120718000690 |
| Provider Name | Alexandr Sazon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346557030 PECOS PAC ID: 3971759911 Enrollment ID: I20120808000064 |
| Provider Name | Gaetano T Pastena |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871822346 PECOS PAC ID: 9739210709 Enrollment ID: I20120813000040 |
| Provider Name | David L Colman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487889994 PECOS PAC ID: 3476701517 Enrollment ID: I20120917000011 |
| Provider Name | Cathy Dascher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588710271 PECOS PAC ID: 9032367032 Enrollment ID: I20120917000700 |
| Provider Name | Veronica Cieszynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396007597 PECOS PAC ID: 2264681774 Enrollment ID: I20120927000013 |
| Provider Name | Srilaxmi Tumuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710198536 PECOS PAC ID: 5597825364 Enrollment ID: I20121121000382 |
| Provider Name | Danielle Marie Rooney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417190653 PECOS PAC ID: 9335389832 Enrollment ID: I20130705000122 |
| Provider Name | Jude A Koblenzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811294036 PECOS PAC ID: 0042452641 Enrollment ID: I20130812000205 |
| Provider Name | Jessica L Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639428386 PECOS PAC ID: 4486896818 Enrollment ID: I20130814000080 |
| Provider Name | Jency T Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699080655 PECOS PAC ID: 5991948861 Enrollment ID: I20130823001094 |
| Provider Name | Mary K Barnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205146149 PECOS PAC ID: 5698918894 Enrollment ID: I20130906000227 |
| Provider Name | Kelley E Sicley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376855114 PECOS PAC ID: 4183858376 Enrollment ID: I20131001000091 |
| Provider Name | Lacey M Weller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275973638 PECOS PAC ID: 2062646284 Enrollment ID: I20131001000519 |
| Provider Name | Cary I Vachon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376854646 PECOS PAC ID: 4688808819 Enrollment ID: I20131002000003 |
| Provider Name | Laura Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174817910 PECOS PAC ID: 5193950632 Enrollment ID: I20131108000916 |
| Provider Name | Jason N Lieu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407163827 PECOS PAC ID: 2062640832 Enrollment ID: I20140124001784 |
| Provider Name | Tatiana Sazon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306141684 PECOS PAC ID: 8123258449 Enrollment ID: I20140307000077 |
| Provider Name | Sara P Raymond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366602971 PECOS PAC ID: 7012157282 Enrollment ID: I20140414000383 |
| Provider Name | Amanda A Lasky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285045484 PECOS PAC ID: 1456576941 Enrollment ID: I20140625000567 |
| Provider Name | Michael R Cooley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669509014 PECOS PAC ID: 7517126667 Enrollment ID: I20140626001784 |
| Provider Name | Christine L Cooley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316181753 PECOS PAC ID: 9335327816 Enrollment ID: I20140626002009 |
| Provider Name | Erin V Larrabee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871756528 PECOS PAC ID: 4688737257 Enrollment ID: I20140702000684 |
| Provider Name | Ananth Narayan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134325699 PECOS PAC ID: 7315102811 Enrollment ID: I20141015001066 |
| Provider Name | Ashley Iten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770904195 PECOS PAC ID: 4183846652 Enrollment ID: I20141118000914 |
| Provider Name | Carmen Cardinale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952704702 PECOS PAC ID: 2668794215 Enrollment ID: I20141210000108 |
| Provider Name | Paula Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013356500 PECOS PAC ID: 5193048247 Enrollment ID: I20141223000429 |
| Provider Name | Shulamit K Shechter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821481680 PECOS PAC ID: 3678893328 Enrollment ID: I20150520000315 |
| Provider Name | Samit N Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073742011 PECOS PAC ID: 5698990885 Enrollment ID: I20150710001646 |
| Provider Name | Susan P Demarest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558680504 PECOS PAC ID: 6901045186 Enrollment ID: I20150716001400 |
| Provider Name | Marsha A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346324100 PECOS PAC ID: 4183931256 Enrollment ID: I20150922002443 |
| Provider Name | Sharita Nagaraj |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619207008 PECOS PAC ID: 0648587675 Enrollment ID: I20150923001384 |
| Provider Name | Frances A Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679956643 PECOS PAC ID: 2961719950 Enrollment ID: I20150924000193 |
| Provider Name | Alina Nazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558626309 PECOS PAC ID: 0749598969 Enrollment ID: I20151007001892 |
| Provider Name | Jessica Chapman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871814756 PECOS PAC ID: 1052620408 Enrollment ID: I20151026001100 |
| Provider Name | Sreenivas Garla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013177641 PECOS PAC ID: 3072739259 Enrollment ID: I20151106001555 |
| Provider Name | Nicole Paonessa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366813073 PECOS PAC ID: 3678874591 Enrollment ID: I20151218001461 |
| Provider Name | Barbara Hunter Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245483015 PECOS PAC ID: 5092012039 Enrollment ID: I20160318000918 |
| Provider Name | Richard J Simmons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912131525 PECOS PAC ID: 8022315498 Enrollment ID: I20160330000581 |
| Provider Name | Kevin M Woods |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568569549 PECOS PAC ID: 4486831054 Enrollment ID: I20160404001218 |
| Provider Name | Stacey Langford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194968909 PECOS PAC ID: 4789998519 Enrollment ID: I20160413001718 |
| Provider Name | Zachary M Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700246238 PECOS PAC ID: 4486953015 Enrollment ID: I20160503000329 |
| Provider Name | Jill A Gradner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528142460 PECOS PAC ID: 5799875126 Enrollment ID: I20160513000004 |
| Provider Name | Troy D Eckman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073518304 PECOS PAC ID: 6901826817 Enrollment ID: I20160606002558 |
| Provider Name | Trent W Lyons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972738656 PECOS PAC ID: 5890928709 Enrollment ID: I20160607001755 |
| Provider Name | Crystal M Santiago |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760729131 PECOS PAC ID: 3173810892 Enrollment ID: I20160923001525 |
| Provider Name | Joanne Virginia Bifaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609214394 PECOS PAC ID: 1759513799 Enrollment ID: I20160926001481 |
| Provider Name | Chowdhury F Miah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427472240 PECOS PAC ID: 3072738319 Enrollment ID: I20160928000737 |
| Provider Name | Melissa Raduazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497113856 PECOS PAC ID: 5092003228 Enrollment ID: I20161004001202 |
| Provider Name | Susan Burchill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649723305 PECOS PAC ID: 8527356831 Enrollment ID: I20161019000357 |
| Provider Name | Anneliese Provost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184173635 PECOS PAC ID: 0648559443 Enrollment ID: I20161118001420 |
| Provider Name | Jessica Linden Riggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104276294 PECOS PAC ID: 9537440581 Enrollment ID: I20170105000636 |
| Provider Name | Rebecca Rose Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073965166 PECOS PAC ID: 1355624073 Enrollment ID: I20170203000268 |
| Provider Name | Heather A Stahura |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396011219 PECOS PAC ID: 5799068763 Enrollment ID: I20170217000641 |
| Provider Name | Mary L Brasch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629100086 PECOS PAC ID: 2365727997 Enrollment ID: I20170323000049 |
| Provider Name | Nora Kate Callinan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356760342 PECOS PAC ID: 9032486964 Enrollment ID: I20170525000949 |
| Provider Name | Christopher Stark |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467741116 PECOS PAC ID: 4385945682 Enrollment ID: I20170605001828 |
| Provider Name | Zachary Kostun |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598022147 PECOS PAC ID: 8426326588 Enrollment ID: I20170613001738 |
| Provider Name | Daniil Niyazov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225457039 PECOS PAC ID: 0648549022 Enrollment ID: I20170628000261 |
| Provider Name | Aaron J Quidort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053756395 PECOS PAC ID: 4183993587 Enrollment ID: I20170628000771 |
| Provider Name | Connor D Healey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316206998 PECOS PAC ID: 2567733553 Enrollment ID: I20170809003397 |
| Provider Name | Ellen Regal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912427881 PECOS PAC ID: 5799057758 Enrollment ID: I20170825001381 |
| Provider Name | Jenna L Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457874547 PECOS PAC ID: 0143593764 Enrollment ID: I20170901002679 |
| Provider Name | Caitlin T Sonagere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821417221 PECOS PAC ID: 9133492366 Enrollment ID: I20170908002493 |
| Provider Name | Lilith M Brodsky |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679097208 PECOS PAC ID: 7416220686 Enrollment ID: I20170911000726 |
| Provider Name | Nicole Tetreault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356784839 PECOS PAC ID: 3577855063 Enrollment ID: I20170919003431 |
| Provider Name | Jodi M Conlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669998472 PECOS PAC ID: 8123393352 Enrollment ID: I20171013001411 |
| Provider Name | Allison J Godfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710336581 PECOS PAC ID: 9638457344 Enrollment ID: I20171018003521 |
| Provider Name | Nicholas Joseph Fusella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750795738 PECOS PAC ID: 9638435845 Enrollment ID: I20171103001200 |
| Provider Name | Carl A Heinecke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124319751 PECOS PAC ID: 4284992215 Enrollment ID: I20171221001701 |
| Provider Name | Dari Cook-mcgibbon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639695752 PECOS PAC ID: 0042579732 Enrollment ID: I20180126000761 |
| Provider Name | Christina M Spaulding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487092615 PECOS PAC ID: 3072875848 Enrollment ID: I20180315001515 |
| Provider Name | Kimberly A Riggi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366942385 PECOS PAC ID: 8224391131 Enrollment ID: I20180405002602 |
| Provider Name | Joanna Maxon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992203236 PECOS PAC ID: 8426311663 Enrollment ID: I20180420001891 |
| Provider Name | James M Belarmino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649447897 PECOS PAC ID: 0941371710 Enrollment ID: I20180509002707 |
| Provider Name | Jessica L Fournier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598025595 PECOS PAC ID: 7719256536 Enrollment ID: I20180628001729 |
| Provider Name | Marissa Z Fusella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396125472 PECOS PAC ID: 5496003162 Enrollment ID: I20180813002068 |
| Provider Name | Shannon L Worden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790261543 PECOS PAC ID: 0941559389 Enrollment ID: I20180820000324 |
| Provider Name | Abigail R Rauf |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902392517 PECOS PAC ID: 9739438078 Enrollment ID: I20180821000923 |
| Provider Name | Joseph M Giampa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083047724 PECOS PAC ID: 9739459389 Enrollment ID: I20180831000376 |
| Provider Name | Cheryl L Bruen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083193551 PECOS PAC ID: 2062763824 Enrollment ID: I20180918003943 |
| Provider Name | Kyle A Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437632767 PECOS PAC ID: 0547513467 Enrollment ID: I20181023002210 |
| Provider Name | Donnamarie Martocci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972085819 PECOS PAC ID: 7113270786 Enrollment ID: I20181029001618 |
| Provider Name | Karen A Bedell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629550041 PECOS PAC ID: 3375887565 Enrollment ID: I20181128002673 |
| Provider Name | Christina Paddon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467948109 PECOS PAC ID: 0941546014 Enrollment ID: I20190110000571 |
| Provider Name | Jenny A Torre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588954614 PECOS PAC ID: 0446596050 Enrollment ID: I20190117002476 |
| Provider Name | Micaela Nordhauser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730138330 PECOS PAC ID: 9537405162 Enrollment ID: I20190117003360 |
| Provider Name | Scott Mancuso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962497024 PECOS PAC ID: 4284619412 Enrollment ID: I20190226000799 |
| Provider Name | Karyn Hughes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770809774 PECOS PAC ID: 1254670649 Enrollment ID: I20190301000732 |
| Provider Name | Alissa B Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073079828 PECOS PAC ID: 9830439231 Enrollment ID: I20190321001987 |
| Provider Name | Lindsay M Nemith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346556776 PECOS PAC ID: 8325210024 Enrollment ID: I20190404002068 |
| Provider Name | April M St. Peter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063987915 PECOS PAC ID: 1951642636 Enrollment ID: I20190405001321 |
| Provider Name | Terry John Kallner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578049334 PECOS PAC ID: 0941533038 Enrollment ID: I20190604002867 |
| Provider Name | Marco Vitto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285926709 PECOS PAC ID: 1850626250 Enrollment ID: I20190708001410 |
| Provider Name | Bryan W Dworsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972957769 PECOS PAC ID: 4981930591 Enrollment ID: I20190719000502 |
| Provider Name | Camille Dumas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851710859 PECOS PAC ID: 8729203971 Enrollment ID: I20190802000471 |
| Provider Name | Sondra A Stoute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962063149 PECOS PAC ID: 3072841410 Enrollment ID: I20190823000720 |
| Provider Name | Sarah A Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386296747 PECOS PAC ID: 8729316864 Enrollment ID: I20190827002395 |
| Provider Name | Madeline Haas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659735769 PECOS PAC ID: 1153616578 Enrollment ID: I20190828002951 |
| Provider Name | Kate A Woll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669738332 PECOS PAC ID: 5597073486 Enrollment ID: I20190829001893 |
| Provider Name | Charlene Ann Stelluti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346892239 PECOS PAC ID: 4385973577 Enrollment ID: I20190913000694 |
| Provider Name | Joshua Ross |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1235557521 PECOS PAC ID: 0042517997 Enrollment ID: I20190930000219 |
| Provider Name | Sarah E Aluck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942858477 PECOS PAC ID: 6709116924 Enrollment ID: I20191001000858 |
| Provider Name | Sarah A O'leary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396393203 PECOS PAC ID: 0648501585 Enrollment ID: I20191008002141 |
| Provider Name | Victoria Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477104172 PECOS PAC ID: 5991137051 Enrollment ID: I20191112002312 |
| Provider Name | Victoria Rose Every |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518511831 PECOS PAC ID: 5092149872 Enrollment ID: I20200103000324 |
| Provider Name | Anita Puthuparampil-suchdeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265066864 PECOS PAC ID: 5991133340 Enrollment ID: I20200317002262 |
| Provider Name | Kimberly Owens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184038069 PECOS PAC ID: 9931326881 Enrollment ID: I20200520000578 |
| Provider Name | Gina Ptak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992340749 PECOS PAC ID: 6103247267 Enrollment ID: I20200528002536 |
| Provider Name | Luis D Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245677426 PECOS PAC ID: 3375966393 Enrollment ID: I20200709002536 |
| Provider Name | Krista N Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679005326 PECOS PAC ID: 7810239092 Enrollment ID: I20200709002613 |
| Provider Name | Neil Harrison |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1093133530 PECOS PAC ID: 5294032496 Enrollment ID: I20200721001707 |
| Provider Name | Lisa Marie Vergine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396368056 PECOS PAC ID: 1254757933 Enrollment ID: I20200812000441 |
| Provider Name | Candice Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447878772 PECOS PAC ID: 3779900444 Enrollment ID: I20200820002563 |
| Provider Name | Aiad Zaza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629336672 PECOS PAC ID: 9638315450 Enrollment ID: I20200824002067 |
| Provider Name | Alexandra Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013370782 PECOS PAC ID: 2163768060 Enrollment ID: I20200915000387 |
| Provider Name | Hope E Barnum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609307537 PECOS PAC ID: 7911244421 Enrollment ID: I20200924003040 |
| Provider Name | Lisa Ann Eberhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639796485 PECOS PAC ID: 6608296280 Enrollment ID: I20201020003752 |
| Provider Name | Stephanie Lee Quandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831712264 PECOS PAC ID: 4284045626 Enrollment ID: I20201116002371 |
| Provider Name | Kayla Rose Bracey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639601917 PECOS PAC ID: 5496166092 Enrollment ID: I20201203002056 |
| Provider Name | Eric Golderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639784523 PECOS PAC ID: 5092127837 Enrollment ID: I20201218001383 |
| Provider Name | Kristin Rebecca Grovenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669065900 PECOS PAC ID: 2466868781 Enrollment ID: I20210311002396 |
| Provider Name | Lalithapriya Jayakumar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891020640 PECOS PAC ID: 3971875493 Enrollment ID: I20210406000068 |
| Provider Name | Amanda L Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174118590 PECOS PAC ID: 7416365291 Enrollment ID: I20210415001032 |
| Provider Name | Trevor J Salverson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558757377 PECOS PAC ID: 1254676166 Enrollment ID: I20210527003030 |
| Provider Name | Casey Marie Feldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578143210 PECOS PAC ID: 2365843620 Enrollment ID: I20210624002521 |
| Provider Name | Kathleen E Shanley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336643618 PECOS PAC ID: 0749528818 Enrollment ID: I20210713000465 |
| Provider Name | Eleanor Fiacco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679142376 PECOS PAC ID: 6901209493 Enrollment ID: I20210721001579 |
| Provider Name | Alexandra Taffany |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568995124 PECOS PAC ID: 1759610439 Enrollment ID: I20210729000329 |
| Provider Name | Amanda Lynn Konieczny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225600505 PECOS PAC ID: 5799189403 Enrollment ID: I20210803001326 |
| Provider Name | Katherine Kivela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609446905 PECOS PAC ID: 3779987441 Enrollment ID: I20210803003465 |
| Provider Name | Olivia Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174297709 PECOS PAC ID: 8325443914 Enrollment ID: I20210819002265 |
| Provider Name | Sarah Marie Winkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336818160 PECOS PAC ID: 8325445257 Enrollment ID: I20210921000198 |
| Provider Name | Anthony K Sayegh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881056935 PECOS PAC ID: 4880939719 Enrollment ID: I20211004002933 |
| Provider Name | Susannah Louis Kricker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710481643 PECOS PAC ID: 0446590244 Enrollment ID: I20211101002367 |
| Provider Name | Rundi Constant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770237802 PECOS PAC ID: 5597159186 Enrollment ID: I20220224001512 |
| Provider Name | Tara Ellen Fay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114679784 PECOS PAC ID: 4789079393 Enrollment ID: I20220317002315 |
| Provider Name | Mikayla Ann Solloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174270086 PECOS PAC ID: 0648665927 Enrollment ID: I20220323002314 |
| Provider Name | Manek Aulakh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225456569 PECOS PAC ID: 1052531795 Enrollment ID: I20220401001134 |
| Provider Name | Gregory Frederick Reinwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265181010 PECOS PAC ID: 2860888690 Enrollment ID: I20220405000084 |
| Provider Name | Stefanie Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225784887 PECOS PAC ID: 2860889391 Enrollment ID: I20220430000102 |
| Provider Name | Grace Emily Hanlon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124549548 PECOS PAC ID: 2365820735 Enrollment ID: I20220526001545 |
| Provider Name | Elizabeth Mary Valk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942947320 PECOS PAC ID: 3173901311 Enrollment ID: I20220601000072 |
| Provider Name | Tessa Elaine Labounty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831757723 PECOS PAC ID: 8123408242 Enrollment ID: I20220707001728 |
| Provider Name | Travis J Bevington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578925632 PECOS PAC ID: 1052656824 Enrollment ID: I20220726001109 |
| Provider Name | Stephen Michael Kuehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659939544 PECOS PAC ID: 8820470206 Enrollment ID: I20220802000190 |
| Provider Name | Peter E Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336593391 PECOS PAC ID: 9638570781 Enrollment ID: I20220811000717 |
| Provider Name | Eugenia Voronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124753538 PECOS PAC ID: 2769865104 Enrollment ID: I20220817001347 |
| Provider Name | Mary Ellen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831825686 PECOS PAC ID: 9638553621 Enrollment ID: I20220824003030 |
| Provider Name | Jaime Michelle Hollander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053782706 PECOS PAC ID: 7911381157 Enrollment ID: I20220907001275 |
| Provider Name | Michael Huppmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164628467 PECOS PAC ID: 7315062536 Enrollment ID: I20220909001471 |
| Provider Name | Leah Lafrance |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235800566 PECOS PAC ID: 6709261597 Enrollment ID: I20220914003013 |
| Provider Name | Desiree Joyce Mollnow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912632027 PECOS PAC ID: 0042695652 Enrollment ID: I20220919001192 |
| Provider Name | Haleema Serlie Osmani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588392278 PECOS PAC ID: 0547645988 Enrollment ID: I20220921000232 |
| Provider Name | Christine Normile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356069918 PECOS PAC ID: 6800272154 Enrollment ID: I20221010003247 |
| Provider Name | Jayaprabha Lafontaine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003257833 PECOS PAC ID: 8729325287 Enrollment ID: I20221011000689 |
| Provider Name | Monica Mundra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720549967 PECOS PAC ID: 2860722717 Enrollment ID: I20221012001825 |
| Provider Name | Taylor Suzanne Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255911491 PECOS PAC ID: 1951777960 Enrollment ID: I20221017001584 |
| Provider Name | Shauna Marie Paris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003535568 PECOS PAC ID: 9739555665 Enrollment ID: I20221019000923 |
| Provider Name | Cynthia Pickney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437110830 PECOS PAC ID: 1355410077 Enrollment ID: I20221115001592 |
| Provider Name | Amy Callahan Mcphillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639638406 PECOS PAC ID: 8820324718 Enrollment ID: I20221116000814 |
| Provider Name | Manuel Castro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336360874 PECOS PAC ID: 7315039195 Enrollment ID: I20221209000723 |
| Provider Name | Katarina Louise Campoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972263887 PECOS PAC ID: 8729458211 Enrollment ID: I20221227001115 |
| Provider Name | Asif Khan Afridi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902466246 PECOS PAC ID: 1355769100 Enrollment ID: I20230116000195 |
| Provider Name | Michelle Suzanne Cerone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457063240 PECOS PAC ID: 4587035001 Enrollment ID: I20230120000592 |
| Provider Name | Breanne Kristen Lewandowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497469977 PECOS PAC ID: 9537531447 Enrollment ID: I20230202000115 |
| Provider Name | Cassandra Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417590183 PECOS PAC ID: 2365814613 Enrollment ID: I20230214001826 |
| Provider Name | Stacey Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487376323 PECOS PAC ID: 4284006255 Enrollment ID: I20230221002007 |
| Provider Name | Mary Gaudet Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417654096 PECOS PAC ID: 8820461767 Enrollment ID: I20230224000128 |
| Provider Name | Victoria Klass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720793896 PECOS PAC ID: 0446624779 Enrollment ID: I20230328000518 |
| Provider Name | Sarah Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578266524 PECOS PAC ID: 0446625917 Enrollment ID: I20230414001093 |
| Provider Name | Stephanie Anne Ferrigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598388654 PECOS PAC ID: 2466811476 Enrollment ID: I20230710001423 |
| Provider Name | Brent Mccarragher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699192088 PECOS PAC ID: 0648602474 Enrollment ID: I20230710002208 |
| Provider Name | Eleanor Elizabeth Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588358378 PECOS PAC ID: 5698135127 Enrollment ID: I20230717000316 |
| Provider Name | Hunter R Macdonald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174152052 PECOS PAC ID: 3173983418 Enrollment ID: I20230718001184 |
| Provider Name | Megan Nicole Sanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326724972 PECOS PAC ID: 0749640019 Enrollment ID: I20230718002616 |
| Provider Name | Megan Michelle Austin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558980318 PECOS PAC ID: 6002231230 Enrollment ID: I20230724002444 |
| Provider Name | Courtney Cassandra Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003593146 PECOS PAC ID: 6204297328 Enrollment ID: I20230804001335 |
| Provider Name | Karen Johnson-williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619307535 PECOS PAC ID: 4486015542 Enrollment ID: I20230804002847 |
| Provider Name | Sarina Marie Bevilacqua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144843202 PECOS PAC ID: 4385006022 Enrollment ID: I20230814000679 |
| Provider Name | Alexander Samuel Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659900413 PECOS PAC ID: 7113358060 Enrollment ID: I20230814000872 |
| Provider Name | Jennifer Anne Papuzza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205463015 PECOS PAC ID: 2163884701 Enrollment ID: I20230815001209 |
| Provider Name | Jessica Lynn Hume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821781006 PECOS PAC ID: 1951765890 Enrollment ID: I20230912001040 |
| Provider Name | Erin Bridget Golderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801577473 PECOS PAC ID: 6709240112 Enrollment ID: I20230918002176 |
| Provider Name | Jenna Elizabeth Desbiens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003699943 PECOS PAC ID: 7618321985 Enrollment ID: I20230921000567 |
| Provider Name | Daniel Gregory Papa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831727643 PECOS PAC ID: 6204280035 Enrollment ID: I20230928000836 |
| Provider Name | Kayla Mariko Tabor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689136236 PECOS PAC ID: 5597007708 Enrollment ID: I20231004002095 |
| Provider Name | Cynthia A. Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013315589 PECOS PAC ID: 3678916863 Enrollment ID: I20240205002004 |
| Provider Name | Jacqueline A Bove |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447807631 PECOS PAC ID: 0244673473 Enrollment ID: I20240205003250 |
| Provider Name | Tamara T John |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114560661 PECOS PAC ID: 1052754280 Enrollment ID: I20240205003278 |
| Provider Name | Britney Lyn Wager |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205552940 PECOS PAC ID: 2860835097 Enrollment ID: I20240205003324 |
| Provider Name | Jillian Marie Kucskar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295037794 PECOS PAC ID: 7012350259 Enrollment ID: I20240205003474 |
| Provider Name | Allison Swiatowicz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861027088 PECOS PAC ID: 0547603789 Enrollment ID: I20240205003549 |
| Provider Name | Diana Carolyn Matthews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265086284 PECOS PAC ID: 8426491523 Enrollment ID: I20240206001381 |
| Provider Name | Emily C Mccarty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801202064 PECOS PAC ID: 7618342395 Enrollment ID: I20240206002826 |
| Provider Name | Megan Elizabeth Vondollen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124661673 PECOS PAC ID: 9931542784 Enrollment ID: I20240208001407 |
| Provider Name | Robert Hawthorne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790136505 PECOS PAC ID: 7012350747 Enrollment ID: I20240208004146 |
| Provider Name | Rebecca Louise Rundblad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316723745 PECOS PAC ID: 5294178604 Enrollment ID: I20240213000644 |
| Provider Name | Jenna Gazzillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417521980 PECOS PAC ID: 1850734237 Enrollment ID: I20240213002952 |
| Provider Name | Daniel P Gewolb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487158804 PECOS PAC ID: 3072856418 Enrollment ID: I20240213004403 |
| Provider Name | Lauren E Blaauboer-kent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386117240 PECOS PAC ID: 5597109876 Enrollment ID: I20240214002157 |
| Provider Name | Elizabeth Ellen Mulligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649823469 PECOS PAC ID: 5597109033 Enrollment ID: I20240222004179 |
| Provider Name | Marisa Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023596996 PECOS PAC ID: 8729424643 Enrollment ID: I20240313002468 |
| Provider Name | Zyra O'connor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801239819 PECOS PAC ID: 6901243369 Enrollment ID: I20240320003123 |
| Provider Name | Emily Rose O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063268688 PECOS PAC ID: 3072954072 Enrollment ID: I20240508001433 |
| Provider Name | Hayley Elizabeth Wynants |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790532406 PECOS PAC ID: 7315388873 Enrollment ID: I20240515000816 |
| Provider Name | Heidi Dambach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023290582 PECOS PAC ID: 0547393225 Enrollment ID: I20240610000336 |
Community Care Lab Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Wellness Way Ste G11, Latham, NY 12110 Phone: 518-782-3910 | |
Community Care Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Wellness Way Ste 106b, Latham, NY 12110 Phone: 518-980-9040 Fax: 518-980-9041 | |
Patricia V. Saunders Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 506 Watervliet Shaker Rd, Latham, NY 12110 Phone: 518-785-3154 | |
Albany Medical College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 Troy Schenectady Rd Ste 126, Latham, NY 12110 Phone: 518-264-5053 | |
Prime Care Physicians, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 582 New Loudon Rd, Latham, NY 12110 Phone: 518-783-0072 Fax: 518-783-8138 | |
Medi Scene Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 585 Troy Schenectady Rd, Latham, NY 12110 Phone: 518-785-6004 Fax: 518-785-1702 | |
Gs Metabolic Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 British American Blvd Ste 102a, Latham, NY 12110 Phone: 347-952-6089 |