| Community Hospitalist, Llc | |
|
3700 Kolbe Rd Lorain OH 44053-1611 | |
| (440) 960-4000 | |
| Not Available |
| Full Name | Community Hospitalist, Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 3700 Kolbe Rd, Lorain, Ohio |
| Authorized Official Name and Position | Scott Klosterman (CFO) |
| Authorized Official Contact | 3309267974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Hospitalist, Llc 30575 Bainbridge Rd Cleveland OH 44139-2221 Ph: (440) 542-5000 | Community Hospitalist, Llc 3700 Kolbe Rd Lorain OH 44053-1611 Ph: (440) 960-4000 |
| NPI Number | 1538236872 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 02/23/2022 |
| Medicare PECOS PAC ID | 5496648123 |
|---|---|
| Medicare Enrollment ID | O20040205000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538236872 | NPI | - | NPPES |
| 2173473 | Medicaid | OH |
| Provider Name | Jon Joseph Floriano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366542086 PECOS PAC ID: 5496650608 Enrollment ID: I20031201000812 |
| Provider Name | Mohamed A Sanad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851362545 PECOS PAC ID: 5890696918 Enrollment ID: I20040120000688 |
| Provider Name | Debra S Guerini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013985605 PECOS PAC ID: 7810880564 Enrollment ID: I20040205000799 |
| Provider Name | Firas Seffo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366440778 PECOS PAC ID: 1658265889 Enrollment ID: I20040210000326 |
| Provider Name | Mallory L Mcclure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124014733 PECOS PAC ID: 3678468543 Enrollment ID: I20040219000084 |
| Provider Name | Walid A Abboud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245295559 PECOS PAC ID: 4981592359 Enrollment ID: I20040308000623 |
| Provider Name | David Lawrence Roth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508897380 PECOS PAC ID: 0244226983 Enrollment ID: I20040420001650 |
| Provider Name | Abbas Babaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558356535 PECOS PAC ID: 4183614548 Enrollment ID: I20040517000846 |
| Provider Name | Tarun Mehra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659374700 PECOS PAC ID: 8426049594 Enrollment ID: I20040519000571 |
| Provider Name | Joi M Robinson-tidmore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053427385 PECOS PAC ID: 3476534785 Enrollment ID: I20040525000060 |
| Provider Name | Mbanefo Emmanuel Ojukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083765481 PECOS PAC ID: 2769463256 Enrollment ID: I20040528001341 |
| Provider Name | John F Maxfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255318507 PECOS PAC ID: 1052394376 Enrollment ID: I20040609000288 |
| Provider Name | Rafik Massouh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639274038 PECOS PAC ID: 8022092246 Enrollment ID: I20040615001779 |
| Provider Name | Gregory Giles Hickey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457391005 PECOS PAC ID: 6103721972 Enrollment ID: I20040702000845 |
| Provider Name | Lee Donald Zalud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609877893 PECOS PAC ID: 1951389477 Enrollment ID: I20040712000386 |
| Provider Name | Alissa V Ackelson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881814796 PECOS PAC ID: 7810960028 Enrollment ID: I20040817000001 |
| Provider Name | Michael Menolasino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063592459 PECOS PAC ID: 5597728998 Enrollment ID: I20041108000029 |
| Provider Name | Adetokunbo O Esho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730139338 PECOS PAC ID: 7012970098 Enrollment ID: I20041110000724 |
| Provider Name | Robin A Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912955808 PECOS PAC ID: 6800850264 Enrollment ID: I20041116000080 |
| Provider Name | Dennis V Lagman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962406355 PECOS PAC ID: 7618931940 Enrollment ID: I20041122000036 |
| Provider Name | David Akwainja Kittoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730149154 PECOS PAC ID: 9931164555 Enrollment ID: I20041123000606 |
| Provider Name | Mitchell I Ballin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104866565 PECOS PAC ID: 2668439449 Enrollment ID: I20041214000036 |
| Provider Name | Leopoldo A Alvarado |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659352805 PECOS PAC ID: 8729046826 Enrollment ID: I20041221000449 |
| Provider Name | Alexandar Lubomirov Todorinov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003815010 PECOS PAC ID: 3476501008 Enrollment ID: I20050110000993 |
| Provider Name | Nneka S Anyanechi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982824207 PECOS PAC ID: 1052363223 Enrollment ID: I20050216000110 |
| Provider Name | Hans C Geho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275522765 PECOS PAC ID: 8022065473 Enrollment ID: I20050407000224 |
| Provider Name | Sanjeev S Karmarkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053360396 PECOS PAC ID: 4082653522 Enrollment ID: I20050426000002 |
| Provider Name | Jyotika G Kapadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598757106 PECOS PAC ID: 7113966409 Enrollment ID: I20050426001392 |
| Provider Name | Anne M Carrol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952475576 PECOS PAC ID: 1759322431 Enrollment ID: I20050513000011 |
| Provider Name | Gretzel King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912990730 PECOS PAC ID: 2264404128 Enrollment ID: I20050614000344 |
| Provider Name | Peter S Kibbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487652871 PECOS PAC ID: 8729985379 Enrollment ID: I20050712000938 |
| Provider Name | Mohamed A Swedeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962491613 PECOS PAC ID: 8426085531 Enrollment ID: I20050720000771 |
| Provider Name | Shoghi Mihdi Mclean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659454320 PECOS PAC ID: 9133157506 Enrollment ID: I20050728000160 |
| Provider Name | Ludmila N Kaplan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962573733 PECOS PAC ID: 9133158124 Enrollment ID: I20050810000405 |
| Provider Name | Dennis Benjamin Repenning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790753432 PECOS PAC ID: 0446275291 Enrollment ID: I20051011000211 |
| Provider Name | Alexis Alers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285772079 PECOS PAC ID: 2466344148 Enrollment ID: I20051115001210 |
| Provider Name | Milton Chu-yu Wong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073548269 PECOS PAC ID: 7517988017 Enrollment ID: I20051213000168 |
| Provider Name | Galina Glovatskaya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578537999 PECOS PAC ID: 2264447002 Enrollment ID: I20060215000135 |
| Provider Name | Gohar Vrejovna Ghazarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407894090 PECOS PAC ID: 4789690140 Enrollment ID: I20060222000875 |
| Provider Name | Sukaina J Jaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568430031 PECOS PAC ID: 5991714404 Enrollment ID: I20060411000706 |
| Provider Name | Sabahat K. Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508814021 PECOS PAC ID: 4880606904 Enrollment ID: I20060607000285 |
| Provider Name | Richard Frires |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386699940 PECOS PAC ID: 4183637234 Enrollment ID: I20060713000284 |
| Provider Name | Benjamin P Young |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306865704 PECOS PAC ID: 4284647827 Enrollment ID: I20060726000182 |
| Provider Name | Johan Worndle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295840833 PECOS PAC ID: 8729083696 Enrollment ID: I20060927000419 |
| Provider Name | Jonathan H Wynbrandt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891807012 PECOS PAC ID: 9032117718 Enrollment ID: I20061113000043 |
| Provider Name | Jie Zang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710048293 PECOS PAC ID: 3870592918 Enrollment ID: I20061219000041 |
| Provider Name | Dirk E Mcknight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720064942 PECOS PAC ID: 3173588035 Enrollment ID: I20061220000443 |
| Provider Name | Huy N Dang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689753105 PECOS PAC ID: 7517966591 Enrollment ID: I20061221000033 |
| Provider Name | Marian Korosec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487754107 PECOS PAC ID: 6002710225 Enrollment ID: I20070321000024 |
| Provider Name | Amolak Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275655441 PECOS PAC ID: 3577662683 Enrollment ID: I20070629000388 |
| Provider Name | Sarah H Bonza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487694709 PECOS PAC ID: 2264527142 Enrollment ID: I20071008000256 |
| Provider Name | Vinh Truyen Quoc Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679693105 PECOS PAC ID: 3870689490 Enrollment ID: I20071012000274 |
| Provider Name | Balaji Saravanan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538351358 PECOS PAC ID: 0345336293 Enrollment ID: I20071023000714 |
| Provider Name | Alicia Ganelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467641324 PECOS PAC ID: 7618059809 Enrollment ID: I20080128000027 |
| Provider Name | Anthony John Muni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164630208 PECOS PAC ID: 4486736014 Enrollment ID: I20080204000701 |
| Provider Name | Andrei Popescu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174728505 PECOS PAC ID: 9335211937 Enrollment ID: I20080626000139 |
| Provider Name | Alaa Alahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538332796 PECOS PAC ID: 9830261353 Enrollment ID: I20080627000434 |
| Provider Name | Ruta Semaskiene |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134324130 PECOS PAC ID: 5496827479 Enrollment ID: I20080708000526 |
| Provider Name | Aparna Nukala Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255528279 PECOS PAC ID: 7517032063 Enrollment ID: I20080818000373 |
| Provider Name | Meisam Hosseinabadi Moghbelli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790827210 PECOS PAC ID: 1557438546 Enrollment ID: I20080917000101 |
| Provider Name | Nariman K Morra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902060783 PECOS PAC ID: 7012084049 Enrollment ID: I20080917000405 |
| Provider Name | Parisa Khatibi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720111784 PECOS PAC ID: 8820197866 Enrollment ID: I20080919000038 |
| Provider Name | Kristopher L Lindbloom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568635423 PECOS PAC ID: 0345318366 Enrollment ID: I20081003000657 |
| Provider Name | Billie Delynn Sewall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932359163 PECOS PAC ID: 1557429222 Enrollment ID: I20081024000003 |
| Provider Name | Yogeshwar A Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578785234 PECOS PAC ID: 2264592609 Enrollment ID: I20081115000009 |
| Provider Name | Petter Andre Vaagenes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982810289 PECOS PAC ID: 8820158272 Enrollment ID: I20081115000110 |
| Provider Name | Vishnu V Chepyala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336352178 PECOS PAC ID: 9436212818 Enrollment ID: I20090112000232 |
| Provider Name | Victor Kopyev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053390203 PECOS PAC ID: 7113081357 Enrollment ID: I20090203000087 |
| Provider Name | Hatem M Dajani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912099664 PECOS PAC ID: 9638235922 Enrollment ID: I20090312000149 |
| Provider Name | Vijay Kakumanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225225816 PECOS PAC ID: 8921164146 Enrollment ID: I20090312000518 |
| Provider Name | Ronobir R Mallick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760698567 PECOS PAC ID: 1951468057 Enrollment ID: I20090317000194 |
| Provider Name | Christina S Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174771471 PECOS PAC ID: 6204983513 Enrollment ID: I20090402000225 |
| Provider Name | Donna Kay Boyd Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467606178 PECOS PAC ID: 2769539097 Enrollment ID: I20090402000434 |
| Provider Name | Shiraz Nisar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972764314 PECOS PAC ID: 9830266535 Enrollment ID: I20090406000337 |
| Provider Name | Ola A Thuestad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225240526 PECOS PAC ID: 0648320051 Enrollment ID: I20090605000221 |
| Provider Name | Kristen A Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346431632 PECOS PAC ID: 4587714209 Enrollment ID: I20090617000764 |
| Provider Name | Russell A Blair |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134314644 PECOS PAC ID: 3577649540 Enrollment ID: I20090707000183 |
| Provider Name | Bishr Mohammed Younis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770771792 PECOS PAC ID: 5193877702 Enrollment ID: I20090713000352 |
| Provider Name | Hany Farag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538362066 PECOS PAC ID: 8426100074 Enrollment ID: I20090714000037 |
| Provider Name | Carrie A Aiken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467689117 PECOS PAC ID: 8729130752 Enrollment ID: I20090722000143 |
| Provider Name | Siamak Ghanbari Rostamabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588801757 PECOS PAC ID: 7214073337 Enrollment ID: I20091002000602 |
| Provider Name | Ajay Sodhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023258381 PECOS PAC ID: 4688712482 Enrollment ID: I20091116000625 |
| Provider Name | Adriatik Kellici |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427291061 PECOS PAC ID: 3779618822 Enrollment ID: I20100316000030 |
| Provider Name | Hardeep Singh Rai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033448253 PECOS PAC ID: 4880721026 Enrollment ID: I20100420001026 |
| Provider Name | Douglas A Pope |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093786857 PECOS PAC ID: 7810024601 Enrollment ID: I20100428000049 |
| Provider Name | Michael Brad Eckstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134265614 PECOS PAC ID: 9931238854 Enrollment ID: I20100602000227 |
| Provider Name | Mark Kaplan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942442967 PECOS PAC ID: 3971634437 Enrollment ID: I20100626000488 |
| Provider Name | Dhananjay Bhavsar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598798589 PECOS PAC ID: 3072582808 Enrollment ID: I20100708000903 |
| Provider Name | Jafar J Abunasser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093914327 PECOS PAC ID: 9436201530 Enrollment ID: I20100714000021 |
| Provider Name | Georgia Lynne Newman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194716555 PECOS PAC ID: 8426014457 Enrollment ID: I20100812000123 |
| Provider Name | Yanjuan Zhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316143498 PECOS PAC ID: 4385778695 Enrollment ID: I20100820001114 |
| Provider Name | George Trimble |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053581231 PECOS PAC ID: 6305960352 Enrollment ID: I20100827000979 |
| Provider Name | Martha Lynn Buckley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386733244 PECOS PAC ID: 2668404039 Enrollment ID: I20100907000715 |
| Provider Name | Frederick L Morey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033372628 PECOS PAC ID: 1759407141 Enrollment ID: I20100922001020 |
| Provider Name | Anna Michelle Williams-andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447564414 PECOS PAC ID: 1254457344 Enrollment ID: I20100927000432 |
| Provider Name | Brenda A Jacobsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740372960 PECOS PAC ID: 2961305842 Enrollment ID: I20101109001579 |
| Provider Name | Bashar Salem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841306958 PECOS PAC ID: 5294732327 Enrollment ID: I20101116000793 |
| Provider Name | Rafid A Fadul |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619134780 PECOS PAC ID: 3072700418 Enrollment ID: I20110305000003 |
| Provider Name | Karthik Mulkanoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720390859 PECOS PAC ID: 1456533462 Enrollment ID: I20110314000053 |
| Provider Name | Olga Dolgova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700101839 PECOS PAC ID: 7911189816 Enrollment ID: I20110315000088 |
| Provider Name | Kwei Akuete |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316143639 PECOS PAC ID: 9638353154 Enrollment ID: I20110407000568 |
| Provider Name | Mary S Kisswany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356506166 PECOS PAC ID: 7214003086 Enrollment ID: I20110421000843 |
| Provider Name | Tina A Frisina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922398379 PECOS PAC ID: 0547446650 Enrollment ID: I20110525000077 |
| Provider Name | Gina M Oprisescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104073212 PECOS PAC ID: 1456539139 Enrollment ID: I20110628000569 |
| Provider Name | Piyush Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275618803 PECOS PAC ID: 9830369040 Enrollment ID: I20110825000645 |
| Provider Name | Kristopher Palmer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831323393 PECOS PAC ID: 2769652817 Enrollment ID: I20110826000504 |
| Provider Name | Elias Issa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538458583 PECOS PAC ID: 2567632441 Enrollment ID: I20110901000245 |
| Provider Name | Melissa K Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124315247 PECOS PAC ID: 3577733120 Enrollment ID: I20110908002296 |
| Provider Name | Thomas Nasheri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982845459 PECOS PAC ID: 2769653492 Enrollment ID: I20110928000891 |
| Provider Name | James V Cireddu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720222144 PECOS PAC ID: 9830361104 Enrollment ID: I20111010000289 |
| Provider Name | Feras A Sawas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477796761 PECOS PAC ID: 7012189947 Enrollment ID: I20111018000733 |
| Provider Name | Michael F Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538320833 PECOS PAC ID: 4284806183 Enrollment ID: I20111019000743 |
| Provider Name | Sally J Murrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801978531 PECOS PAC ID: 7012180987 Enrollment ID: I20111109000754 |
| Provider Name | Prakash Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275812497 PECOS PAC ID: 8527232891 Enrollment ID: I20111122000930 |
| Provider Name | Homeyra Salamat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912282765 PECOS PAC ID: 4981879970 Enrollment ID: I20111201000666 |
| Provider Name | Shelley A Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013915321 PECOS PAC ID: 0042485799 Enrollment ID: I20111208000590 |
| Provider Name | Cheryl M Lund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831388800 PECOS PAC ID: 2668648809 Enrollment ID: I20120110000319 |
| Provider Name | Ziad Masri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750517397 PECOS PAC ID: 1355508300 Enrollment ID: I20120203000165 |
| Provider Name | Mary Stefanac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851565535 PECOS PAC ID: 9739347022 Enrollment ID: I20120215000749 |
| Provider Name | Kristen R Ruthenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932472859 PECOS PAC ID: 8022277938 Enrollment ID: I20120313000665 |
| Provider Name | Earl G Haley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205076544 PECOS PAC ID: 4284894866 Enrollment ID: I20120320000561 |
| Provider Name | Amy M Dimarino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710171756 PECOS PAC ID: 0244490449 Enrollment ID: I20120326000713 |
| Provider Name | Christ-roi Cheres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356502074 PECOS PAC ID: 1759542715 Enrollment ID: I20120418000476 |
| Provider Name | Daniel J Greenfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063673002 PECOS PAC ID: 9830350768 Enrollment ID: I20120419000547 |
| Provider Name | Alan Guhlke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750395646 PECOS PAC ID: 5698954485 Enrollment ID: I20120427000681 |
| Provider Name | Nadira Zrikem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356619068 PECOS PAC ID: 7719141324 Enrollment ID: I20120612000206 |
| Provider Name | Bilal M Ataya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386886851 PECOS PAC ID: 7214193457 Enrollment ID: I20120716000533 |
| Provider Name | Ekundayo E Bolaji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710298609 PECOS PAC ID: 0749436186 Enrollment ID: I20120817000189 |
| Provider Name | Mushtaq Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497733075 PECOS PAC ID: 9032130554 Enrollment ID: I20120820001195 |
| Provider Name | Ryan Scott Nagy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366603516 PECOS PAC ID: 5698961068 Enrollment ID: I20120821000286 |
| Provider Name | Bledar Kovaci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447493002 PECOS PAC ID: 4789831900 Enrollment ID: I20120823000286 |
| Provider Name | Marshall C Spalding |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316261100 PECOS PAC ID: 4789831678 Enrollment ID: I20120828000885 |
| Provider Name | Lois Nadine Mullet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851647598 PECOS PAC ID: 9830347400 Enrollment ID: I20120924000832 |
| Provider Name | Valerie Erdman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598083628 PECOS PAC ID: 3476702002 Enrollment ID: I20120925000711 |
| Provider Name | Lawrence Andrew Shirley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205046620 PECOS PAC ID: 0840441069 Enrollment ID: I20121117000066 |
| Provider Name | Anthony Milard Abraham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336474535 PECOS PAC ID: 1052563384 Enrollment ID: I20121212000273 |
| Provider Name | Khaled Almoselli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346497823 PECOS PAC ID: 7517135924 Enrollment ID: I20121226000437 |
| Provider Name | Autumn Lee White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992967467 PECOS PAC ID: 4486807716 Enrollment ID: I20130116000428 |
| Provider Name | Aaron Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689865651 PECOS PAC ID: 7517043912 Enrollment ID: I20130211000467 |
| Provider Name | Oludamilola O Ogunlesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407054331 PECOS PAC ID: 7315038031 Enrollment ID: I20130214000234 |
| Provider Name | Sulaiman Mapara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538405998 PECOS PAC ID: 5395999502 Enrollment ID: I20130215000266 |
| Provider Name | Harleen Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144514647 PECOS PAC ID: 9032364245 Enrollment ID: I20130219000189 |
| Provider Name | Heather M Manchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760729321 PECOS PAC ID: 1850546870 Enrollment ID: I20130223000080 |
| Provider Name | Samer M Abubakr |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235260464 PECOS PAC ID: 4880689140 Enrollment ID: I20130315000350 |
| Provider Name | Derek Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124348842 PECOS PAC ID: 7911911342 Enrollment ID: I20130328000268 |
| Provider Name | Scott C Forster |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427374990 PECOS PAC ID: 6002051620 Enrollment ID: I20130401000410 |
| Provider Name | Lisa M Dials |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609113133 PECOS PAC ID: 5092951004 Enrollment ID: I20130418000031 |
| Provider Name | Chukwuemeke O Nkadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598760845 PECOS PAC ID: 0840381281 Enrollment ID: I20130508000376 |
| Provider Name | Amr Yafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558597047 PECOS PAC ID: 4789823311 Enrollment ID: I20130612000063 |
| Provider Name | Madan Kumar Nanjunde Gowda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548413230 PECOS PAC ID: 9335389006 Enrollment ID: I20130701000810 |
| Provider Name | Brave K Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912223629 PECOS PAC ID: 9537309935 Enrollment ID: I20130708000759 |
| Provider Name | Kai Wang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467682518 PECOS PAC ID: 9032359328 Enrollment ID: I20130710000239 |
| Provider Name | Dayanand Makey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760788368 PECOS PAC ID: 4486893328 Enrollment ID: I20130803000136 |
| Provider Name | Peter G Kunze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255657714 PECOS PAC ID: 4688812969 Enrollment ID: I20130820000322 |
| Provider Name | Olumuyiwa Sowunmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235454414 PECOS PAC ID: 6709020829 Enrollment ID: I20130911000479 |
| Provider Name | Justin J Crivelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134426398 PECOS PAC ID: 4082848296 Enrollment ID: I20131001000354 |
| Provider Name | Danielle S Zimmerer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124460886 PECOS PAC ID: 0446484489 Enrollment ID: I20131008000034 |
| Provider Name | Ghasem Ashelfah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205149408 PECOS PAC ID: 2264667195 Enrollment ID: I20131031001628 |
| Provider Name | Melissa L Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548697683 PECOS PAC ID: 7012142524 Enrollment ID: I20131108000180 |
| Provider Name | Abhinav Goyal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366756447 PECOS PAC ID: 7214174325 Enrollment ID: I20131115001163 |
| Provider Name | Linda M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104253665 PECOS PAC ID: 7810125671 Enrollment ID: I20140124001221 |
| Provider Name | Ariel J Biggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316239916 PECOS PAC ID: 1759533425 Enrollment ID: I20140212000694 |
| Provider Name | Rupal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376862144 PECOS PAC ID: 5799916755 Enrollment ID: I20140317000820 |
| Provider Name | Maurice Aaron Alston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184999021 PECOS PAC ID: 2961649728 Enrollment ID: I20140430002313 |
| Provider Name | Lynn A Stackhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154542660 PECOS PAC ID: 7810051885 Enrollment ID: I20140522001524 |
| Provider Name | Ama Nkyima Nuamah |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1225316276 PECOS PAC ID: 2668696493 Enrollment ID: I20140617000931 |
| Provider Name | Sureshchandra P Thakker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982717302 PECOS PAC ID: 6002030715 Enrollment ID: I20140620000457 |
| Provider Name | Crystal R Lantz-de George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316265663 PECOS PAC ID: 7315161924 Enrollment ID: I20140620000685 |
| Provider Name | Naveen Gopal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346479623 PECOS PAC ID: 7416105218 Enrollment ID: I20140808002108 |
| Provider Name | Bassem Zraik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548542491 PECOS PAC ID: 5597982645 Enrollment ID: I20140813001194 |
| Provider Name | Summer Holmes Mason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437473360 PECOS PAC ID: 1951528744 Enrollment ID: I20140819002020 |
| Provider Name | Aileen Theresa Ruffino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437424496 PECOS PAC ID: 4082850664 Enrollment ID: I20140827001527 |
| Provider Name | David Moh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295026607 PECOS PAC ID: 8224275979 Enrollment ID: I20140922001072 |
| Provider Name | Kevin Volt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124319629 PECOS PAC ID: 8921227935 Enrollment ID: I20140923002267 |
| Provider Name | Sherry L Armitage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033519178 PECOS PAC ID: 9436370186 Enrollment ID: I20141021001905 |
| Provider Name | Abdulmajid Y Adam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528362258 PECOS PAC ID: 1355510751 Enrollment ID: I20141021002866 |
| Provider Name | Naeem M Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588982383 PECOS PAC ID: 3173766227 Enrollment ID: I20141105001531 |
| Provider Name | Nathan Fetsko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760758205 PECOS PAC ID: 8325360159 Enrollment ID: I20141206000230 |
| Provider Name | Madhu Unnikrishnan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093093619 PECOS PAC ID: 8022330612 Enrollment ID: I20141210001432 |
| Provider Name | Yue Yuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659666915 PECOS PAC ID: 9931349016 Enrollment ID: I20141212000676 |
| Provider Name | Isteaq Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245525765 PECOS PAC ID: 5597087924 Enrollment ID: I20141213000283 |
| Provider Name | Jonathan Wiesen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912149006 PECOS PAC ID: 1153644786 Enrollment ID: I20150106001254 |
| Provider Name | Lindsay Brasko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619375086 PECOS PAC ID: 8224353800 Enrollment ID: I20150203001499 |
| Provider Name | Vlad Apostol |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629334669 PECOS PAC ID: 7315264066 Enrollment ID: I20150318000787 |
| Provider Name | Babar Sanaullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376593806 PECOS PAC ID: 8820004104 Enrollment ID: I20150408002044 |
| Provider Name | Amanda S Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205232287 PECOS PAC ID: 7517285299 Enrollment ID: I20150408002102 |
| Provider Name | Amir Naraghi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255752101 PECOS PAC ID: 6800115668 Enrollment ID: I20150430000223 |
| Provider Name | Uchenna J Anaje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184012064 PECOS PAC ID: 4183943426 Enrollment ID: I20150507001394 |
| Provider Name | Michael M Ghobrial |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669727582 PECOS PAC ID: 2466772454 Enrollment ID: I20150514001197 |
| Provider Name | Shasta Mitchell-holston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881004901 PECOS PAC ID: 7214151067 Enrollment ID: I20150518002271 |
| Provider Name | Muhammad T Sarmini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366706590 PECOS PAC ID: 6901033927 Enrollment ID: I20150601002874 |
| Provider Name | Ariane Neyou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386854073 PECOS PAC ID: 8820140783 Enrollment ID: I20150608002065 |
| Provider Name | Marwah Farooqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497011266 PECOS PAC ID: 4486966819 Enrollment ID: I20150626001713 |
| Provider Name | Ugochukwu Ozumba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699033571 PECOS PAC ID: 5890007843 Enrollment ID: I20150702002146 |
| Provider Name | Charles F Ware |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528355922 PECOS PAC ID: 0840441713 Enrollment ID: I20150708001837 |
| Provider Name | Neil S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932523248 PECOS PAC ID: 9436461951 Enrollment ID: I20150710002190 |
| Provider Name | Traci Poppaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992190037 PECOS PAC ID: 5294048021 Enrollment ID: I20150722004487 |
| Provider Name | Leland L Metheny |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336303817 PECOS PAC ID: 5799099305 Enrollment ID: I20150727001623 |
| Provider Name | Amanda Lea Slater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770844367 PECOS PAC ID: 0446578488 Enrollment ID: I20150728006123 |
| Provider Name | Talal Sabbagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508127564 PECOS PAC ID: 4880908342 Enrollment ID: I20150729007058 |
| Provider Name | Abdullah M Al Ghamdi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710119532 PECOS PAC ID: 6305150012 Enrollment ID: I20150807014400 |
| Provider Name | Karthik R Kode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689930497 PECOS PAC ID: 5294977377 Enrollment ID: I20150820011540 |
| Provider Name | David S Zaghlool |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336431220 PECOS PAC ID: 1951545623 Enrollment ID: I20150821014783 |
| Provider Name | Emmanuel Ofungwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669812921 PECOS PAC ID: 8123334646 Enrollment ID: I20150828001924 |
| Provider Name | Majida Giancola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457612061 PECOS PAC ID: 2769701796 Enrollment ID: I20150909002299 |
| Provider Name | Faris El-khider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144537200 PECOS PAC ID: 6002031895 Enrollment ID: I20150925001056 |
| Provider Name | Nadine Szappanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881072429 PECOS PAC ID: 7719295823 Enrollment ID: I20151008002033 |
| Provider Name | Ebele C Odonwodo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336331891 PECOS PAC ID: 4688861925 Enrollment ID: I20151013001057 |
| Provider Name | Khurram Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730446931 PECOS PAC ID: 8022327923 Enrollment ID: I20151015001441 |
| Provider Name | Lauren M Walter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144587148 PECOS PAC ID: 2668605700 Enrollment ID: I20151021002420 |
| Provider Name | Jennifer L Shockley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588034656 PECOS PAC ID: 0446569750 Enrollment ID: I20151027000672 |
| Provider Name | Joshua R Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366769879 PECOS PAC ID: 9133438443 Enrollment ID: I20151027000849 |
| Provider Name | Brian Goodhue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669713483 PECOS PAC ID: 0143539403 Enrollment ID: I20151027003373 |
| Provider Name | Reanna Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780050179 PECOS PAC ID: 3577873058 Enrollment ID: I20151112002647 |
| Provider Name | Adam Brown |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821389008 PECOS PAC ID: 4789984980 Enrollment ID: I20151119001265 |
| Provider Name | David M Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063400232 PECOS PAC ID: 7113903303 Enrollment ID: I20151123000246 |
| Provider Name | Kimberley Vales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912314105 PECOS PAC ID: 2567763568 Enrollment ID: I20151216001982 |
| Provider Name | John G Hatanelas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225379795 PECOS PAC ID: 8022311554 Enrollment ID: I20160115002234 |
| Provider Name | Sarah E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871964759 PECOS PAC ID: 5496050700 Enrollment ID: I20160224002510 |
| Provider Name | Sushruta Cerejo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629341771 PECOS PAC ID: 0345545406 Enrollment ID: I20160226001690 |
| Provider Name | Amy H Attaway |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215220751 PECOS PAC ID: 5193956688 Enrollment ID: I20160301000593 |
| Provider Name | Shannon Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356709265 PECOS PAC ID: 9234434135 Enrollment ID: I20160301000944 |
| Provider Name | Vihang Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184967598 PECOS PAC ID: 2062653322 Enrollment ID: I20160303001362 |
| Provider Name | Marwan Wassouf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962844373 PECOS PAC ID: 6002112158 Enrollment ID: I20160315002908 |
| Provider Name | Matthew D Campos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366785503 PECOS PAC ID: 3577703545 Enrollment ID: I20160419000822 |
| Provider Name | Fazel Dinary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912347360 PECOS PAC ID: 8820397383 Enrollment ID: I20160504001949 |
| Provider Name | Anokh V Kondru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003158031 PECOS PAC ID: 3779802731 Enrollment ID: I20160511000238 |
| Provider Name | Jessica Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568829059 PECOS PAC ID: 0345539490 Enrollment ID: I20160513000481 |
| Provider Name | Keith Andrew Rosing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053722371 PECOS PAC ID: 5092017335 Enrollment ID: I20160607000603 |
| Provider Name | Fahad Bin Zulfiqar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194144840 PECOS PAC ID: 0648560458 Enrollment ID: I20160607002421 |
| Provider Name | Muhammad Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649610114 PECOS PAC ID: 5496047029 Enrollment ID: I20160630000524 |
| Provider Name | Sajin A Pillai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427396530 PECOS PAC ID: 7719295757 Enrollment ID: I20160706001452 |
| Provider Name | Leela K Kolluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578904900 PECOS PAC ID: 4981848975 Enrollment ID: I20160719002438 |
| Provider Name | Buthayna Alkhatib Dinary |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902245087 PECOS PAC ID: 9133412166 Enrollment ID: I20160727002673 |
| Provider Name | James K Barger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861733172 PECOS PAC ID: 9436442308 Enrollment ID: I20160729001597 |
| Provider Name | Narsimha R Kodakandla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376966184 PECOS PAC ID: 2769776756 Enrollment ID: I20160815001373 |
| Provider Name | Brian W Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679864003 PECOS PAC ID: 4981826807 Enrollment ID: I20160817003335 |
| Provider Name | Nishit P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750720827 PECOS PAC ID: 0042513137 Enrollment ID: I20160822001408 |
| Provider Name | Katherine M Meister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619248192 PECOS PAC ID: 5890080378 Enrollment ID: I20160823001352 |
| Provider Name | Jacob A Petrosky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881959013 PECOS PAC ID: 9931351707 Enrollment ID: I20160915001611 |
| Provider Name | Hao Luong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699198234 PECOS PAC ID: 8729386479 Enrollment ID: I20160919002425 |
| Provider Name | Rosebel Monteiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295051134 PECOS PAC ID: 1658668165 Enrollment ID: I20160927003208 |
| Provider Name | Brenda L Rusnak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497108617 PECOS PAC ID: 2567759079 Enrollment ID: I20160927003227 |
| Provider Name | Vamsi V Nagineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932542826 PECOS PAC ID: 9638488323 Enrollment ID: I20161004001458 |
| Provider Name | Ibrahim A Warsame |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063839298 PECOS PAC ID: 2769797372 Enrollment ID: I20161007001583 |
| Provider Name | Laura Gienke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295186757 PECOS PAC ID: 9638467350 Enrollment ID: I20161013000444 |
| Provider Name | Andrew Koogler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851719421 PECOS PAC ID: 4183947047 Enrollment ID: I20161101000604 |
| Provider Name | Christopher F. Tanga |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811312564 PECOS PAC ID: 9830477249 Enrollment ID: I20161104001161 |
| Provider Name | Safwan Khader |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144501594 PECOS PAC ID: 1456579937 Enrollment ID: I20161108000870 |
| Provider Name | Junyang Gong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801021183 PECOS PAC ID: 6406135763 Enrollment ID: I20161109002704 |
| Provider Name | Mazhar Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598915043 PECOS PAC ID: 7012031461 Enrollment ID: I20161111001236 |
| Provider Name | Linda Carmellini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659827335 PECOS PAC ID: 2769761782 Enrollment ID: I20161115002644 |
| Provider Name | Yazid Hussein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407275027 PECOS PAC ID: 9234439696 Enrollment ID: I20161116002365 |
| Provider Name | Scott E Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871910083 PECOS PAC ID: 9133442098 Enrollment ID: I20161118001518 |
| Provider Name | Samantha Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497205256 PECOS PAC ID: 8123307691 Enrollment ID: I20161128001950 |
| Provider Name | Rohit M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275976342 PECOS PAC ID: 6800023888 Enrollment ID: I20161129001046 |
| Provider Name | Maksim Yuryevich Khayznikov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659704963 PECOS PAC ID: 0648565754 Enrollment ID: I20161130001246 |
| Provider Name | Deepak G Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841611944 PECOS PAC ID: 4183904063 Enrollment ID: I20161212000836 |
| Provider Name | Cole D Sedar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871932806 PECOS PAC ID: 8729368576 Enrollment ID: I20161213001443 |
| Provider Name | Meghan E Wooster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710305628 PECOS PAC ID: 1052691789 Enrollment ID: I20161214002269 |
| Provider Name | John Andrew Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043650641 PECOS PAC ID: 3678853215 Enrollment ID: I20161216001928 |
| Provider Name | Jessica M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669923207 PECOS PAC ID: 7911288501 Enrollment ID: I20161219001544 |
| Provider Name | Erin A Rocchio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225455850 PECOS PAC ID: 1951601640 Enrollment ID: I20161219002660 |
| Provider Name | Peter R Unkovic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114269180 PECOS PAC ID: 1951682582 Enrollment ID: I20161220000181 |
| Provider Name | Kimberly L Trutza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487108890 PECOS PAC ID: 7517248743 Enrollment ID: I20161230001764 |
| Provider Name | Andres L Maldonado |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467765040 PECOS PAC ID: 9436442464 Enrollment ID: I20170103001710 |
| Provider Name | Mohammed Salman Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922361773 PECOS PAC ID: 5496986747 Enrollment ID: I20170104001456 |
| Provider Name | Rami Abboud |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487854972 PECOS PAC ID: 0840322665 Enrollment ID: I20170117001981 |
| Provider Name | Scott Stiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770995672 PECOS PAC ID: 9830494566 Enrollment ID: I20170117002177 |
| Provider Name | Junling Dong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225449069 PECOS PAC ID: 2163728312 Enrollment ID: I20170118002830 |
| Provider Name | Carly J Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780135848 PECOS PAC ID: 2668754045 Enrollment ID: I20170119001220 |
| Provider Name | Michael Frings |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689086118 PECOS PAC ID: 1557644960 Enrollment ID: I20170209001163 |
| Provider Name | Joy Osasere Iguobadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144667288 PECOS PAC ID: 4486896479 Enrollment ID: I20170214001049 |
| Provider Name | James R Gatherwright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437474566 PECOS PAC ID: 1951604636 Enrollment ID: I20170215000864 |
| Provider Name | Carlos J Gallego |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417161977 PECOS PAC ID: 1153446000 Enrollment ID: I20170307001405 |
| Provider Name | Ketura Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821229378 PECOS PAC ID: 0648555698 Enrollment ID: I20170314001604 |
| Provider Name | Shalini Arora Chowdhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609196229 PECOS PAC ID: 2769619519 Enrollment ID: I20170330001716 |
| Provider Name | Kafilat Kelani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447796750 PECOS PAC ID: 5395021497 Enrollment ID: I20170403002642 |
| Provider Name | Nolan B Seim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750722203 PECOS PAC ID: 9133356546 Enrollment ID: I20170404000913 |
| Provider Name | Dalia Shibeika |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831486711 PECOS PAC ID: 3577877596 Enrollment ID: I20170421001303 |
| Provider Name | Adam Magdi Lamel Khalil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225448616 PECOS PAC ID: 0941587166 Enrollment ID: I20170425003091 |
| Provider Name | David H Kupferberg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548329295 PECOS PAC ID: 1052508405 Enrollment ID: I20170512001226 |
| Provider Name | Nakisha Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881129187 PECOS PAC ID: 4486921186 Enrollment ID: I20170601000108 |
| Provider Name | Mohamed Khayata |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609294602 PECOS PAC ID: 5294058418 Enrollment ID: I20170606001393 |
| Provider Name | Khurshid M Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265845747 PECOS PAC ID: 6608145669 Enrollment ID: I20170706002150 |
| Provider Name | Thomas H Lang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992125249 PECOS PAC ID: 9234357641 Enrollment ID: I20170707003070 |
| Provider Name | Hillor Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922449529 PECOS PAC ID: 4385922632 Enrollment ID: I20170710002571 |
| Provider Name | Alanna Fostyk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154696508 PECOS PAC ID: 5496025108 Enrollment ID: I20170727002628 |
| Provider Name | Bonaventrue C Ogbechie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326454026 PECOS PAC ID: 2062784366 Enrollment ID: I20170822001441 |
| Provider Name | Tomisha Y Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043522089 PECOS PAC ID: 9234401373 Enrollment ID: I20170823004237 |
| Provider Name | Afshan Z Mohiuddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477808053 PECOS PAC ID: 9234449240 Enrollment ID: I20170907003263 |
| Provider Name | Heather Kuo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073933081 PECOS PAC ID: 0749599603 Enrollment ID: I20170915001922 |
| Provider Name | Anmol Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629481692 PECOS PAC ID: 6204100951 Enrollment ID: I20170920000708 |
| Provider Name | Yacoub Baghdy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194135475 PECOS PAC ID: 0345546826 Enrollment ID: I20171004002570 |
| Provider Name | Anshul Dutta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689081879 PECOS PAC ID: 9830464676 Enrollment ID: I20171004003393 |
| Provider Name | Rahul S Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447540471 PECOS PAC ID: 9032484746 Enrollment ID: I20171005002610 |
| Provider Name | Naveen Chatha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447679931 PECOS PAC ID: 8820398241 Enrollment ID: I20171010003046 |
| Provider Name | Frederick E Doamekpor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174943252 PECOS PAC ID: 1557664364 Enrollment ID: I20171011002196 |
| Provider Name | Tonya Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801180948 PECOS PAC ID: 8921373267 Enrollment ID: I20171012000510 |
| Provider Name | Bess J Heidenreich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710305248 PECOS PAC ID: 6305146093 Enrollment ID: I20171012002065 |
| Provider Name | Mark Staats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912423914 PECOS PAC ID: 2163797390 Enrollment ID: I20171013001278 |
| Provider Name | Adjondi Born |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396111597 PECOS PAC ID: 8921374604 Enrollment ID: I20171024003397 |
| Provider Name | Christopher Musonda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912442112 PECOS PAC ID: 6305115627 Enrollment ID: I20171101002028 |
| Provider Name | Angel Marie Delphia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104345511 PECOS PAC ID: 1951362656 Enrollment ID: I20171115003329 |
| Provider Name | Lisa Meek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710400486 PECOS PAC ID: 9931465473 Enrollment ID: I20171120003545 |
| Provider Name | Ahmad T Younes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609147560 PECOS PAC ID: 6901163245 Enrollment ID: I20171122000481 |
| Provider Name | Rachel Askew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114227931 PECOS PAC ID: 3072870179 Enrollment ID: I20171128001438 |
| Provider Name | Amy J Longstreet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639688260 PECOS PAC ID: 3375802937 Enrollment ID: I20180108000219 |
| Provider Name | Jason Adam Gregorin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972982726 PECOS PAC ID: 3678877073 Enrollment ID: I20180122001806 |
| Provider Name | Phalgoon A Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821409319 PECOS PAC ID: 6507137312 Enrollment ID: I20180124003286 |
| Provider Name | Kelsey C Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083131338 PECOS PAC ID: 8426318304 Enrollment ID: I20180214002727 |
| Provider Name | Laura Lynn Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679091318 PECOS PAC ID: 7517229073 Enrollment ID: I20180320003472 |
| Provider Name | Brittanie Nikol Svoboda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235639725 PECOS PAC ID: 3476815564 Enrollment ID: I20180330000592 |
| Provider Name | Christopher R Roberts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386872646 PECOS PAC ID: 3375719669 Enrollment ID: I20180409001175 |
| Provider Name | Loveth Adenuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689189904 PECOS PAC ID: 0143583849 Enrollment ID: I20180411000714 |
| Provider Name | Mohammedumer Rahematullah Nagori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134474109 PECOS PAC ID: 3870732746 Enrollment ID: I20180511001277 |
| Provider Name | Sarah Louise Pelfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538656533 PECOS PAC ID: 4486918885 Enrollment ID: I20180511001457 |
| Provider Name | Monique Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730321464 PECOS PAC ID: 6709140726 Enrollment ID: I20180612001540 |
| Provider Name | Kamran Adibi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033587910 PECOS PAC ID: 2860748175 Enrollment ID: I20180628002249 |
| Provider Name | Marty R Lejeune |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972982668 PECOS PAC ID: 9032401575 Enrollment ID: I20180703003313 |
| Provider Name | Colin Gregory Mccloskey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316200520 PECOS PAC ID: 4183929037 Enrollment ID: I20180710003734 |
| Provider Name | Nicole E Pentito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285123489 PECOS PAC ID: 6800142480 Enrollment ID: I20180712001072 |
| Provider Name | Matthew Dvorak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578977518 PECOS PAC ID: 5890013296 Enrollment ID: I20180718003573 |
| Provider Name | Mohammad F Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184007643 PECOS PAC ID: 0648527820 Enrollment ID: I20180718003647 |
| Provider Name | Jenna Lynn Januzzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679065163 PECOS PAC ID: 4587912514 Enrollment ID: I20180807002273 |
| Provider Name | Brittany Cherise Baughman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407234677 PECOS PAC ID: 2668777178 Enrollment ID: I20180808003296 |
| Provider Name | Jacob Scharlotte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619357084 PECOS PAC ID: 4082906250 Enrollment ID: I20180813002534 |
| Provider Name | Amanda Iliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538647920 PECOS PAC ID: 6507116795 Enrollment ID: I20180910001975 |
| Provider Name | Jane N Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619396629 PECOS PAC ID: 6901197300 Enrollment ID: I20181009002612 |
| Provider Name | Brandon T Dunmyre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295197986 PECOS PAC ID: 8628361094 Enrollment ID: I20181017002397 |
| Provider Name | Venkata Chaithanya Kumar Sunkesula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730560160 PECOS PAC ID: 1456643501 Enrollment ID: I20181022002804 |
| Provider Name | Toufik Z Madhun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003279886 PECOS PAC ID: 2264725050 Enrollment ID: I20181029002745 |
| Provider Name | Kyle Thomas Cleveland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073969275 PECOS PAC ID: 2769776822 Enrollment ID: I20181105001326 |
| Provider Name | Navdeep Tandon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861812299 PECOS PAC ID: 5698090546 Enrollment ID: I20181106001488 |
| Provider Name | Maninder Singh Kaler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114334398 PECOS PAC ID: 9830499235 Enrollment ID: I20190116000493 |
| Provider Name | Nicoletto Bolzan-roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770050049 PECOS PAC ID: 1658617337 Enrollment ID: I20190117000864 |
| Provider Name | Karen Alston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881164986 PECOS PAC ID: 7315284114 Enrollment ID: I20190201001483 |
| Provider Name | Mary Kathleen Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871077032 PECOS PAC ID: 2860731502 Enrollment ID: I20190225001946 |
| Provider Name | Chloe Castro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114360369 PECOS PAC ID: 2769618677 Enrollment ID: I20190320002233 |
| Provider Name | Peter E Oley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104232206 PECOS PAC ID: 2860618832 Enrollment ID: I20190401002557 |
| Provider Name | Kanika Ahuja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124415781 PECOS PAC ID: 0547523821 Enrollment ID: I20190416001664 |
| Provider Name | Kevin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770947707 PECOS PAC ID: 4082908264 Enrollment ID: I20190422001959 |
| Provider Name | Orsolya Eads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578020905 PECOS PAC ID: 0840532792 Enrollment ID: I20190425001634 |
| Provider Name | Angel Amado Lazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518329754 PECOS PAC ID: 8921340167 Enrollment ID: I20190508001877 |
| Provider Name | Maria D Scaccianoce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346709797 PECOS PAC ID: 7416290002 Enrollment ID: I20190522003340 |
| Provider Name | James P Cappello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134574304 PECOS PAC ID: 6305170994 Enrollment ID: I20190702001663 |
| Provider Name | Anoop Gurram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447607262 PECOS PAC ID: 8628302106 Enrollment ID: I20190703001484 |
| Provider Name | Matthew T Niehaus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952745077 PECOS PAC ID: 7517104235 Enrollment ID: I20190724003529 |
| Provider Name | Neal Majumdar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508228693 PECOS PAC ID: 3577856152 Enrollment ID: I20190726002041 |
| Provider Name | Kaitlyn C Korn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801242177 PECOS PAC ID: 0840582862 Enrollment ID: I20190726002241 |
| Provider Name | Fuat Bicer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316393952 PECOS PAC ID: 6800123621 Enrollment ID: I20190815003088 |
| Provider Name | Andrew S Bostick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861928962 PECOS PAC ID: 3274804364 Enrollment ID: I20190816002902 |
| Provider Name | Megan Marie Levandusky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205495132 PECOS PAC ID: 3476881509 Enrollment ID: I20190827002295 |
| Provider Name | Emily F Chau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477915122 PECOS PAC ID: 4183997273 Enrollment ID: I20190905001010 |
| Provider Name | Leah Johansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063876720 PECOS PAC ID: 7911298039 Enrollment ID: I20190909000790 |
| Provider Name | Margo Jane Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487000642 PECOS PAC ID: 8426340696 Enrollment ID: I20190910002145 |
| Provider Name | Matthew J Steinlage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023470077 PECOS PAC ID: 8224322441 Enrollment ID: I20190918001375 |
| Provider Name | Nana Bonsu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205288610 PECOS PAC ID: 7012247703 Enrollment ID: I20190923002579 |
| Provider Name | Harold Melvin Ickes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154779437 PECOS PAC ID: 4183954670 Enrollment ID: I20190926000305 |
| Provider Name | Dianna L Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932752037 PECOS PAC ID: 3870509771 Enrollment ID: I20191015003694 |
| Provider Name | Shanon Lee Mekesa Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043781925 PECOS PAC ID: 6901137181 Enrollment ID: I20191021000805 |
| Provider Name | Ajit Nandkumar Chary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396184214 PECOS PAC ID: 0143453043 Enrollment ID: I20191106003266 |
| Provider Name | Lisa Marie Mahone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427610492 PECOS PAC ID: 2163854621 Enrollment ID: I20191121001669 |
| Provider Name | Hani Al Salti Al Krad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013203827 PECOS PAC ID: 0547589194 Enrollment ID: I20191205002457 |
| Provider Name | Kimberly Anne Levar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902448459 PECOS PAC ID: 2163856519 Enrollment ID: I20191218001920 |
| Provider Name | Christina M Maley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710532296 PECOS PAC ID: 8527492313 Enrollment ID: I20200103000882 |
| Provider Name | Sidrah Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821524794 PECOS PAC ID: 1850726266 Enrollment ID: I20200113002195 |
| Provider Name | Stephanie Kostan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336799006 PECOS PAC ID: 6305271693 Enrollment ID: I20200114003280 |
| Provider Name | Nishanthika Navaratnarajah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104165620 PECOS PAC ID: 5193038768 Enrollment ID: I20200124000587 |
| Provider Name | Malathi Amarnath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225585748 PECOS PAC ID: 6305108978 Enrollment ID: I20200204001733 |
| Provider Name | Nabil Zuhayr Madhun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144682469 PECOS PAC ID: 4981998507 Enrollment ID: I20200410002177 |
| Provider Name | Wanda Galvan Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578103354 PECOS PAC ID: 9830529940 Enrollment ID: I20200413003089 |
| Provider Name | Curtis Ingold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487153185 PECOS PAC ID: 3274881313 Enrollment ID: I20200421000945 |
| Provider Name | Shilpkumar Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699194365 PECOS PAC ID: 8921379264 Enrollment ID: I20200527003208 |
| Provider Name | Jennifer Bostick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144756248 PECOS PAC ID: 0840561288 Enrollment ID: I20200603001968 |
| Provider Name | Feras S Hamdan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356846950 PECOS PAC ID: 3779823489 Enrollment ID: I20200716002184 |
| Provider Name | Theresa Rose Rak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760033146 PECOS PAC ID: 4284058520 Enrollment ID: I20200721000709 |
| Provider Name | Kevin Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528413325 PECOS PAC ID: 8426340241 Enrollment ID: I20200803002403 |
| Provider Name | Anthony Miniaci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679073001 PECOS PAC ID: 4789930843 Enrollment ID: I20200810001734 |
| Provider Name | Bretzyl M Liscoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003434952 PECOS PAC ID: 2365868684 Enrollment ID: I20200818001488 |
| Provider Name | Johnna Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144843673 PECOS PAC ID: 6103244942 Enrollment ID: I20200921000084 |
| Provider Name | Daniel R O'brien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134578479 PECOS PAC ID: 8729370887 Enrollment ID: I20201007000336 |
| Provider Name | Alisha Howland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992306633 PECOS PAC ID: 8527470731 Enrollment ID: I20201211002285 |
| Provider Name | Nasser Yaser Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730601956 PECOS PAC ID: 5395159123 Enrollment ID: I20210205001666 |
| Provider Name | Melanie Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609415793 PECOS PAC ID: 3274940143 Enrollment ID: I20210325002648 |
| Provider Name | Matthew Clinton Dyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497259451 PECOS PAC ID: 2163778580 Enrollment ID: I20210629001965 |
| Provider Name | Alla Trokhimenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932780228 PECOS PAC ID: 8628470093 Enrollment ID: I20210707002452 |
| Provider Name | Selamawit Teshome Abeibie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477042117 PECOS PAC ID: 5890030118 Enrollment ID: I20210909002489 |
| Provider Name | Ryan Henry Platzbecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720474323 PECOS PAC ID: 2769782895 Enrollment ID: I20210913002408 |
| Provider Name | Michael William Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336638220 PECOS PAC ID: 9436407244 Enrollment ID: I20210913003086 |
| Provider Name | David James Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457739310 PECOS PAC ID: 0143627786 Enrollment ID: I20210923001784 |
| Provider Name | Chirag Labhubhai Kher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770080525 PECOS PAC ID: 0648526764 Enrollment ID: I20211008001192 |
| Provider Name | Patricia K Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700548344 PECOS PAC ID: 5395134290 Enrollment ID: I20211115002879 |
| Provider Name | Jessica Elan Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841954682 PECOS PAC ID: 9032508502 Enrollment ID: I20211123000833 |
| Provider Name | Albert C Flowers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558656264 PECOS PAC ID: 6204073711 Enrollment ID: I20220118002577 |
| Provider Name | Obaydah Massad Daromar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891223962 PECOS PAC ID: 9830576263 Enrollment ID: I20220524001475 |
| Provider Name | Linda Obika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194336644 PECOS PAC ID: 8123437118 Enrollment ID: I20220527001171 |
| Provider Name | Alicia Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528603693 PECOS PAC ID: 6709210214 Enrollment ID: I20220622003203 |
| Provider Name | Jane Amusat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902537863 PECOS PAC ID: 9830570241 Enrollment ID: I20220718000167 |
| Provider Name | Nina Lum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518217546 PECOS PAC ID: 9436466950 Enrollment ID: I20220725002362 |
| Provider Name | Shawn J Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730677782 PECOS PAC ID: 9335491927 Enrollment ID: I20220729002192 |
| Provider Name | Afshin M Humayun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598226904 PECOS PAC ID: 5193057313 Enrollment ID: I20220824003175 |
| Provider Name | Noah M Bown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235768813 PECOS PAC ID: 5496186942 Enrollment ID: I20220907004029 |
| Provider Name | Raied Talal Hufdhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336609452 PECOS PAC ID: 8921474198 Enrollment ID: I20221013002359 |
| Provider Name | Brian Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750869061 PECOS PAC ID: 2961755236 Enrollment ID: I20221013003626 |
| Provider Name | Paula Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538882030 PECOS PAC ID: 0143696872 Enrollment ID: I20221020000234 |
| Provider Name | Fadi Asfahan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649653700 PECOS PAC ID: 1355635277 Enrollment ID: I20221020003079 |
| Provider Name | Kellee Lorraine Randle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932449055 PECOS PAC ID: 1850533274 Enrollment ID: I20221027002715 |
| Provider Name | Noel Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184676090 PECOS PAC ID: 1759317316 Enrollment ID: I20221130002681 |
| Provider Name | Angela Borisov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831806330 PECOS PAC ID: 3971973801 Enrollment ID: I20230110001308 |
| Provider Name | Axel Rodriguez Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093210817 PECOS PAC ID: 0345611968 Enrollment ID: I20230207001329 |
| Provider Name | Ali M Sawani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326509019 PECOS PAC ID: 9739418393 Enrollment ID: I20230308001534 |
| Provider Name | Arthur Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407898588 PECOS PAC ID: 3779573977 Enrollment ID: I20230516003195 |
| Provider Name | Nathaniel Elliot Ebersole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144789165 PECOS PAC ID: 1153656426 Enrollment ID: I20230523001960 |
| Provider Name | Cynthia W Pung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023646940 PECOS PAC ID: 8820411952 Enrollment ID: I20230525002179 |
| Provider Name | Emilia Chinenye Mba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700170628 PECOS PAC ID: 7517325178 Enrollment ID: I20230614002699 |
| Provider Name | Adebanke Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528206109 PECOS PAC ID: 6204016520 Enrollment ID: I20240207003928 |
| Provider Name | Alexander Kumar Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154881290 PECOS PAC ID: 2466890231 Enrollment ID: I20240329002535 |
| Provider Name | Arash Tirgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699352575 PECOS PAC ID: 1254732563 Enrollment ID: I20240516002707 |
| Provider Name | Arpan Karki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033780812 PECOS PAC ID: 1658773965 Enrollment ID: I20240521002859 |
| Provider Name | Hector E Santiago Belledonne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487852919 PECOS PAC ID: 4385885268 Enrollment ID: I20240523000390 |
| Provider Name | Mohamad Akil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992382261 PECOS PAC ID: 8820430267 Enrollment ID: I20240530001532 |
| Provider Name | Chaucola Katura Pleasant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205415304 PECOS PAC ID: 7517366917 Enrollment ID: I20240531003443 |
| Provider Name | Jacqueline Groth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689043408 PECOS PAC ID: 8426590365 Enrollment ID: I20240607000170 |
Mercy Health Physicians Lorain, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-988-1009 | |
Lorain County Health & Dentistry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6150 Park Square Dr., Lorain, OH 44053 Phone: 440-240-1655 Fax: 440-240-1655 | |
F.e. Yuzon, M.d. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3885 Oberlin Ave, Lorain, OH 44053 Phone: 440-282-5100 Fax: 440-282-1302 | |
Lorain County Health & Dentistry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3745 Grove Ave., Lorain, OH 44055 Phone: 440-240-1655 Fax: 440-240-1663 | |
Liwanag Asuncion M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 Kansas Ave, Lorain, OH 44052 Phone: 440-288-1216 | |
Abdul T Razack M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Kolbe Rd, Suite 221, Lorain, OH 44053 Phone: 440-960-2718 Fax: 440-960-5633 | |
Lorain County Health & Dentistry Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1205 Broadway Ave., Lorain, OH 44052 Phone: 440-240-1655 Fax: 440-233-0194 |