| Community Care Services | |
|
1155 Mill St Reno NV 89502-1576 | |
| (775) 982-5000 | |
| (775) 982-4196 |
| Full Name | Community Care Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 1155 Mill St, Reno, Nevada |
| Authorized Official Name and Position | Brett Moore (CFO ACUTE CARE) |
| Authorized Official Contact | 7759826343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Services 1155 Mill St # M14 Reno NV 89502-1576 Ph: (775) 982-5262 | Community Care Services 1155 Mill St Reno NV 89502-1576 Ph: (775) 982-5000 |
| NPI Number | 1720031768 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 12/27/2023 |
| Medicare PECOS PAC ID | 1951324318 |
|---|---|
| Medicare Enrollment ID | O20060111000900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720031768 | NPI | - | NPPES |
| 1720031768 | Medicaid | NV |
| Provider Name | Jennifer Racca |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629032503 PECOS PAC ID: 8224920145 Enrollment ID: I20040326000080 |
| Provider Name | Juan C Gregory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619953403 PECOS PAC ID: 2961491519 Enrollment ID: I20040508000421 |
| Provider Name | Richard W Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962504142 PECOS PAC ID: 7911998596 Enrollment ID: I20040521000634 |
| Provider Name | Leo R Bunuel-jordana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083683056 PECOS PAC ID: 3476534363 Enrollment ID: I20040526001277 |
| Provider Name | Tom M Herbert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295708345 PECOS PAC ID: 3072585660 Enrollment ID: I20040812001089 |
| Provider Name | Bruce W Denney |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003893751 PECOS PAC ID: 6901871334 Enrollment ID: I20040830000763 |
| Provider Name | Michelle Kimberly Chu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538157995 PECOS PAC ID: 1951376151 Enrollment ID: I20040831001180 |
| Provider Name | John M Watson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619039245 PECOS PAC ID: 4789653668 Enrollment ID: I20040928000436 |
| Provider Name | Charles G Krasner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164434130 PECOS PAC ID: 5890750194 Enrollment ID: I20041129000641 |
| Provider Name | Thomas L Agney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558334706 PECOS PAC ID: 8820053812 Enrollment ID: I20041201000809 |
| Provider Name | Robert T Thole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053384107 PECOS PAC ID: 4385601822 Enrollment ID: I20041215001007 |
| Provider Name | Earle Y Oki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598739336 PECOS PAC ID: 2668420712 Enrollment ID: I20050107000384 |
| Provider Name | Alison J Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992769210 PECOS PAC ID: 6507809985 Enrollment ID: I20050607000335 |
| Provider Name | Levente Levai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558345314 PECOS PAC ID: 1850322728 Enrollment ID: I20050830000963 |
| Provider Name | Athan Roumanas |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1477525376 PECOS PAC ID: 9638119183 Enrollment ID: I20060310000510 |
| Provider Name | Caroline J Barangan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760468169 PECOS PAC ID: 5991712234 Enrollment ID: I20060313000210 |
| Provider Name | Moon Su |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184640542 PECOS PAC ID: 4981613478 Enrollment ID: I20060411000543 |
| Provider Name | Gregory A Lundeen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720036270 PECOS PAC ID: 5294745048 Enrollment ID: I20060425000299 |
| Provider Name | Marie M Mccormack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033178637 PECOS PAC ID: 5496765471 Enrollment ID: I20060504000798 |
| Provider Name | Bret Bellard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538225776 PECOS PAC ID: 0345242905 Enrollment ID: I20070209000648 |
| Provider Name | David E Smith |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1487674362 PECOS PAC ID: 5395845150 Enrollment ID: I20070709000288 |
| Provider Name | Jake H Ichino |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033136932 PECOS PAC ID: 6204936073 Enrollment ID: I20070709000380 |
| Provider Name | Robert D Swackhamer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285654160 PECOS PAC ID: 5597865824 Enrollment ID: I20070716000198 |
| Provider Name | Jonathan P Pezanoski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053355545 PECOS PAC ID: 5890708036 Enrollment ID: I20070727000337 |
| Provider Name | Jennifer B Sutton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558332254 PECOS PAC ID: 7214028075 Enrollment ID: I20070808000314 |
| Provider Name | Leigh R. Anderson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376660472 PECOS PAC ID: 3678664232 Enrollment ID: I20070810000497 |
| Provider Name | Jason P Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871659334 PECOS PAC ID: 7113021833 Enrollment ID: I20070815000507 |
| Provider Name | Janina Nylk |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437134939 PECOS PAC ID: 7315973237 Enrollment ID: I20070827000817 |
| Provider Name | David W Brock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568589752 PECOS PAC ID: 9335232990 Enrollment ID: I20070912000698 |
| Provider Name | Stefan Schmidhuber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083653166 PECOS PAC ID: 9931103355 Enrollment ID: I20070920000424 |
| Provider Name | Thelinh Q Nguyen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720031982 PECOS PAC ID: 7315927225 Enrollment ID: I20070924000581 |
| Provider Name | Cindy M Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700859071 PECOS PAC ID: 7911089214 Enrollment ID: I20080125000112 |
| Provider Name | Margo Hendrickson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760470777 PECOS PAC ID: 5991895419 Enrollment ID: I20080125000401 |
| Provider Name | Kirk A Bronander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497763445 PECOS PAC ID: 5395814016 Enrollment ID: I20080521000614 |
| Provider Name | Scott M Cinelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982802260 PECOS PAC ID: 9537231162 Enrollment ID: I20080626000407 |
| Provider Name | Christos A Galanopoulos |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1760474555 PECOS PAC ID: 3476500513 Enrollment ID: I20081121000058 |
| Provider Name | John C Hansen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962446179 PECOS PAC ID: 4082775432 Enrollment ID: I20081204000365 |
| Provider Name | Fadi Najjar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588632285 PECOS PAC ID: 1456258615 Enrollment ID: I20081216000559 |
| Provider Name | Ann Barnet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710004981 PECOS PAC ID: 7618030966 Enrollment ID: I20090113000099 |
| Provider Name | Rahul Mediwala |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003854597 PECOS PAC ID: 8123030244 Enrollment ID: I20090114000289 |
| Provider Name | Ashley Marie White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295997856 PECOS PAC ID: 5799841003 Enrollment ID: I20090311000188 |
| Provider Name | Brion R Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083748743 PECOS PAC ID: 1557419496 Enrollment ID: I20090501000363 |
| Provider Name | Alicia Marie Garaventa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487858247 PECOS PAC ID: 3678621265 Enrollment ID: I20090508000557 |
| Provider Name | Aaron A Bertalmio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336339951 PECOS PAC ID: 4789734906 Enrollment ID: I20090610000218 |
| Provider Name | Alvaro Devia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063402477 PECOS PAC ID: 9638223019 Enrollment ID: I20090819000873 |
| Provider Name | Brian E Juell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851381081 PECOS PAC ID: 7517853575 Enrollment ID: I20090820000845 |
| Provider Name | Scott E Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780647875 PECOS PAC ID: 4284789793 Enrollment ID: I20090908000114 |
| Provider Name | Jonathan Spivack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497790513 PECOS PAC ID: 6204845258 Enrollment ID: I20091005000550 |
| Provider Name | Myron J Gomez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992749048 PECOS PAC ID: 5890833222 Enrollment ID: I20091105000169 |
| Provider Name | Martin A Bain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649211749 PECOS PAC ID: 6406994847 Enrollment ID: I20091105000209 |
| Provider Name | Luis E Palacio |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1659486330 PECOS PAC ID: 3375541873 Enrollment ID: I20091113000184 |
| Provider Name | Erickson U Liwanag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255539284 PECOS PAC ID: 0345380812 Enrollment ID: I20091214000320 |
| Provider Name | Thomas Callister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124011705 PECOS PAC ID: 8820081144 Enrollment ID: I20091215000610 |
| Provider Name | Robert B Richeson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235117672 PECOS PAC ID: 2062325871 Enrollment ID: I20091221000512 |
| Provider Name | Michael J Bloch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508970195 PECOS PAC ID: 1052451861 Enrollment ID: I20091229000304 |
| Provider Name | Timothy Andrew Janiga |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1558483800 PECOS PAC ID: 6406948884 Enrollment ID: I20100211000404 |
| Provider Name | Melissa P Bloch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982718631 PECOS PAC ID: 4688719727 Enrollment ID: I20100301000753 |
| Provider Name | Sonia K Budhecha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023190741 PECOS PAC ID: 3274678685 Enrollment ID: I20100309000592 |
| Provider Name | Katherin Leigh Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669446472 PECOS PAC ID: 8426183161 Enrollment ID: I20100319000004 |
| Provider Name | Christi A Matteoni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265418099 PECOS PAC ID: 2062319502 Enrollment ID: I20100621000280 |
| Provider Name | Frieda Marie Hulka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366485542 PECOS PAC ID: 9133161052 Enrollment ID: I20100628000796 |
| Provider Name | Amy E Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821018714 PECOS PAC ID: 1557485539 Enrollment ID: I20100827000006 |
| Provider Name | Sarah G Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487974325 PECOS PAC ID: 4486778479 Enrollment ID: I20100827000242 |
| Provider Name | Tarek Ammar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649478314 PECOS PAC ID: 3971653189 Enrollment ID: I20101021000209 |
| Provider Name | George Kim Bigley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811947914 PECOS PAC ID: 3779473418 Enrollment ID: I20101025000294 |
| Provider Name | Clayton Peter Josephy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194996405 PECOS PAC ID: 2062606460 Enrollment ID: I20101214000359 |
| Provider Name | Derrick A Moore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598738098 PECOS PAC ID: 1153519954 Enrollment ID: I20101221000441 |
| Provider Name | Alison Spencer Westfall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447346473 PECOS PAC ID: 4486834116 Enrollment ID: I20110211000580 |
| Provider Name | Marc Brandon Dunbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487950705 PECOS PAC ID: 8729264742 Enrollment ID: I20110509000534 |
| Provider Name | Sayeh Fesharaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871882027 PECOS PAC ID: 8527246875 Enrollment ID: I20110711000178 |
| Provider Name | Dawn K Osterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295033181 PECOS PAC ID: 5395913149 Enrollment ID: I20110721000312 |
| Provider Name | Omar S Canaday |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932371291 PECOS PAC ID: 4284807405 Enrollment ID: I20111104000038 |
| Provider Name | Emily Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083812028 PECOS PAC ID: 0749455228 Enrollment ID: I20111212000558 |
| Provider Name | Robert Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831320761 PECOS PAC ID: 3375719735 Enrollment ID: I20120105000954 |
| Provider Name | Charles Emory Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295821270 PECOS PAC ID: 2062447766 Enrollment ID: I20120123000383 |
| Provider Name | James Robert Cohen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1578557682 PECOS PAC ID: 0648395459 Enrollment ID: I20120316000756 |
| Provider Name | Wesley W Hall |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952402430 PECOS PAC ID: 6709040553 Enrollment ID: I20120607000609 |
| Provider Name | Scott Wrye |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366543860 PECOS PAC ID: 5890959647 Enrollment ID: I20120613000405 |
| Provider Name | Charlene A Letchford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427042118 PECOS PAC ID: 3678665171 Enrollment ID: I20120618000324 |
| Provider Name | David P De Los Santos |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871578146 PECOS PAC ID: 6608789417 Enrollment ID: I20120620000788 |
| Provider Name | Jeremy Mark Gonda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073635348 PECOS PAC ID: 2860671500 Enrollment ID: I20120709000541 |
| Provider Name | Nicholas J Spoerke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942401583 PECOS PAC ID: 0446416010 Enrollment ID: I20120725001074 |
| Provider Name | Amanda C Vanderclay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841414877 PECOS PAC ID: 4880840065 Enrollment ID: I20120802000590 |
| Provider Name | Mellyn A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003181926 PECOS PAC ID: 7719133131 Enrollment ID: I20120816000957 |
| Provider Name | Gabriel F Bou Merhi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518943687 PECOS PAC ID: 5193879724 Enrollment ID: I20120905000445 |
| Provider Name | Amanda S Hurd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053541029 PECOS PAC ID: 1658520036 Enrollment ID: I20120928000104 |
| Provider Name | Christina M Alsop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013263003 PECOS PAC ID: 2567612898 Enrollment ID: I20121023000589 |
| Provider Name | Lisa A Calvo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558525675 PECOS PAC ID: 0648458547 Enrollment ID: I20121026000361 |
| Provider Name | James C Nunley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770606998 PECOS PAC ID: 8426126723 Enrollment ID: I20121108000019 |
| Provider Name | Stephanie D Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205078169 PECOS PAC ID: 5597916965 Enrollment ID: I20121112000404 |
| Provider Name | Gerardo David Rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356437339 PECOS PAC ID: 6406007319 Enrollment ID: I20121126000599 |
| Provider Name | Ann E Pratt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205034873 PECOS PAC ID: 1052563293 Enrollment ID: I20121214000184 |
| Provider Name | Mario Jose Gaspar De Alba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275546590 PECOS PAC ID: 7214001478 Enrollment ID: I20130117000208 |
| Provider Name | Ashlee Ann Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508101791 PECOS PAC ID: 5799930848 Enrollment ID: I20130221000516 |
| Provider Name | Susan L Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780903997 PECOS PAC ID: 7416102579 Enrollment ID: I20130221000529 |
| Provider Name | Stephanie R Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437494515 PECOS PAC ID: 8628223559 Enrollment ID: I20130227000038 |
| Provider Name | Michael C Hardacre |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730171661 PECOS PAC ID: 7012981434 Enrollment ID: I20130410000178 |
| Provider Name | Felicia Antoinette Lowenstein-moffett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477787521 PECOS PAC ID: 0941488977 Enrollment ID: I20130501000177 |
| Provider Name | Vijay Jayaraman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811195092 PECOS PAC ID: 7719072735 Enrollment ID: I20130719000032 |
| Provider Name | Heidi Ann Shoemaker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386899748 PECOS PAC ID: 2163664152 Enrollment ID: I20130802000822 |
| Provider Name | Abhinand V Peddada |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073504791 PECOS PAC ID: 2365420577 Enrollment ID: I20130820000844 |
| Provider Name | Rachael Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992093272 PECOS PAC ID: 3577797646 Enrollment ID: I20131002000556 |
| Provider Name | Aaron E Falk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124341771 PECOS PAC ID: 6002949435 Enrollment ID: I20140113000934 |
| Provider Name | Jean M Adamski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134226426 PECOS PAC ID: 5890923122 Enrollment ID: I20140114000735 |
| Provider Name | Christina Lynn Bailey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023060506 PECOS PAC ID: 2466430947 Enrollment ID: I20140502000180 |
| Provider Name | Christopher R Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104098185 PECOS PAC ID: 6204960925 Enrollment ID: I20140618000975 |
| Provider Name | Joseph R Uccelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881854503 PECOS PAC ID: 3173751211 Enrollment ID: I20140625002722 |
| Provider Name | Dianna Louise Hein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184036584 PECOS PAC ID: 2961627187 Enrollment ID: I20140702000949 |
| Provider Name | Thomas-duythuc Ngoc To |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215129044 PECOS PAC ID: 6305006289 Enrollment ID: I20140711000283 |
| Provider Name | Alan Koichi Ikeda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154594885 PECOS PAC ID: 0941360358 Enrollment ID: I20140723000414 |
| Provider Name | Troy Lawrence Wiedenbeck |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487866059 PECOS PAC ID: 1658404579 Enrollment ID: I20140809000126 |
| Provider Name | Derek Arthur Beenfeldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780973891 PECOS PAC ID: 2567695240 Enrollment ID: I20140904002771 |
| Provider Name | Natalie Marie Lewman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104116045 PECOS PAC ID: 7315168937 Enrollment ID: I20141024000648 |
| Provider Name | Victor Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508194184 PECOS PAC ID: 3072736859 Enrollment ID: I20141114000749 |
| Provider Name | Ajay K Taggar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720309958 PECOS PAC ID: 1456674480 Enrollment ID: I20141226000439 |
| Provider Name | Marisa Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164826996 PECOS PAC ID: 1355665530 Enrollment ID: I20150116000529 |
| Provider Name | Susan Marron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922006618 PECOS PAC ID: 9638108467 Enrollment ID: I20150227001390 |
| Provider Name | Cheruba Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568734630 PECOS PAC ID: 8224354634 Enrollment ID: I20150303000003 |
| Provider Name | Sean Tyler Lindstedt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407113012 PECOS PAC ID: 7719105824 Enrollment ID: I20150407000217 |
| Provider Name | Jennifer Amber Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538555602 PECOS PAC ID: 8123347598 Enrollment ID: I20150506001854 |
| Provider Name | Carolyn Renee Dennehey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255442919 PECOS PAC ID: 5698799195 Enrollment ID: I20150707003376 |
| Provider Name | Stephanie Ann Carlsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750769964 PECOS PAC ID: 5799098224 Enrollment ID: I20150713002573 |
| Provider Name | Scott Whitlow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336371400 PECOS PAC ID: 8426276734 Enrollment ID: I20150717002461 |
| Provider Name | Alicia M Roney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114308053 PECOS PAC ID: 8527371343 Enrollment ID: I20150722003846 |
| Provider Name | Adnan Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265708697 PECOS PAC ID: 6709190432 Enrollment ID: I20150807015075 |
| Provider Name | Erin Rachel Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487035614 PECOS PAC ID: 7810204195 Enrollment ID: I20150918001254 |
| Provider Name | Pluen Ziu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508128836 PECOS PAC ID: 9234354333 Enrollment ID: I20150923001017 |
| Provider Name | Karen Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720461882 PECOS PAC ID: 2769799790 Enrollment ID: I20150923001697 |
| Provider Name | Raheel Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295097582 PECOS PAC ID: 5991922932 Enrollment ID: I20151006000889 |
| Provider Name | Tom Chi An Fang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053584631 PECOS PAC ID: 9739302480 Enrollment ID: I20151006001189 |
| Provider Name | Danell Harter Gilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609019777 PECOS PAC ID: 9537477880 Enrollment ID: I20151006001683 |
| Provider Name | Arnaldo Flores Laus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356653141 PECOS PAC ID: 5395979355 Enrollment ID: I20151008001389 |
| Provider Name | Erica L Ambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477936490 PECOS PAC ID: 9032427125 Enrollment ID: I20151009002222 |
| Provider Name | Amy Condon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336118173 PECOS PAC ID: 5991809964 Enrollment ID: I20160119000911 |
| Provider Name | Rebecca Chavez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588029979 PECOS PAC ID: 9638473804 Enrollment ID: I20160209000391 |
| Provider Name | Rachelle N Rivera |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336452333 PECOS PAC ID: 8325358757 Enrollment ID: I20160412002780 |
| Provider Name | Benjamin Paul Jaquish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194027037 PECOS PAC ID: 0941591655 Enrollment ID: I20160627001662 |
| Provider Name | Susan Kitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740679117 PECOS PAC ID: 6901123918 Enrollment ID: I20160722001858 |
| Provider Name | Shining Sun |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1851521546 PECOS PAC ID: 8820383102 Enrollment ID: I20160825001332 |
| Provider Name | Michael Raymund C Gonzales |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669635785 PECOS PAC ID: 6103081898 Enrollment ID: I20160901002190 |
| Provider Name | Gunjan Lehil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427310333 PECOS PAC ID: 9739485822 Enrollment ID: I20160908001279 |
| Provider Name | Sonila Ziu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396087938 PECOS PAC ID: 5294950390 Enrollment ID: I20160929000434 |
| Provider Name | Ly Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528403524 PECOS PAC ID: 9234364159 Enrollment ID: I20160930001248 |
| Provider Name | Omar Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598104960 PECOS PAC ID: 2567750789 Enrollment ID: I20161004000697 |
| Provider Name | Katerina Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093166001 PECOS PAC ID: 4486942018 Enrollment ID: I20161013001125 |
| Provider Name | Colin Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679795678 PECOS PAC ID: 3274789334 Enrollment ID: I20161019001162 |
| Provider Name | Kristen Marie Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093158610 PECOS PAC ID: 0547566473 Enrollment ID: I20161019001591 |
| Provider Name | Karl Desmond Friedrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558403006 PECOS PAC ID: 8820020977 Enrollment ID: I20161024001273 |
| Provider Name | Jacob Zucker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821317728 PECOS PAC ID: 2365682291 Enrollment ID: I20161109000807 |
| Provider Name | Irwin Oliver Magno Clavel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932319860 PECOS PAC ID: 4284827817 Enrollment ID: I20161130001095 |
| Provider Name | Kathleen Margaret Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609205814 PECOS PAC ID: 2769534247 Enrollment ID: I20161202001686 |
| Provider Name | Redet Shenkoru Teshome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184173288 PECOS PAC ID: 6204117815 Enrollment ID: I20161219002367 |
| Provider Name | Elaina Reuel Lantrip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487197794 PECOS PAC ID: 5092096008 Enrollment ID: I20170106000593 |
| Provider Name | Aleise Joelle Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336694421 PECOS PAC ID: 7517249295 Enrollment ID: I20170113001015 |
| Provider Name | Ruth Meei-jy Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174911697 PECOS PAC ID: 8527388347 Enrollment ID: I20170116000278 |
| Provider Name | Lillian M Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114331527 PECOS PAC ID: 8921383746 Enrollment ID: I20170317001212 |
| Provider Name | Madjid Keyvani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508965666 PECOS PAC ID: 7911967864 Enrollment ID: I20170411000788 |
| Provider Name | Matthew Wayne Butrum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710187133 PECOS PAC ID: 0143388629 Enrollment ID: I20170412002015 |
| Provider Name | Carie Ann Wright |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649718446 PECOS PAC ID: 3476820150 Enrollment ID: I20170531000857 |
| Provider Name | Lillian Bronson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902337892 PECOS PAC ID: 7012286776 Enrollment ID: I20170712000836 |
| Provider Name | Sergey Kuharevic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376960203 PECOS PAC ID: 7012137102 Enrollment ID: I20170712002011 |
| Provider Name | Richard M Maier |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083900625 PECOS PAC ID: 8426360645 Enrollment ID: I20170810000921 |
| Provider Name | Mario E Apontes Ruiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942579008 PECOS PAC ID: 5092938357 Enrollment ID: I20170810002832 |
| Provider Name | Thornton Gavin Williams |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437592821 PECOS PAC ID: 7810269867 Enrollment ID: I20170825000716 |
| Provider Name | Yolanda Ortega Gammill |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508125113 PECOS PAC ID: 4385917012 Enrollment ID: I20170831001926 |
| Provider Name | Matthew Deeter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841400587 PECOS PAC ID: 8628160249 Enrollment ID: I20170915001330 |
| Provider Name | Charles G Stahlmann |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558667071 PECOS PAC ID: 7911145172 Enrollment ID: I20170919003517 |
| Provider Name | Garrett B Green |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699034868 PECOS PAC ID: 4789958406 Enrollment ID: I20170919004001 |
| Provider Name | Christina Elizabeth Coss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366971616 PECOS PAC ID: 5395019962 Enrollment ID: I20170920001768 |
| Provider Name | Jayson A Morgan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932425345 PECOS PAC ID: 4789821877 Enrollment ID: I20170921001167 |
| Provider Name | Casey Anthony Keating |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891056438 PECOS PAC ID: 3971743238 Enrollment ID: I20171005000308 |
| Provider Name | Sansan Cao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992122105 PECOS PAC ID: 1850686882 Enrollment ID: I20171005001787 |
| Provider Name | Holly Fidelis Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326573684 PECOS PAC ID: 0648545913 Enrollment ID: I20171012001787 |
| Provider Name | Tera Lynn Zuccarini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184147993 PECOS PAC ID: 3072888270 Enrollment ID: I20171012003457 |
| Provider Name | Jocelyn Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487179313 PECOS PAC ID: 7911273859 Enrollment ID: I20171020002803 |
| Provider Name | Jose R Cucalon Calderon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871872465 PECOS PAC ID: 3274766647 Enrollment ID: I20171027002075 |
| Provider Name | Christine M Molina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750721445 PECOS PAC ID: 1153559109 Enrollment ID: I20171103002759 |
| Provider Name | James Martin Johnston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528177367 PECOS PAC ID: 0345235388 Enrollment ID: I20171110002863 |
| Provider Name | Megan M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336658863 PECOS PAC ID: 8325305642 Enrollment ID: I20171121003382 |
| Provider Name | Shipra Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427215029 PECOS PAC ID: 2264665793 Enrollment ID: I20171211000423 |
| Provider Name | Elizabeth L Krayk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811409519 PECOS PAC ID: 5092073775 Enrollment ID: I20180102000308 |
| Provider Name | Alexandra Elaine Sidorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518479302 PECOS PAC ID: 6901165943 Enrollment ID: I20180118002788 |
| Provider Name | Laura Ellen Sullivan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386805794 PECOS PAC ID: 6901091016 Enrollment ID: I20180125001753 |
| Provider Name | Lorri L. Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881754208 PECOS PAC ID: 7719247071 Enrollment ID: I20180205002428 |
| Provider Name | Lauren Lee Sandefur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073872867 PECOS PAC ID: 9931354503 Enrollment ID: I20180213001512 |
| Provider Name | Elie Salim Firzli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750490918 PECOS PAC ID: 6608860945 Enrollment ID: I20180308001650 |
| Provider Name | Ann M Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811416738 PECOS PAC ID: 4789635095 Enrollment ID: I20180313000209 |
| Provider Name | Tyhesia Evette White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902815640 PECOS PAC ID: 9638432446 Enrollment ID: I20180409001942 |
| Provider Name | Kevin Kuriakose |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487919445 PECOS PAC ID: 4183942766 Enrollment ID: I20180612003244 |
| Provider Name | Wagner Alfio Veronese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316127889 PECOS PAC ID: 3577731967 Enrollment ID: I20180807003807 |
| Provider Name | Keri Storey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295225084 PECOS PAC ID: 1254681901 Enrollment ID: I20180830002002 |
| Provider Name | Abhilash Akinapelli |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467734285 PECOS PAC ID: 6800177742 Enrollment ID: I20180831001641 |
| Provider Name | Muhammad Younus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861888489 PECOS PAC ID: 1456669779 Enrollment ID: I20180912002478 |
| Provider Name | Kristin Leigh Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164715579 PECOS PAC ID: 7113231457 Enrollment ID: I20180913002505 |
| Provider Name | Joshua Brent Bigler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609991629 PECOS PAC ID: 4587719471 Enrollment ID: I20180919000265 |
| Provider Name | Farah K Madhani-lovely |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821112848 PECOS PAC ID: 0648376871 Enrollment ID: I20180919000745 |
| Provider Name | Natalie Marie Thon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346605284 PECOS PAC ID: 2769787738 Enrollment ID: I20180921000759 |
| Provider Name | Asem A Mutasher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619361516 PECOS PAC ID: 4385951334 Enrollment ID: I20180921001484 |
| Provider Name | Brandon J Hockenberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417361965 PECOS PAC ID: 2567688476 Enrollment ID: I20180921001490 |
| Provider Name | James M Alexander |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1255361739 PECOS PAC ID: 4385786672 Enrollment ID: I20180925000253 |
| Provider Name | Anamaria M Manea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770843856 PECOS PAC ID: 8022318112 Enrollment ID: I20180925002206 |
| Provider Name | Caroline Vasendin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184049314 PECOS PAC ID: 0345592770 Enrollment ID: I20181011002014 |
| Provider Name | Benjamin Tim Pence |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811013386 PECOS PAC ID: 3779732037 Enrollment ID: I20181012001629 |
| Provider Name | Cristine Azevedo Lista |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356626550 PECOS PAC ID: 3476879537 Enrollment ID: I20181013000031 |
| Provider Name | Hamad Ashraf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023498607 PECOS PAC ID: 3577816602 Enrollment ID: I20181018003275 |
| Provider Name | Natalie Ludlow Crawford |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902241672 PECOS PAC ID: 3375896434 Enrollment ID: I20181019001495 |
| Provider Name | Rudy Martin Tedja |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639344963 PECOS PAC ID: 2961683768 Enrollment ID: I20181026000123 |
| Provider Name | Tami Jane Daugherty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194742064 PECOS PAC ID: 1456379924 Enrollment ID: I20181113000742 |
| Provider Name | Nathaniel Israel Garduque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275027930 PECOS PAC ID: 0749534105 Enrollment ID: I20181121001550 |
| Provider Name | Jennifer Tay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912269804 PECOS PAC ID: 5395062715 Enrollment ID: I20181211003737 |
| Provider Name | Carrissia Feaster |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740695352 PECOS PAC ID: 1355560640 Enrollment ID: I20181221002095 |
| Provider Name | Angela K. Walker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215163217 PECOS PAC ID: 5294971297 Enrollment ID: I20190116000401 |
| Provider Name | Adam W Safdi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770846701 PECOS PAC ID: 4385927110 Enrollment ID: I20190131001000 |
| Provider Name | Anetta Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063782548 PECOS PAC ID: 4183878721 Enrollment ID: I20190305001893 |
| Provider Name | Michael Johnathon Elliott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104845569 PECOS PAC ID: 7214930817 Enrollment ID: I20190307001386 |
| Provider Name | Sarah Margaret Coulter Mckenzie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477992204 PECOS PAC ID: 0840561957 Enrollment ID: I20190320001796 |
| Provider Name | Mitchell B Strominger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528026184 PECOS PAC ID: 2769517432 Enrollment ID: I20190325002411 |
| Provider Name | Amanda Rae Morgan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275743122 PECOS PAC ID: 7911050919 Enrollment ID: I20190327000834 |
| Provider Name | Erin Lee Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992270318 PECOS PAC ID: 7416298310 Enrollment ID: I20190402001867 |
| Provider Name | Richard Devon King |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114066156 PECOS PAC ID: 2961536420 Enrollment ID: I20190404000659 |
| Provider Name | Benjamin T Ebner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285953133 PECOS PAC ID: 9133497696 Enrollment ID: I20190515003366 |
| Provider Name | William Barker Graham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952668105 PECOS PAC ID: 7214257385 Enrollment ID: I20190701001225 |
| Provider Name | Vlad Andrei Radulescu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538402987 PECOS PAC ID: 0244580728 Enrollment ID: I20190703002960 |
| Provider Name | Stephanie A Jones |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841685005 PECOS PAC ID: 5193028371 Enrollment ID: I20190705000517 |
| Provider Name | Choua Thao |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053653576 PECOS PAC ID: 6901128081 Enrollment ID: I20190715001773 |
| Provider Name | Jared Micah Worchel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154760502 PECOS PAC ID: 3274899646 Enrollment ID: I20190724003495 |
| Provider Name | David John Sandoval Acierto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447563622 PECOS PAC ID: 5698062883 Enrollment ID: I20190730002272 |
| Provider Name | Ashley S Naughton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346635919 PECOS PAC ID: 4880920735 Enrollment ID: I20190730002684 |
| Provider Name | Spenser Cassinelli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508208943 PECOS PAC ID: 5193073203 Enrollment ID: I20190730003141 |
| Provider Name | Solaiman Algharbi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1972983427 PECOS PAC ID: 6305151101 Enrollment ID: I20190801000043 |
| Provider Name | Selma Rashid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285816736 PECOS PAC ID: 5092889279 Enrollment ID: I20190801001032 |
| Provider Name | Matthew A Cain |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1912210931 PECOS PAC ID: 4486894490 Enrollment ID: I20190806002272 |
| Provider Name | Sarah J Hand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801258595 PECOS PAC ID: 4183910979 Enrollment ID: I20190828000394 |
| Provider Name | Aaron J Dieringer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750775193 PECOS PAC ID: 1850601543 Enrollment ID: I20190828003841 |
| Provider Name | Michael A Medeiros |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417120866 PECOS PAC ID: 4688809320 Enrollment ID: I20190903001743 |
| Provider Name | Rebecca E Burk |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508122300 PECOS PAC ID: 3870727290 Enrollment ID: I20190904000937 |
| Provider Name | Geraldene Monica Ralleca Llaguno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093374852 PECOS PAC ID: 4284963539 Enrollment ID: I20190911001836 |
| Provider Name | Kathleen Wakefield Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851658124 PECOS PAC ID: 1254627268 Enrollment ID: I20190911003953 |
| Provider Name | Erez Dayan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1811213036 PECOS PAC ID: 3274863071 Enrollment ID: I20190920001839 |
| Provider Name | Kyle Mock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588911085 PECOS PAC ID: 7214238013 Enrollment ID: I20190920003157 |
| Provider Name | Mary Howard Estler Patrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790917714 PECOS PAC ID: 2062648066 Enrollment ID: I20190924000945 |
| Provider Name | Alyson Beri Crawford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760979850 PECOS PAC ID: 7315293636 Enrollment ID: I20191007003592 |
| Provider Name | Deanna Whitehorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265081756 PECOS PAC ID: 6507197290 Enrollment ID: I20191010001721 |
| Provider Name | Christopher Lee Madsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881988665 PECOS PAC ID: 3375772015 Enrollment ID: I20191021001594 |
| Provider Name | Nicole Michiko Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144870767 PECOS PAC ID: 6103250493 Enrollment ID: I20191219000687 |
| Provider Name | Harvinder Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912287947 PECOS PAC ID: 1355653015 Enrollment ID: I20200103001594 |
| Provider Name | Lindsey Marie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225688187 PECOS PAC ID: 2668806274 Enrollment ID: I20200107000603 |
| Provider Name | Kimball Scott Knackstedt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043530074 PECOS PAC ID: 1355577891 Enrollment ID: I20200129003132 |
| Provider Name | Subani Gautam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174866214 PECOS PAC ID: 1658598438 Enrollment ID: I20200226001704 |
| Provider Name | Htet Khine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770902363 PECOS PAC ID: 1951722339 Enrollment ID: I20200611000828 |
| Provider Name | Michael David Miller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144630310 PECOS PAC ID: 3072730449 Enrollment ID: I20200619001988 |
| Provider Name | Faisal Siddiqui |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083903678 PECOS PAC ID: 4082834791 Enrollment ID: I20200623001022 |
| Provider Name | Kristyn A Perry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134656184 PECOS PAC ID: 7517237613 Enrollment ID: I20200706001055 |
| Provider Name | Rachel Lynn Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205358785 PECOS PAC ID: 5092138164 Enrollment ID: I20200708000471 |
| Provider Name | Rebecca Hyde Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063751808 PECOS PAC ID: 9032532957 Enrollment ID: I20200710002716 |
| Provider Name | Lee Michael Gerwitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972921591 PECOS PAC ID: 0749570539 Enrollment ID: I20200714003666 |
| Provider Name | Cristina Mosqueda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275154171 PECOS PAC ID: 6901220094 Enrollment ID: I20200722001812 |
| Provider Name | Munadel A Awad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821529058 PECOS PAC ID: 1557635547 Enrollment ID: I20200724002609 |
| Provider Name | Paul Maung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205287125 PECOS PAC ID: 3476894478 Enrollment ID: I20200728003915 |
| Provider Name | Jennifer Leilani Griffo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053931386 PECOS PAC ID: 6204251978 Enrollment ID: I20200729001985 |
| Provider Name | Danielle Dyan Burian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821619727 PECOS PAC ID: 3072938679 Enrollment ID: I20200729003381 |
| Provider Name | Sara M Robertson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972039238 PECOS PAC ID: 0244503050 Enrollment ID: I20200803000217 |
| Provider Name | Mavis B Major |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750552584 PECOS PAC ID: 2365868197 Enrollment ID: I20200811002843 |
| Provider Name | Caroline Emily Na |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972967818 PECOS PAC ID: 3173855491 Enrollment ID: I20200818001846 |
| Provider Name | Derek Robert Freiheit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649682097 PECOS PAC ID: 1153748827 Enrollment ID: I20200826000724 |
| Provider Name | Henderson Valencia Lopez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386170561 PECOS PAC ID: 0143647552 Enrollment ID: I20200831002884 |
| Provider Name | Matthew Lv Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972042661 PECOS PAC ID: 0446595763 Enrollment ID: I20200902000349 |
| Provider Name | Jing He |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023541745 PECOS PAC ID: 4082031273 Enrollment ID: I20200902002429 |
| Provider Name | Kevin Thant Chaung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326571001 PECOS PAC ID: 8224455365 Enrollment ID: I20200903000924 |
| Provider Name | Robert Kay Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659803856 PECOS PAC ID: 6608140546 Enrollment ID: I20200903001973 |
| Provider Name | Joseph Michael Cannone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043748387 PECOS PAC ID: 2365869468 Enrollment ID: I20200903002935 |
| Provider Name | Brendan Edward Bird |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023543394 PECOS PAC ID: 9739466749 Enrollment ID: I20200904001123 |
| Provider Name | Bijay Kumar Sah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730628173 PECOS PAC ID: 6800131129 Enrollment ID: I20200904001489 |
| Provider Name | Kevin R Chysna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154717130 PECOS PAC ID: 9133426406 Enrollment ID: I20200904001505 |
| Provider Name | Yanning Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124551817 PECOS PAC ID: 9032537030 Enrollment ID: I20200908001513 |
| Provider Name | Robert W Bogart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760837595 PECOS PAC ID: 1557789179 Enrollment ID: I20200915000505 |
| Provider Name | Sarah Haunani Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518570357 PECOS PAC ID: 6800215666 Enrollment ID: I20200928001410 |
| Provider Name | Jack Kading |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760090922 PECOS PAC ID: 4385063197 Enrollment ID: I20200929000262 |
| Provider Name | Enrique Daniel Machado Fiallo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023549540 PECOS PAC ID: 4880967660 Enrollment ID: I20200930003007 |
| Provider Name | Evan Michael Cherry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366975435 PECOS PAC ID: 7214209105 Enrollment ID: I20200930003243 |
| Provider Name | Sarah Gentile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669082459 PECOS PAC ID: 1658790233 Enrollment ID: I20200930003498 |
| Provider Name | Haris Sheikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386183192 PECOS PAC ID: 9335484641 Enrollment ID: I20201006000697 |
| Provider Name | Sabrina Fabara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558717520 PECOS PAC ID: 4183055197 Enrollment ID: I20201007001488 |
| Provider Name | Denise Jolene Carmack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235744103 PECOS PAC ID: 7113347931 Enrollment ID: I20201016001520 |
| Provider Name | David Antolin Diaz Voss Varela |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073040614 PECOS PAC ID: 7719256759 Enrollment ID: I20201026001699 |
| Provider Name | Christopher Y Way |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598024515 PECOS PAC ID: 1456579267 Enrollment ID: I20201028003056 |
| Provider Name | Fay Roepcke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235584681 PECOS PAC ID: 5092042820 Enrollment ID: I20201110001061 |
| Provider Name | Paul J Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386765105 PECOS PAC ID: 8628162567 Enrollment ID: I20201207000376 |
| Provider Name | Michael Chinwen Ke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326351446 PECOS PAC ID: 9830401991 Enrollment ID: I20201215002307 |
| Provider Name | Scott G Dougan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457713414 PECOS PAC ID: 4981996915 Enrollment ID: I20210101000013 |
| Provider Name | Hua Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982865135 PECOS PAC ID: 3678709607 Enrollment ID: I20210108002148 |
| Provider Name | Jonathan Artz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851475859 PECOS PAC ID: 7012103351 Enrollment ID: I20210204000942 |
| Provider Name | Kenneth Joseph Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003435090 PECOS PAC ID: 8224442116 Enrollment ID: I20210204002379 |
| Provider Name | Novia Jean Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801455886 PECOS PAC ID: 3577978154 Enrollment ID: I20210211002232 |
| Provider Name | Tammy Louise Eckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275900912 PECOS PAC ID: 2365759719 Enrollment ID: I20210218002395 |
| Provider Name | Kimberly Michelle Sheldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376131284 PECOS PAC ID: 9436564408 Enrollment ID: I20210225001027 |
| Provider Name | Kimberly Yeager |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1194874214 PECOS PAC ID: 6103126933 Enrollment ID: I20210309001201 |
| Provider Name | Zachary S Shell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427648070 PECOS PAC ID: 7012324064 Enrollment ID: I20210318002059 |
| Provider Name | Brandon Flores |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1487001061 PECOS PAC ID: 2365710076 Enrollment ID: I20210429003040 |
| Provider Name | Heather Fuentes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851684641 PECOS PAC ID: 2961627146 Enrollment ID: I20210603001537 |
| Provider Name | Danielle Saenz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245678101 PECOS PAC ID: 9830425495 Enrollment ID: I20210608001491 |
| Provider Name | Harry Menon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265826390 PECOS PAC ID: 2062812712 Enrollment ID: I20210616003689 |
| Provider Name | Joseph Griffin Rebideaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548867948 PECOS PAC ID: 1052711744 Enrollment ID: I20210617001086 |
| Provider Name | Rebecca Joanne Weddle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144463340 PECOS PAC ID: 1658690334 Enrollment ID: I20210618001190 |
| Provider Name | Whitney J Woodhull |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407218183 PECOS PAC ID: 4082909965 Enrollment ID: I20210624001070 |
| Provider Name | Seema Laxminarayana Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568666717 PECOS PAC ID: 1658504659 Enrollment ID: I20210714002898 |
| Provider Name | Maria Theresa Lozano Sacdalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356917074 PECOS PAC ID: 5698177996 Enrollment ID: I20210714003190 |
| Provider Name | Kerac Falk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417375742 PECOS PAC ID: 5597010702 Enrollment ID: I20210719001470 |
| Provider Name | Aurosis Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811487432 PECOS PAC ID: 3971906215 Enrollment ID: I20210726000348 |
| Provider Name | Bradley Nelson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093027799 PECOS PAC ID: 3274762471 Enrollment ID: I20210726002310 |
| Provider Name | Ryan James Bristol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013597756 PECOS PAC ID: 7012310246 Enrollment ID: I20210727000306 |
| Provider Name | Hannah Marie Leitch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740739580 PECOS PAC ID: 9537405121 Enrollment ID: I20210727003452 |
| Provider Name | Christine Ann Obregon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619546017 PECOS PAC ID: 3577966530 Enrollment ID: I20210728001669 |
| Provider Name | Nirmala Surapaneni |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134514847 PECOS PAC ID: 5395020135 Enrollment ID: I20210730002613 |
| Provider Name | Kelsey Laine Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588242713 PECOS PAC ID: 3870997661 Enrollment ID: I20210801000008 |
| Provider Name | William Belsterling Welte |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972965200 PECOS PAC ID: 6507155223 Enrollment ID: I20210802002323 |
| Provider Name | Fernando Jose Fuentes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952669640 PECOS PAC ID: 5193042117 Enrollment ID: I20210812003428 |
| Provider Name | Robin Marie Hollen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184830085 PECOS PAC ID: 0446596407 Enrollment ID: I20210819000536 |
| Provider Name | Sharlene Sichi Shieh Su |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548622640 PECOS PAC ID: 6608174750 Enrollment ID: I20210819003120 |
| Provider Name | Danielle Katherine Zehrung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184207581 PECOS PAC ID: 5193120566 Enrollment ID: I20210823002798 |
| Provider Name | Samantha Lynn Thomsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194391698 PECOS PAC ID: 8820493125 Enrollment ID: I20210825001493 |
| Provider Name | Andrew Yatteau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720575582 PECOS PAC ID: 4880947944 Enrollment ID: I20210831001167 |
| Provider Name | Cheryl Martin Demucha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861943300 PECOS PAC ID: 7315229465 Enrollment ID: I20210908003427 |
| Provider Name | Daniris Leonor Lundbom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801469739 PECOS PAC ID: 5991101107 Enrollment ID: I20210913002251 |
| Provider Name | Derek Djavaherian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831552447 PECOS PAC ID: 0941624548 Enrollment ID: I20210917002195 |
| Provider Name | John Fors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124471230 PECOS PAC ID: 5597041426 Enrollment ID: I20210927002413 |
| Provider Name | Ashley Elisabeth Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073001384 PECOS PAC ID: 6103160056 Enrollment ID: I20210928002834 |
| Provider Name | Jad Al Danaf |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215342720 PECOS PAC ID: 0143446823 Enrollment ID: I20211004003348 |
| Provider Name | Linsey Marie Wegener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841861531 PECOS PAC ID: 8123426939 Enrollment ID: I20211008001270 |
| Provider Name | Victoria Lynn Lanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851964381 PECOS PAC ID: 8527466903 Enrollment ID: I20211015001237 |
| Provider Name | Michael A Moradshahi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750656815 PECOS PAC ID: 1456749696 Enrollment ID: I20211021000314 |
| Provider Name | Karin Helen Roosenschoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730755018 PECOS PAC ID: 3870981996 Enrollment ID: I20211022000607 |
| Provider Name | Davor Nicolas Zink |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891385951 PECOS PAC ID: 6901294511 Enrollment ID: I20211102000544 |
| Provider Name | Wendy Lynn Latona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255808804 PECOS PAC ID: 4880938455 Enrollment ID: I20211118000327 |
| Provider Name | Gregory Paul Giron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225183502 PECOS PAC ID: 9537558051 Enrollment ID: I20211122001929 |
| Provider Name | Nancy Arredondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043975030 PECOS PAC ID: 4688064975 Enrollment ID: I20211130002193 |
| Provider Name | Richard Allen Malek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669599627 PECOS PAC ID: 3072641331 Enrollment ID: I20211216002299 |
| Provider Name | Jessica Bianca Peppitoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720748379 PECOS PAC ID: 7315330701 Enrollment ID: I20220208000209 |
| Provider Name | Sabina Braithwaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861561482 PECOS PAC ID: 4880604552 Enrollment ID: I20220208001789 |
| Provider Name | Kennedy C Ukadike |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346637295 PECOS PAC ID: 9032464060 Enrollment ID: I20220221001335 |
| Provider Name | Deann Michelle Rife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861157422 PECOS PAC ID: 2163817131 Enrollment ID: I20220310001136 |
| Provider Name | Jennifer Ann Langham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083379127 PECOS PAC ID: 3678968526 Enrollment ID: I20220311001808 |
| Provider Name | April Jeanne Lennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083375653 PECOS PAC ID: 9739437104 Enrollment ID: I20220419000070 |
| Provider Name | Carilyn Anne Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063906832 PECOS PAC ID: 9335526508 Enrollment ID: I20220510001598 |
| Provider Name | Jesus Alexie Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164901161 PECOS PAC ID: 5496157687 Enrollment ID: I20220510002390 |
| Provider Name | Lee S Schwartzberg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306878228 PECOS PAC ID: 9931170933 Enrollment ID: I20220516002163 |
| Provider Name | Trina Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104570969 PECOS PAC ID: 1153709209 Enrollment ID: I20220602001117 |
| Provider Name | Jonathan Theriot |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1912402744 PECOS PAC ID: 7517200090 Enrollment ID: I20220602001820 |
| Provider Name | Sheree Chen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104812957 PECOS PAC ID: 7315834603 Enrollment ID: I20220620001095 |
| Provider Name | Katharine Elizabeth Thomas |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588010482 PECOS PAC ID: 7315233228 Enrollment ID: I20220623003209 |
| Provider Name | Katherine Jones |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1225201023 PECOS PAC ID: 0446542666 Enrollment ID: I20220712002956 |
| Provider Name | Suchit Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285051540 PECOS PAC ID: 3577899343 Enrollment ID: I20220719002029 |
| Provider Name | Julia K Christopher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447601281 PECOS PAC ID: 0042567109 Enrollment ID: I20220813000727 |
| Provider Name | Nicholas Manguso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093199457 PECOS PAC ID: 8022307818 Enrollment ID: I20220816001558 |
| Provider Name | Sohini Ray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639480072 PECOS PAC ID: 8022235704 Enrollment ID: I20220908000517 |
| Provider Name | Randall Zuckerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265496947 PECOS PAC ID: 1759459639 Enrollment ID: I20220909002865 |
| Provider Name | Vadim A Gladwill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093275307 PECOS PAC ID: 3274865803 Enrollment ID: I20220912003534 |
| Provider Name | Mohammad Ikram Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780145631 PECOS PAC ID: 1759714728 Enrollment ID: I20220915001966 |
| Provider Name | Jennifer E Reifsnyder |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114219656 PECOS PAC ID: 3375808587 Enrollment ID: I20220921001140 |
| Provider Name | Morgan Rebecca Marlow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427476274 PECOS PAC ID: 3274915137 Enrollment ID: I20220924000215 |
| Provider Name | Corey A Matzkanin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679210538 PECOS PAC ID: 8628454410 Enrollment ID: I20220930003024 |
| Provider Name | Chia-yang Hsu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609260892 PECOS PAC ID: 9133436454 Enrollment ID: I20221013003189 |
| Provider Name | Frances G Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205564994 PECOS PAC ID: 7517333669 Enrollment ID: I20221014001912 |
| Provider Name | Elizabeth Marie Hassler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295478303 PECOS PAC ID: 4880060854 Enrollment ID: I20221015000263 |
| Provider Name | Marianne Kabour |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528134772 PECOS PAC ID: 9638466105 Enrollment ID: I20221021001472 |
| Provider Name | Patrick Michael Mcnerney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417485657 PECOS PAC ID: 4385917129 Enrollment ID: I20221024002137 |
| Provider Name | Mike Khieu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194176594 PECOS PAC ID: 3274878210 Enrollment ID: I20221025002827 |
| Provider Name | Elizabeth Christie Ebueng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265883755 PECOS PAC ID: 2769710284 Enrollment ID: I20221026001697 |
| Provider Name | Hasmik Minasyan Al Danaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508105651 PECOS PAC ID: 2264740257 Enrollment ID: I20221031002104 |
| Provider Name | Mary Elizabeth Kilkenny |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720134232 PECOS PAC ID: 0446221576 Enrollment ID: I20221110000410 |
| Provider Name | Steven Condron |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043423536 PECOS PAC ID: 0143390088 Enrollment ID: I20221116000802 |
| Provider Name | Danilo Vitorovic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093947996 PECOS PAC ID: 4183944374 Enrollment ID: I20221207002612 |
| Provider Name | Evan Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629708268 PECOS PAC ID: 4284003567 Enrollment ID: I20221208000291 |
| Provider Name | Nicholas Absalom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770744112 PECOS PAC ID: 5395900633 Enrollment ID: I20221214001948 |
| Provider Name | Madhu Dewan Khatri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891434841 PECOS PAC ID: 7618347048 Enrollment ID: I20221229002796 |
| Provider Name | Megan E Fish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528419553 PECOS PAC ID: 5597187245 Enrollment ID: I20230105000080 |
| Provider Name | Alison Lutz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568825255 PECOS PAC ID: 7012202674 Enrollment ID: I20230105002230 |
| Provider Name | Joseph Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417184425 PECOS PAC ID: 1759693757 Enrollment ID: I20230111001273 |
| Provider Name | Daniel Bradford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528123254 PECOS PAC ID: 4082675244 Enrollment ID: I20230111001401 |
| Provider Name | Mathew Pulicken |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629231832 PECOS PAC ID: 8921274804 Enrollment ID: I20230111002974 |
| Provider Name | Martin Morrison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326206335 PECOS PAC ID: 7012142276 Enrollment ID: I20230209000252 |
| Provider Name | Matthew Christopher Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861482390 PECOS PAC ID: 6507027505 Enrollment ID: I20230228002610 |
| Provider Name | Katie Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437867926 PECOS PAC ID: 5698148054 Enrollment ID: I20230306001151 |
| Provider Name | Joseph Connolly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275520926 PECOS PAC ID: 2567855059 Enrollment ID: I20230313001093 |
| Provider Name | Melanie Elizabeth Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023733326 PECOS PAC ID: 9931573995 Enrollment ID: I20230315001059 |
| Provider Name | Ivie Okundaye |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679968077 PECOS PAC ID: 5890098016 Enrollment ID: I20230320002387 |
| Provider Name | Gurjeet Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780947937 PECOS PAC ID: 8224261763 Enrollment ID: I20230320002686 |
| Provider Name | Bryon Jess Dorgan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053577676 PECOS PAC ID: 9032432372 Enrollment ID: I20230320002881 |
| Provider Name | Andraya Ann Hitchner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356806822 PECOS PAC ID: 5496188633 Enrollment ID: I20230323002872 |
| Provider Name | Michael Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346627841 PECOS PAC ID: 5092069351 Enrollment ID: I20230403002600 |
| Provider Name | Melissa Crowder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902251820 PECOS PAC ID: 3971895277 Enrollment ID: I20230426000547 |
| Provider Name | Brianna Michelle Villalpando |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003527847 PECOS PAC ID: 1254796576 Enrollment ID: I20230501000836 |
| Provider Name | Ladawn Talbott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528147477 PECOS PAC ID: 2264588284 Enrollment ID: I20230504002176 |
| Provider Name | Tara Nicole Weglarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982300091 PECOS PAC ID: 6800251323 Enrollment ID: I20230504002292 |
| Provider Name | Kuanchang Lu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1972044295 PECOS PAC ID: 4587935416 Enrollment ID: I20230505001578 |
| Provider Name | Nicholas Gut |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033603105 PECOS PAC ID: 7113275405 Enrollment ID: I20230509000915 |
| Provider Name | Sara E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467159533 PECOS PAC ID: 2466818976 Enrollment ID: I20230525000305 |
| Provider Name | Polina Zykova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174054761 PECOS PAC ID: 8820359920 Enrollment ID: I20230526000917 |
| Provider Name | Shawn Pakravan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982081014 PECOS PAC ID: 2466819248 Enrollment ID: I20230609001506 |
| Provider Name | Sukhmanjot Kaur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548880719 PECOS PAC ID: 1658738216 Enrollment ID: I20230613002042 |
| Provider Name | Aaron Lindon Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831893254 PECOS PAC ID: 4486012473 Enrollment ID: I20230623000703 |
| Provider Name | Rebecca Baldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689375693 PECOS PAC ID: 2567820301 Enrollment ID: I20230626003177 |
| Provider Name | Babe C. Westlake |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649705377 PECOS PAC ID: 4486923000 Enrollment ID: I20230717001756 |
| Provider Name | Marisa Eve Somers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730872169 PECOS PAC ID: 1355701657 Enrollment ID: I20230718003806 |
| Provider Name | Noel Blanco |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144665894 PECOS PAC ID: 1658606462 Enrollment ID: I20230721001467 |
| Provider Name | John Knecht |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1639360829 PECOS PAC ID: 5597910638 Enrollment ID: I20230802001106 |
| Provider Name | Ryan Lonell Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447879259 PECOS PAC ID: 5597178988 Enrollment ID: I20230804002769 |
| Provider Name | Russell Van Coevering |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790213288 PECOS PAC ID: 7315284718 Enrollment ID: I20230804002885 |
| Provider Name | John Koopman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396308003 PECOS PAC ID: 0244663169 Enrollment ID: I20230807001411 |
| Provider Name | Danny Truong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649767732 PECOS PAC ID: 7719222835 Enrollment ID: I20230808002528 |
| Provider Name | Richard M Butler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275966145 PECOS PAC ID: 2567739063 Enrollment ID: I20230814001643 |
| Provider Name | Colleen Okelly Priddy |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1033319439 PECOS PAC ID: 1456678614 Enrollment ID: I20230905000288 |
| Provider Name | Andrea Elise Riggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992496681 PECOS PAC ID: 0446605158 Enrollment ID: I20231016003675 |
| Provider Name | Jack James Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679263271 PECOS PAC ID: 8123474194 Enrollment ID: I20231026003860 |
| Provider Name | Armando Fuentes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669453841 PECOS PAC ID: 2961663604 Enrollment ID: I20231027002086 |
| Provider Name | Heron Dawn Baumgarten |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003226465 PECOS PAC ID: 8628390960 Enrollment ID: I20231027002611 |
| Provider Name | Alycia M Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144003328 PECOS PAC ID: 5799131660 Enrollment ID: I20231030000093 |
| Provider Name | Jennifer Lindsay Frusteri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659069490 PECOS PAC ID: 7618323502 Enrollment ID: I20231030000978 |
| Provider Name | Taylor Ann Gorman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700573417 PECOS PAC ID: 0547616237 Enrollment ID: I20231101002220 |
| Provider Name | Brianna Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588180236 PECOS PAC ID: 8820363856 Enrollment ID: I20231102004073 |
| Provider Name | Chloe E Meyer Shenk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386176113 PECOS PAC ID: 0042555807 Enrollment ID: I20231103003067 |
| Provider Name | Dielle L Meyer Duval |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225422322 PECOS PAC ID: 5799055430 Enrollment ID: I20231107003962 |
| Provider Name | Marina Olegovna Vyshutina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104510247 PECOS PAC ID: 6901253939 Enrollment ID: I20231113001107 |
| Provider Name | Mary N Ezeanuna |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528555208 PECOS PAC ID: 2062758758 Enrollment ID: I20231130003439 |
| Provider Name | Takesha Jenene Cooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679794069 PECOS PAC ID: 2264481183 Enrollment ID: I20231204001816 |
| Provider Name | Madison Raye Dovedot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144009929 PECOS PAC ID: 2466801287 Enrollment ID: I20231205003224 |
| Provider Name | Amanda E Crawford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528696994 PECOS PAC ID: 0345653184 Enrollment ID: I20231214002143 |
| Provider Name | Jason M Block |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093177131 PECOS PAC ID: 2163718768 Enrollment ID: I20231227002008 |
| Provider Name | Brian Huff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457446858 PECOS PAC ID: 8628429396 Enrollment ID: I20240105004346 |
| Provider Name | Nicholas J Hauser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073803490 PECOS PAC ID: 8426329541 Enrollment ID: I20240111001589 |
| Provider Name | Scott Korotkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447712450 PECOS PAC ID: 3971987603 Enrollment ID: I20240112003557 |
| Provider Name | Brandie Rose Greene |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285144899 PECOS PAC ID: 3577915669 Enrollment ID: I20240112004130 |
| Provider Name | Grant P Redrow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316293152 PECOS PAC ID: 9234406976 Enrollment ID: I20240118001089 |
| Provider Name | Meari Taguchi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255838454 PECOS PAC ID: 8628325255 Enrollment ID: I20240119000850 |
| Provider Name | Jocelyn Martinez Mariscal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316627821 PECOS PAC ID: 5991151987 Enrollment ID: I20240119002033 |
| Provider Name | Robin Wardwell-wood |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053781583 PECOS PAC ID: 8123493681 Enrollment ID: I20240123000746 |
| Provider Name | Michelle Tatum |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1952695611 PECOS PAC ID: 2264881804 Enrollment ID: I20240126003737 |
| Provider Name | David J Bunker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205618402 PECOS PAC ID: 6901259662 Enrollment ID: I20240129004120 |
| Provider Name | Olivia Caroline Cartwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568115731 PECOS PAC ID: 2062856776 Enrollment ID: I20240221003254 |
| Provider Name | Mukund Mohan Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437712494 PECOS PAC ID: 7113256553 Enrollment ID: I20240223001456 |
| Provider Name | Hilary Elizabeth Lederman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427821677 PECOS PAC ID: 3870938723 Enrollment ID: I20240229004611 |
| Provider Name | Mackenzie Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861171035 PECOS PAC ID: 5597129783 Enrollment ID: I20240308001240 |
| Provider Name | Lindsey B West |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659830842 PECOS PAC ID: 5799121521 Enrollment ID: I20240314002279 |
| Provider Name | Leah Machen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023404696 PECOS PAC ID: 7911258751 Enrollment ID: I20240315002540 |
| Provider Name | Jeffrey Allen Yarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386413508 PECOS PAC ID: 9032556618 Enrollment ID: I20240318003811 |
| Provider Name | Samantha-rose Lee Frazier |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366213837 PECOS PAC ID: 7618313305 Enrollment ID: I20240327004089 |
| Provider Name | Eric H Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992068019 PECOS PAC ID: 6406085786 Enrollment ID: I20240429002074 |
| Provider Name | Alixandra Hailey White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558131300 PECOS PAC ID: 6507207552 Enrollment ID: I20240508003320 |
| Provider Name | Heather Jinks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396194585 PECOS PAC ID: 0042651010 Enrollment ID: I20240508004162 |
| Provider Name | Christopher P Evans |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356326060 PECOS PAC ID: 5395765374 Enrollment ID: I20240510001201 |
| Provider Name | Daniel W Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225094808 PECOS PAC ID: 3577545078 Enrollment ID: I20240513002988 |
| Provider Name | Karen Gutierrez-orozco |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376266445 PECOS PAC ID: 0840631487 Enrollment ID: I20240514000265 |
| Provider Name | Roch M Spalka |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417284316 PECOS PAC ID: 6103267513 Enrollment ID: I20240516002282 |
| Provider Name | Adrian Rey Lao Del Fierro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861257966 PECOS PAC ID: 5698117505 Enrollment ID: I20240523002119 |
| Provider Name | Jason J Suh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225024722 PECOS PAC ID: 0547165557 Enrollment ID: I20240529003148 |
| Provider Name | Jaron Nobuo Matsunaka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831770627 PECOS PAC ID: 1153711429 Enrollment ID: I20240601000362 |
| Provider Name | Deborah J Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255635546 PECOS PAC ID: 1254873631 Enrollment ID: I20240613000964 |
Functional Medicine Of Nevada Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6490 S Mccarran Blvd Ste 16, Reno, NV 89509 Phone: 208-385-7711 | |
Neil Road Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3915 Neil Rd, Reno, NV 89502 Phone: 775-870-4333 Fax: 775-870-4633 | |
John R. Lemieux Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6630 S. Mccorran Blvd, Building B Suite 16, Reno, NV 89509 Phone: 775-323-5116 Fax: 775-323-7140 | |
Kelly King Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1180 Sharon Way, Reno, NV 89509 Phone: 775-376-1507 | |
Triangle Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1475 Terminal Way, Suite A1, Reno, NV 89502 Phone: 775-331-6400 | |
Dr. Gary Danchak, Omd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9393 Gateway Dr, Reno, NV 89521 Phone: 775-849-9800 Fax: 775-849-9801 | |
Mountain Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9710 S Mccarran Blvd, Reno, NV 89523 Phone: 775-624-6000 Fax: 775-624-6010 |