| Community Physicians Of Indiana Inc | |
|
7240 Shadeland Station Suite 300 Indianapolis IN 46256-3944 | |
| (317) 355-5555 | |
| Not Available |
| Full Name | Community Physicians Of Indiana Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7240 Shadeland Station, Indianapolis, Indiana |
| Authorized Official Name and Position | Ramarao Yeleti (EVP) |
| Authorized Official Contact | 3173555555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Physicians Of Indiana Inc 7240 Shadeland Station Suite 300 Indianapolis IN 46256-3944 Ph: (317) 355-5555 | Community Physicians Of Indiana Inc 7240 Shadeland Station Suite 300 Indianapolis IN 46256-3944 Ph: (317) 355-5555 |
| NPI Number | 1619105244 |
|---|---|
| Provider Enumeration Date | 06/22/2009 |
| Last Update Date | 10/11/2022 |
| Medicare PECOS PAC ID | 1759416662 |
|---|---|
| Medicare Enrollment ID | O20100317000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619105244 | NPI | - | NPPES |
| 200969250A | Medicaid | IN | |
| 200969250E | Medicaid | IN | |
| 201018890G | Medicaid | IN | |
| 000000647913 | Other | IN | ANTHEM |
| 200969250L | Medicaid | IN | |
| 200969250C | Medicaid | IN | |
| 200969250H | Medicaid | IN | |
| 200969250K | Medicaid | IN | |
| 200969250M | Medicaid | IN | |
| 201006200O | Medicaid | IN | |
| 200969250F | Medicaid | IN | |
| 200969250I | Medicaid | IN | |
| 200969250J | Medicaid | IN | |
| 200969250B | Medicaid | IN | |
| 200969250D | Medicaid | IN | |
| 200969250G | Medicaid | IN | |
| 201014430T | Medicaid | IN |
| Provider Name | Nicole Suzette Perry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801899901 PECOS PAC ID: 4183537871 Enrollment ID: I20031110000133 |
| Provider Name | Tamara M Poynter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063600708 PECOS PAC ID: 0042123432 Enrollment ID: I20031111000582 |
| Provider Name | Jennifer S Robinette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760496772 PECOS PAC ID: 1052215209 Enrollment ID: I20031120000533 |
| Provider Name | Nancy S Noel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588648836 PECOS PAC ID: 5092610659 Enrollment ID: I20031205000373 |
| Provider Name | Brian Lynn Eddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770692568 PECOS PAC ID: 7416853361 Enrollment ID: I20031210000938 |
| Provider Name | Inna I Aroutiounova |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174523351 PECOS PAC ID: 0840190005 Enrollment ID: I20040113000123 |
| Provider Name | Blanca Rose David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942229158 PECOS PAC ID: 5395647507 Enrollment ID: I20040127000086 |
| Provider Name | Todd Rhoades |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487676706 PECOS PAC ID: 6800798034 Enrollment ID: I20040127000182 |
| Provider Name | David E Haag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770505091 PECOS PAC ID: 8628970811 Enrollment ID: I20040127000596 |
| Provider Name | Jennifer A Nemunaitis-keller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184645384 PECOS PAC ID: 2860395001 Enrollment ID: I20040127000956 |
| Provider Name | Danyelle M Loveless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528089844 PECOS PAC ID: 5092608141 Enrollment ID: I20040204000085 |
| Provider Name | Steven R Gatewood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427070788 PECOS PAC ID: 9537052477 Enrollment ID: I20040205000131 |
| Provider Name | Wa'el Bakdash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275552481 PECOS PAC ID: 8426941261 Enrollment ID: I20040205000145 |
| Provider Name | Gregory A Yant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487627535 PECOS PAC ID: 3577457308 Enrollment ID: I20040211001086 |
| Provider Name | Vanita Yakhmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841211059 PECOS PAC ID: 1850286329 Enrollment ID: I20040216000591 |
| Provider Name | Teresa M Schaeffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235150442 PECOS PAC ID: 6709771272 Enrollment ID: I20040216000638 |
| Provider Name | Ernest Opoku Asamoah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427079672 PECOS PAC ID: 1759276199 Enrollment ID: I20040216001001 |
| Provider Name | Kevin Dwayne Liebrum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649252586 PECOS PAC ID: 6709771553 Enrollment ID: I20040219000572 |
| Provider Name | Jason K Sprunger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306850904 PECOS PAC ID: 9830087253 Enrollment ID: I20040308000982 |
| Provider Name | Nanette B Oscherwitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316946684 PECOS PAC ID: 7618865932 Enrollment ID: I20040309000173 |
| Provider Name | Danica M Vasilchek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144242124 PECOS PAC ID: 2264321199 Enrollment ID: I20040310001476 |
| Provider Name | Valerie A Pai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326052341 PECOS PAC ID: 2163311143 Enrollment ID: I20040315001426 |
| Provider Name | James J Kluzinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477567071 PECOS PAC ID: 6901796929 Enrollment ID: I20040316000123 |
| Provider Name | David E Vickery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790707867 PECOS PAC ID: 2264322213 Enrollment ID: I20040316000314 |
| Provider Name | Peiyi Y Hu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053334854 PECOS PAC ID: 3173413853 Enrollment ID: I20040317000374 |
| Provider Name | Victoria Lee Moyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891776951 PECOS PAC ID: 2163313529 Enrollment ID: I20040324000092 |
| Provider Name | L T Gates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124040464 PECOS PAC ID: 5597656868 Enrollment ID: I20040324000799 |
| Provider Name | William J Fisher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992728539 PECOS PAC ID: 4688566060 Enrollment ID: I20040329001396 |
| Provider Name | Matthew R Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114965076 PECOS PAC ID: 9234021635 Enrollment ID: I20040329001558 |
| Provider Name | Kelly L Burrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144276890 PECOS PAC ID: 0941292288 Enrollment ID: I20040330000786 |
| Provider Name | Louis M Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386641074 PECOS PAC ID: 5395737654 Enrollment ID: I20040330000931 |
| Provider Name | Sara K Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922020288 PECOS PAC ID: 7315939097 Enrollment ID: I20040401001040 |
| Provider Name | Ronald N Duncan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629090980 PECOS PAC ID: 6901898600 Enrollment ID: I20040401001134 |
| Provider Name | Gregory L Spangler |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1780606046 PECOS PAC ID: 4385636091 Enrollment ID: I20040401001197 |
| Provider Name | James P Metzler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902828957 PECOS PAC ID: 5799777223 Enrollment ID: I20040402000273 |
| Provider Name | Sheron M Randolph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922022235 PECOS PAC ID: 4587656046 Enrollment ID: I20040402000445 |
| Provider Name | Wendy T Byers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518971779 PECOS PAC ID: 7416940713 Enrollment ID: I20040405000244 |
| Provider Name | Linda S Huser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689694739 PECOS PAC ID: 6305839614 Enrollment ID: I20040405000315 |
| Provider Name | Russell B Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427072263 PECOS PAC ID: 5092708321 Enrollment ID: I20040405000433 |
| Provider Name | Diann Lydell Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053399279 PECOS PAC ID: 4688568777 Enrollment ID: I20040405000607 |
| Provider Name | Michele R Stookey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396752226 PECOS PAC ID: 5890788152 Enrollment ID: I20040405000640 |
| Provider Name | William A Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104804335 PECOS PAC ID: 4587657754 Enrollment ID: I20040405000738 |
| Provider Name | Kevin C Coss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306850532 PECOS PAC ID: 9537061890 Enrollment ID: I20040417000367 |
| Provider Name | Madhavi P Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679587810 PECOS PAC ID: 3072508126 Enrollment ID: I20040417000391 |
| Provider Name | David L Tetrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639183874 PECOS PAC ID: 6305831454 Enrollment ID: I20040417000415 |
| Provider Name | Cornelia Hammerly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629050562 PECOS PAC ID: 6305831066 Enrollment ID: I20040420000954 |
| Provider Name | Dennis M Jacob |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245262054 PECOS PAC ID: 2062408206 Enrollment ID: I20040428001503 |
| Provider Name | Matthew Jon Nelsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174500409 PECOS PAC ID: 8325036122 Enrollment ID: I20040501000483 |
| Provider Name | Sumeet Bhatia |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922079474 PECOS PAC ID: 9234128786 Enrollment ID: I20040510000798 |
| Provider Name | Deepak Guttikonda |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073542346 PECOS PAC ID: 2860483369 Enrollment ID: I20040522000274 |
| Provider Name | Robert E Clutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578586277 PECOS PAC ID: 5991786576 Enrollment ID: I20040528000545 |
| Provider Name | Sylvia Ertel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568485183 PECOS PAC ID: 8426039025 Enrollment ID: I20040528000655 |
| Provider Name | Robert B Turnquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902829617 PECOS PAC ID: 0840271375 Enrollment ID: I20040528000968 |
| Provider Name | Leeann Mcdaniel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760463228 PECOS PAC ID: 1355245879 Enrollment ID: I20040602001177 |
| Provider Name | Frank Paul Schubert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922036698 PECOS PAC ID: 0345222444 Enrollment ID: I20040602001603 |
| Provider Name | Mary Blanchet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194745208 PECOS PAC ID: 2466434212 Enrollment ID: I20040604000203 |
| Provider Name | Sandra Kathryn Horan Toll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427078526 PECOS PAC ID: 3870575566 Enrollment ID: I20040605000198 |
| Provider Name | John A Desanto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679596712 PECOS PAC ID: 0941282636 Enrollment ID: I20040605000224 |
| Provider Name | Timothy D Hodges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881618999 PECOS PAC ID: 4880676477 Enrollment ID: I20040607000610 |
| Provider Name | Jeffrey D Wagner |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1881690790 PECOS PAC ID: 0941291330 Enrollment ID: I20040609001301 |
| Provider Name | David L Kiley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275574816 PECOS PAC ID: 1951384981 Enrollment ID: I20040610001285 |
| Provider Name | Amy K Hayes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912920711 PECOS PAC ID: 8729061676 Enrollment ID: I20040610001488 |
| Provider Name | Chelsey C Rasmussen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679589568 PECOS PAC ID: 4284617143 Enrollment ID: I20040610001556 |
| Provider Name | Michael L Baach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578579546 PECOS PAC ID: 3779566641 Enrollment ID: I20040610001674 |
| Provider Name | Tina L Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285642629 PECOS PAC ID: 3375526254 Enrollment ID: I20040610001718 |
| Provider Name | Baikadi A Ravindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740280015 PECOS PAC ID: 5294626016 Enrollment ID: I20040615000941 |
| Provider Name | Techsin T Ty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992705156 PECOS PAC ID: 7113818931 Enrollment ID: I20040615000962 |
| Provider Name | K Donald Shelbourne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689783821 PECOS PAC ID: 5890777668 Enrollment ID: I20040616001488 |
| Provider Name | Jianan C Graybill |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093718579 PECOS PAC ID: 9436053477 Enrollment ID: I20040621001279 |
| Provider Name | James E Currier |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487657979 PECOS PAC ID: 6709780745 Enrollment ID: I20040621001587 |
| Provider Name | Deovrat Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255330585 PECOS PAC ID: 7517850670 Enrollment ID: I20040625000199 |
| Provider Name | Marlene R Hunley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639183882 PECOS PAC ID: 2668458126 Enrollment ID: I20040625000307 |
| Provider Name | Jennifer S Hill Birk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164438842 PECOS PAC ID: 6507842093 Enrollment ID: I20040625000534 |
| Provider Name | Suzanne M Grannan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275638777 PECOS PAC ID: 5496731937 Enrollment ID: I20040625000856 |
| Provider Name | Ashish H Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306842026 PECOS PAC ID: 1254318082 Enrollment ID: I20040630000624 |
| Provider Name | Irene Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326091315 PECOS PAC ID: 8729067921 Enrollment ID: I20040720000114 |
| Provider Name | Radhika Walling |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073585006 PECOS PAC ID: 1557341294 Enrollment ID: I20040722000937 |
| Provider Name | Mualla Akisik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861448144 PECOS PAC ID: 2769462316 Enrollment ID: I20040723000233 |
| Provider Name | Edward J Diekhoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770530941 PECOS PAC ID: 6002896388 Enrollment ID: I20040726001008 |
| Provider Name | Steven M Clark |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285664052 PECOS PAC ID: 8921088204 Enrollment ID: I20040726001059 |
| Provider Name | Stephen J O Neil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629009956 PECOS PAC ID: 5092795377 Enrollment ID: I20040726001097 |
| Provider Name | Matthew Warren Harrison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699742015 PECOS PAC ID: 9537130489 Enrollment ID: I20040804000206 |
| Provider Name | John H Ditslear |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811933864 PECOS PAC ID: 8527030469 Enrollment ID: I20040810001500 |
| Provider Name | James F Downing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225019714 PECOS PAC ID: 7113990623 Enrollment ID: I20040813000584 |
| Provider Name | Arun H Gowdamarajan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1861562100 PECOS PAC ID: 6406829613 Enrollment ID: I20040816001486 |
| Provider Name | Daniel W Weed |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194725937 PECOS PAC ID: 4082687140 Enrollment ID: I20040817000432 |
| Provider Name | Tammy J Biele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184644296 PECOS PAC ID: 5799758884 Enrollment ID: I20040817000675 |
| Provider Name | Cynthia Anne Kizer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275549248 PECOS PAC ID: 7911970769 Enrollment ID: I20040818001236 |
| Provider Name | Cristina L Ashworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811904790 PECOS PAC ID: 1254304041 Enrollment ID: I20040819000115 |
| Provider Name | Kristi K Orbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134191679 PECOS PAC ID: 7719951342 Enrollment ID: I20040820000420 |
| Provider Name | Suresh G Devnani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730183237 PECOS PAC ID: 3971577362 Enrollment ID: I20040823000271 |
| Provider Name | Bassam N Helou |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629072111 PECOS PAC ID: 1254305675 Enrollment ID: I20040823000481 |
| Provider Name | Alexander T Sleder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699876441 PECOS PAC ID: 0840264156 Enrollment ID: I20040823001164 |
| Provider Name | Mary Katherine Caron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811901770 PECOS PAC ID: 6800860735 Enrollment ID: I20040825000579 |
| Provider Name | Indy W Lane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457374258 PECOS PAC ID: 8123094901 Enrollment ID: I20040902001051 |
| Provider Name | Saiful Kabir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598766321 PECOS PAC ID: 4385619519 Enrollment ID: I20040903000028 |
| Provider Name | Preetham Jetty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962469510 PECOS PAC ID: 8022084177 Enrollment ID: I20040909000457 |
| Provider Name | Oyekunle Abodunrin Akinola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427079730 PECOS PAC ID: 4587631486 Enrollment ID: I20040910001048 |
| Provider Name | Andrew J Sonderman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952341604 PECOS PAC ID: 4082681804 Enrollment ID: I20040913000270 |
| Provider Name | Anne Marie Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982688297 PECOS PAC ID: 5294703120 Enrollment ID: I20040920000323 |
| Provider Name | Jeffrey David Orcutt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1538131115 PECOS PAC ID: 0840268207 Enrollment ID: I20040922001237 |
| Provider Name | John M Kunzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265488290 PECOS PAC ID: 4789652181 Enrollment ID: I20040923000257 |
| Provider Name | Thomas Hadley Ledyard |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1083621304 PECOS PAC ID: 6103895420 Enrollment ID: I20041001000929 |
| Provider Name | Blair S Macphail |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760440127 PECOS PAC ID: 2567421787 Enrollment ID: I20041005000095 |
| Provider Name | Lawrence S Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093773467 PECOS PAC ID: 3274509328 Enrollment ID: I20041005000108 |
| Provider Name | Robin Hadley Ledyard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114932647 PECOS PAC ID: 2860451085 Enrollment ID: I20041005000157 |
| Provider Name | Christopher J Hansen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922030741 PECOS PAC ID: 4587623723 Enrollment ID: I20041005000255 |
| Provider Name | Kristin Michelle Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235152968 PECOS PAC ID: 5698734655 Enrollment ID: I20041005001249 |
| Provider Name | Natasha Jane Tomlinson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528016904 PECOS PAC ID: 6103886288 Enrollment ID: I20041013000645 |
| Provider Name | Rangarajan Arunachalam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467562611 PECOS PAC ID: 9638139520 Enrollment ID: I20041014001004 |
| Provider Name | Sarah M Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336122571 PECOS PAC ID: 9335100866 Enrollment ID: I20041019000843 |
| Provider Name | Mary B Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518069152 PECOS PAC ID: 9739140427 Enrollment ID: I20041026000334 |
| Provider Name | Chandrika B Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780752014 PECOS PAC ID: 8224928643 Enrollment ID: I20041027000072 |
| Provider Name | Patrick M Mcgill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285665505 PECOS PAC ID: 4587626023 Enrollment ID: I20041027001267 |
| Provider Name | Lorraine M Calvert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730166778 PECOS PAC ID: 0345202891 Enrollment ID: I20041028000082 |
| Provider Name | James K Cole |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144227471 PECOS PAC ID: 7911969001 Enrollment ID: I20041101000682 |
| Provider Name | John C Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932113719 PECOS PAC ID: 6901869577 Enrollment ID: I20041105000246 |
| Provider Name | Geoffrey M Fortner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669569059 PECOS PAC ID: 1658334909 Enrollment ID: I20041108000538 |
| Provider Name | Stephen Estall Kirkman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811909773 PECOS PAC ID: 9830153089 Enrollment ID: I20041117000282 |
| Provider Name | Sherwin Ibarra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952344491 PECOS PAC ID: 7911962816 Enrollment ID: I20041119000575 |
| Provider Name | Robert K Newton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003888959 PECOS PAC ID: 6709842560 Enrollment ID: I20041203000637 |
| Provider Name | Mary Lou Hulseman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356315014 PECOS PAC ID: 4587620349 Enrollment ID: I20041203000675 |
| Provider Name | Charles Michael Platz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790758589 PECOS PAC ID: 5294637906 Enrollment ID: I20041203000767 |
| Provider Name | Bradley S Guill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942277827 PECOS PAC ID: 3870550502 Enrollment ID: I20041214001207 |
| Provider Name | Fred W Frick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861468258 PECOS PAC ID: 9032176763 Enrollment ID: I20041214001224 |
| Provider Name | Mariss L Sraders |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083673859 PECOS PAC ID: 0244298016 Enrollment ID: I20041227000402 |
| Provider Name | Maurice M Henein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912005216 PECOS PAC ID: 3678567799 Enrollment ID: I20041227000503 |
| Provider Name | Shireesha R Vuppalanchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891796025 PECOS PAC ID: 6406804350 Enrollment ID: I20050106000843 |
| Provider Name | Chris A Magee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346257730 PECOS PAC ID: 5294783833 Enrollment ID: I20050110001059 |
| Provider Name | Cindy S Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134299290 PECOS PAC ID: 4183673155 Enrollment ID: I20050117000338 |
| Provider Name | Gregory Lorenz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437142502 PECOS PAC ID: 8325097199 Enrollment ID: I20050119000467 |
| Provider Name | Armand Victor Gallanosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861446387 PECOS PAC ID: 4082663737 Enrollment ID: I20050119001096 |
| Provider Name | Mahmoud F Hassuneh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811973530 PECOS PAC ID: 0547211948 Enrollment ID: I20050202000968 |
| Provider Name | Kevin Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356423420 PECOS PAC ID: 7517918469 Enrollment ID: I20050208000621 |
| Provider Name | Michael James Baker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750313839 PECOS PAC ID: 9234181637 Enrollment ID: I20050214000907 |
| Provider Name | Eugene S Justus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467459172 PECOS PAC ID: 6709838758 Enrollment ID: I20050223000781 |
| Provider Name | Jodi L Nixon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417953670 PECOS PAC ID: 2567415789 Enrollment ID: I20050301000116 |
| Provider Name | Zuhair M Alsakaji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104932680 PECOS PAC ID: 2769436914 Enrollment ID: I20050310000157 |
| Provider Name | Marcia Gail Bogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396917571 PECOS PAC ID: 2062467558 Enrollment ID: I20050317000471 |
| Provider Name | Gregory W Smith |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225007842 PECOS PAC ID: 5193770626 Enrollment ID: I20050317000762 |
| Provider Name | Sagi V Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720044217 PECOS PAC ID: 9234117953 Enrollment ID: I20050323000671 |
| Provider Name | Patricia M English |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427146695 PECOS PAC ID: 2466408745 Enrollment ID: I20050330000191 |
| Provider Name | Delise A Webber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306890637 PECOS PAC ID: 1052359189 Enrollment ID: I20050420000234 |
| Provider Name | Debra Larkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912900051 PECOS PAC ID: 8820036684 Enrollment ID: I20050421000752 |
| Provider Name | Hilary A Eppert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659546869 PECOS PAC ID: 6507805595 Enrollment ID: I20050428000965 |
| Provider Name | Rachel R Greenfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417970062 PECOS PAC ID: 4789624727 Enrollment ID: I20050509000874 |
| Provider Name | Teresa M Quant-callender |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427154855 PECOS PAC ID: 3678513470 Enrollment ID: I20050511000642 |
| Provider Name | Kevin G Mcaree |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114011350 PECOS PAC ID: 4587606876 Enrollment ID: I20050526000360 |
| Provider Name | Hao David Yan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184680944 PECOS PAC ID: 6204879752 Enrollment ID: I20050606000614 |
| Provider Name | Jodie R Harper |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1003817297 PECOS PAC ID: 9133162662 Enrollment ID: I20050607001187 |
| Provider Name | Richard A Daigle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689780314 PECOS PAC ID: 6204800972 Enrollment ID: I20050614000899 |
| Provider Name | Danny Phuc Ngo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285667402 PECOS PAC ID: 1153357470 Enrollment ID: I20050708000660 |
| Provider Name | Kevin M Henderzahs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326095589 PECOS PAC ID: 2466488341 Enrollment ID: I20050712000768 |
| Provider Name | Darrel Ross |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679668735 PECOS PAC ID: 9335131531 Enrollment ID: I20050712000908 |
| Provider Name | Brett T Krepps |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063405371 PECOS PAC ID: 7416983176 Enrollment ID: I20050713001016 |
| Provider Name | Jason Donald Gray |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477585396 PECOS PAC ID: 7517993108 Enrollment ID: I20050714000855 |
| Provider Name | Carrie Ann Melloh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124052246 PECOS PAC ID: 0749216257 Enrollment ID: I20050714001083 |
| Provider Name | Linda Diane Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912970138 PECOS PAC ID: 2466489091 Enrollment ID: I20050725001151 |
| Provider Name | Sridevi Damera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932114774 PECOS PAC ID: 6709814122 Enrollment ID: I20050727001031 |
| Provider Name | Bernardo Leonardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871565184 PECOS PAC ID: 5496783227 Enrollment ID: I20050802000522 |
| Provider Name | Kristin L Tielker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700809852 PECOS PAC ID: 4981633542 Enrollment ID: I20050804000726 |
| Provider Name | Jason C Ehret |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083678585 PECOS PAC ID: 2365471448 Enrollment ID: I20050809000611 |
| Provider Name | Ibad U Ansari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245219997 PECOS PAC ID: 3870486939 Enrollment ID: I20050815000059 |
| Provider Name | Cynthia S Meneghini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700860202 PECOS PAC ID: 2668402132 Enrollment ID: I20050815000512 |
| Provider Name | Amy C Lahood |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1144204686 PECOS PAC ID: 3476583667 Enrollment ID: I20050817000580 |
| Provider Name | Vasudha Cherukuri |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992755508 PECOS PAC ID: 6204867930 Enrollment ID: I20050823000479 |
| Provider Name | Nyria Carolina Villarreal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376869784 PECOS PAC ID: 1355372657 Enrollment ID: I20050826000155 |
| Provider Name | Cheryl L Ditzler |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851332654 PECOS PAC ID: 4183512361 Enrollment ID: I20050829000715 |
| Provider Name | Margarita Valerieuna Czeskis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265429955 PECOS PAC ID: 1355372251 Enrollment ID: I20050830000430 |
| Provider Name | Rebecca Michelle Dixon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356435119 PECOS PAC ID: 6406887314 Enrollment ID: I20050830000501 |
| Provider Name | Judiann Miskulin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790742450 PECOS PAC ID: 0244202612 Enrollment ID: I20050830001006 |
| Provider Name | Mahmoud Yassin Kassab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144281486 PECOS PAC ID: 6103858774 Enrollment ID: I20050902000532 |
| Provider Name | Magdoline Daas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598726168 PECOS PAC ID: 2365408036 Enrollment ID: I20050909000724 |
| Provider Name | Donato Ciaccia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265491385 PECOS PAC ID: 0345273454 Enrollment ID: I20050917000478 |
| Provider Name | Peiguang Tyler Xie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144293150 PECOS PAC ID: 3870527849 Enrollment ID: I20050920000948 |
| Provider Name | Jeffrie C Leibovitz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760463681 PECOS PAC ID: 3577597228 Enrollment ID: I20050921001101 |
| Provider Name | Jan Marie Carnaghi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487730388 PECOS PAC ID: 1153355706 Enrollment ID: I20050922000696 |
| Provider Name | Lori L Munsie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801904867 PECOS PAC ID: 8820023088 Enrollment ID: I20050927001192 |
| Provider Name | Michael Alexander Fisher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861563702 PECOS PAC ID: 7911932587 Enrollment ID: I20051003000298 |
| Provider Name | Varsha B Nagarsenker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992719959 PECOS PAC ID: 3971538224 Enrollment ID: I20051005000726 |
| Provider Name | Bernard Richard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255345021 PECOS PAC ID: 0042245300 Enrollment ID: I20051005000743 |
| Provider Name | Debra Ann Ardeel Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538152244 PECOS PAC ID: 0345221099 Enrollment ID: I20051006000163 |
| Provider Name | Stewart C Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659361673 PECOS PAC ID: 8123043759 Enrollment ID: I20051012000527 |
| Provider Name | Patricia Galanti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376629477 PECOS PAC ID: 8729004130 Enrollment ID: I20051014000571 |
| Provider Name | Rachel Ann Shockley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699724393 PECOS PAC ID: 0143247130 Enrollment ID: I20051028000625 |
| Provider Name | Gerald Kevin Greer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700882701 PECOS PAC ID: 8628096542 Enrollment ID: I20051109000030 |
| Provider Name | Bashar Karakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215932819 PECOS PAC ID: 6406876192 Enrollment ID: I20051123000545 |
| Provider Name | Judith A Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770549040 PECOS PAC ID: 8820049851 Enrollment ID: I20051129000283 |
| Provider Name | Kristine Kinghorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518931781 PECOS PAC ID: 6608897020 Enrollment ID: I20051213000844 |
| Provider Name | Robert Joseph Goulet |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447217104 PECOS PAC ID: 1254353774 Enrollment ID: I20051228000239 |
| Provider Name | Deborah Louise Schutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043230162 PECOS PAC ID: 0345263133 Enrollment ID: I20060106000720 |
| Provider Name | Richard Yomi Aina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750347910 PECOS PAC ID: 3678597549 Enrollment ID: I20060118000546 |
| Provider Name | Mary J Eoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316997547 PECOS PAC ID: 5395769210 Enrollment ID: I20060118000927 |
| Provider Name | Charles Angelo Salazar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184644692 PECOS PAC ID: 9830103696 Enrollment ID: I20060131000847 |
| Provider Name | Frederick John Rescorla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831169820 PECOS PAC ID: 8224042650 Enrollment ID: I20060206000461 |
| Provider Name | Alan P Ladd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437129434 PECOS PAC ID: 7618981051 Enrollment ID: I20060206000518 |
| Provider Name | Deborah F Billmire |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144200585 PECOS PAC ID: 5496769846 Enrollment ID: I20060206000547 |
| Provider Name | Cheryl L Shutes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255383113 PECOS PAC ID: 3476569427 Enrollment ID: I20060228000402 |
| Provider Name | Brandi Nicholle Edmonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467428029 PECOS PAC ID: 2567479645 Enrollment ID: I20060314000762 |
| Provider Name | Amy J Arthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588692438 PECOS PAC ID: 7911915335 Enrollment ID: I20060327000840 |
| Provider Name | Colleen Jennifer Lakin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457497984 PECOS PAC ID: 7517975931 Enrollment ID: I20060327000884 |
| Provider Name | Susan M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508826207 PECOS PAC ID: 9234148024 Enrollment ID: I20060405000596 |
| Provider Name | Kimberly J Hatchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871551838 PECOS PAC ID: 0941227805 Enrollment ID: I20060410000644 |
| Provider Name | Geraldine Anne Darroca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164495644 PECOS PAC ID: 8527078260 Enrollment ID: I20060426000339 |
| Provider Name | Aaron Peter Kalinowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063467850 PECOS PAC ID: 6103837463 Enrollment ID: I20060526000104 |
| Provider Name | Julius B Mapalad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922050798 PECOS PAC ID: 4981615291 Enrollment ID: I20060530000254 |
| Provider Name | Jason R Cacioppo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720043193 PECOS PAC ID: 0042221350 Enrollment ID: I20060608000181 |
| Provider Name | John D Freeland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982665774 PECOS PAC ID: 2769441732 Enrollment ID: I20060612000142 |
| Provider Name | Sandeep Dube |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952350597 PECOS PAC ID: 3173579646 Enrollment ID: I20060626000112 |
| Provider Name | Shih J Wei |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730130394 PECOS PAC ID: 1456322247 Enrollment ID: I20060627000097 |
| Provider Name | Julie Ann Melvin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164486239 PECOS PAC ID: 5991717332 Enrollment ID: I20060629000010 |
| Provider Name | Linda A Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770559569 PECOS PAC ID: 3577575810 Enrollment ID: I20060703000091 |
| Provider Name | Evelyn E Bose |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1699728295 PECOS PAC ID: 9739192972 Enrollment ID: I20060711000167 |
| Provider Name | Scott William Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346290897 PECOS PAC ID: 7618980756 Enrollment ID: I20060713000208 |
| Provider Name | Michelle Lynn Neff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386692028 PECOS PAC ID: 5395758338 Enrollment ID: I20060717000251 |
| Provider Name | Neva M Lynch-jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598716219 PECOS PAC ID: 2567475379 Enrollment ID: I20060721000130 |
| Provider Name | Sunita N Premkumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861448722 PECOS PAC ID: 4688677735 Enrollment ID: I20060810000434 |
| Provider Name | Robert B Sloan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427025592 PECOS PAC ID: 7012910045 Enrollment ID: I20060814000051 |
| Provider Name | Mussart K Chaudhry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043272792 PECOS PAC ID: 8123054889 Enrollment ID: I20060814000442 |
| Provider Name | Jennifer Kathleen Stuart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184667719 PECOS PAC ID: 3476556259 Enrollment ID: I20060816000501 |
| Provider Name | Chadwick Edward Strain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801830302 PECOS PAC ID: 2860495371 Enrollment ID: I20060822000367 |
| Provider Name | Annette M Moore |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1609818467 PECOS PAC ID: 6800899386 Enrollment ID: I20060823000371 |
| Provider Name | Azra Abdullah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063468916 PECOS PAC ID: 0244236735 Enrollment ID: I20061005000361 |
| Provider Name | Jothiharan Mahenthiran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093779910 PECOS PAC ID: 4981601556 Enrollment ID: I20061025000258 |
| Provider Name | Syed J Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407807746 PECOS PAC ID: 8224035480 Enrollment ID: I20061031000434 |
| Provider Name | Michelle J Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235162074 PECOS PAC ID: 1557360120 Enrollment ID: I20061208000079 |
| Provider Name | Alicia D Wettrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285649913 PECOS PAC ID: 0941209555 Enrollment ID: I20061208000340 |
| Provider Name | Philip Christian Sailer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508840968 PECOS PAC ID: 6901834407 Enrollment ID: I20061211000369 |
| Provider Name | John T Salter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124031711 PECOS PAC ID: 6507843109 Enrollment ID: I20061219000434 |
| Provider Name | Michael Robertson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184655409 PECOS PAC ID: 7810983038 Enrollment ID: I20061220000188 |
| Provider Name | Allie M Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619922150 PECOS PAC ID: 6204836299 Enrollment ID: I20061221000266 |
| Provider Name | Kiran R Kareti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245207018 PECOS PAC ID: 6204869498 Enrollment ID: I20061227000093 |
| Provider Name | Harry G Lim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336199884 PECOS PAC ID: 5092627125 Enrollment ID: I20061229000285 |
| Provider Name | Christopher L Treon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730170762 PECOS PAC ID: 7012917651 Enrollment ID: I20070105000228 |
| Provider Name | Joshua W Dawalt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033137476 PECOS PAC ID: 4587664990 Enrollment ID: I20070109000511 |
| Provider Name | Shannon M Tighe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508807215 PECOS PAC ID: 4183625494 Enrollment ID: I20070129000412 |
| Provider Name | Dennis L Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720030281 PECOS PAC ID: 0446252670 Enrollment ID: I20070201000019 |
| Provider Name | April T Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730198672 PECOS PAC ID: 9032211131 Enrollment ID: I20070220000586 |
| Provider Name | Gregory Waldren Boake |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235143512 PECOS PAC ID: 4981508967 Enrollment ID: I20070226000208 |
| Provider Name | Sherif Shafik Farag |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699784710 PECOS PAC ID: 7618949108 Enrollment ID: I20070307000114 |
| Provider Name | Anil Ranginani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376520999 PECOS PAC ID: 6901842368 Enrollment ID: I20070313000082 |
| Provider Name | Clement Joseph Mcdonald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376604488 PECOS PAC ID: 1153424676 Enrollment ID: I20070321000142 |
| Provider Name | Subrie A Abedallhadi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710905666 PECOS PAC ID: 5193714145 Enrollment ID: I20070321000227 |
| Provider Name | Richard K Chambers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952305419 PECOS PAC ID: 2860475688 Enrollment ID: I20070322000453 |
| Provider Name | Abby E Beall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922059039 PECOS PAC ID: 5395849848 Enrollment ID: I20070322000558 |
| Provider Name | Heather Bricker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891779542 PECOS PAC ID: 6002910882 Enrollment ID: I20070404000157 |
| Provider Name | Jared C Basham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316907009 PECOS PAC ID: 2769586460 Enrollment ID: I20070407000006 |
| Provider Name | Josephine Lilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184727968 PECOS PAC ID: 8628172251 Enrollment ID: I20070409000319 |
| Provider Name | Carissa Kathleen Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083756829 PECOS PAC ID: 4284739053 Enrollment ID: I20070424000207 |
| Provider Name | Shobana Pandian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619940970 PECOS PAC ID: 2567449648 Enrollment ID: I20070424000471 |
| Provider Name | Shana K Carmin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760569065 PECOS PAC ID: 1355446089 Enrollment ID: I20070425000057 |
| Provider Name | Kathleen Bemenderfer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073595013 PECOS PAC ID: 5991801656 Enrollment ID: I20070426000496 |
| Provider Name | Kristina Box |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730161647 PECOS PAC ID: 6709982465 Enrollment ID: I20070426000511 |
| Provider Name | Sonja Voelkel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063494912 PECOS PAC ID: 6406952175 Enrollment ID: I20070426000543 |
| Provider Name | John Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336121870 PECOS PAC ID: 5193821791 Enrollment ID: I20070427000221 |
| Provider Name | Kristine J Bolin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407846637 PECOS PAC ID: 7719083294 Enrollment ID: I20070430000155 |
| Provider Name | Mary Beckwith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508848508 PECOS PAC ID: 1153427661 Enrollment ID: I20070430000450 |
| Provider Name | Jon Michael Maier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528152238 PECOS PAC ID: 3072554153 Enrollment ID: I20070502000552 |
| Provider Name | Roderick Nisi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821179714 PECOS PAC ID: 0446291520 Enrollment ID: I20070502000585 |
| Provider Name | Stephen V Labarge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487620639 PECOS PAC ID: 3678679610 Enrollment ID: I20070508000201 |
| Provider Name | Charles R Myers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881663433 PECOS PAC ID: 3577669589 Enrollment ID: I20070509000017 |
| Provider Name | George Wendell Feliciano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013995711 PECOS PAC ID: 9032146717 Enrollment ID: I20070509000182 |
| Provider Name | Adam C Cohen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508819210 PECOS PAC ID: 5496642944 Enrollment ID: I20070510000565 |
| Provider Name | Iwona Podzielinski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144302720 PECOS PAC ID: 1052418878 Enrollment ID: I20070512000031 |
| Provider Name | Theresa J Rader-wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255401220 PECOS PAC ID: 5991802647 Enrollment ID: I20070515000317 |
| Provider Name | Jeffrey C Pauloski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619967858 PECOS PAC ID: 0244337863 Enrollment ID: I20070516000281 |
| Provider Name | Joseph Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790757466 PECOS PAC ID: 6305829342 Enrollment ID: I20070523000311 |
| Provider Name | Lawrence A Coffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275673980 PECOS PAC ID: 1052418019 Enrollment ID: I20070525000501 |
| Provider Name | Soheila Boyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295735256 PECOS PAC ID: 9830113430 Enrollment ID: I20070606000055 |
| Provider Name | Pablo M Bedano |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063551240 PECOS PAC ID: 8426156977 Enrollment ID: I20070606000358 |
| Provider Name | Mary Jeanne O'gara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952453409 PECOS PAC ID: 3375641855 Enrollment ID: I20070606000632 |
| Provider Name | Michelle W Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710060157 PECOS PAC ID: 9032177233 Enrollment ID: I20070606000747 |
| Provider Name | Debra K Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497853386 PECOS PAC ID: 0446358808 Enrollment ID: I20070607000627 |
| Provider Name | Mir I Ali |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568490670 PECOS PAC ID: 7113921941 Enrollment ID: I20070611000078 |
| Provider Name | Michelle M Haweit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376653014 PECOS PAC ID: 2860590015 Enrollment ID: I20070612000180 |
| Provider Name | Sherry L Harmon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942304019 PECOS PAC ID: 8628176740 Enrollment ID: I20070613000033 |
| Provider Name | Heidi M Bagwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982616348 PECOS PAC ID: 0143328161 Enrollment ID: I20070614000160 |
| Provider Name | Syed Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619909991 PECOS PAC ID: 6800782137 Enrollment ID: I20070619000008 |
| Provider Name | Frank J Conte |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962471011 PECOS PAC ID: 3476467473 Enrollment ID: I20070619000510 |
| Provider Name | Steven M Wilk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588612949 PECOS PAC ID: 5698677979 Enrollment ID: I20070620000348 |
| Provider Name | Jody Elizabeth Stohs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801911235 PECOS PAC ID: 2163521907 Enrollment ID: I20070620000373 |
| Provider Name | Joel Matthew Kary |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1174554869 PECOS PAC ID: 7315046984 Enrollment ID: I20070621000672 |
| Provider Name | Brian Scott Foley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073577078 PECOS PAC ID: 6103711155 Enrollment ID: I20070702000308 |
| Provider Name | David L Bolin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952388225 PECOS PAC ID: 8729188750 Enrollment ID: I20070705000291 |
| Provider Name | David J Szentes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801903372 PECOS PAC ID: 7315047289 Enrollment ID: I20070706000010 |
| Provider Name | David E Pennington |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619920972 PECOS PAC ID: 1658331939 Enrollment ID: I20070712000080 |
| Provider Name | Robert J Lindeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932124211 PECOS PAC ID: 7517900673 Enrollment ID: I20070713000401 |
| Provider Name | Charles Joseph Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487855110 PECOS PAC ID: 0648370833 Enrollment ID: I20070718000051 |
| Provider Name | Andrew B Sprunger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376757377 PECOS PAC ID: 8729179080 Enrollment ID: I20070801000491 |
| Provider Name | Aaron F Whiteman |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1700972981 PECOS PAC ID: 2365533635 Enrollment ID: I20070801000567 |
| Provider Name | Ateet H Shah |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1134242316 PECOS PAC ID: 9335230101 Enrollment ID: I20070808000395 |
| Provider Name | Anuj K Agarwala |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225236201 PECOS PAC ID: 1850482571 Enrollment ID: I20070810000030 |
| Provider Name | Anand Tandra |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1649495854 PECOS PAC ID: 2769574110 Enrollment ID: I20070815000594 |
| Provider Name | Yasser A Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366649626 PECOS PAC ID: 1759473739 Enrollment ID: I20070822000841 |
| Provider Name | Barbara S Derose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902021892 PECOS PAC ID: 1254423247 Enrollment ID: I20070822000894 |
| Provider Name | Traci A Anderson |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1619911757 PECOS PAC ID: 9638182579 Enrollment ID: I20070823000301 |
| Provider Name | Kristen E Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619160132 PECOS PAC ID: 0446342190 Enrollment ID: I20070825000023 |
| Provider Name | Andrew C Malloy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992868103 PECOS PAC ID: 3779675426 Enrollment ID: I20070825000060 |
| Provider Name | Timothy A Goedde |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306841820 PECOS PAC ID: 3678665353 Enrollment ID: I20070827000136 |
| Provider Name | Nate Thepjatri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780894642 PECOS PAC ID: 1951493410 Enrollment ID: I20070828001051 |
| Provider Name | Carol B Sheridan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205978442 PECOS PAC ID: 2961595459 Enrollment ID: I20070829000283 |
| Provider Name | Rosa Michelle Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033284757 PECOS PAC ID: 4789777251 Enrollment ID: I20070829000938 |
| Provider Name | Karl Ost |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942233358 PECOS PAC ID: 4385737451 Enrollment ID: I20070905000605 |
| Provider Name | Heather R Downhour |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841398476 PECOS PAC ID: 6305930322 Enrollment ID: I20070921000408 |
| Provider Name | Jared M Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982809901 PECOS PAC ID: 8527152339 Enrollment ID: I20070924000275 |
| Provider Name | Clare D Sukay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740384916 PECOS PAC ID: 6709802242 Enrollment ID: I20070926001134 |
| Provider Name | Melisa Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740401421 PECOS PAC ID: 6507951795 Enrollment ID: I20071003000276 |
| Provider Name | Aisha Hashmat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922291426 PECOS PAC ID: 1759476807 Enrollment ID: I20071004000009 |
| Provider Name | Brendan A Leroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154405645 PECOS PAC ID: 1355437138 Enrollment ID: I20071010000520 |
| Provider Name | Margaret R Miser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265464606 PECOS PAC ID: 5799871299 Enrollment ID: I20071015000216 |
| Provider Name | Gail D Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063444115 PECOS PAC ID: 8325134828 Enrollment ID: I20071015000324 |
| Provider Name | Emily A Backer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154392322 PECOS PAC ID: 9335235761 Enrollment ID: I20071017000412 |
| Provider Name | Tricia J Short Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336336528 PECOS PAC ID: 8820185325 Enrollment ID: I20071031000165 |
| Provider Name | Angela K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144410747 PECOS PAC ID: 8022106467 Enrollment ID: I20071119000071 |
| Provider Name | Nadine Henning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053501536 PECOS PAC ID: 2264521202 Enrollment ID: I20071129000002 |
| Provider Name | Jennifer E Kinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114019924 PECOS PAC ID: 3870681968 Enrollment ID: I20071217000828 |
| Provider Name | Naeem Z Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700071487 PECOS PAC ID: 6608957972 Enrollment ID: I20080114000229 |
| Provider Name | James D Callahan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750311098 PECOS PAC ID: 9638197064 Enrollment ID: I20080116000467 |
| Provider Name | Barbara Brands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053355842 PECOS PAC ID: 8224110903 Enrollment ID: I20080204000214 |
| Provider Name | Garren Gebhardt |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1144278037 PECOS PAC ID: 9234212408 Enrollment ID: I20080211000689 |
| Provider Name | Sherry Elaine Bowen-buzard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528264900 PECOS PAC ID: 4688757552 Enrollment ID: I20080215000218 |
| Provider Name | Dima S Rifai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992775860 PECOS PAC ID: 4385727189 Enrollment ID: I20080218000404 |
| Provider Name | Theodore W Brogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639173438 PECOS PAC ID: 6204910664 Enrollment ID: I20080222000535 |
| Provider Name | Robert James Kinsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184691958 PECOS PAC ID: 6406931229 Enrollment ID: I20080304000539 |
| Provider Name | Roberto Darroca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467434514 PECOS PAC ID: 2769567403 Enrollment ID: I20080305000584 |
| Provider Name | Shrividya Karthik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730188681 PECOS PAC ID: 2961433073 Enrollment ID: I20080319000005 |
| Provider Name | Timothy J Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730297748 PECOS PAC ID: 0345142048 Enrollment ID: I20080324000324 |
| Provider Name | Saima Butt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205032364 PECOS PAC ID: 5395822837 Enrollment ID: I20080408000263 |
| Provider Name | Timothy C Gatewood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891795050 PECOS PAC ID: 9537246616 Enrollment ID: I20080415000036 |
| Provider Name | Kevin G Kalbfell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528111432 PECOS PAC ID: 8729189220 Enrollment ID: I20080416000410 |
| Provider Name | Rajesh Mallela |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487622304 PECOS PAC ID: 6305935107 Enrollment ID: I20080522000003 |
| Provider Name | Sarah K Crane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285817601 PECOS PAC ID: 0244317550 Enrollment ID: I20080617000611 |
| Provider Name | Kevin A Gibbs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336311687 PECOS PAC ID: 9234200379 Enrollment ID: I20080618000231 |
| Provider Name | Scott Sharp |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518966712 PECOS PAC ID: 5496844805 Enrollment ID: I20080619000103 |
| Provider Name | Terry A Forss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790973790 PECOS PAC ID: 3173694767 Enrollment ID: I20080626000005 |
| Provider Name | Tara M Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598936056 PECOS PAC ID: 6103998513 Enrollment ID: I20080630000483 |
| Provider Name | George J Saliba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740217686 PECOS PAC ID: 2062473531 Enrollment ID: I20080702000158 |
| Provider Name | Jennifer M North |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992996102 PECOS PAC ID: 0244303667 Enrollment ID: I20080718000111 |
| Provider Name | James Andrew Eads |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659434710 PECOS PAC ID: 6103873963 Enrollment ID: I20080721000465 |
| Provider Name | Keith E Banks |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134347545 PECOS PAC ID: 1759455561 Enrollment ID: I20080728000598 |
| Provider Name | Glynnis L Thatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366466492 PECOS PAC ID: 7214001932 Enrollment ID: I20080729000754 |
| Provider Name | John F Schiltz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154533107 PECOS PAC ID: 5092880849 Enrollment ID: I20080813000887 |
| Provider Name | Abboud Kawak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093789380 PECOS PAC ID: 2769556380 Enrollment ID: I20080815000002 |
| Provider Name | Jason K Sorg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093932055 PECOS PAC ID: 6305911868 Enrollment ID: I20080818000532 |
| Provider Name | Faheem A Abbasi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043486343 PECOS PAC ID: 3072688258 Enrollment ID: I20080822000355 |
| Provider Name | Annette M Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063624963 PECOS PAC ID: 6204902232 Enrollment ID: I20080827000484 |
| Provider Name | Brooke C Calhoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073775029 PECOS PAC ID: 5890861611 Enrollment ID: I20080902000494 |
| Provider Name | John H Storey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104914340 PECOS PAC ID: 0941376578 Enrollment ID: I20080905000364 |
| Provider Name | Marjorie D Cline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568632826 PECOS PAC ID: 3678649092 Enrollment ID: I20080909000693 |
| Provider Name | Vincent B Delumpa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932198298 PECOS PAC ID: 3173699444 Enrollment ID: I20080910000475 |
| Provider Name | Michelle D Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861593055 PECOS PAC ID: 1951477124 Enrollment ID: I20080912000052 |
| Provider Name | Sarah D Curry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659311959 PECOS PAC ID: 1355417460 Enrollment ID: I20080912000501 |
| Provider Name | Tricia L Hern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427087170 PECOS PAC ID: 0143396259 Enrollment ID: I20080912000528 |
| Provider Name | Paul G Gianaris |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528052974 PECOS PAC ID: 1355418971 Enrollment ID: I20080924000364 |
| Provider Name | Michael A Agostino |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164458352 PECOS PAC ID: 1850468281 Enrollment ID: I20080925000735 |
| Provider Name | Brenda L Korte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598921132 PECOS PAC ID: 1658448063 Enrollment ID: I20080927000081 |
| Provider Name | Tara Denise Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083882757 PECOS PAC ID: 3274601356 Enrollment ID: I20081002000141 |
| Provider Name | Methee Srivatana |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962679068 PECOS PAC ID: 5698843738 Enrollment ID: I20081002000614 |
| Provider Name | Danielle S Butz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952589905 PECOS PAC ID: 2860560661 Enrollment ID: I20081007000379 |
| Provider Name | Jill W Donaldson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811966807 PECOS PAC ID: 5193883304 Enrollment ID: I20081016000314 |
| Provider Name | Anne E Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689681835 PECOS PAC ID: 0648338640 Enrollment ID: I20081020000584 |
| Provider Name | Tabassum Hatimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881652022 PECOS PAC ID: 7810055852 Enrollment ID: I20081021000344 |
| Provider Name | Rita L Wright White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386801835 PECOS PAC ID: 0648339259 Enrollment ID: I20081111000285 |
| Provider Name | Ginger Hamilton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861664831 PECOS PAC ID: 3779643200 Enrollment ID: I20081113000594 |
| Provider Name | Soheir E Ghattas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568496800 PECOS PAC ID: 5294823282 Enrollment ID: I20081122000082 |
| Provider Name | Margaret E Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326200221 PECOS PAC ID: 0840351375 Enrollment ID: I20081203000027 |
| Provider Name | Kelly A Manicke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508015439 PECOS PAC ID: 3375604812 Enrollment ID: I20081203000151 |
| Provider Name | Shelly Renae Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962420109 PECOS PAC ID: 1951462654 Enrollment ID: I20081212000101 |
| Provider Name | Anne M Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124290192 PECOS PAC ID: 8123189826 Enrollment ID: I20081212000108 |
| Provider Name | Tracy L Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487612446 PECOS PAC ID: 3375604077 Enrollment ID: I20081212000128 |
| Provider Name | Stacey L Boles |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497927461 PECOS PAC ID: 5698836302 Enrollment ID: I20081212000174 |
| Provider Name | Courtney E Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841373404 PECOS PAC ID: 0648332304 Enrollment ID: I20081215000627 |
| Provider Name | Suma Kharidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154590149 PECOS PAC ID: 3072675420 Enrollment ID: I20081219000176 |
| Provider Name | Srinivas Vallapuri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992704209 PECOS PAC ID: 3577625631 Enrollment ID: I20081224000133 |
| Provider Name | Sheila M Gamache |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487653721 PECOS PAC ID: 8224068960 Enrollment ID: I20081224000260 |
| Provider Name | Howard Morrison |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235138595 PECOS PAC ID: 7315036720 Enrollment ID: I20081224000289 |
| Provider Name | Ramarao Yeleti |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568461895 PECOS PAC ID: 1052398815 Enrollment ID: I20081224000308 |
| Provider Name | Penny S Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427057504 PECOS PAC ID: 3971665910 Enrollment ID: I20081229000327 |
| Provider Name | Mylinda Cripe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497990600 PECOS PAC ID: 9739241787 Enrollment ID: I20081229000416 |
| Provider Name | Karamchand Paul |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114926383 PECOS PAC ID: 8224127634 Enrollment ID: I20081230000284 |
| Provider Name | Anne L Ford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649398736 PECOS PAC ID: 7315009321 Enrollment ID: I20081230000296 |
| Provider Name | Lisa A Marrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073509071 PECOS PAC ID: 3577625425 Enrollment ID: I20081231000075 |
| Provider Name | Roberto R Patron |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821089566 PECOS PAC ID: 3577625441 Enrollment ID: I20081231000265 |
| Provider Name | Changjian Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649223272 PECOS PAC ID: 1951464510 Enrollment ID: I20090108000607 |
| Provider Name | Richard A Hahn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275532525 PECOS PAC ID: 1951331693 Enrollment ID: I20090112000171 |
| Provider Name | Cynthia K Seffernick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568455491 PECOS PAC ID: 6901881721 Enrollment ID: I20090112000320 |
| Provider Name | Joseph F Schneider |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487673703 PECOS PAC ID: 5294778445 Enrollment ID: I20090120000226 |
| Provider Name | Annette L Dewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255580635 PECOS PAC ID: 8921162843 Enrollment ID: I20090121000447 |
| Provider Name | Troy E Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265406946 PECOS PAC ID: 3870657679 Enrollment ID: I20090122000504 |
| Provider Name | Jodie Marie Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235397100 PECOS PAC ID: 5890859656 Enrollment ID: I20090123000254 |
| Provider Name | Samuel M Hazlett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780683037 PECOS PAC ID: 2668453523 Enrollment ID: I20090202000080 |
| Provider Name | Eugene C Hsiao |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144359647 PECOS PAC ID: 5890859995 Enrollment ID: I20090204000693 |
| Provider Name | Michael E Welling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821060294 PECOS PAC ID: 9133284664 Enrollment ID: I20090218000054 |
| Provider Name | Mohammad R Nekoomaram |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255379673 PECOS PAC ID: 1658436936 Enrollment ID: I20090220000165 |
| Provider Name | Jennifer T Davel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770668535 PECOS PAC ID: 9234295197 Enrollment ID: I20090302000669 |
| Provider Name | Angela J Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033280425 PECOS PAC ID: 8022174804 Enrollment ID: I20090303000279 |
| Provider Name | Lisa R Clay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124228010 PECOS PAC ID: 8224194451 Enrollment ID: I20090312000598 |
| Provider Name | Baha'uddin Al-shawwa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144271651 PECOS PAC ID: 1254379449 Enrollment ID: I20090320000122 |
| Provider Name | Andrea J Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497712517 PECOS PAC ID: 3870640220 Enrollment ID: I20090422000195 |
| Provider Name | Jessica A Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316185861 PECOS PAC ID: 3779631742 Enrollment ID: I20090430000308 |
| Provider Name | Susan C Lottich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255314936 PECOS PAC ID: 7618977729 Enrollment ID: I20090519000109 |
| Provider Name | Daniel W Hayden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891832754 PECOS PAC ID: 5597714394 Enrollment ID: I20090519000131 |
| Provider Name | Nyrline Desir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851482400 PECOS PAC ID: 1658373378 Enrollment ID: I20090522000245 |
| Provider Name | Samantha A Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770729535 PECOS PAC ID: 2365592888 Enrollment ID: I20090604000046 |
| Provider Name | William J Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104089788 PECOS PAC ID: 9234280843 Enrollment ID: I20090622000383 |
| Provider Name | Abdulateef O Aregbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972756245 PECOS PAC ID: 1254482763 Enrollment ID: I20090623000685 |
| Provider Name | David Carnovale |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851490502 PECOS PAC ID: 4789619339 Enrollment ID: I20090629000270 |
| Provider Name | Kevin A Tolliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700057411 PECOS PAC ID: 7012068075 Enrollment ID: I20090702000245 |
| Provider Name | Joshua C Salyer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871753970 PECOS PAC ID: 5799836524 Enrollment ID: I20090707000643 |
| Provider Name | Raquel M Villavicencio |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134338189 PECOS PAC ID: 8628120094 Enrollment ID: I20090715000555 |
| Provider Name | Moayyed Moallem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760445050 PECOS PAC ID: 2062416019 Enrollment ID: I20090715000767 |
| Provider Name | Kanwaldeep S Sidhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033326947 PECOS PAC ID: 7517019862 Enrollment ID: I20090716000531 |
| Provider Name | Robert E Kelsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912918350 PECOS PAC ID: 3870525090 Enrollment ID: I20090717000468 |
| Provider Name | Hugh Brooks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891845103 PECOS PAC ID: 4082713805 Enrollment ID: I20090717000519 |
| Provider Name | Matthew David Welsch |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1710146980 PECOS PAC ID: 4183776297 Enrollment ID: I20090721000763 |
| Provider Name | Cecelia A Powless |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093727620 PECOS PAC ID: 3971507823 Enrollment ID: I20090722000142 |
| Provider Name | Rajender Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104050087 PECOS PAC ID: 7719039643 Enrollment ID: I20090723000293 |
| Provider Name | Cady L Linn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275793069 PECOS PAC ID: 9133271026 Enrollment ID: I20090724000043 |
| Provider Name | Jaime L Stelzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114142346 PECOS PAC ID: 2264585108 Enrollment ID: I20090724000602 |
| Provider Name | Virgil V Loghin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114977766 PECOS PAC ID: 9335032671 Enrollment ID: I20090727000107 |
| Provider Name | Michelle Rana Sluss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982832085 PECOS PAC ID: 3173676624 Enrollment ID: I20090730000193 |
| Provider Name | Christopher A Marino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780843169 PECOS PAC ID: 8628121910 Enrollment ID: I20090804000612 |
| Provider Name | Mary L Mayer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770588808 PECOS PAC ID: 8820141963 Enrollment ID: I20090806000415 |
| Provider Name | Anthony L D Sanders |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881880862 PECOS PAC ID: 9537213558 Enrollment ID: I20090810000658 |
| Provider Name | Phumeza Msikinya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013170448 PECOS PAC ID: 7911051875 Enrollment ID: I20090812000772 |
| Provider Name | Jessica L Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356392799 PECOS PAC ID: 2668526898 Enrollment ID: I20090821000385 |
| Provider Name | Christina G Tang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689899700 PECOS PAC ID: 5698829703 Enrollment ID: I20090824000349 |
| Provider Name | Ryan P Hinds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073619698 PECOS PAC ID: 1557416195 Enrollment ID: I20090902000525 |
| Provider Name | Steven A Norris |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326088212 PECOS PAC ID: 1456406982 Enrollment ID: I20090903000760 |
| Provider Name | Nighat A Tahir |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386856037 PECOS PAC ID: 3476608886 Enrollment ID: I20090909000417 |
| Provider Name | Paul J Bowlds |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881667715 PECOS PAC ID: 5698749976 Enrollment ID: I20090911000285 |
| Provider Name | Neelima Yalamanchili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407008758 PECOS PAC ID: 8022164979 Enrollment ID: I20090918000266 |
| Provider Name | Brenda L Carr-vogelgesang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982834370 PECOS PAC ID: 2062558026 Enrollment ID: I20091005000373 |
| Provider Name | Sri Krishna K Vasireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043462393 PECOS PAC ID: 0648316679 Enrollment ID: I20091006000257 |
| Provider Name | Mery A Kendall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164691150 PECOS PAC ID: 4880730753 Enrollment ID: I20091006000686 |
| Provider Name | John F Roesner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497759906 PECOS PAC ID: 5294871174 Enrollment ID: I20091007000001 |
| Provider Name | George J Rubeiz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245234756 PECOS PAC ID: 3678619558 Enrollment ID: I20091007000054 |
| Provider Name | George Elias |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225032725 PECOS PAC ID: 4880730779 Enrollment ID: I20091007000125 |
| Provider Name | Michael Boulos |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083618581 PECOS PAC ID: 6305982208 Enrollment ID: I20091007000165 |
| Provider Name | Helen F Beane |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871764019 PECOS PAC ID: 7810033636 Enrollment ID: I20091008000554 |
| Provider Name | Charles B Quick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174527691 PECOS PAC ID: 2769528298 Enrollment ID: I20091014000031 |
| Provider Name | Bruce M Ackerman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154327633 PECOS PAC ID: 9133265671 Enrollment ID: I20091014000091 |
| Provider Name | Maureen E Sampson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164691085 PECOS PAC ID: 0648317776 Enrollment ID: I20091022000386 |
| Provider Name | Marty E Henderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922058874 PECOS PAC ID: 1557339462 Enrollment ID: I20091028000536 |
| Provider Name | Ashlee M Warren |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1942407390 PECOS PAC ID: 6002954450 Enrollment ID: I20091105000348 |
| Provider Name | Jill A Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912935495 PECOS PAC ID: 6002954864 Enrollment ID: I20091116000295 |
| Provider Name | Shilpa Ravi Mallur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336307909 PECOS PAC ID: 1951440528 Enrollment ID: I20091120000538 |
| Provider Name | Krishna C Malineni |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1639112303 PECOS PAC ID: 8426052010 Enrollment ID: I20091211000313 |
| Provider Name | Chad E Bonhomme |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760432470 PECOS PAC ID: 9032121249 Enrollment ID: I20091214000758 |
| Provider Name | Xiao Lin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750382586 PECOS PAC ID: 7810993995 Enrollment ID: I20091217000356 |
| Provider Name | Richard C Perry |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871562645 PECOS PAC ID: 9335238138 Enrollment ID: I20091228000581 |
| Provider Name | Ronald K Bloom |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740275023 PECOS PAC ID: 3577460278 Enrollment ID: I20091230000126 |
| Provider Name | Casimir R Starsiak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366446783 PECOS PAC ID: 8729143755 Enrollment ID: I20100114000441 |
| Provider Name | Howard Dash |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1538117585 PECOS PAC ID: 1658395751 Enrollment ID: I20100120000482 |
| Provider Name | Annemarie Desanto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104813336 PECOS PAC ID: 9739162561 Enrollment ID: I20100128000896 |
| Provider Name | Benjamin Chiu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821085622 PECOS PAC ID: 2365425105 Enrollment ID: I20100128000916 |
| Provider Name | Suzan D Spivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235357864 PECOS PAC ID: 9335282045 Enrollment ID: I20100203000543 |
| Provider Name | Ivan Legoas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811971690 PECOS PAC ID: 1456302702 Enrollment ID: I20100211000261 |
| Provider Name | Charles L Richert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043285604 PECOS PAC ID: 6608919741 Enrollment ID: I20100211000343 |
| Provider Name | Molly M Spearing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174616379 PECOS PAC ID: 2365586161 Enrollment ID: I20100217000431 |
| Provider Name | Subha Elango |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841465994 PECOS PAC ID: 1052455680 Enrollment ID: I20100220000409 |
| Provider Name | David C Hall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215911375 PECOS PAC ID: 6204971898 Enrollment ID: I20100308000207 |
| Provider Name | Brian R Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356309587 PECOS PAC ID: 4688709702 Enrollment ID: I20100315000821 |
| Provider Name | Allison C Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508954694 PECOS PAC ID: 2668507476 Enrollment ID: I20100318000661 |
| Provider Name | Young Ki Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447256417 PECOS PAC ID: 8325173784 Enrollment ID: I20100324000432 |
| Provider Name | Lisa Marie Richter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306842414 PECOS PAC ID: 8426183815 Enrollment ID: I20100324000658 |
| Provider Name | Christopher Wayne Kidwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982869590 PECOS PAC ID: 4981730926 Enrollment ID: I20100330000408 |
| Provider Name | John D Goldenberg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295882280 PECOS PAC ID: 8123055159 Enrollment ID: I20100405000488 |
| Provider Name | Serena Baskin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083726293 PECOS PAC ID: 9830113588 Enrollment ID: I20100410000119 |
| Provider Name | Eric Y Knoll |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083771331 PECOS PAC ID: 9638206121 Enrollment ID: I20100414000500 |
| Provider Name | Laryn Ann Peterson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639236995 PECOS PAC ID: 2769519115 Enrollment ID: I20100416000417 |
| Provider Name | Eileen Thomason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467455931 PECOS PAC ID: 6406983667 Enrollment ID: I20100420000196 |
| Provider Name | Robin Elaine Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942523071 PECOS PAC ID: 4486781366 Enrollment ID: I20100423000937 |
| Provider Name | Stephanie J Russ |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629239355 PECOS PAC ID: 3173650066 Enrollment ID: I20100426000115 |
| Provider Name | Michael Gerard Koelsch |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1053336297 PECOS PAC ID: 4981731692 Enrollment ID: I20100428000350 |
| Provider Name | Jon Jansen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497752844 PECOS PAC ID: 8729132386 Enrollment ID: I20100430000100 |
| Provider Name | Joseph Pavlik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518964964 PECOS PAC ID: 6709913379 Enrollment ID: I20100430000207 |
| Provider Name | Stacey Lenora Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881797694 PECOS PAC ID: 0244368967 Enrollment ID: I20100517000394 |
| Provider Name | Megan N Cloncs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275859001 PECOS PAC ID: 9133257876 Enrollment ID: I20100517000668 |
| Provider Name | Daniel D Feeney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518974294 PECOS PAC ID: 8628011665 Enrollment ID: I20100519000531 |
| Provider Name | Jon M Sieber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083648653 PECOS PAC ID: 4880748847 Enrollment ID: I20100520000954 |
| Provider Name | Quinn Danielle Bensi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427268853 PECOS PAC ID: 0143359448 Enrollment ID: I20100525000771 |
| Provider Name | Kerry Ann Herdt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386685725 PECOS PAC ID: 4688704026 Enrollment ID: I20100611000406 |
| Provider Name | Michael Barbara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376513549 PECOS PAC ID: 9032290317 Enrollment ID: I20100625000238 |
| Provider Name | Marcus A Tielker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124263215 PECOS PAC ID: 0547392425 Enrollment ID: I20100712000431 |
| Provider Name | Ralph H Kahn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528092038 PECOS PAC ID: 7810083268 Enrollment ID: I20100712000646 |
| Provider Name | Brett Fink |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861426405 PECOS PAC ID: 2668568015 Enrollment ID: I20100712000664 |
| Provider Name | Gregory L Estes |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1760416119 PECOS PAC ID: 9436203494 Enrollment ID: I20100712000682 |
| Provider Name | Clem M Doxey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1043244460 PECOS PAC ID: 5395831747 Enrollment ID: I20100714000762 |
| Provider Name | Deshini A Moonesinghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780882449 PECOS PAC ID: 6709918006 Enrollment ID: I20100722000547 |
| Provider Name | Linda A Huck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568567758 PECOS PAC ID: 2062499320 Enrollment ID: I20100728000543 |
| Provider Name | Lance Neville Washington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356312128 PECOS PAC ID: 6406986611 Enrollment ID: I20100802000723 |
| Provider Name | April S Gish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548439508 PECOS PAC ID: 7618000233 Enrollment ID: I20100803001234 |
| Provider Name | Judith C Vahle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386813210 PECOS PAC ID: 5890828420 Enrollment ID: I20100803001266 |
| Provider Name | Federico M Richter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598911521 PECOS PAC ID: 2668505116 Enrollment ID: I20100804000314 |
| Provider Name | Rosemarie L Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225074636 PECOS PAC ID: 0840393484 Enrollment ID: I20100811000866 |
| Provider Name | Marie Pfoser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154633261 PECOS PAC ID: 0143354209 Enrollment ID: I20100811001115 |
| Provider Name | Elena D Burtea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376626663 PECOS PAC ID: 7315071941 Enrollment ID: I20100817001470 |
| Provider Name | Mark David Lisby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861574485 PECOS PAC ID: 9032243670 Enrollment ID: I20100817001650 |
| Provider Name | Susan L Helsel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710069323 PECOS PAC ID: 3870617160 Enrollment ID: I20100823001000 |
| Provider Name | Sai K Devarapalli |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548234966 PECOS PAC ID: 4183727183 Enrollment ID: I20100826000898 |
| Provider Name | Jeffrey Weinberger |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164637070 PECOS PAC ID: 9234278946 Enrollment ID: I20100830000863 |
| Provider Name | Asoka S Ratnayake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942405865 PECOS PAC ID: 7911021423 Enrollment ID: I20100903000579 |
| Provider Name | Ashley R Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245543693 PECOS PAC ID: 5991820078 Enrollment ID: I20100913000801 |
| Provider Name | Wendy L Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497868186 PECOS PAC ID: 8820113558 Enrollment ID: I20100917000366 |
| Provider Name | Cynthia N Ebini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174786578 PECOS PAC ID: 2860518172 Enrollment ID: I20100923001282 |
| Provider Name | Heather House |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184868564 PECOS PAC ID: 5092864728 Enrollment ID: I20100924000059 |
| Provider Name | John D Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841394830 PECOS PAC ID: 1052486685 Enrollment ID: I20100928000687 |
| Provider Name | Erin A Zusan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518192657 PECOS PAC ID: 9739230558 Enrollment ID: I20101012000756 |
| Provider Name | Binoy Ouseph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497797880 PECOS PAC ID: 5395745657 Enrollment ID: I20101013000184 |
| Provider Name | Sarah L Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538476346 PECOS PAC ID: 7416149083 Enrollment ID: I20101014000642 |
| Provider Name | Stephen J Carlson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699743518 PECOS PAC ID: 2264585819 Enrollment ID: I20101015000879 |
| Provider Name | Sandeep Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457557985 PECOS PAC ID: 4688867179 Enrollment ID: I20101015000952 |
| Provider Name | Jeffery E Ferguson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295915759 PECOS PAC ID: 3476638693 Enrollment ID: I20101018000230 |
| Provider Name | Andrew H Combs |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1982699492 PECOS PAC ID: 1355349689 Enrollment ID: I20101019000804 |
| Provider Name | Beth E Pretti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841389335 PECOS PAC ID: 6204029028 Enrollment ID: I20101025000550 |
| Provider Name | Jill Marie Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235308149 PECOS PAC ID: 3375737836 Enrollment ID: I20101029000180 |
| Provider Name | Eldred H Macdonell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629045042 PECOS PAC ID: 0446303994 Enrollment ID: I20101029000315 |
| Provider Name | Dustardie Dawn Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912978776 PECOS PAC ID: 7810182433 Enrollment ID: I20101109000924 |
| Provider Name | Maria A Valena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730284977 PECOS PAC ID: 6507051919 Enrollment ID: I20101111000422 |
| Provider Name | Harmeet Sarao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932362373 PECOS PAC ID: 8820283187 Enrollment ID: I20101111001104 |
| Provider Name | Radmila Popovic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396946703 PECOS PAC ID: 5597950659 Enrollment ID: I20101115000755 |
| Provider Name | Dwight B Mccurdy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174544910 PECOS PAC ID: 2567404528 Enrollment ID: I20101119000318 |
| Provider Name | Joseph C Baer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891716635 PECOS PAC ID: 4284676248 Enrollment ID: I20101119000354 |
| Provider Name | Jennifer A Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538475363 PECOS PAC ID: 0648466375 Enrollment ID: I20101120000097 |
| Provider Name | Toni L Wilcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104131515 PECOS PAC ID: 1658567292 Enrollment ID: I20101122001308 |
| Provider Name | Kathryn E Kasyjanski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093910218 PECOS PAC ID: 3971799453 Enrollment ID: I20101123000477 |
| Provider Name | Shannon N Mcguire |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528140498 PECOS PAC ID: 5698848729 Enrollment ID: I20101124000651 |
| Provider Name | James P Perry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235132325 PECOS PAC ID: 3476466160 Enrollment ID: I20101130001371 |
| Provider Name | Audrey R Alcala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508176892 PECOS PAC ID: 3274720172 Enrollment ID: I20101203000975 |
| Provider Name | James L Walters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346257755 PECOS PAC ID: 2668669458 Enrollment ID: I20101206000840 |
| Provider Name | Kenneth A Kesler |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700991106 PECOS PAC ID: 4587851324 Enrollment ID: I20101207000077 |
| Provider Name | Amy R Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902115090 PECOS PAC ID: 3476740010 Enrollment ID: I20101209000108 |
| Provider Name | Jenny V Casburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841504164 PECOS PAC ID: 4688861750 Enrollment ID: I20101215000575 |
| Provider Name | Martin Bielawski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356342810 PECOS PAC ID: 9335337237 Enrollment ID: I20101220000288 |
| Provider Name | Leslie B Parent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700044963 PECOS PAC ID: 7416145081 Enrollment ID: I20101223000221 |
| Provider Name | Alissa A Cohoat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770892689 PECOS PAC ID: 8325236649 Enrollment ID: I20101230000204 |
| Provider Name | Ronald L Gemma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508919077 PECOS PAC ID: 6103015201 Enrollment ID: I20110105000419 |
| Provider Name | Sanju Daftari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013955764 PECOS PAC ID: 4082803960 Enrollment ID: I20110107000110 |
| Provider Name | Charlotte Marie Dugan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689635039 PECOS PAC ID: 3779487541 Enrollment ID: I20110113001176 |
| Provider Name | Matthew David Bruns |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649241183 PECOS PAC ID: 6507760378 Enrollment ID: I20110113001216 |
| Provider Name | Samuel Andis Harmon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578542049 PECOS PAC ID: 6204730070 Enrollment ID: I20110114000213 |
| Provider Name | Carolyn L Keihn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609186030 PECOS PAC ID: 3274712385 Enrollment ID: I20110121000208 |
| Provider Name | Ninya Mh Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609178722 PECOS PAC ID: 5496934135 Enrollment ID: I20110126000911 |
| Provider Name | Kendra S Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790087666 PECOS PAC ID: 6507046737 Enrollment ID: I20110204000961 |
| Provider Name | Aida L Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760785786 PECOS PAC ID: 3476733619 Enrollment ID: I20110205000039 |
| Provider Name | John T Vu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417978669 PECOS PAC ID: 0749460822 Enrollment ID: I20110207000494 |
| Provider Name | Jennifer N Weida |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689833915 PECOS PAC ID: 1658552112 Enrollment ID: I20110217000090 |
| Provider Name | Jennifer J Fouts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083634141 PECOS PAC ID: 9234310673 Enrollment ID: I20110218000238 |
| Provider Name | Tammy N Durham-boring |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023098639 PECOS PAC ID: 3779764592 Enrollment ID: I20110225000580 |
| Provider Name | Louis L Winternheimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528033107 PECOS PAC ID: 6305027103 Enrollment ID: I20110228000470 |
| Provider Name | Shekar H Narayanan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1881763977 PECOS PAC ID: 2860588266 Enrollment ID: I20110301001131 |
| Provider Name | Mohammad Tariq |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386792521 PECOS PAC ID: 5395746556 Enrollment ID: I20110303000009 |
| Provider Name | Andrea M Daly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568765212 PECOS PAC ID: 2961685615 Enrollment ID: I20110318000090 |
| Provider Name | Jennifer S Layman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609880053 PECOS PAC ID: 4880877984 Enrollment ID: I20110328000575 |
| Provider Name | Alicia C Leedy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902810831 PECOS PAC ID: 5092998013 Enrollment ID: I20110329000002 |
| Provider Name | Sandra D Bailey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922094192 PECOS PAC ID: 1456534437 Enrollment ID: I20110329000629 |
| Provider Name | Jason W Everman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881866572 PECOS PAC ID: 1557544400 Enrollment ID: I20110330000515 |
| Provider Name | Julia A Thorington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194032573 PECOS PAC ID: 8628251501 Enrollment ID: I20110330000912 |
| Provider Name | Stephanie M Macke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215192620 PECOS PAC ID: 8921281783 Enrollment ID: I20110331000816 |
| Provider Name | Mary Pell Abernathy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073559027 PECOS PAC ID: 3173707726 Enrollment ID: I20110406000723 |
| Provider Name | Christa M Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649592882 PECOS PAC ID: 0042494577 Enrollment ID: I20110407000636 |
| Provider Name | Jan E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518287747 PECOS PAC ID: 3678757028 Enrollment ID: I20110408000084 |
| Provider Name | Sarah J Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154656973 PECOS PAC ID: 9830385707 Enrollment ID: I20110418000226 |
| Provider Name | Amy Leland |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770740235 PECOS PAC ID: 5193900348 Enrollment ID: I20110503000428 |
| Provider Name | Amy Lynn Heneisen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265407357 PECOS PAC ID: 9234314279 Enrollment ID: I20110506000233 |
| Provider Name | Sheryl Marie King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760480305 PECOS PAC ID: 2769667716 Enrollment ID: I20110506000272 |
| Provider Name | Elizabeth Aranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306039946 PECOS PAC ID: 2264617216 Enrollment ID: I20110506000329 |
| Provider Name | Christina A Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760408314 PECOS PAC ID: 5890971881 Enrollment ID: I20110509000179 |
| Provider Name | Vicki D Powell-tippit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679751143 PECOS PAC ID: 3375729254 Enrollment ID: I20110510000420 |
| Provider Name | David E Hertz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700979697 PECOS PAC ID: 1850577024 Enrollment ID: I20110524000367 |
| Provider Name | Robert C Mcgee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558555615 PECOS PAC ID: 8729264866 Enrollment ID: I20110525000402 |
| Provider Name | Amanda D Schmidt |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1598923997 PECOS PAC ID: 1557548096 Enrollment ID: I20110609000113 |
| Provider Name | Ann M Lovko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306845516 PECOS PAC ID: 9638356967 Enrollment ID: I20110614000024 |
| Provider Name | Majdi Abu Salih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356359905 PECOS PAC ID: 9234037557 Enrollment ID: I20110617000064 |
| Provider Name | Pragneshkumar N Radadiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548421985 PECOS PAC ID: 4880886621 Enrollment ID: I20110620000655 |
| Provider Name | Michael Chiebonam Obichi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467615161 PECOS PAC ID: 5890973416 Enrollment ID: I20110630000521 |
| Provider Name | Arman H Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447484167 PECOS PAC ID: 5698953016 Enrollment ID: I20110706000417 |
| Provider Name | Ninad H Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184831729 PECOS PAC ID: 3476721671 Enrollment ID: I20110713000796 |
| Provider Name | Melissa Ann Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114220860 PECOS PAC ID: 4880862051 Enrollment ID: I20110714000652 |
| Provider Name | Muni K Theertham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114183449 PECOS PAC ID: 0648448605 Enrollment ID: I20110718000388 |
| Provider Name | Jennifer E Fisher |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194982512 PECOS PAC ID: 2365610987 Enrollment ID: I20110726000050 |
| Provider Name | Melissa H Nulton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265732424 PECOS PAC ID: 2769650118 Enrollment ID: I20110729000393 |
| Provider Name | Karthik R Polsani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104081629 PECOS PAC ID: 6406025717 Enrollment ID: I20110803000001 |
| Provider Name | Elizabeth A Nowacki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598931149 PECOS PAC ID: 0345419693 Enrollment ID: I20110803000472 |
| Provider Name | Prasanna K Marpu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407176159 PECOS PAC ID: 4486823556 Enrollment ID: I20110805000318 |
| Provider Name | Muhammad Khalil Aslam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659384220 PECOS PAC ID: 3971605437 Enrollment ID: I20110809000468 |
| Provider Name | Julie Anne Tillman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689833279 PECOS PAC ID: 8729257613 Enrollment ID: I20110810000421 |
| Provider Name | Kenae Jumper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447447636 PECOS PAC ID: 7315116191 Enrollment ID: I20110811000832 |
| Provider Name | Nieasha L Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053544536 PECOS PAC ID: 3274702741 Enrollment ID: I20110818000214 |
| Provider Name | Joanne Ghormley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932358249 PECOS PAC ID: 3375713746 Enrollment ID: I20110823000811 |
| Provider Name | Donna E Tisch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942468988 PECOS PAC ID: 7517137656 Enrollment ID: I20110830000017 |
| Provider Name | Andrew Archual |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316175060 PECOS PAC ID: 7315086394 Enrollment ID: I20110909002368 |
| Provider Name | Jeffrey A Mcfadden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487678652 PECOS PAC ID: 2961590104 Enrollment ID: I20110919000147 |
| Provider Name | Annette Rene Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033141155 PECOS PAC ID: 0345412979 Enrollment ID: I20111004000404 |
| Provider Name | Shiva Golian |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1306054929 PECOS PAC ID: 3577735059 Enrollment ID: I20111005000208 |
| Provider Name | Lynette Smith-caillouet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871680199 PECOS PAC ID: 8921135690 Enrollment ID: I20111010000561 |
| Provider Name | John C Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134407026 PECOS PAC ID: 1557533890 Enrollment ID: I20111011000515 |
| Provider Name | Lindsey N Hughes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275828428 PECOS PAC ID: 1557533577 Enrollment ID: I20111017000170 |
| Provider Name | Matthew Main |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407025497 PECOS PAC ID: 4284759366 Enrollment ID: I20111024000379 |
| Provider Name | Tessa Marie Asdell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053311001 PECOS PAC ID: 8123042728 Enrollment ID: I20111027000072 |
| Provider Name | Keith E Mcewen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578546180 PECOS PAC ID: 8729130703 Enrollment ID: I20111031000191 |
| Provider Name | Kirsten Rubin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215906763 PECOS PAC ID: 8426251729 Enrollment ID: I20111101000650 |
| Provider Name | Karen M Wood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912935255 PECOS PAC ID: 7416120605 Enrollment ID: I20111103000638 |
| Provider Name | Keith Seegers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326324336 PECOS PAC ID: 2961675053 Enrollment ID: I20111107000130 |
| Provider Name | Angela M Heinzelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427147917 PECOS PAC ID: 8628241650 Enrollment ID: I20111107000735 |
| Provider Name | Jennifer M Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366681488 PECOS PAC ID: 8921165507 Enrollment ID: I20111110000686 |
| Provider Name | Katherine S Higinbotham |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740473107 PECOS PAC ID: 5496920365 Enrollment ID: I20111206000089 |
| Provider Name | Terry A Iwasko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295823631 PECOS PAC ID: 7719152420 Enrollment ID: I20111208000113 |
| Provider Name | Chaitanya Chekkilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942465802 PECOS PAC ID: 0244405678 Enrollment ID: I20111213000281 |
| Provider Name | Lisa White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962799395 PECOS PAC ID: 3375718620 Enrollment ID: I20111214000838 |
| Provider Name | Nyla L Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497940449 PECOS PAC ID: 6901071190 Enrollment ID: I20111216000666 |
| Provider Name | Erin O Weah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790703601 PECOS PAC ID: 5698791200 Enrollment ID: I20111228000241 |
| Provider Name | Thomas Habimana |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902894074 PECOS PAC ID: 9638140890 Enrollment ID: I20120106000007 |
| Provider Name | Dennis K Rhyne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316927528 PECOS PAC ID: 8426224734 Enrollment ID: I20120106000599 |
| Provider Name | Thomas James Cittadine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831147727 PECOS PAC ID: 9234033002 Enrollment ID: I20120110000325 |
| Provider Name | Rachel Ziegler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407881303 PECOS PAC ID: 0345259255 Enrollment ID: I20120111000577 |
| Provider Name | Antoinette C Barnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922267525 PECOS PAC ID: 3971770454 Enrollment ID: I20120124000843 |
| Provider Name | Elizabeth Ann Cunningham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700080561 PECOS PAC ID: 8527252378 Enrollment ID: I20120213000770 |
| Provider Name | Stephanie Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255584439 PECOS PAC ID: 4486812104 Enrollment ID: I20120227000002 |
| Provider Name | Lisa L Chan Owensby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720247406 PECOS PAC ID: 3072772128 Enrollment ID: I20120308000274 |
| Provider Name | Raminder Kaur Brar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306119847 PECOS PAC ID: 8123288842 Enrollment ID: I20120404000298 |
| Provider Name | Candice S Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053687988 PECOS PAC ID: 0749440493 Enrollment ID: I20120404000558 |
| Provider Name | Brandi Leigh Ann Wash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811263940 PECOS PAC ID: 2961664073 Enrollment ID: I20120508000218 |
| Provider Name | Deborah L Tunny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235401381 PECOS PAC ID: 3476715368 Enrollment ID: I20120511000077 |
| Provider Name | Tiffany L Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629342399 PECOS PAC ID: 6406019132 Enrollment ID: I20120516000617 |
| Provider Name | Danielle M Treft |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891065454 PECOS PAC ID: 5698938918 Enrollment ID: I20120524000490 |
| Provider Name | Satish R Nandyala |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619107885 PECOS PAC ID: 5991969917 Enrollment ID: I20120604000076 |
| Provider Name | Michael J. Hobson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437332541 PECOS PAC ID: 6406980259 Enrollment ID: I20120605000222 |
| Provider Name | Justin A Magid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861621625 PECOS PAC ID: 1153585914 Enrollment ID: I20120607000606 |
| Provider Name | John U Dustin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538302393 PECOS PAC ID: 3971767658 Enrollment ID: I20120608000166 |
| Provider Name | Derrick W Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760611529 PECOS PAC ID: 8224292842 Enrollment ID: I20120612000250 |
| Provider Name | Julie Mcguire |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1467663815 PECOS PAC ID: 9739343823 Enrollment ID: I20120621000606 |
| Provider Name | Kenneth P Stumpf |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629208103 PECOS PAC ID: 8325203318 Enrollment ID: I20120625000396 |
| Provider Name | Kelly Kathryn Hiatt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831357722 PECOS PAC ID: 3678738226 Enrollment ID: I20120703000661 |
| Provider Name | Clifford J Evans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669521522 PECOS PAC ID: 2264593672 Enrollment ID: I20120705000415 |
| Provider Name | Radcliffe D Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679568240 PECOS PAC ID: 6608031224 Enrollment ID: I20120705000592 |
| Provider Name | Adam D Bainbridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770712523 PECOS PAC ID: 4587829874 Enrollment ID: I20120712000327 |
| Provider Name | Jennifer M Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215199773 PECOS PAC ID: 4486831872 Enrollment ID: I20120713000133 |
| Provider Name | Michael Nader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851520613 PECOS PAC ID: 5092970244 Enrollment ID: I20120713000202 |
| Provider Name | Catherine Fritts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912013657 PECOS PAC ID: 3779748934 Enrollment ID: I20120713000272 |
| Provider Name | Nora D Mitiche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003175365 PECOS PAC ID: 2961667134 Enrollment ID: I20120713000380 |
| Provider Name | Kelly Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295098044 PECOS PAC ID: 7113183385 Enrollment ID: I20120717000271 |
| Provider Name | Allen M Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750643565 PECOS PAC ID: 4880850965 Enrollment ID: I20120717000462 |
| Provider Name | Jacqueline S Nti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033345822 PECOS PAC ID: 1153587167 Enrollment ID: I20120719000148 |
| Provider Name | Jana L Shockley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487915468 PECOS PAC ID: 6002072022 Enrollment ID: I20120719000212 |
| Provider Name | Neal E Ipema |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659693679 PECOS PAC ID: 1052509411 Enrollment ID: I20120719000567 |
| Provider Name | Sara M Pierce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366603904 PECOS PAC ID: 2365608247 Enrollment ID: I20120720000291 |
| Provider Name | Jason E Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043453228 PECOS PAC ID: 6709042534 Enrollment ID: I20120724000392 |
| Provider Name | Aria Arrizabalaga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912971029 PECOS PAC ID: 4981661253 Enrollment ID: I20120725000755 |
| Provider Name | Rachel D Botkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417230970 PECOS PAC ID: 7012173610 Enrollment ID: I20120726000268 |
| Provider Name | Nicole Zulkowski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982877569 PECOS PAC ID: 6800052390 Enrollment ID: I20120727000597 |
| Provider Name | Meghan L Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225271539 PECOS PAC ID: 8921264276 Enrollment ID: I20120731000808 |
| Provider Name | Craig Pawlowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528011152 PECOS PAC ID: 5698921906 Enrollment ID: I20120801000783 |
| Provider Name | Rodney W Benner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891914628 PECOS PAC ID: 5395991517 Enrollment ID: I20120803000247 |
| Provider Name | Heather M Hosfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013276997 PECOS PAC ID: 2062668171 Enrollment ID: I20120806000470 |
| Provider Name | Melissa D R Holt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194986471 PECOS PAC ID: 6709032832 Enrollment ID: I20120806000710 |
| Provider Name | Michael P Dick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013936814 PECOS PAC ID: 2264326743 Enrollment ID: I20120807000627 |
| Provider Name | Jennifer A Egan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922262427 PECOS PAC ID: 5496925778 Enrollment ID: I20120827000829 |
| Provider Name | Shannon Lea Bedja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750632949 PECOS PAC ID: 4789833872 Enrollment ID: I20121004000776 |
| Provider Name | Donna L Doerffler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467711705 PECOS PAC ID: 8325297443 Enrollment ID: I20121005000134 |
| Provider Name | Shiroo Parshad |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225245640 PECOS PAC ID: 7810057734 Enrollment ID: I20121005000562 |
| Provider Name | Carla S Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063771962 PECOS PAC ID: 8325297146 Enrollment ID: I20121010000471 |
| Provider Name | Andrea L Wojdyla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619291358 PECOS PAC ID: 7517116296 Enrollment ID: I20121012000814 |
| Provider Name | Jennifer S Leblo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245586916 PECOS PAC ID: 4789834359 Enrollment ID: I20121017000743 |
| Provider Name | Jesse N Clark |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1154642585 PECOS PAC ID: 2466602511 Enrollment ID: I20121025000413 |
| Provider Name | April A P'pool |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568690055 PECOS PAC ID: 0143470195 Enrollment ID: I20121029000106 |
| Provider Name | Christina S Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528314507 PECOS PAC ID: 3072763952 Enrollment ID: I20121031000227 |
| Provider Name | Muhammad Fs Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336373364 PECOS PAC ID: 2668623869 Enrollment ID: I20121116000375 |
| Provider Name | Mary M Carver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851565428 PECOS PAC ID: 7517135510 Enrollment ID: I20121219000300 |
| Provider Name | Susan C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114296134 PECOS PAC ID: 9739332487 Enrollment ID: I20130109000438 |
| Provider Name | Sanjay Thekkeurumbil |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1902065261 PECOS PAC ID: 2466508965 Enrollment ID: I20130115000258 |
| Provider Name | Josephine Bongiovanni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902878861 PECOS PAC ID: 1153518998 Enrollment ID: I20130115000358 |
| Provider Name | Xianfeng Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083665384 PECOS PAC ID: 7113939950 Enrollment ID: I20130121000020 |
| Provider Name | Ian S Scharrer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043473671 PECOS PAC ID: 8729130695 Enrollment ID: I20130123000564 |
| Provider Name | David Knox Booth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144250689 PECOS PAC ID: 3072515659 Enrollment ID: I20130205000571 |
| Provider Name | Tony I Mcherron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528202413 PECOS PAC ID: 7810141538 Enrollment ID: I20130205000574 |
| Provider Name | Catherine E Buckingham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528054012 PECOS PAC ID: 7214194059 Enrollment ID: I20130206000130 |
| Provider Name | Justin R Hollen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134358997 PECOS PAC ID: 8628214814 Enrollment ID: I20130412000350 |
| Provider Name | Elizabeth Eglen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710114020 PECOS PAC ID: 2264678366 Enrollment ID: I20130416000319 |
| Provider Name | Elizabeth L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437496411 PECOS PAC ID: 7012153133 Enrollment ID: I20130416000484 |
| Provider Name | Nikia M Beeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962766824 PECOS PAC ID: 9032355912 Enrollment ID: I20130419000244 |
| Provider Name | Amy L Swier-vosnos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063663201 PECOS PAC ID: 0547443111 Enrollment ID: I20130424000671 |
| Provider Name | Tyler J Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053608885 PECOS PAC ID: 8224274782 Enrollment ID: I20130429000522 |
| Provider Name | Mohamed Osama Heikal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245451160 PECOS PAC ID: 2062507700 Enrollment ID: I20130507000314 |
| Provider Name | Shelby Christina Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487929915 PECOS PAC ID: 9739326927 Enrollment ID: I20130507000391 |
| Provider Name | Virginia H Maher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164527230 PECOS PAC ID: 2466699095 Enrollment ID: I20130518000094 |
| Provider Name | Troy A Markel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932397015 PECOS PAC ID: 6608015987 Enrollment ID: I20130618000042 |
| Provider Name | Cayla Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427131143 PECOS PAC ID: 1557361797 Enrollment ID: I20130626000450 |
| Provider Name | Rachael S Meadows |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194927749 PECOS PAC ID: 2769622042 Enrollment ID: I20130710000227 |
| Provider Name | Megan W Gruesser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437360245 PECOS PAC ID: 1355581273 Enrollment ID: I20130717000090 |
| Provider Name | Casandra Cashman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164656013 PECOS PAC ID: 5698948727 Enrollment ID: I20130717000486 |
| Provider Name | Fahd Saeed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891972386 PECOS PAC ID: 7113190687 Enrollment ID: I20130719000114 |
| Provider Name | Emi Elizabeth Bays |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891011045 PECOS PAC ID: 5294976932 Enrollment ID: I20130723000801 |
| Provider Name | Nayan T Srivastava |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801113444 PECOS PAC ID: 0840437547 Enrollment ID: I20130805000685 |
| Provider Name | Daniel J Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104137116 PECOS PAC ID: 2264671890 Enrollment ID: I20130805000887 |
| Provider Name | Anthony D Weaver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407942188 PECOS PAC ID: 9133286891 Enrollment ID: I20130807000890 |
| Provider Name | Dessie M Vetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891131116 PECOS PAC ID: 3072755826 Enrollment ID: I20130808000047 |
| Provider Name | Sarah J Wildman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316385834 PECOS PAC ID: 1355583485 Enrollment ID: I20130820000188 |
| Provider Name | Benjamin M Coplan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033324181 PECOS PAC ID: 4789734153 Enrollment ID: I20130826001065 |
| Provider Name | Evan R Schiffli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609191139 PECOS PAC ID: 2567605108 Enrollment ID: I20130829000068 |
| Provider Name | Regan B Esch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780909234 PECOS PAC ID: 0749423341 Enrollment ID: I20130829000695 |
| Provider Name | Aaron S Carlisle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295713576 PECOS PAC ID: 9537302138 Enrollment ID: I20130829000734 |
| Provider Name | Joshua T Kluetz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1578719365 PECOS PAC ID: 9931371127 Enrollment ID: I20130830000170 |
| Provider Name | Amrish Malhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033395330 PECOS PAC ID: 7719025295 Enrollment ID: I20130903000444 |
| Provider Name | Muaz Urabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427226174 PECOS PAC ID: 2466645783 Enrollment ID: I20130904000162 |
| Provider Name | Geoffrey T Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801234513 PECOS PAC ID: 3173766581 Enrollment ID: I20130904000975 |
| Provider Name | Erica R Huddleston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003127010 PECOS PAC ID: 1850530288 Enrollment ID: I20130905000362 |
| Provider Name | Ashlie N Stallion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891012431 PECOS PAC ID: 3173766417 Enrollment ID: I20130905000385 |
| Provider Name | Jihan Y Huggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467763474 PECOS PAC ID: 2567601669 Enrollment ID: I20130905000424 |
| Provider Name | Kathryn A Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780020750 PECOS PAC ID: 4082857339 Enrollment ID: I20130905000505 |
| Provider Name | Richard H Ofstein |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1417138520 PECOS PAC ID: 7012150378 Enrollment ID: I20130905000595 |
| Provider Name | Ryan T Grimm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497072532 PECOS PAC ID: 7517100886 Enrollment ID: I20130905000779 |
| Provider Name | Sirshendu Banerjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144451840 PECOS PAC ID: 1557519337 Enrollment ID: I20130906000265 |
| Provider Name | Jared Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780984633 PECOS PAC ID: 2264686344 Enrollment ID: I20130906000652 |
| Provider Name | Julie Codding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356577324 PECOS PAC ID: 8325194244 Enrollment ID: I20130906000818 |
| Provider Name | Ahmed Abusamra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477841633 PECOS PAC ID: 0749424992 Enrollment ID: I20130910000502 |
| Provider Name | Usman Ahmad Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306003348 PECOS PAC ID: 1456595602 Enrollment ID: I20130910000531 |
| Provider Name | Christina R Grimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134437130 PECOS PAC ID: 6204070477 Enrollment ID: I20130910000761 |
| Provider Name | Vincent P Keating |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1871569103 PECOS PAC ID: 1153415278 Enrollment ID: I20130910000888 |
| Provider Name | Erik D Cox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710202254 PECOS PAC ID: 1456595594 Enrollment ID: I20130911000730 |
| Provider Name | Jessica M. Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639519143 PECOS PAC ID: 0749424786 Enrollment ID: I20130913000202 |
| Provider Name | Elizabeth S Cottongim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053541169 PECOS PAC ID: 5698926632 Enrollment ID: I20130918000692 |
| Provider Name | Michael Christopher Large |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346489630 PECOS PAC ID: 3577707231 Enrollment ID: I20130918000841 |
| Provider Name | Dustin B Augenstine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386907996 PECOS PAC ID: 0042454621 Enrollment ID: I20130920000745 |
| Provider Name | Sandra S Staehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164861944 PECOS PAC ID: 9931343316 Enrollment ID: I20130925000536 |
| Provider Name | Steven J Burch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396038832 PECOS PAC ID: 3072768340 Enrollment ID: I20130927000576 |
| Provider Name | Rachel A Carr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588894869 PECOS PAC ID: 9739313982 Enrollment ID: I20131002000169 |
| Provider Name | Carol L Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790121549 PECOS PAC ID: 2365676434 Enrollment ID: I20131002000591 |
| Provider Name | Jennifer R Heisick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356787493 PECOS PAC ID: 3577797539 Enrollment ID: I20131004000309 |
| Provider Name | Sarada Uppuluri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477679694 PECOS PAC ID: 2365688850 Enrollment ID: I20131008001750 |
| Provider Name | Hardik B Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326366063 PECOS PAC ID: 4789818626 Enrollment ID: I20131009000948 |
| Provider Name | Tricia Jeanette Stadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528408028 PECOS PAC ID: 6608000229 Enrollment ID: I20131014000816 |
| Provider Name | Julia Anne St Clair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427480466 PECOS PAC ID: 0143454777 Enrollment ID: I20131014001129 |
| Provider Name | Joseph Cerjak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326275850 PECOS PAC ID: 3870727365 Enrollment ID: I20131016001956 |
| Provider Name | Jessica Ruth Taulman-young |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881972784 PECOS PAC ID: 0840435095 Enrollment ID: I20131021000857 |
| Provider Name | Lisa B Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073957593 PECOS PAC ID: 7911132949 Enrollment ID: I20131029002137 |
| Provider Name | Freaw Nigussie Dejenie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649439050 PECOS PAC ID: 4183817943 Enrollment ID: I20131108000089 |
| Provider Name | Bert H Oneil |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588724199 PECOS PAC ID: 6901932649 Enrollment ID: I20131109000516 |
| Provider Name | Samantha D Bouchie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003131871 PECOS PAC ID: 2466687942 Enrollment ID: I20131109000579 |
| Provider Name | Kaushang Gandhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073745162 PECOS PAC ID: 3678769734 Enrollment ID: I20131112000674 |
| Provider Name | Audre N Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255772430 PECOS PAC ID: 8921234261 Enrollment ID: I20131115000594 |
| Provider Name | Christen A Merkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235424482 PECOS PAC ID: 5395923916 Enrollment ID: I20131115001305 |
| Provider Name | Abigail G Cleaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679908065 PECOS PAC ID: 4284860446 Enrollment ID: I20131115001750 |
| Provider Name | Lauren E Granger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407176738 PECOS PAC ID: 6901032184 Enrollment ID: I20131118000380 |
| Provider Name | Jeb S Rice |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184951758 PECOS PAC ID: 6002053386 Enrollment ID: I20131125001332 |
| Provider Name | Gregory E Ellcessor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124453527 PECOS PAC ID: 8729214523 Enrollment ID: I20131127001136 |
| Provider Name | Shilpa M Guggali |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1952566051 PECOS PAC ID: 3870774854 Enrollment ID: I20131202000723 |
| Provider Name | Kirsten Tara Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265864623 PECOS PAC ID: 2264669886 Enrollment ID: I20131205000921 |
| Provider Name | Walid Hadid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871549816 PECOS PAC ID: 6103838982 Enrollment ID: I20131213000862 |
| Provider Name | Elicia L Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447488952 PECOS PAC ID: 3072752260 Enrollment ID: I20131217000357 |
| Provider Name | Katie M Bussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225359193 PECOS PAC ID: 4183851926 Enrollment ID: I20131226000372 |
| Provider Name | Nimmi Manaloor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700029741 PECOS PAC ID: 4587891296 Enrollment ID: I20131227001722 |
| Provider Name | Eric J Obanion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700871720 PECOS PAC ID: 7618105271 Enrollment ID: I20140107000188 |
| Provider Name | Bilal K Siddiqui |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093034407 PECOS PAC ID: 4486890423 Enrollment ID: I20140108001795 |
| Provider Name | Andrea K Bruick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376808287 PECOS PAC ID: 3678701059 Enrollment ID: I20140109001228 |
| Provider Name | Mohanjit S Gill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447245014 PECOS PAC ID: 2062640485 Enrollment ID: I20140110000746 |
| Provider Name | Lauren K Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205179678 PECOS PAC ID: 7911135900 Enrollment ID: I20140121001471 |
| Provider Name | Shantaniece Sherrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609203884 PECOS PAC ID: 8527296474 Enrollment ID: I20140122001595 |
| Provider Name | Mindy J Rutan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275969701 PECOS PAC ID: 4981833555 Enrollment ID: I20140130000364 |
| Provider Name | Kevin Allen Swartz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669546404 PECOS PAC ID: 1456420454 Enrollment ID: I20140210000900 |
| Provider Name | Yanick D Rockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639505431 PECOS PAC ID: 8426287426 Enrollment ID: I20140218000420 |
| Provider Name | Theresa M Suozzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952544199 PECOS PAC ID: 4981740016 Enrollment ID: I20140219000685 |
| Provider Name | Judy K Feldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417385048 PECOS PAC ID: 4587894480 Enrollment ID: I20140219002160 |
| Provider Name | Shabnam Moshref |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275844102 PECOS PAC ID: 4284864935 Enrollment ID: I20140226000492 |
| Provider Name | Bradley Rector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205262235 PECOS PAC ID: 7911137534 Enrollment ID: I20140227001139 |
| Provider Name | Jillian Elizabeth Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114357506 PECOS PAC ID: 2466682935 Enrollment ID: I20140228000812 |
| Provider Name | Michelle Rene Lashorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972945194 PECOS PAC ID: 5597995084 Enrollment ID: I20140301000047 |
| Provider Name | Katie Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467647628 PECOS PAC ID: 4082844410 Enrollment ID: I20140305001113 |
| Provider Name | Theresa A Bonar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427302595 PECOS PAC ID: 9830329879 Enrollment ID: I20140313000304 |
| Provider Name | Virginia L Nider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609124940 PECOS PAC ID: 3476705716 Enrollment ID: I20140318002036 |
| Provider Name | Kim M Huckaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861815912 PECOS PAC ID: 0648401299 Enrollment ID: I20140324001269 |
| Provider Name | Che Phillmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649694217 PECOS PAC ID: 3375774854 Enrollment ID: I20140326001100 |
| Provider Name | Rosemary Elaine Freedman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942593504 PECOS PAC ID: 3274764782 Enrollment ID: I20140326002078 |
| Provider Name | Sibongile Nwokedi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801219530 PECOS PAC ID: 0648401018 Enrollment ID: I20140327001784 |
| Provider Name | Kelly L Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326480948 PECOS PAC ID: 3971734146 Enrollment ID: I20140401001934 |
| Provider Name | Douglas L Mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467462671 PECOS PAC ID: 7911904933 Enrollment ID: I20140408000370 |
| Provider Name | Kendra Storer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780021758 PECOS PAC ID: 5092947986 Enrollment ID: I20140408000464 |
| Provider Name | Michelle D Hamric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740604479 PECOS PAC ID: 7517199417 Enrollment ID: I20140408000887 |
| Provider Name | Christi Lynn Crimmins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013353499 PECOS PAC ID: 9739316159 Enrollment ID: I20140408001564 |
| Provider Name | Michael N Kuria |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154765725 PECOS PAC ID: 3971744590 Enrollment ID: I20140414001601 |
| Provider Name | Laura J Tindall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639597974 PECOS PAC ID: 8921230384 Enrollment ID: I20140417000534 |
| Provider Name | Joann Hanchar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811313109 PECOS PAC ID: 8022240233 Enrollment ID: I20140422000631 |
| Provider Name | Anna Mechem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023438942 PECOS PAC ID: 1254564263 Enrollment ID: I20140428001703 |
| Provider Name | Christine Stesney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548686975 PECOS PAC ID: 6709019573 Enrollment ID: I20140501000368 |
| Provider Name | Anne Batson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083923866 PECOS PAC ID: 4789857418 Enrollment ID: I20140501001925 |
| Provider Name | Carrie L Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609128586 PECOS PAC ID: 6507099926 Enrollment ID: I20140512001469 |
| Provider Name | Jeffrey S Browne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912169996 PECOS PAC ID: 5991948093 Enrollment ID: I20140515000292 |
| Provider Name | Rebecca Pierson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063654010 PECOS PAC ID: 7517104185 Enrollment ID: I20140519001937 |
| Provider Name | Stacie N Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760809552 PECOS PAC ID: 3779706577 Enrollment ID: I20140523001279 |
| Provider Name | Nicole S Steber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740571157 PECOS PAC ID: 0143469825 Enrollment ID: I20140602002636 |
| Provider Name | Sandeep S Lakhan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437458916 PECOS PAC ID: 2365666708 Enrollment ID: I20140605000320 |
| Provider Name | Reddy Rupa Pallavala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053686808 PECOS PAC ID: 8325288871 Enrollment ID: I20140612000477 |
| Provider Name | Sakkapol Ongwijitwat |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356547095 PECOS PAC ID: 5294978920 Enrollment ID: I20140617000604 |
| Provider Name | Steven Guichelaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427476811 PECOS PAC ID: 0840414587 Enrollment ID: I20140619000222 |
| Provider Name | Gagan Tindoni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376854786 PECOS PAC ID: 9032333786 Enrollment ID: I20140619000684 |
| Provider Name | Rachel J Leland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508182114 PECOS PAC ID: 4385868942 Enrollment ID: I20140623000237 |
| Provider Name | Shamika Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912245382 PECOS PAC ID: 4183848781 Enrollment ID: I20140623001856 |
| Provider Name | Lauren A Hansen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598990996 PECOS PAC ID: 1759506082 Enrollment ID: I20140630001901 |
| Provider Name | Matthew B Peaden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932420874 PECOS PAC ID: 6002056660 Enrollment ID: I20140701000791 |
| Provider Name | Scott D Moschel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467450312 PECOS PAC ID: 7618948639 Enrollment ID: I20140701001247 |
| Provider Name | Linda F Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538257019 PECOS PAC ID: 9234354325 Enrollment ID: I20140703000895 |
| Provider Name | Richard Kyungho Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790927580 PECOS PAC ID: 7315162427 Enrollment ID: I20140703001362 |
| Provider Name | Kamal M. M. Abulebda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336395565 PECOS PAC ID: 4587889605 Enrollment ID: I20140703001832 |
| Provider Name | Jayender Reddy Chintaparthi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437486636 PECOS PAC ID: 4789823691 Enrollment ID: I20140707001052 |
| Provider Name | Carol L Wroblewski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437476652 PECOS PAC ID: 4284859042 Enrollment ID: I20140710002016 |
| Provider Name | Devin Marie Hartzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598179442 PECOS PAC ID: 8921223736 Enrollment ID: I20140711001404 |
| Provider Name | Cole B Beeler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952694473 PECOS PAC ID: 0648410712 Enrollment ID: I20140716001127 |
| Provider Name | Todd Bertrand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386804987 PECOS PAC ID: 1456577097 Enrollment ID: I20140717000510 |
| Provider Name | Daniel J Ordaz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1437474988 PECOS PAC ID: 6103059100 Enrollment ID: I20140717000609 |
| Provider Name | Daniel Livingston |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902105687 PECOS PAC ID: 6406089291 Enrollment ID: I20140723000225 |
| Provider Name | Lindsey M Addington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083029474 PECOS PAC ID: 6103042270 Enrollment ID: I20140725000593 |
| Provider Name | Allison Renee Sturtevant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801020219 PECOS PAC ID: 6800046681 Enrollment ID: I20140728001603 |
| Provider Name | Abdul Naseer Syed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962782805 PECOS PAC ID: 0648496612 Enrollment ID: I20140728001901 |
| Provider Name | Robert Joseph Fortman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568460574 PECOS PAC ID: 2163475468 Enrollment ID: I20140730001300 |
| Provider Name | Grant A Carson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407175763 PECOS PAC ID: 1153567789 Enrollment ID: I20140731001356 |
| Provider Name | Kristin B Rapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144635475 PECOS PAC ID: 4082831771 Enrollment ID: I20140804000094 |
| Provider Name | Deborah J Demaree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396032132 PECOS PAC ID: 1850538497 Enrollment ID: I20140805001609 |
| Provider Name | Amy Lynn Solari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568876100 PECOS PAC ID: 5890912406 Enrollment ID: I20140805002107 |
| Provider Name | Courtney L Buratto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699182352 PECOS PAC ID: 1759508245 Enrollment ID: I20140806002009 |
| Provider Name | Luis O Nunez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497054852 PECOS PAC ID: 6103059902 Enrollment ID: I20140807001721 |
| Provider Name | Hari R Kumar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1669651790 PECOS PAC ID: 3476770892 Enrollment ID: I20140808000598 |
| Provider Name | Anthony Christopher Arata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225328503 PECOS PAC ID: 5496991986 Enrollment ID: I20140811000697 |
| Provider Name | Holly Wheeler |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285921031 PECOS PAC ID: 7113166364 Enrollment ID: I20140811001085 |
| Provider Name | Jasjit Kaur Mudhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053600015 PECOS PAC ID: 7719104033 Enrollment ID: I20140811001744 |
| Provider Name | Marjorie Combellick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831504364 PECOS PAC ID: 9537386560 Enrollment ID: I20140814000907 |
| Provider Name | Karrie A Christiansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447660774 PECOS PAC ID: 9537386495 Enrollment ID: I20140818000119 |
| Provider Name | Peter Y Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518226828 PECOS PAC ID: 6901046119 Enrollment ID: I20140818001899 |
| Provider Name | Kim Staci Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609195783 PECOS PAC ID: 1456579275 Enrollment ID: I20140820000472 |
| Provider Name | Lindy B Sergeant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275820920 PECOS PAC ID: 1456595149 Enrollment ID: I20140821001257 |
| Provider Name | Ashleigh Lorayne Kaylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528476736 PECOS PAC ID: 4385862838 Enrollment ID: I20140826001420 |
| Provider Name | Kimberly D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861891616 PECOS PAC ID: 6608094057 Enrollment ID: I20140826001685 |
| Provider Name | Nicole Elizabeth Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356599112 PECOS PAC ID: 6608094909 Enrollment ID: I20140828001313 |
| Provider Name | Jose A Moreno |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255594198 PECOS PAC ID: 5698993905 Enrollment ID: I20140828001384 |
| Provider Name | Sherrine A Ibrahim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124164025 PECOS PAC ID: 7911184619 Enrollment ID: I20140904002067 |
| Provider Name | Meredith Potrzebowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659662419 PECOS PAC ID: 7113163981 Enrollment ID: I20140905000165 |
| Provider Name | Andrew P Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740508845 PECOS PAC ID: 1254573397 Enrollment ID: I20140905000788 |
| Provider Name | Angela Garvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477969889 PECOS PAC ID: 2466671128 Enrollment ID: I20140912000499 |
| Provider Name | Kristi A Moschel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356349393 PECOS PAC ID: 4587689948 Enrollment ID: I20140918001676 |
| Provider Name | Michelle L Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215338330 PECOS PAC ID: 3072733013 Enrollment ID: I20140925001629 |
| Provider Name | Aaron G Scholer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861471070 PECOS PAC ID: 2062444227 Enrollment ID: I20141001002218 |
| Provider Name | Theresa R Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063815439 PECOS PAC ID: 9335369842 Enrollment ID: I20141006001131 |
| Provider Name | Megan D Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841691557 PECOS PAC ID: 9739309105 Enrollment ID: I20141007000828 |
| Provider Name | Gwendolyn L Sunkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992106769 PECOS PAC ID: 8426278664 Enrollment ID: I20141009002322 |
| Provider Name | Rey Percival Vivo |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1932399508 PECOS PAC ID: 4486747854 Enrollment ID: I20141015000018 |
| Provider Name | Nissa Watkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497163604 PECOS PAC ID: 1850512732 Enrollment ID: I20141017000389 |
| Provider Name | Kristen S Simpkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992095491 PECOS PAC ID: 6901027416 Enrollment ID: I20141027002240 |
| Provider Name | Kathleen L Lampert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003217274 PECOS PAC ID: 3072734359 Enrollment ID: I20141030001396 |
| Provider Name | Rachael A Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891197331 PECOS PAC ID: 7315169505 Enrollment ID: I20141103001201 |
| Provider Name | Lindsay Ellen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669875605 PECOS PAC ID: 2163644139 Enrollment ID: I20141106000296 |
| Provider Name | Melissa J Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891190484 PECOS PAC ID: 5597987388 Enrollment ID: I20141111001711 |
| Provider Name | Nicci Coleen Fravel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346644051 PECOS PAC ID: 6901028729 Enrollment ID: I20141112000315 |
| Provider Name | Randi M Antworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144450180 PECOS PAC ID: 1759427685 Enrollment ID: I20141121001257 |
| Provider Name | Nicole Sheets |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962517623 PECOS PAC ID: 3476796384 Enrollment ID: I20141124000297 |
| Provider Name | Kathrine A Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447559786 PECOS PAC ID: 6305022856 Enrollment ID: I20141202001362 |
| Provider Name | Sherman Ibarra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487607875 PECOS PAC ID: 6507859634 Enrollment ID: I20141211000847 |
| Provider Name | Risa Davidson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619102050 PECOS PAC ID: 7113240946 Enrollment ID: I20141230001947 |
| Provider Name | Nitesh Gadeela |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962525790 PECOS PAC ID: 7810144334 Enrollment ID: I20150105000166 |
| Provider Name | Gregory Bell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083689939 PECOS PAC ID: 0446236269 Enrollment ID: I20150105000367 |
| Provider Name | Donna Cutshall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598103681 PECOS PAC ID: 0749504934 Enrollment ID: I20150116000759 |
| Provider Name | Gail Lee Gilmore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013999515 PECOS PAC ID: 4486978467 Enrollment ID: I20150122000482 |
| Provider Name | Jeanine Henigin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518207711 PECOS PAC ID: 8628217916 Enrollment ID: I20150128001812 |
| Provider Name | Elizabeth Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396143012 PECOS PAC ID: 1355665928 Enrollment ID: I20150130002063 |
| Provider Name | Lynn Christine Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831593045 PECOS PAC ID: 2961725254 Enrollment ID: I20150205001161 |
| Provider Name | Michelo Andrew Chikonka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083011662 PECOS PAC ID: 6002132230 Enrollment ID: I20150306001149 |
| Provider Name | Denise Lee Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508948985 PECOS PAC ID: 9032435987 Enrollment ID: I20150311002547 |
| Provider Name | Michela U Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861884249 PECOS PAC ID: 3870819683 Enrollment ID: I20150312002364 |
| Provider Name | Julie A Gunckle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124419320 PECOS PAC ID: 9133446610 Enrollment ID: I20150320001445 |
| Provider Name | Jessica C Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487080644 PECOS PAC ID: 2860627775 Enrollment ID: I20150406000050 |
| Provider Name | Michael P Gelatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477999233 PECOS PAC ID: 9133360159 Enrollment ID: I20150417000459 |
| Provider Name | Megan Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205227097 PECOS PAC ID: 5597084509 Enrollment ID: I20150424000726 |
| Provider Name | David C. Hoffman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245332881 PECOS PAC ID: 7416276142 Enrollment ID: I20150501000117 |
| Provider Name | Kathryn C Borowy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932598315 PECOS PAC ID: 5294054854 Enrollment ID: I20150501001727 |
| Provider Name | Ryan Allen Hulzebos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497864615 PECOS PAC ID: 5193749596 Enrollment ID: I20150501002098 |
| Provider Name | Patrick S Milligan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750601936 PECOS PAC ID: 1557501509 Enrollment ID: I20150514000239 |
| Provider Name | Rashmin Adesara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699975185 PECOS PAC ID: 2365568862 Enrollment ID: I20150514002892 |
| Provider Name | Corey N Groh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386909349 PECOS PAC ID: 9537304746 Enrollment ID: I20150522000408 |
| Provider Name | Kristi N James |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790163947 PECOS PAC ID: 3779803200 Enrollment ID: I20150522001001 |
| Provider Name | Meng M Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861882763 PECOS PAC ID: 9133449556 Enrollment ID: I20150526001884 |
| Provider Name | Bobbie J Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487047965 PECOS PAC ID: 6800116203 Enrollment ID: I20150527001235 |
| Provider Name | Stephanie L Wicker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346627163 PECOS PAC ID: 0941521546 Enrollment ID: I20150608002666 |
| Provider Name | Gretchen N Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912385485 PECOS PAC ID: 7214248566 Enrollment ID: I20150612001818 |
| Provider Name | Natraj Reddy Ammakkanavar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376850461 PECOS PAC ID: 3870739667 Enrollment ID: I20150615002194 |
| Provider Name | Ashish Aggarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679705008 PECOS PAC ID: 1153569918 Enrollment ID: I20150629001861 |
| Provider Name | Brandon Hayes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679709133 PECOS PAC ID: 8426288226 Enrollment ID: I20150629001872 |
| Provider Name | Adrianne L Echelbarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588058614 PECOS PAC ID: 2769794940 Enrollment ID: I20150630002331 |
| Provider Name | Prakash Shankar Bhoopalam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942208905 PECOS PAC ID: 9739491838 Enrollment ID: I20150702000146 |
| Provider Name | Jason Daniel Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407111339 PECOS PAC ID: 4789996794 Enrollment ID: I20150706001246 |
| Provider Name | Anne Caroline Kitchens |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891920914 PECOS PAC ID: 1759520315 Enrollment ID: I20150708001926 |
| Provider Name | Charity E Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073992293 PECOS PAC ID: 0042522757 Enrollment ID: I20150709001511 |
| Provider Name | Robin Girdhar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821301300 PECOS PAC ID: 5890007306 Enrollment ID: I20150710001850 |
| Provider Name | Laxeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790096782 PECOS PAC ID: 6800109950 Enrollment ID: I20150717001155 |
| Provider Name | Jad Harb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467685677 PECOS PAC ID: 6608189733 Enrollment ID: I20150720000715 |
| Provider Name | Tyler D Blakley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346506540 PECOS PAC ID: 0244543262 Enrollment ID: I20150721000253 |
| Provider Name | Hannah Copeland |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114122488 PECOS PAC ID: 0749593416 Enrollment ID: I20150723009187 |
| Provider Name | Matthew Landman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548317431 PECOS PAC ID: 1254573389 Enrollment ID: I20150727000082 |
| Provider Name | Matthew Auman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396008124 PECOS PAC ID: 6103065321 Enrollment ID: I20150728004751 |
| Provider Name | Gregory Polly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073828547 PECOS PAC ID: 3577702232 Enrollment ID: I20150729007174 |
| Provider Name | Christine N Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851666036 PECOS PAC ID: 1658515606 Enrollment ID: I20150730011084 |
| Provider Name | Katherine Mchugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366725319 PECOS PAC ID: 8224277264 Enrollment ID: I20150730011665 |
| Provider Name | Diane Campbell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1780061325 PECOS PAC ID: 9335453471 Enrollment ID: I20150803000485 |
| Provider Name | Kristina K Elsbury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962780890 PECOS PAC ID: 1850605908 Enrollment ID: I20150803000890 |
| Provider Name | Lisa M Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508256504 PECOS PAC ID: 7719291814 Enrollment ID: I20150803002507 |
| Provider Name | Erin Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932462777 PECOS PAC ID: 6800035981 Enrollment ID: I20150804003863 |
| Provider Name | Benjamin Paolo M Abratigue |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760745582 PECOS PAC ID: 9931348026 Enrollment ID: I20150804005989 |
| Provider Name | Seth A Moore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255593513 PECOS PAC ID: 9638319734 Enrollment ID: I20150805006459 |
| Provider Name | Diane Lynn Brackin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730579525 PECOS PAC ID: 7315251121 Enrollment ID: I20150806010353 |
| Provider Name | Sarah Binder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316323249 PECOS PAC ID: 7911211636 Enrollment ID: I20150807014520 |
| Provider Name | Gladys N Tharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134512320 PECOS PAC ID: 2769797455 Enrollment ID: I20150810001573 |
| Provider Name | Heather Drouin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154705887 PECOS PAC ID: 2466767165 Enrollment ID: I20150810002042 |
| Provider Name | Jessica J Poliskie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285900092 PECOS PAC ID: 0749413722 Enrollment ID: I20150813010025 |
| Provider Name | Kia Renee Jones |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447570320 PECOS PAC ID: 1052558442 Enrollment ID: I20150813010040 |
| Provider Name | Nathan B Kurtz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841565900 PECOS PAC ID: 8820238108 Enrollment ID: I20150814013922 |
| Provider Name | Jennifer Downing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073996047 PECOS PAC ID: 4385959451 Enrollment ID: I20150818005990 |
| Provider Name | Kristine F Van Winkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285924712 PECOS PAC ID: 1759521834 Enrollment ID: I20150826001252 |
| Provider Name | Amy Sue Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497915466 PECOS PAC ID: 7517273881 Enrollment ID: I20150901001638 |
| Provider Name | Daniel T Saha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184987836 PECOS PAC ID: 5597071878 Enrollment ID: I20150901002134 |
| Provider Name | Linda G Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578947131 PECOS PAC ID: 6608182902 Enrollment ID: I20150901002756 |
| Provider Name | Hannah Cher J Samonte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902192198 PECOS PAC ID: 7416194386 Enrollment ID: I20150911000758 |
| Provider Name | Diana L Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295103455 PECOS PAC ID: 7810204492 Enrollment ID: I20150915000264 |
| Provider Name | Laura Elizabeth Stage |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063778777 PECOS PAC ID: 5395981898 Enrollment ID: I20150918000726 |
| Provider Name | Anna Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437525045 PECOS PAC ID: 6406163674 Enrollment ID: I20150921001990 |
| Provider Name | Lauren M Armington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245611326 PECOS PAC ID: 9234446311 Enrollment ID: I20150922002569 |
| Provider Name | Ronald Harper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952427221 PECOS PAC ID: 3870800873 Enrollment ID: I20150923000422 |
| Provider Name | Dustin L. Holland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205199338 PECOS PAC ID: 7113164716 Enrollment ID: I20150925000481 |
| Provider Name | Kimberly K Baer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952778136 PECOS PAC ID: 7719294115 Enrollment ID: I20151001000565 |
| Provider Name | Darrin Mangiacarne |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1417148024 PECOS PAC ID: 7911190137 Enrollment ID: I20151007000897 |
| Provider Name | Anthony L Shanks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871619825 PECOS PAC ID: 5294827499 Enrollment ID: I20151008000163 |
| Provider Name | Elizabeth A Mcquinn |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053780718 PECOS PAC ID: 7517276678 Enrollment ID: I20151013000527 |
| Provider Name | Sharon R Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699167155 PECOS PAC ID: 8921317678 Enrollment ID: I20151020000222 |
| Provider Name | Kerri A Pritchard-jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720481666 PECOS PAC ID: 9032331137 Enrollment ID: I20151020000460 |
| Provider Name | Carrie Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306254214 PECOS PAC ID: 0941519425 Enrollment ID: I20151023000585 |
| Provider Name | Kevin Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487917514 PECOS PAC ID: 8729225412 Enrollment ID: I20151102000075 |
| Provider Name | Julie A Fecht |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548251309 PECOS PAC ID: 6507176690 Enrollment ID: I20151102000734 |
| Provider Name | Christina D Boccone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538367552 PECOS PAC ID: 3375853468 Enrollment ID: I20151102000924 |
| Provider Name | Robert T Rudicel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629069067 PECOS PAC ID: 2365752466 Enrollment ID: I20151102000996 |
| Provider Name | William H Kellermeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043692460 PECOS PAC ID: 1254641285 Enrollment ID: I20151104000102 |
| Provider Name | Russel Basil Coutinho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356421440 PECOS PAC ID: 9436469483 Enrollment ID: I20151104000972 |
| Provider Name | Kristen W. Gollnick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821089681 PECOS PAC ID: 8224348289 Enrollment ID: I20151104001160 |
| Provider Name | Kayla E. Newby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639548936 PECOS PAC ID: 0941510465 Enrollment ID: I20151112000404 |
| Provider Name | Kelly Lynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962879155 PECOS PAC ID: 0244530541 Enrollment ID: I20151118000473 |
| Provider Name | Alison Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639546674 PECOS PAC ID: 6800196817 Enrollment ID: I20151124000662 |
| Provider Name | Elizabeth A Motter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487028353 PECOS PAC ID: 6305146291 Enrollment ID: I20151125001135 |
| Provider Name | Neshahthari Wijeyakuhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962717348 PECOS PAC ID: 3577707744 Enrollment ID: I20151202000829 |
| Provider Name | Nancy J Rattin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972836500 PECOS PAC ID: 5092016162 Enrollment ID: I20151214002028 |
| Provider Name | Latonya L Sultzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659744126 PECOS PAC ID: 4880995950 Enrollment ID: I20151214002205 |
| Provider Name | Sam Shaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093065377 PECOS PAC ID: 2062651482 Enrollment ID: I20151221000272 |
| Provider Name | Ariel Leigh Stilwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043420581 PECOS PAC ID: 9739480260 Enrollment ID: I20151229000137 |
| Provider Name | Andrea Elaine Opsal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851784094 PECOS PAC ID: 0648572883 Enrollment ID: I20160106000082 |
| Provider Name | Melissa Dean-appasu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174910152 PECOS PAC ID: 3476855594 Enrollment ID: I20160106002743 |
| Provider Name | Carrie Anne Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376975854 PECOS PAC ID: 1850693433 Enrollment ID: I20160113003131 |
| Provider Name | Lesia D. Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548512502 PECOS PAC ID: 9436452059 Enrollment ID: I20160114001544 |
| Provider Name | Aimee L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699038430 PECOS PAC ID: 1658528849 Enrollment ID: I20160115000983 |
| Provider Name | Kristina L Dunlap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407220866 PECOS PAC ID: 6002119021 Enrollment ID: I20160126001705 |
| Provider Name | Kelly Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962870444 PECOS PAC ID: 4789987611 Enrollment ID: I20160126002240 |
| Provider Name | Juanita Clowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609264456 PECOS PAC ID: 3577866409 Enrollment ID: I20160126002333 |
| Provider Name | Meaghan Christine Stutesman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316312275 PECOS PAC ID: 2769786839 Enrollment ID: I20160210001274 |
| Provider Name | Anil Purohit |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1255541835 PECOS PAC ID: 8022242684 Enrollment ID: I20160212001098 |
| Provider Name | John C Coppinger |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1992083802 PECOS PAC ID: 3870897663 Enrollment ID: I20160216000429 |
| Provider Name | Laura E Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992174825 PECOS PAC ID: 4082919675 Enrollment ID: I20160218002072 |
| Provider Name | Jennifer D Styer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104281344 PECOS PAC ID: 6608172374 Enrollment ID: I20160307000092 |
| Provider Name | Heather C Lents |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174997399 PECOS PAC ID: 6002112471 Enrollment ID: I20160310001255 |
| Provider Name | Courtney A Holland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598819278 PECOS PAC ID: 8224185434 Enrollment ID: I20160317002267 |
| Provider Name | Andrea Christine Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629258173 PECOS PAC ID: 8224335385 Enrollment ID: I20160405000695 |
| Provider Name | Carrie Wors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265810741 PECOS PAC ID: 2466750468 Enrollment ID: I20160407000350 |
| Provider Name | Kristin M Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831579648 PECOS PAC ID: 6204134729 Enrollment ID: I20160418001370 |
| Provider Name | Ahmed S. Taleb Abdellah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427498518 PECOS PAC ID: 4082913835 Enrollment ID: I20160428000763 |
| Provider Name | Ed Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932560240 PECOS PAC ID: 3274832910 Enrollment ID: I20160429001727 |
| Provider Name | Danielle Watkins |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1124315924 PECOS PAC ID: 4688893449 Enrollment ID: I20160506000813 |
| Provider Name | Robert C Burns |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811066608 PECOS PAC ID: 3375590680 Enrollment ID: I20160509000855 |
| Provider Name | Haris Adnan Siraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982045902 PECOS PAC ID: 4183913361 Enrollment ID: I20160511000593 |
| Provider Name | Brittany R Withrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215394507 PECOS PAC ID: 0042509168 Enrollment ID: I20160512002162 |
| Provider Name | Jennifer B Grigsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467815571 PECOS PAC ID: 3779872767 Enrollment ID: I20160513001829 |
| Provider Name | Melissa Marie Michels |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083856496 PECOS PAC ID: 9234428285 Enrollment ID: I20160516001054 |
| Provider Name | Marisa J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649633702 PECOS PAC ID: 2961791538 Enrollment ID: I20160520001425 |
| Provider Name | Michael Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144677253 PECOS PAC ID: 7214227529 Enrollment ID: I20160527000696 |
| Provider Name | Christopher R Jackson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821358730 PECOS PAC ID: 1850608092 Enrollment ID: I20160531001485 |
| Provider Name | Myungwon C Chang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417248477 PECOS PAC ID: 4587817440 Enrollment ID: I20160531001656 |
| Provider Name | Kathleen Diane Polonka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508205857 PECOS PAC ID: 4385934033 Enrollment ID: I20160608001081 |
| Provider Name | Emily Deneve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700984002 PECOS PAC ID: 6608166111 Enrollment ID: I20160610001466 |
| Provider Name | Christopher M Dipiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285968149 PECOS PAC ID: 1355525296 Enrollment ID: I20160621000207 |
| Provider Name | Steven Chen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033545579 PECOS PAC ID: 6608167507 Enrollment ID: I20160623002558 |
| Provider Name | Rhiannon Rae Amodeo-bankert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841558251 PECOS PAC ID: 2163660333 Enrollment ID: I20160628000326 |
| Provider Name | Amanda J Stevens-udeze |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225324841 PECOS PAC ID: 4183865926 Enrollment ID: I20160628000539 |
| Provider Name | Jessica Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538429170 PECOS PAC ID: 5193964864 Enrollment ID: I20160628001493 |
| Provider Name | Emmary Butler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275809311 PECOS PAC ID: 2567605132 Enrollment ID: I20160629001790 |
| Provider Name | Sarah E Schilling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407119415 PECOS PAC ID: 9537310982 Enrollment ID: I20160701000367 |
| Provider Name | Brandon J Yohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629417126 PECOS PAC ID: 3779723812 Enrollment ID: I20160707001068 |
| Provider Name | Kaveh Kevin Tayebi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528384849 PECOS PAC ID: 4082842828 Enrollment ID: I20160707001197 |
| Provider Name | Michelle E Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346614492 PECOS PAC ID: 4981996949 Enrollment ID: I20160712001421 |
| Provider Name | Brian Wallace Gray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770791378 PECOS PAC ID: 1557653375 Enrollment ID: I20160714000722 |
| Provider Name | Ashly N Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801254081 PECOS PAC ID: 6103118963 Enrollment ID: I20160714001731 |
| Provider Name | Dina Malak Mourice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619336096 PECOS PAC ID: 3678865458 Enrollment ID: I20160714002396 |
| Provider Name | Stephanie Fehrman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215382171 PECOS PAC ID: 3870885536 Enrollment ID: I20160718000454 |
| Provider Name | George Hoyek |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255521092 PECOS PAC ID: 9638348543 Enrollment ID: I20160718000565 |
| Provider Name | Mica N Metz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023457231 PECOS PAC ID: 9931342813 Enrollment ID: I20160721001658 |
| Provider Name | Whitney Anne Blakley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598108813 PECOS PAC ID: 4486956224 Enrollment ID: I20160721001802 |
| Provider Name | David E Clements |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396189775 PECOS PAC ID: 1850690256 Enrollment ID: I20160722000350 |
| Provider Name | Christopher Alan Healy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1033352877 PECOS PAC ID: 9234422494 Enrollment ID: I20160726000569 |
| Provider Name | Rajat Narang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225268972 PECOS PAC ID: 0648495945 Enrollment ID: I20160726002060 |
| Provider Name | Tameka L. Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396181152 PECOS PAC ID: 1052552072 Enrollment ID: I20160726002482 |
| Provider Name | Ryan J. Sanderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295171056 PECOS PAC ID: 9032350053 Enrollment ID: I20160726003260 |
| Provider Name | Jeremy E Hampton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588004923 PECOS PAC ID: 7315252962 Enrollment ID: I20160727000424 |
| Provider Name | Reetu Bachhawat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043325186 PECOS PAC ID: 3476559808 Enrollment ID: I20160727002201 |
| Provider Name | Noah S Kersey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083974448 PECOS PAC ID: 6800034760 Enrollment ID: I20160729001536 |
| Provider Name | Julie Hoogerhyde Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447696653 PECOS PAC ID: 9032400924 Enrollment ID: I20160801001165 |
| Provider Name | Yousef Mohammadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750727517 PECOS PAC ID: 3870734965 Enrollment ID: I20160803000072 |
| Provider Name | Todd R. Fogelsong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063858934 PECOS PAC ID: 6103067111 Enrollment ID: I20160805001405 |
| Provider Name | Anthony F Fama |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639279854 PECOS PAC ID: 2062419872 Enrollment ID: I20160808001348 |
| Provider Name | John L. Davisson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194085902 PECOS PAC ID: 0244549202 Enrollment ID: I20160816001211 |
| Provider Name | Molly Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063966430 PECOS PAC ID: 3476848250 Enrollment ID: I20160817002874 |
| Provider Name | Megan L Ralston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154771699 PECOS PAC ID: 7214222017 Enrollment ID: I20160818000097 |
| Provider Name | Lindsay Wasik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811441280 PECOS PAC ID: 3173818689 Enrollment ID: I20160823002249 |
| Provider Name | Usman Ahmad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245494392 PECOS PAC ID: 8921289570 Enrollment ID: I20160824001493 |
| Provider Name | Samantha L Amore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083167613 PECOS PAC ID: 0345535563 Enrollment ID: I20160825002782 |
| Provider Name | Ashley Marie Mahin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164881595 PECOS PAC ID: 7416242508 Enrollment ID: I20160829001824 |
| Provider Name | Kimberly Hardin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104279181 PECOS PAC ID: 9638464662 Enrollment ID: I20160830000086 |
| Provider Name | Sarah Elizabeth Rayner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477928349 PECOS PAC ID: 8820399520 Enrollment ID: I20160902000285 |
| Provider Name | Kim Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457804023 PECOS PAC ID: 2860788460 Enrollment ID: I20160908000592 |
| Provider Name | Miguel R Escobar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376644856 PECOS PAC ID: 8022085968 Enrollment ID: I20160908000763 |
| Provider Name | Judith Correll |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366706657 PECOS PAC ID: 1153617535 Enrollment ID: I20160912000716 |
| Provider Name | Megan E Shetty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639623614 PECOS PAC ID: 0244526408 Enrollment ID: I20160914001825 |
| Provider Name | Jonathan Larsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992748339 PECOS PAC ID: 3375521065 Enrollment ID: I20160914002336 |
| Provider Name | William Jeffrey Lowery |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1063622959 PECOS PAC ID: 3779701628 Enrollment ID: I20160915000942 |
| Provider Name | Tara K Land |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922444785 PECOS PAC ID: 9830330844 Enrollment ID: I20160915001026 |
| Provider Name | Sarah M Amrine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528512423 PECOS PAC ID: 4284921180 Enrollment ID: I20160920002769 |
| Provider Name | Allison M Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679027171 PECOS PAC ID: 9335436997 Enrollment ID: I20160926000315 |
| Provider Name | Melissa Gill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316492606 PECOS PAC ID: 8820385495 Enrollment ID: I20160926000533 |
| Provider Name | Jennifer Phan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861621880 PECOS PAC ID: 3678702461 Enrollment ID: I20160929000714 |
| Provider Name | Danielle Maue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235495698 PECOS PAC ID: 0840437851 Enrollment ID: I20160930000965 |
| Provider Name | Jennifer Dawn Cothron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376999516 PECOS PAC ID: 2062700206 Enrollment ID: I20161004001585 |
| Provider Name | Sarah E Poehlein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659732212 PECOS PAC ID: 8527356781 Enrollment ID: I20161004002330 |
| Provider Name | Karen Natoli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649591538 PECOS PAC ID: 4587970207 Enrollment ID: I20161012000508 |
| Provider Name | Brittany M Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124577960 PECOS PAC ID: 7618265398 Enrollment ID: I20161012001860 |
| Provider Name | Alexandra M Sanserino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184170573 PECOS PAC ID: 8022306752 Enrollment ID: I20161013000706 |
| Provider Name | Lee Doyle Murphy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134482193 PECOS PAC ID: 2466751631 Enrollment ID: I20161027001442 |
| Provider Name | Jenna Pulfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134671340 PECOS PAC ID: 3375822554 Enrollment ID: I20161110001166 |
| Provider Name | Lisa Anne Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922550912 PECOS PAC ID: 4082993167 Enrollment ID: I20161111001893 |
| Provider Name | Lacey Elizabeth Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548713290 PECOS PAC ID: 4284913260 Enrollment ID: I20161115000892 |
| Provider Name | Ashley Peglow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134677800 PECOS PAC ID: 1153600804 Enrollment ID: I20161121000559 |
| Provider Name | Priscilla Rasaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760841548 PECOS PAC ID: 7810296563 Enrollment ID: I20161128001136 |
| Provider Name | Erin Rebecca Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962944454 PECOS PAC ID: 2769762186 Enrollment ID: I20161201000100 |
| Provider Name | Holly R Barna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356793301 PECOS PAC ID: 3971883208 Enrollment ID: I20161202001856 |
| Provider Name | Stephanie D Rutallie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710185756 PECOS PAC ID: 0446530695 Enrollment ID: I20161206001749 |
| Provider Name | Melissa R Mcduffee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831631167 PECOS PAC ID: 4183904295 Enrollment ID: I20161207001410 |
| Provider Name | Sarah M Jayroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083169932 PECOS PAC ID: 6507146503 Enrollment ID: I20161209000071 |
| Provider Name | Anthony J Damore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407146004 PECOS PAC ID: 7911287651 Enrollment ID: I20161214002578 |
| Provider Name | Mary Kay Schuetter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487104881 PECOS PAC ID: 0840570586 Enrollment ID: I20161215000095 |
| Provider Name | Bradley Allen Gentry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346790557 PECOS PAC ID: 0244510923 Enrollment ID: I20161215001514 |
| Provider Name | Cristina Dianne Lubrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669582300 PECOS PAC ID: 9830278712 Enrollment ID: I20161221000093 |
| Provider Name | Michelle Lynne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427507904 PECOS PAC ID: 7810278280 Enrollment ID: I20161222000750 |
| Provider Name | Masita Poray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386197770 PECOS PAC ID: 9931480225 Enrollment ID: I20161228001245 |
| Provider Name | Nicole A Mungal-stille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194179192 PECOS PAC ID: 3870874076 Enrollment ID: I20161230000992 |
| Provider Name | Tobechukwu C Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700102563 PECOS PAC ID: 8426330945 Enrollment ID: I20170118001457 |
| Provider Name | Timothy William Cantwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831504018 PECOS PAC ID: 8022233923 Enrollment ID: I20170127001997 |
| Provider Name | Jennifer L Burch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770944282 PECOS PAC ID: 7416230180 Enrollment ID: I20170203002245 |
| Provider Name | Barbara A Winningham |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386779478 PECOS PAC ID: 3072896281 Enrollment ID: I20170214002223 |
| Provider Name | Esta Works |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851616858 PECOS PAC ID: 4789975129 Enrollment ID: I20170217000923 |
| Provider Name | Megan A Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487191227 PECOS PAC ID: 4880978782 Enrollment ID: I20170221000450 |
| Provider Name | June Joann Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518412832 PECOS PAC ID: 8527340272 Enrollment ID: I20170306001783 |
| Provider Name | Amy B Woebkenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053866921 PECOS PAC ID: 2163706367 Enrollment ID: I20170308000722 |
| Provider Name | Angela R Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487191276 PECOS PAC ID: 7315221520 Enrollment ID: I20170308000862 |
| Provider Name | Christy Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649710278 PECOS PAC ID: 2860777836 Enrollment ID: I20170315000322 |
| Provider Name | Shelly A Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497297824 PECOS PAC ID: 6608151428 Enrollment ID: I20170317001437 |
| Provider Name | Jessica R Sarlls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700325982 PECOS PAC ID: 0941585673 Enrollment ID: I20170321001038 |
| Provider Name | Judith K Wolf |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790878726 PECOS PAC ID: 4284829532 Enrollment ID: I20170321001482 |
| Provider Name | Hongwei Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215340898 PECOS PAC ID: 3375768534 Enrollment ID: I20170327002638 |
| Provider Name | Manisha L Darden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316485048 PECOS PAC ID: 7012293046 Enrollment ID: I20170405002498 |
| Provider Name | Jessica Lynn Barfield |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881856037 PECOS PAC ID: 2860681244 Enrollment ID: I20170410001964 |
| Provider Name | Jody Perez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063493021 PECOS PAC ID: 1759667959 Enrollment ID: I20170424000224 |
| Provider Name | Kelly K Nicely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043751167 PECOS PAC ID: 3779869904 Enrollment ID: I20170424001418 |
| Provider Name | Ashley Parmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538601174 PECOS PAC ID: 4284911488 Enrollment ID: I20170425002264 |
| Provider Name | Luke Alexander Raymond-guillen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164787362 PECOS PAC ID: 7618110842 Enrollment ID: I20170510001700 |
| Provider Name | Benjamin J Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932442654 PECOS PAC ID: 4688806425 Enrollment ID: I20170511002185 |
| Provider Name | Emily M Zarse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558621060 PECOS PAC ID: 5890931737 Enrollment ID: I20170515000306 |
| Provider Name | Scott T Goodrich |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1083748966 PECOS PAC ID: 6002082302 Enrollment ID: I20170516000848 |
| Provider Name | Ruchin G Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184914293 PECOS PAC ID: 3779802590 Enrollment ID: I20170524002100 |
| Provider Name | David M Foulk |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1184883571 PECOS PAC ID: 1850444258 Enrollment ID: I20170525000347 |
| Provider Name | Maryellen Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124377155 PECOS PAC ID: 9537449806 Enrollment ID: I20170605000509 |
| Provider Name | Shaunna Norris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083141378 PECOS PAC ID: 6507133048 Enrollment ID: I20170605000593 |
| Provider Name | Tiffany Truong Koch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972923225 PECOS PAC ID: 6901118017 Enrollment ID: I20170605001477 |
| Provider Name | Ryan Salata |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184160665 PECOS PAC ID: 0042587545 Enrollment ID: I20170605002923 |
| Provider Name | Ericka Etherington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083143986 PECOS PAC ID: 1658649843 Enrollment ID: I20170612001829 |
| Provider Name | Appolinia Elyse Frey Stephenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467865808 PECOS PAC ID: 2163646670 Enrollment ID: I20170620001822 |
| Provider Name | Samantha Mccurties |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396157327 PECOS PAC ID: 9830468362 Enrollment ID: I20170627000768 |
| Provider Name | Joel R Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932565561 PECOS PAC ID: 1759650229 Enrollment ID: I20170627002612 |
| Provider Name | Ashley Lynne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073040655 PECOS PAC ID: 1456620939 Enrollment ID: I20170627003213 |
| Provider Name | Christopher G Markham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053699306 PECOS PAC ID: 3476822826 Enrollment ID: I20170628003153 |
| Provider Name | Alyson Kristine Baker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417290149 PECOS PAC ID: 3476864422 Enrollment ID: I20170705000100 |
| Provider Name | Brooke Sharvelle Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699202879 PECOS PAC ID: 8123397270 Enrollment ID: I20170705000467 |
| Provider Name | Kaitlyn D. Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265972699 PECOS PAC ID: 1557630605 Enrollment ID: I20170705000562 |
| Provider Name | Donna Marie Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821429481 PECOS PAC ID: 3375761976 Enrollment ID: I20170705000861 |
| Provider Name | Emily M Grubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083149090 PECOS PAC ID: 6406125566 Enrollment ID: I20170705000969 |
| Provider Name | Sanchitta Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609301902 PECOS PAC ID: 4587933643 Enrollment ID: I20170705001003 |
| Provider Name | Janelle Kieck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417482019 PECOS PAC ID: 7012286172 Enrollment ID: I20170705001100 |
| Provider Name | Janet R Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063942217 PECOS PAC ID: 3274802228 Enrollment ID: I20170706001525 |
| Provider Name | Abby E White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740638774 PECOS PAC ID: 4082983044 Enrollment ID: I20170706002071 |
| Provider Name | John Austin Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801200886 PECOS PAC ID: 3476779786 Enrollment ID: I20170706002923 |
| Provider Name | Jordan Bushnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427595032 PECOS PAC ID: 0840569620 Enrollment ID: I20170711001037 |
| Provider Name | Kimberly Marie Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649719154 PECOS PAC ID: 5890064505 Enrollment ID: I20170711002631 |
| Provider Name | Jacqueline M Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689111478 PECOS PAC ID: 5092084749 Enrollment ID: I20170712000499 |
| Provider Name | Zachary J Berrens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215227376 PECOS PAC ID: 0648540203 Enrollment ID: I20170714001751 |
| Provider Name | Anneliese Leinenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467982249 PECOS PAC ID: 5698045094 Enrollment ID: I20170718001466 |
| Provider Name | Rachel Spooner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245641315 PECOS PAC ID: 8628385978 Enrollment ID: I20170718001620 |
| Provider Name | Nabila Zambrano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104264407 PECOS PAC ID: 3274803689 Enrollment ID: I20170718001782 |
| Provider Name | Haley Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053846451 PECOS PAC ID: 5193095529 Enrollment ID: I20170718002722 |
| Provider Name | Amy Renee Best |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407118649 PECOS PAC ID: 5496996597 Enrollment ID: I20170721000401 |
| Provider Name | Molly Dwyer Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578098943 PECOS PAC ID: 6901176031 Enrollment ID: I20170724001815 |
| Provider Name | Alyssa M Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922546464 PECOS PAC ID: 3577833409 Enrollment ID: I20170725003006 |
| Provider Name | William Kraemer Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457778797 PECOS PAC ID: 1355611294 Enrollment ID: I20170725003230 |
| Provider Name | Megan Frey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144757618 PECOS PAC ID: 9830469725 Enrollment ID: I20170726000948 |
| Provider Name | Michael S Payne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831432582 PECOS PAC ID: 6709002884 Enrollment ID: I20170727000784 |
| Provider Name | Ahmad Mossa-basha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306263306 PECOS PAC ID: 8921317322 Enrollment ID: I20170727002505 |
| Provider Name | Michael Craig Mcmains |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831485358 PECOS PAC ID: 5698902575 Enrollment ID: I20170802001638 |
| Provider Name | Collin Musa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427478387 PECOS PAC ID: 6204136161 Enrollment ID: I20170802002614 |
| Provider Name | Amanda F Keafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477073880 PECOS PAC ID: 8224309596 Enrollment ID: I20170804000205 |
| Provider Name | Deming Mi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275938870 PECOS PAC ID: 5597036715 Enrollment ID: I20170807002564 |
| Provider Name | Caroline E Rouse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154647220 PECOS PAC ID: 5294956868 Enrollment ID: I20170809001006 |
| Provider Name | Zachary James Pigg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639608110 PECOS PAC ID: 0941571913 Enrollment ID: I20170809002402 |
| Provider Name | Rohit Devnani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548557655 PECOS PAC ID: 0345466652 Enrollment ID: I20170809002635 |
| Provider Name | Suyog Kamatkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134410541 PECOS PAC ID: 3678719440 Enrollment ID: I20170809003089 |
| Provider Name | Brittany N Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225370109 PECOS PAC ID: 7517100027 Enrollment ID: I20170810000161 |
| Provider Name | Philip B Bemiller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023435245 PECOS PAC ID: 1951527134 Enrollment ID: I20170810000679 |
| Provider Name | Julianne C Schupbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689091712 PECOS PAC ID: 7113143462 Enrollment ID: I20170810001484 |
| Provider Name | Lily Zeng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962822825 PECOS PAC ID: 3779888912 Enrollment ID: I20170810002401 |
| Provider Name | Connor Lee Woodland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992111397 PECOS PAC ID: 0042439689 Enrollment ID: I20170810003774 |
| Provider Name | Muhamad Adeeb Safiia |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1407882798 PECOS PAC ID: 1153328513 Enrollment ID: I20170815002090 |
| Provider Name | David Lauck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700178597 PECOS PAC ID: 6800038621 Enrollment ID: I20170816000613 |
| Provider Name | Jennifer A Phillmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073041570 PECOS PAC ID: 8123390762 Enrollment ID: I20170817000394 |
| Provider Name | Matthew W George |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154587921 PECOS PAC ID: 5991976367 Enrollment ID: I20170818001098 |
| Provider Name | Benjamin Thomas Maatman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205275948 PECOS PAC ID: 8426290321 Enrollment ID: I20170818003060 |
| Provider Name | Aaron Burg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710286984 PECOS PAC ID: 1456577352 Enrollment ID: I20170821000241 |
| Provider Name | Erica Pohlman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700298031 PECOS PAC ID: 2961623582 Enrollment ID: I20170822001874 |
| Provider Name | Kelly E Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639605777 PECOS PAC ID: 4688946916 Enrollment ID: I20170822002647 |
| Provider Name | Swapna A Eisinger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952689085 PECOS PAC ID: 6406070291 Enrollment ID: I20170823002433 |
| Provider Name | Laura Marie Sink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629422654 PECOS PAC ID: 2163794215 Enrollment ID: I20170824000155 |
| Provider Name | Sarah Langsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336678895 PECOS PAC ID: 4082986971 Enrollment ID: I20170828003572 |
| Provider Name | Sara E Bland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871729327 PECOS PAC ID: 5890941363 Enrollment ID: I20170829001709 |
| Provider Name | Angela Denise Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396268850 PECOS PAC ID: 9032482872 Enrollment ID: I20170830001604 |
| Provider Name | Yochana Gavva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427497932 PECOS PAC ID: 9335379478 Enrollment ID: I20170905000092 |
| Provider Name | Hilari Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033459722 PECOS PAC ID: 1456624873 Enrollment ID: I20170907000899 |
| Provider Name | Ashley Salena Girardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952823759 PECOS PAC ID: 9234402306 Enrollment ID: I20170912002011 |
| Provider Name | Michelle Sue Fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104341684 PECOS PAC ID: 5294008215 Enrollment ID: I20170913001204 |
| Provider Name | Linda Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952827529 PECOS PAC ID: 4688948342 Enrollment ID: I20170919000860 |
| Provider Name | Mary Greenwalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417475450 PECOS PAC ID: 8921372699 Enrollment ID: I20170919001538 |
| Provider Name | Melissa Pixley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114318391 PECOS PAC ID: 9133446701 Enrollment ID: I20170919001684 |
| Provider Name | Sara Daluga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902219736 PECOS PAC ID: 7416221973 Enrollment ID: I20170921001862 |
| Provider Name | Lisa A Oakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578091724 PECOS PAC ID: 2567736838 Enrollment ID: I20170926000457 |
| Provider Name | Kimberly Byrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831614791 PECOS PAC ID: 4789958059 Enrollment ID: I20170926000697 |
| Provider Name | Lauren K Yeazell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962536268 PECOS PAC ID: 6507980703 Enrollment ID: I20170928002625 |
| Provider Name | Lacey N Groce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972041606 PECOS PAC ID: 4486929254 Enrollment ID: I20171004000927 |
| Provider Name | Ishrat Ali Bhat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649433533 PECOS PAC ID: 9234312620 Enrollment ID: I20171005001912 |
| Provider Name | Luke Pittman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710399043 PECOS PAC ID: 4880815497 Enrollment ID: I20171010001873 |
| Provider Name | Diann Lydell Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053399279 PECOS PAC ID: 4688568777 Enrollment ID: I20171018002303 |
| Provider Name | Elizabeth Marie Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962928226 PECOS PAC ID: 7517233539 Enrollment ID: I20171019000248 |
| Provider Name | Angela D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760560866 PECOS PAC ID: 8729256953 Enrollment ID: I20171020001908 |
| Provider Name | Rebecca E Lovejoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730596438 PECOS PAC ID: 2062788300 Enrollment ID: I20171101000254 |
| Provider Name | Michelle S Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962595744 PECOS PAC ID: 8022018522 Enrollment ID: I20171103001139 |
| Provider Name | Jennifer L Dorantes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508870221 PECOS PAC ID: 1355387796 Enrollment ID: I20171107003504 |
| Provider Name | Allison A Wendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518470046 PECOS PAC ID: 0547526329 Enrollment ID: I20171110001183 |
| Provider Name | Justina Breighann Wellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225557168 PECOS PAC ID: 3577829175 Enrollment ID: I20171115001533 |
| Provider Name | Margaret Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285147157 PECOS PAC ID: 6002172582 Enrollment ID: I20171116001290 |
| Provider Name | Jessica H Pittman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710131743 PECOS PAC ID: 9537337522 Enrollment ID: I20171122000912 |
| Provider Name | Julie Tredemeyer |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1073542940 PECOS PAC ID: 5294978045 Enrollment ID: I20171128001310 |
| Provider Name | Laurel Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437678679 PECOS PAC ID: 8426315524 Enrollment ID: I20171128001457 |
| Provider Name | Raghu Maddela |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477718781 PECOS PAC ID: 6608176904 Enrollment ID: I20171129000832 |
| Provider Name | Joseph P Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235594441 PECOS PAC ID: 4284991803 Enrollment ID: I20171206001486 |
| Provider Name | Ryan Hart |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1427345685 PECOS PAC ID: 1456655067 Enrollment ID: I20171214001985 |
| Provider Name | Kathryn Lee Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205342029 PECOS PAC ID: 3577821677 Enrollment ID: I20171219001477 |
| Provider Name | Raja Sekar Mittapalli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275610271 PECOS PAC ID: 2365546215 Enrollment ID: I20171220002023 |
| Provider Name | Nizar Fayez Olabi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023004504 PECOS PAC ID: 3274529409 Enrollment ID: I20180103000320 |
| Provider Name | Michael Long |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740256882 PECOS PAC ID: 4880608561 Enrollment ID: I20180103001707 |
| Provider Name | Erika Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255733663 PECOS PAC ID: 9133488760 Enrollment ID: I20180105000401 |
| Provider Name | Melissa K Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184136038 PECOS PAC ID: 7810256450 Enrollment ID: I20180105000716 |
| Provider Name | Michael Donald Dentler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881844314 PECOS PAC ID: 4385814839 Enrollment ID: I20180131000095 |
| Provider Name | Mohammad M Marashdeh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689860819 PECOS PAC ID: 3274705389 Enrollment ID: I20180131000236 |
| Provider Name | Patricia E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801304423 PECOS PAC ID: 8527328830 Enrollment ID: I20180206002221 |
| Provider Name | Anne Beth Schaap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477735629 PECOS PAC ID: 0042570152 Enrollment ID: I20180212000314 |
| Provider Name | Amanda D Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629586714 PECOS PAC ID: 4880954635 Enrollment ID: I20180216000337 |
| Provider Name | Rajeswari Cheerath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245519453 PECOS PAC ID: 5193086668 Enrollment ID: I20180223002202 |
| Provider Name | Abigail Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124534367 PECOS PAC ID: 6709147226 Enrollment ID: I20180226001592 |
| Provider Name | John R Colaluca |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1053439489 PECOS PAC ID: 4486876059 Enrollment ID: I20180302000931 |
| Provider Name | Steven James Clarkson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659871903 PECOS PAC ID: 1951662196 Enrollment ID: I20180302000973 |
| Provider Name | Patricia Keegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285141697 PECOS PAC ID: 5193086148 Enrollment ID: I20180307002802 |
| Provider Name | Linda Demo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366944399 PECOS PAC ID: 4981965969 Enrollment ID: I20180308001371 |
| Provider Name | Julia M. Sherrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952698383 PECOS PAC ID: 0446539837 Enrollment ID: I20180313001016 |
| Provider Name | Tomeika Anderson |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1932465499 PECOS PAC ID: 2668611419 Enrollment ID: I20180328001878 |
| Provider Name | Bobbie Nakole Jellison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023336443 PECOS PAC ID: 1557594264 Enrollment ID: I20180406000585 |
| Provider Name | Jared Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144726647 PECOS PAC ID: 8729341391 Enrollment ID: I20180412000862 |
| Provider Name | Stacey Kreegar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649772401 PECOS PAC ID: 5799048294 Enrollment ID: I20180416001958 |
| Provider Name | Alina E Hedberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326409517 PECOS PAC ID: 1254630882 Enrollment ID: I20180418001627 |
| Provider Name | Jessica L Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750882130 PECOS PAC ID: 5092078253 Enrollment ID: I20180423000344 |
| Provider Name | Jon S Cardinal |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1275799140 PECOS PAC ID: 4688843360 Enrollment ID: I20180424001686 |
| Provider Name | Kirk Daniel Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740786243 PECOS PAC ID: 9032473038 Enrollment ID: I20180427000553 |
| Provider Name | Morgan L Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013462068 PECOS PAC ID: 0446514343 Enrollment ID: I20180430002840 |
| Provider Name | Sathish Kumar Kumar Krishnan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508121492 PECOS PAC ID: 3971868928 Enrollment ID: I20180523000602 |
| Provider Name | Laura Cosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811493307 PECOS PAC ID: 2466717129 Enrollment ID: I20180530000198 |
| Provider Name | Melody Ann Jordahl-iafrato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568685956 PECOS PAC ID: 9234297474 Enrollment ID: I20180606002924 |
| Provider Name | Anita Rajagopal |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1437458742 PECOS PAC ID: 2567695356 Enrollment ID: I20180607000812 |
| Provider Name | Ashley E Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720491947 PECOS PAC ID: 3072868967 Enrollment ID: I20180618001612 |
| Provider Name | Bradley S Litke |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992790612 PECOS PAC ID: 7315038999 Enrollment ID: I20180619003566 |
| Provider Name | Leslie E Colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942790514 PECOS PAC ID: 9133474737 Enrollment ID: I20180622001612 |
| Provider Name | Michael Shannon Todd |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922158997 PECOS PAC ID: 5496812430 Enrollment ID: I20180623000189 |
| Provider Name | Emily Elaine Tenbrink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467865469 PECOS PAC ID: 0648495663 Enrollment ID: I20180625000135 |
| Provider Name | Shavon L Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598255291 PECOS PAC ID: 0143576595 Enrollment ID: I20180627003323 |
| Provider Name | Kyle Jeremy Gehres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437440187 PECOS PAC ID: 4880819515 Enrollment ID: I20180703000495 |
| Provider Name | Stefan William Malin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447639224 PECOS PAC ID: 7113239369 Enrollment ID: I20180703001312 |
| Provider Name | Rachel Elizabeth Riley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669884649 PECOS PAC ID: 1456676535 Enrollment ID: I20180705000932 |
| Provider Name | Alise Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629457221 PECOS PAC ID: 8325350051 Enrollment ID: I20180706001383 |
| Provider Name | Philip Huang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861766750 PECOS PAC ID: 0345530499 Enrollment ID: I20180710001100 |
| Provider Name | Jessica Lee Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053829507 PECOS PAC ID: 6002162799 Enrollment ID: I20180711001325 |
| Provider Name | Chelsea E Heege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427544261 PECOS PAC ID: 8729334388 Enrollment ID: I20180712000176 |
| Provider Name | Jessika A Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336632108 PECOS PAC ID: 7911254339 Enrollment ID: I20180717001418 |
| Provider Name | Gina Marie Catanese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568954857 PECOS PAC ID: 8729335153 Enrollment ID: I20180717001866 |
| Provider Name | Jennifer Lynn Havener |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043420078 PECOS PAC ID: 8527315720 Enrollment ID: I20180719000207 |
| Provider Name | Sandy Botros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952785487 PECOS PAC ID: 8325395361 Enrollment ID: I20180720002230 |
| Provider Name | David Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518352871 PECOS PAC ID: 1153691613 Enrollment ID: I20180723000013 |
| Provider Name | Jacklyn D Kiefer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1679796775 PECOS PAC ID: 4284787797 Enrollment ID: I20180726002358 |
| Provider Name | Stephen Meredith Spencer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790122398 PECOS PAC ID: 8628217098 Enrollment ID: I20180726003254 |
| Provider Name | Radharani Eluri |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1689892143 PECOS PAC ID: 4587735832 Enrollment ID: I20180801002739 |
| Provider Name | Hannah M Locke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770902926 PECOS PAC ID: 2860618527 Enrollment ID: I20180802002084 |
| Provider Name | Holley L Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932694288 PECOS PAC ID: 2567710874 Enrollment ID: I20180802002246 |
| Provider Name | Jason W White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760861397 PECOS PAC ID: 2961714910 Enrollment ID: I20180802002355 |
| Provider Name | Jayme L Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326533894 PECOS PAC ID: 5991053233 Enrollment ID: I20180802003670 |
| Provider Name | Dmitry Blumenkrants |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235428657 PECOS PAC ID: 1456675594 Enrollment ID: I20180803000874 |
| Provider Name | Faizan Shaikh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649532342 PECOS PAC ID: 5294047502 Enrollment ID: I20180803000943 |
| Provider Name | Sarah Mcclain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699162131 PECOS PAC ID: 8628326857 Enrollment ID: I20180806000399 |
| Provider Name | Jackie Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760988794 PECOS PAC ID: 9436407558 Enrollment ID: I20180807001519 |
| Provider Name | Christopher Alan Defalco |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306101092 PECOS PAC ID: 6002052636 Enrollment ID: I20180807001685 |
| Provider Name | Carrie Michelle Gould |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720405780 PECOS PAC ID: 6305149923 Enrollment ID: I20180807003083 |
| Provider Name | Tracy Renee Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093200339 PECOS PAC ID: 1658629613 Enrollment ID: I20180807003374 |
| Provider Name | Kyle J Mazellan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780002857 PECOS PAC ID: 0345561130 Enrollment ID: I20180808001623 |
| Provider Name | Elizabeth Kelley Jourdan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265927859 PECOS PAC ID: 3971851601 Enrollment ID: I20180813000439 |
| Provider Name | Ragan Brackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164834917 PECOS PAC ID: 4486875002 Enrollment ID: I20180814003141 |
| Provider Name | Sara C Germann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396746145 PECOS PAC ID: 0345292280 Enrollment ID: I20180815000130 |
| Provider Name | Tiffini Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093209348 PECOS PAC ID: 1850640400 Enrollment ID: I20180815002773 |
| Provider Name | Paula Szczepanczyk |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487096129 PECOS PAC ID: 5092036202 Enrollment ID: I20180820000698 |
| Provider Name | David Stewart Katz |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1114093382 PECOS PAC ID: 8527317874 Enrollment ID: I20180820001045 |
| Provider Name | Clinton P Scruggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316187552 PECOS PAC ID: 4587978655 Enrollment ID: I20180821002911 |
| Provider Name | William Todd Wagoner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427537588 PECOS PAC ID: 9234488354 Enrollment ID: I20180823001053 |
| Provider Name | James B Dozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720347065 PECOS PAC ID: 2769634724 Enrollment ID: I20180823002349 |
| Provider Name | Krysta L Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992291264 PECOS PAC ID: 0941559983 Enrollment ID: I20180823002641 |
| Provider Name | Molly Elizabeth Kidney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538655212 PECOS PAC ID: 8325398175 Enrollment ID: I20180829001856 |
| Provider Name | Priyanka Agrawal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558756627 PECOS PAC ID: 4789957994 Enrollment ID: I20180829002131 |
| Provider Name | Kelly Ann Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457887622 PECOS PAC ID: 9335406560 Enrollment ID: I20180830001405 |
| Provider Name | Jean Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821594672 PECOS PAC ID: 0446500193 Enrollment ID: I20180830001920 |
| Provider Name | Rebecca Planck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184118598 PECOS PAC ID: 6608126263 Enrollment ID: I20180904000488 |
| Provider Name | Christina Marie Scifres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093920332 PECOS PAC ID: 4385743384 Enrollment ID: I20180904001925 |
| Provider Name | Summer Wilhite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891182549 PECOS PAC ID: 0345561221 Enrollment ID: I20180905002225 |
| Provider Name | Michelle Baloski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164805578 PECOS PAC ID: 2163720731 Enrollment ID: I20180906003550 |
| Provider Name | Carey Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265913925 PECOS PAC ID: 4981954146 Enrollment ID: I20180910000586 |
| Provider Name | Naseem Labue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063891679 PECOS PAC ID: 5092036962 Enrollment ID: I20180918003357 |
| Provider Name | Caitlin Spalding Bump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609384478 PECOS PAC ID: 6608127295 Enrollment ID: I20180920001633 |
| Provider Name | Dedra C Goff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750790754 PECOS PAC ID: 2668797036 Enrollment ID: I20180920002204 |
| Provider Name | Abra Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174001291 PECOS PAC ID: 4587915871 Enrollment ID: I20180926000564 |
| Provider Name | Jenna Keikilani Maple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356832638 PECOS PAC ID: 7719238914 Enrollment ID: I20180927001957 |
| Provider Name | Inimai Rathinavel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972745354 PECOS PAC ID: 7719297480 Enrollment ID: I20181002000591 |
| Provider Name | Stacia O'donnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801249297 PECOS PAC ID: 6800148891 Enrollment ID: I20181002001600 |
| Provider Name | Sophie Gerber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366888695 PECOS PAC ID: 7012216369 Enrollment ID: I20181002002425 |
| Provider Name | Elena Christine Tansy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215418355 PECOS PAC ID: 9739431677 Enrollment ID: I20181004000881 |
| Provider Name | Ma Czarina S Castillo Boedeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013496736 PECOS PAC ID: 3577815349 Enrollment ID: I20181004002604 |
| Provider Name | Jereana Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649759408 PECOS PAC ID: 0244582864 Enrollment ID: I20181010000920 |
| Provider Name | Tara Lynn Spivey |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1861756512 PECOS PAC ID: 7719258375 Enrollment ID: I20181010001388 |
| Provider Name | Emily Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447733902 PECOS PAC ID: 7113279548 Enrollment ID: I20181011002221 |
| Provider Name | Jamie L Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629550165 PECOS PAC ID: 6305844887 Enrollment ID: I20181012001746 |
| Provider Name | Kelli V Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801385786 PECOS PAC ID: 2062764368 Enrollment ID: I20181016000089 |
| Provider Name | Amanda S Beckham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154816999 PECOS PAC ID: 3476806456 Enrollment ID: I20181020000294 |
| Provider Name | Patrick B White |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1891952271 PECOS PAC ID: 6103065008 Enrollment ID: I20181031000427 |
| Provider Name | Kayla R Heldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205310588 PECOS PAC ID: 3375896558 Enrollment ID: I20181106000855 |
| Provider Name | Heather Marie Green-schembra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922534791 PECOS PAC ID: 5496009383 Enrollment ID: I20181113000223 |
| Provider Name | Joshua Tomas Richey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386739589 PECOS PAC ID: 3375887573 Enrollment ID: I20181128002716 |
| Provider Name | Kathryn J Riggin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659865194 PECOS PAC ID: 2163766924 Enrollment ID: I20181205000385 |
| Provider Name | Casie Beer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760950158 PECOS PAC ID: 1557605268 Enrollment ID: I20181206003564 |
| Provider Name | Braca B Cantor |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1487072419 PECOS PAC ID: 0446476691 Enrollment ID: I20181211000653 |
| Provider Name | Kate Zenta Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114494986 PECOS PAC ID: 7416292784 Enrollment ID: I20181214002805 |
| Provider Name | Susan Jane Morical |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851876098 PECOS PAC ID: 4880939081 Enrollment ID: I20181217001133 |
| Provider Name | Jaswinder Jalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831667823 PECOS PAC ID: 2961747092 Enrollment ID: I20181218003173 |
| Provider Name | Melissa Jane Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982174454 PECOS PAC ID: 2264777390 Enrollment ID: I20181218003452 |
| Provider Name | Krystal K Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760915854 PECOS PAC ID: 9032454947 Enrollment ID: I20181221000391 |
| Provider Name | Stephanie Nickole Sherrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164991063 PECOS PAC ID: 6406191204 Enrollment ID: I20181226001091 |
| Provider Name | Kelly J. Edsall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780178616 PECOS PAC ID: 6204172687 Enrollment ID: I20190104002469 |
| Provider Name | Christopher James Capps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437629136 PECOS PAC ID: 4183960552 Enrollment ID: I20190107003052 |
| Provider Name | Ashley M Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750857033 PECOS PAC ID: 8426394404 Enrollment ID: I20190111001848 |
| Provider Name | Joshua Vanderbur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417424144 PECOS PAC ID: 6507102514 Enrollment ID: I20190111002830 |
| Provider Name | Omar Faisal Khatib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235306507 PECOS PAC ID: 4082760392 Enrollment ID: I20190123001012 |
| Provider Name | Toby A Zirkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184835852 PECOS PAC ID: 5799849774 Enrollment ID: I20190204002218 |
| Provider Name | Anthony A Lathrop |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871574574 PECOS PAC ID: 1557343340 Enrollment ID: I20190205002711 |
| Provider Name | Abby Jo Brack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104399013 PECOS PAC ID: 7719225614 Enrollment ID: I20190220000481 |
| Provider Name | Patricia Justine Irvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013473297 PECOS PAC ID: 1850630534 Enrollment ID: I20190222002825 |
| Provider Name | Brittany Jo Ziolkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124582614 PECOS PAC ID: 2062751597 Enrollment ID: I20190228001086 |
| Provider Name | Kayla Shambarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215406152 PECOS PAC ID: 3476892795 Enrollment ID: I20190305000969 |
| Provider Name | Melissa Anne Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487090312 PECOS PAC ID: 7214152842 Enrollment ID: I20190305001017 |
| Provider Name | Sara R Reichert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235602335 PECOS PAC ID: 2961741194 Enrollment ID: I20190305001744 |
| Provider Name | Jara Lynn Southerland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881167997 PECOS PAC ID: 0648510495 Enrollment ID: I20190314001354 |
| Provider Name | Patrick R Mcguire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932638988 PECOS PAC ID: 7911275532 Enrollment ID: I20190315000779 |
| Provider Name | Areef Salim Kassam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932561917 PECOS PAC ID: 5991088221 Enrollment ID: I20190315000785 |
| Provider Name | Grover Alexander Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316415136 PECOS PAC ID: 8426398942 Enrollment ID: I20190320001908 |
| Provider Name | Janette Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467910166 PECOS PAC ID: 5890035943 Enrollment ID: I20190327002156 |
| Provider Name | Darla Berry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073594255 PECOS PAC ID: 2860790755 Enrollment ID: I20190327002545 |
| Provider Name | Heather Marie Wertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225575087 PECOS PAC ID: 1355624271 Enrollment ID: I20190401001510 |
| Provider Name | Kay Ellen Pitsilides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780158352 PECOS PAC ID: 4284975129 Enrollment ID: I20190403000551 |
| Provider Name | Shashank Jolly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902047814 PECOS PAC ID: 3779634522 Enrollment ID: I20190405000681 |
| Provider Name | Twynea Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922569904 PECOS PAC ID: 9234470725 Enrollment ID: I20190410001779 |
| Provider Name | Rachael Lauren Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063977825 PECOS PAC ID: 8628319803 Enrollment ID: I20190417000311 |
| Provider Name | Patrice R. Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487150124 PECOS PAC ID: 5890036925 Enrollment ID: I20190417002649 |
| Provider Name | Amy E Cramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093378259 PECOS PAC ID: 6002158185 Enrollment ID: I20190422002479 |
| Provider Name | Sanjeev A Mehra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912245804 PECOS PAC ID: 9234366964 Enrollment ID: I20190507002477 |
| Provider Name | Jeanetta Carol Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760953533 PECOS PAC ID: 6800139775 Enrollment ID: I20190515003315 |
| Provider Name | Ashley L Nagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215457650 PECOS PAC ID: 4082957659 Enrollment ID: I20190522002048 |
| Provider Name | Mary Ebueku-smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639514805 PECOS PAC ID: 8426329897 Enrollment ID: I20190523000101 |
| Provider Name | Amy Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962966341 PECOS PAC ID: 9739422288 Enrollment ID: I20190523002607 |
| Provider Name | Alicia M Schaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366823502 PECOS PAC ID: 7719290824 Enrollment ID: I20190529001139 |
| Provider Name | Kelli Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679008718 PECOS PAC ID: 5799055125 Enrollment ID: I20190604002419 |
| Provider Name | Jendayi L Olabisi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093178568 PECOS PAC ID: 1355624974 Enrollment ID: I20190604002842 |
| Provider Name | Robert W Godley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124381751 PECOS PAC ID: 9032442199 Enrollment ID: I20190605002167 |
| Provider Name | Daniel William Sonnenburg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538508965 PECOS PAC ID: 7618119694 Enrollment ID: I20190612003025 |
| Provider Name | Taimur Khalid Mian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346637162 PECOS PAC ID: 3678887403 Enrollment ID: I20190617000274 |
| Provider Name | Tanya Devnani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265846554 PECOS PAC ID: 2769601525 Enrollment ID: I20190619002621 |
| Provider Name | Fnu Rakshita Chandrashekar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447692124 PECOS PAC ID: 2769614841 Enrollment ID: I20190621002021 |
| Provider Name | Jessica M Crosby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760871362 PECOS PAC ID: 4183940034 Enrollment ID: I20190621002370 |
| Provider Name | Amber Gayle Lehmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336464916 PECOS PAC ID: 9739318072 Enrollment ID: I20190621002599 |
| Provider Name | Katherine Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306231626 PECOS PAC ID: 3971836958 Enrollment ID: I20190701002383 |
| Provider Name | James C Cripe |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1679860894 PECOS PAC ID: 8224344858 Enrollment ID: I20190710000300 |
| Provider Name | Elizabeth Mazzone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629456017 PECOS PAC ID: 1658684766 Enrollment ID: I20190710000354 |
| Provider Name | Jigar Rajnikant Bhagatwala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992091912 PECOS PAC ID: 3870732027 Enrollment ID: I20190711001776 |
| Provider Name | Shaheryar Faruq Ansari |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659646917 PECOS PAC ID: 5395983571 Enrollment ID: I20190711003009 |
| Provider Name | Kari N Mccoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477011484 PECOS PAC ID: 7416282553 Enrollment ID: I20190711003388 |
| Provider Name | Mohammad Sami Bakdash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104271790 PECOS PAC ID: 8628361037 Enrollment ID: I20190715000718 |
| Provider Name | Karli J Purciful |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942767603 PECOS PAC ID: 4183959018 Enrollment ID: I20190715000905 |
| Provider Name | Katherine Cothern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255795787 PECOS PAC ID: 0345576971 Enrollment ID: I20190719001427 |
| Provider Name | Jorge Luis Morales Estrella |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245594696 PECOS PAC ID: 1052629078 Enrollment ID: I20190719002172 |
| Provider Name | Greta Weaver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518352830 PECOS PAC ID: 3072821800 Enrollment ID: I20190724002267 |
| Provider Name | Sarah Dilley |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1053677591 PECOS PAC ID: 4284889742 Enrollment ID: I20190725000746 |
| Provider Name | Carly Carvell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801250600 PECOS PAC ID: 1153612544 Enrollment ID: I20190727000337 |
| Provider Name | Alfred Charles Dodini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225027881 PECOS PAC ID: 3870829823 Enrollment ID: I20190729001857 |
| Provider Name | Dreama Michelle Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306402383 PECOS PAC ID: 5890021687 Enrollment ID: I20190801000293 |
| Provider Name | Adeola Oviawe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053775239 PECOS PAC ID: 7517258130 Enrollment ID: I20190807000175 |
| Provider Name | Damon G Fu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689018822 PECOS PAC ID: 2062654502 Enrollment ID: I20190807002037 |
| Provider Name | Kavitha Marie Nair |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760725345 PECOS PAC ID: 4981907722 Enrollment ID: I20190812003870 |
| Provider Name | Adam Michael Huff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801235429 PECOS PAC ID: 4183866130 Enrollment ID: I20190813000284 |
| Provider Name | Preetha Keya Sinha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003252198 PECOS PAC ID: 7416190152 Enrollment ID: I20190813000397 |
| Provider Name | Ryan A Sexton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700143401 PECOS PAC ID: 1456594126 Enrollment ID: I20190815000229 |
| Provider Name | Heather Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881054575 PECOS PAC ID: 0648508259 Enrollment ID: I20190821000097 |
| Provider Name | Christopher Stuart Basom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245685742 PECOS PAC ID: 9830472455 Enrollment ID: I20190821000168 |
| Provider Name | Rashel Low |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407408412 PECOS PAC ID: 4688902224 Enrollment ID: I20190821001207 |
| Provider Name | Mona A Raed |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1427337906 PECOS PAC ID: 7517185952 Enrollment ID: I20190822004496 |
| Provider Name | Minesh Dinesh Rajkotia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023471877 PECOS PAC ID: 7012290638 Enrollment ID: I20190823000057 |
| Provider Name | Ishan Gohil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639563596 PECOS PAC ID: 4284948514 Enrollment ID: I20190823000405 |
| Provider Name | Rebecca A King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790344273 PECOS PAC ID: 1052649118 Enrollment ID: I20190827003545 |
| Provider Name | Deana F Kirtley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871147314 PECOS PAC ID: 8820326762 Enrollment ID: I20190829003623 |
| Provider Name | Andrew Mcclure |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598326514 PECOS PAC ID: 3779811617 Enrollment ID: I20190829003872 |
| Provider Name | Elise Vergara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033770037 PECOS PAC ID: 6305174251 Enrollment ID: I20190829003934 |
| Provider Name | Lora Dingledine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588225379 PECOS PAC ID: 4082942974 Enrollment ID: I20190830001640 |
| Provider Name | Stacey Reith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619257698 PECOS PAC ID: 3173852076 Enrollment ID: I20190830002286 |
| Provider Name | Jessica Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831663129 PECOS PAC ID: 3476882382 Enrollment ID: I20190830002972 |
| Provider Name | Kayla Ashley Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134788607 PECOS PAC ID: 2365771177 Enrollment ID: I20190904000619 |
| Provider Name | Jingliang Yan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891130407 PECOS PAC ID: 1658662283 Enrollment ID: I20190905001121 |
| Provider Name | Yitian Liu |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1538402680 PECOS PAC ID: 0749582492 Enrollment ID: I20190905001122 |
| Provider Name | Andrew Bullock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902467707 PECOS PAC ID: 8921337668 Enrollment ID: I20190905003205 |
| Provider Name | Cerissa Sperle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205482486 PECOS PAC ID: 7012246770 Enrollment ID: I20190906000515 |
| Provider Name | Ahmad Al-najjar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912214818 PECOS PAC ID: 9830323641 Enrollment ID: I20190906002487 |
| Provider Name | Stella Taber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639723489 PECOS PAC ID: 5890024905 Enrollment ID: I20190913001791 |
| Provider Name | Allison Cardwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932755048 PECOS PAC ID: 6305176249 Enrollment ID: I20190919001537 |
| Provider Name | Roddrea Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528422516 PECOS PAC ID: 3971897448 Enrollment ID: I20190919001557 |
| Provider Name | Itoro Okpokho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124482948 PECOS PAC ID: 1355634932 Enrollment ID: I20190920000723 |
| Provider Name | Lauren A Cottingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699237263 PECOS PAC ID: 8921338179 Enrollment ID: I20191001002056 |
| Provider Name | Penny J Sokol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821644568 PECOS PAC ID: 1153651237 Enrollment ID: I20191003000245 |
| Provider Name | Jill Kocher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841514882 PECOS PAC ID: 8527367440 Enrollment ID: I20191008000658 |
| Provider Name | Matthew Birkle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427052075 PECOS PAC ID: 8426009549 Enrollment ID: I20191009000261 |
| Provider Name | Anas Alsadi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881841013 PECOS PAC ID: 5890912703 Enrollment ID: I20191014002798 |
| Provider Name | Megan Daberko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366900599 PECOS PAC ID: 5890026306 Enrollment ID: I20191015002372 |
| Provider Name | Jeromy Michael Shoup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053960120 PECOS PAC ID: 2466783667 Enrollment ID: I20191018000643 |
| Provider Name | Sasikanth Adigopula |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1053325050 PECOS PAC ID: 4880742238 Enrollment ID: I20191022001672 |
| Provider Name | April Palacios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578118790 PECOS PAC ID: 0143552299 Enrollment ID: I20191023000886 |
| Provider Name | Larissa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407404676 PECOS PAC ID: 0446582423 Enrollment ID: I20191023003120 |
| Provider Name | Li'toia C Kendrick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801146295 PECOS PAC ID: 3577703065 Enrollment ID: I20191024002727 |
| Provider Name | Sarah B Palmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245347061 PECOS PAC ID: 8426380320 Enrollment ID: I20191025001701 |
| Provider Name | Leslie Montes Ferris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043661911 PECOS PAC ID: 7113210469 Enrollment ID: I20191029000392 |
| Provider Name | Jagadeesh Yella |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053744367 PECOS PAC ID: 2961714969 Enrollment ID: I20191029000813 |
| Provider Name | Miranda Tedder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023650868 PECOS PAC ID: 1658603287 Enrollment ID: I20191030002906 |
| Provider Name | Freshteh Farahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609918119 PECOS PAC ID: 6608914809 Enrollment ID: I20191101000588 |
| Provider Name | Ali Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891732665 PECOS PAC ID: 3577732908 Enrollment ID: I20191105000799 |
| Provider Name | Nicholas J Volz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881186831 PECOS PAC ID: 5294081402 Enrollment ID: I20191111001561 |
| Provider Name | Brooke Anne Zerkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366083214 PECOS PAC ID: 0648602219 Enrollment ID: I20191120000776 |
| Provider Name | Angela L Cornelius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679861900 PECOS PAC ID: 8325369457 Enrollment ID: I20191121000727 |
| Provider Name | Oula Alhabian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952718231 PECOS PAC ID: 6002890498 Enrollment ID: I20191122002753 |
| Provider Name | Sarah E Grenig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932742913 PECOS PAC ID: 7517399975 Enrollment ID: I20191123000182 |
| Provider Name | Markella Reno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477102416 PECOS PAC ID: 2163855057 Enrollment ID: I20191206001911 |
| Provider Name | Meghan Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225509615 PECOS PAC ID: 6709123813 Enrollment ID: I20191212002060 |
| Provider Name | Meredith Faller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548615925 PECOS PAC ID: 6406147024 Enrollment ID: I20191227000631 |
| Provider Name | Lindsay L Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225502859 PECOS PAC ID: 6305271958 Enrollment ID: I20200109000166 |
| Provider Name | Jessica Jean Dewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386281137 PECOS PAC ID: 8527493188 Enrollment ID: I20200109000699 |
| Provider Name | Jill Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407493901 PECOS PAC ID: 5496180069 Enrollment ID: I20200109000887 |
| Provider Name | Michelle Therese Gilliatte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184078909 PECOS PAC ID: 6507149135 Enrollment ID: I20200120000147 |
| Provider Name | Jessica H Fortunak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316122484 PECOS PAC ID: 1052653185 Enrollment ID: I20200120000220 |
| Provider Name | Kristen Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174160204 PECOS PAC ID: 3072948181 Enrollment ID: I20200120000377 |
| Provider Name | Michelle Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518502897 PECOS PAC ID: 7416382536 Enrollment ID: I20200120000507 |
| Provider Name | Jessica S Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396375598 PECOS PAC ID: 3971939646 Enrollment ID: I20200129001186 |
| Provider Name | Kristen Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821635111 PECOS PAC ID: 2668808270 Enrollment ID: I20200130000507 |
| Provider Name | Shelly St. Clair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245861426 PECOS PAC ID: 0446686349 Enrollment ID: I20200213001512 |
| Provider Name | Alyssa Muhlhauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447897954 PECOS PAC ID: 5395172217 Enrollment ID: I20200305000371 |
| Provider Name | Tyler D Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538709308 PECOS PAC ID: 1759719610 Enrollment ID: I20200309000588 |
| Provider Name | Lauren Westlake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720592363 PECOS PAC ID: 1153668942 Enrollment ID: I20200312001299 |
| Provider Name | Jessica D Bode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053958546 PECOS PAC ID: 0042648685 Enrollment ID: I20200315000014 |
| Provider Name | Mark Freijat |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124337621 PECOS PAC ID: 7517101843 Enrollment ID: I20200315000039 |
| Provider Name | Sylvia Diaz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083880009 PECOS PAC ID: 9537303813 Enrollment ID: I20200320000661 |
| Provider Name | Mindy Enyart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376174755 PECOS PAC ID: 3779911920 Enrollment ID: I20200321000584 |
| Provider Name | April Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073092979 PECOS PAC ID: 0345592440 Enrollment ID: I20200323001628 |
| Provider Name | Joann Fluent Peistrup |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124014055 PECOS PAC ID: 4981591229 Enrollment ID: I20200329000328 |
| Provider Name | Lorita Valerie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871016493 PECOS PAC ID: 0648609305 Enrollment ID: I20200331002432 |
| Provider Name | Erin Ray |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1689053290 PECOS PAC ID: 7517288962 Enrollment ID: I20200405000326 |
| Provider Name | Brooke E Hesson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669006284 PECOS PAC ID: 5597194811 Enrollment ID: I20200407001607 |
| Provider Name | Michelle Lyn Winstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366074338 PECOS PAC ID: 0840629143 Enrollment ID: I20200408001684 |
| Provider Name | Stephanie Goodpaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326671835 PECOS PAC ID: 6103256268 Enrollment ID: I20200414001569 |
| Provider Name | Amber Barney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699306241 PECOS PAC ID: 1456781236 Enrollment ID: I20200417002620 |
| Provider Name | Robbyn H Everette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619446259 PECOS PAC ID: 3577801802 Enrollment ID: I20200429000300 |
| Provider Name | Leah Paulette Dearmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760003198 PECOS PAC ID: 0749611986 Enrollment ID: I20200504000912 |
| Provider Name | Nikhil Atul Shukla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740667369 PECOS PAC ID: 0143532234 Enrollment ID: I20200511003444 |
| Provider Name | Daniel T Cheriye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225558208 PECOS PAC ID: 3274802459 Enrollment ID: I20200513001213 |
| Provider Name | Rachel Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275169534 PECOS PAC ID: 3678904109 Enrollment ID: I20200515001826 |
| Provider Name | Peter G Karalis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730686106 PECOS PAC ID: 6406101146 Enrollment ID: I20200518002996 |
| Provider Name | Christine Hopp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942739990 PECOS PAC ID: 3870861404 Enrollment ID: I20200518003060 |
| Provider Name | Shilpa Puri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013446061 PECOS PAC ID: 3476821091 Enrollment ID: I20200518003117 |
| Provider Name | Amanda Egilmez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770102386 PECOS PAC ID: 5698106094 Enrollment ID: I20200520000154 |
| Provider Name | Erica D Vinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194264309 PECOS PAC ID: 7113348459 Enrollment ID: I20200522000602 |
| Provider Name | Ashley C Scheil |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578198230 PECOS PAC ID: 4981025947 Enrollment ID: I20200528002761 |
| Provider Name | Samantha W Seeger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720601677 PECOS PAC ID: 0547681454 Enrollment ID: I20200602000570 |
| Provider Name | Abigail Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013544881 PECOS PAC ID: 9931520780 Enrollment ID: I20200602002759 |
| Provider Name | Kristin Ashley Hine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215293741 PECOS PAC ID: 4486075231 Enrollment ID: I20200602002812 |
| Provider Name | Christian C Dawes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548619596 PECOS PAC ID: 5890117972 Enrollment ID: I20200618000188 |
| Provider Name | Sumiya Majeed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235351172 PECOS PAC ID: 5698967834 Enrollment ID: I20200623001748 |
| Provider Name | Emily Ellen Jewell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427445063 PECOS PAC ID: 5294056354 Enrollment ID: I20200625000155 |
| Provider Name | Tyrone Rogers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164832481 PECOS PAC ID: 6103041280 Enrollment ID: I20200630001601 |
| Provider Name | Jenna R Voirol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346697992 PECOS PAC ID: 7113212150 Enrollment ID: I20200702001849 |
| Provider Name | Laura Kathleen Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245854819 PECOS PAC ID: 6103249149 Enrollment ID: I20200708003549 |
| Provider Name | Naren T Vellanki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336594563 PECOS PAC ID: 3173879178 Enrollment ID: I20200710000112 |
| Provider Name | Emily Brooke Thurston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205450764 PECOS PAC ID: 5799108650 Enrollment ID: I20200710000515 |
| Provider Name | Brendan Keleher |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720408123 PECOS PAC ID: 3476842519 Enrollment ID: I20200713003337 |
| Provider Name | Ashish Pulikal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588084685 PECOS PAC ID: 7113141631 Enrollment ID: I20200713003590 |
| Provider Name | Maura L Campbell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831202803 PECOS PAC ID: 9638062565 Enrollment ID: I20200715001897 |
| Provider Name | Jordan Dora Berty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407480007 PECOS PAC ID: 5294159844 Enrollment ID: I20200716000274 |
| Provider Name | Connor James Hansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144848342 PECOS PAC ID: 2769806231 Enrollment ID: I20200717000462 |
| Provider Name | Kevin Gerard Masterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962881318 PECOS PAC ID: 8921319021 Enrollment ID: I20200717000945 |
| Provider Name | Kexia Van |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1154856151 PECOS PAC ID: 4587930284 Enrollment ID: I20200720000008 |
| Provider Name | Robert Josef Lukavsky |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1548506835 PECOS PAC ID: 0143644476 Enrollment ID: I20200721000226 |
| Provider Name | Alicia B. Daumeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811422892 PECOS PAC ID: 7810266293 Enrollment ID: I20200721003370 |
| Provider Name | Marleana Leann Groh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538778600 PECOS PAC ID: 0749604411 Enrollment ID: I20200728002231 |
| Provider Name | Chelsie Tellman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346622164 PECOS PAC ID: 5799094835 Enrollment ID: I20200728002471 |
| Provider Name | Eric Nyberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043743909 PECOS PAC ID: 9032488713 Enrollment ID: I20200730001096 |
| Provider Name | Courtney Mcneill |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1811422819 PECOS PAC ID: 2466728910 Enrollment ID: I20200730001178 |
| Provider Name | Anurag Reddy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1285048454 PECOS PAC ID: 4688899511 Enrollment ID: I20200730001359 |
| Provider Name | Cody Owens |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1720513708 PECOS PAC ID: 1355619180 Enrollment ID: I20200731001131 |
| Provider Name | Jessica Ann James |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891311072 PECOS PAC ID: 5395168363 Enrollment ID: I20200731001407 |
| Provider Name | Brittany Y Simpson |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1023541653 PECOS PAC ID: 7810265592 Enrollment ID: I20200803000147 |
| Provider Name | Aristotle Asis |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1295186229 PECOS PAC ID: 6002190899 Enrollment ID: I20200803000292 |
| Provider Name | Sarah Hockley |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1447770508 PECOS PAC ID: 8325463599 Enrollment ID: I20200805000476 |
| Provider Name | Blane Riley |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1437684578 PECOS PAC ID: 2466720081 Enrollment ID: I20200805003194 |
| Provider Name | John Gettelfinger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720466394 PECOS PAC ID: 5698086122 Enrollment ID: I20200807001955 |
| Provider Name | Holly M Kieda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013535129 PECOS PAC ID: 4880019660 Enrollment ID: I20200811000942 |
| Provider Name | Manuel Bello Segura |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659774669 PECOS PAC ID: 0547530644 Enrollment ID: I20200811002395 |
| Provider Name | Kevin Trulock |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1275899239 PECOS PAC ID: 3577818913 Enrollment ID: I20200811003002 |
| Provider Name | Paola M Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295169837 PECOS PAC ID: 3476832288 Enrollment ID: I20200811003222 |
| Provider Name | Kelley Robrock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497118251 PECOS PAC ID: 6406148899 Enrollment ID: I20200812001747 |
| Provider Name | Matthew A Hussong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366060691 PECOS PAC ID: 6507282258 Enrollment ID: I20200812002682 |
| Provider Name | Min Clapham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881957207 PECOS PAC ID: 8820237324 Enrollment ID: I20200812002815 |
| Provider Name | Ahmad Kutmah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346772415 PECOS PAC ID: 1951738053 Enrollment ID: I20200812002839 |
| Provider Name | Heather L Benson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780031146 PECOS PAC ID: 8325332141 Enrollment ID: I20200818001191 |
| Provider Name | Letha Tetrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710412796 PECOS PAC ID: 8820366420 Enrollment ID: I20200821001150 |
| Provider Name | Audrey Joy Baute |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689194649 PECOS PAC ID: 0547539660 Enrollment ID: I20200821001838 |
| Provider Name | Michael Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487189510 PECOS PAC ID: 7012286552 Enrollment ID: I20200821002785 |
| Provider Name | Michael S Giffen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770004954 PECOS PAC ID: 7113296971 Enrollment ID: I20200825001865 |
| Provider Name | Michelle Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982213591 PECOS PAC ID: 0749607372 Enrollment ID: I20200827003267 |
| Provider Name | Sarah Pawlak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740639103 PECOS PAC ID: 2062704109 Enrollment ID: I20200901000096 |
| Provider Name | Sara E Covert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780292995 PECOS PAC ID: 3779900055 Enrollment ID: I20200901002237 |
| Provider Name | Angela D Kirkendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114576097 PECOS PAC ID: 3678990710 Enrollment ID: I20200903000961 |
| Provider Name | Ramon Eduardo Santos Olivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053867309 PECOS PAC ID: 3870889009 Enrollment ID: I20200915001203 |
| Provider Name | Shirley Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801408729 PECOS PAC ID: 1153749643 Enrollment ID: I20200915003250 |
| Provider Name | Julia Collins Kearney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063869220 PECOS PAC ID: 9234476201 Enrollment ID: I20200918001282 |
| Provider Name | Sheeda Golian |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1780034900 PECOS PAC ID: 5799103826 Enrollment ID: I20200922000784 |
| Provider Name | Molly Anne Oriley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205450152 PECOS PAC ID: 4385063262 Enrollment ID: I20200925001259 |
| Provider Name | Amy Marie Fruehwald |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255622247 PECOS PAC ID: 5698077337 Enrollment ID: I20200925001881 |
| Provider Name | Sophia Edwards-bennett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942468426 PECOS PAC ID: 6608068341 Enrollment ID: I20200928000853 |
| Provider Name | Jyssika Lynn Spray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295341238 PECOS PAC ID: 4486073251 Enrollment ID: I20200928002161 |
| Provider Name | Suzanne Elaine Ducate |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982869830 PECOS PAC ID: 1951355890 Enrollment ID: I20201002000711 |
| Provider Name | Andrew Bennett Grubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609481738 PECOS PAC ID: 0446679633 Enrollment ID: I20201008001034 |
| Provider Name | Stephanie Helen Wehrle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346847886 PECOS PAC ID: 5890115026 Enrollment ID: I20201008003422 |
| Provider Name | Keshia Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871192534 PECOS PAC ID: 2163842410 Enrollment ID: I20201026002790 |
| Provider Name | Clair Elizabeth Seefeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750988606 PECOS PAC ID: 7012327331 Enrollment ID: I20201027002707 |
| Provider Name | Anan Afaneh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407167273 PECOS PAC ID: 1456589688 Enrollment ID: I20201104002221 |
| Provider Name | Sara Brooke Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790386886 PECOS PAC ID: 0840600656 Enrollment ID: I20201106000672 |
| Provider Name | Michael T Bangert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528386943 PECOS PAC ID: 3779719133 Enrollment ID: I20201113001190 |
| Provider Name | Nekia Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265034615 PECOS PAC ID: 5193136406 Enrollment ID: I20201117002546 |
| Provider Name | Andrew J Brougher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255862967 PECOS PAC ID: 7517378250 Enrollment ID: I20201201001648 |
| Provider Name | Susan Kohlhaas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801445416 PECOS PAC ID: 3375954910 Enrollment ID: I20201202002742 |
| Provider Name | Leslie Taneal Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578024741 PECOS PAC ID: 6709298243 Enrollment ID: I20201207003151 |
| Provider Name | Rana F Hawamdeh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1992016588 PECOS PAC ID: 1850529041 Enrollment ID: I20201215001770 |
| Provider Name | Amy Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265035422 PECOS PAC ID: 4587076526 Enrollment ID: I20201215002248 |
| Provider Name | Anna Tirman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346841947 PECOS PAC ID: 5890108476 Enrollment ID: I20201229001962 |
| Provider Name | Marian Gaida Duselis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124615695 PECOS PAC ID: 1658784061 Enrollment ID: I20210104000586 |
| Provider Name | Shelby Renee Perry-dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083218101 PECOS PAC ID: 1456764786 Enrollment ID: I20210106001058 |
| Provider Name | Homer Schreckengost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083680805 PECOS PAC ID: 5193626133 Enrollment ID: I20210108000485 |
| Provider Name | Caroline Margaret Cianfrocco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477198059 PECOS PAC ID: 7618380304 Enrollment ID: I20210120000720 |
| Provider Name | Consolacion M Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568050805 PECOS PAC ID: 1456765023 Enrollment ID: I20210122002461 |
| Provider Name | Brandon Philip Durbin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790059632 PECOS PAC ID: 2769643519 Enrollment ID: I20210126002090 |
| Provider Name | Jennifer Jean Howie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194315440 PECOS PAC ID: 7416361753 Enrollment ID: I20210128001443 |
| Provider Name | Megan Levi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952858276 PECOS PAC ID: 0749520054 Enrollment ID: I20210129001128 |
| Provider Name | Brittney Koopman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760084057 PECOS PAC ID: 0244644383 Enrollment ID: I20210201000420 |
| Provider Name | Ellen Marie Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295324754 PECOS PAC ID: 1658785688 Enrollment ID: I20210202001983 |
| Provider Name | Erika R Bruggeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366030611 PECOS PAC ID: 2365856374 Enrollment ID: I20210203001938 |
| Provider Name | Amber Lynn Dever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700412855 PECOS PAC ID: 4284048083 Enrollment ID: I20210205000333 |
| Provider Name | Lagina Wills |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265882187 PECOS PAC ID: 6709179187 Enrollment ID: I20210212001300 |
| Provider Name | Amber Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700478930 PECOS PAC ID: 5294140620 Enrollment ID: I20210217002742 |
| Provider Name | Kristianna Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972194645 PECOS PAC ID: 8527473859 Enrollment ID: I20210219000653 |
| Provider Name | Kathleen Patricia Keesling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841784477 PECOS PAC ID: 2769735521 Enrollment ID: I20210222000991 |
| Provider Name | Alexis Mayhew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891133138 PECOS PAC ID: 6901122555 Enrollment ID: I20210226000681 |
| Provider Name | Courtney Etherington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326494352 PECOS PAC ID: 0749696292 Enrollment ID: I20210308001108 |
| Provider Name | Susan Addington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508455122 PECOS PAC ID: 7517373061 Enrollment ID: I20210310000853 |
| Provider Name | Samantha Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881289155 PECOS PAC ID: 9739595786 Enrollment ID: I20210317000801 |
| Provider Name | Jessi Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972193886 PECOS PAC ID: 5698182673 Enrollment ID: I20210319000440 |
| Provider Name | Erika Csw Klueh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942836416 PECOS PAC ID: 9830528355 Enrollment ID: I20210330001521 |
| Provider Name | Precious M Simataa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326640640 PECOS PAC ID: 5991112252 Enrollment ID: I20210402000290 |
| Provider Name | Megan Lynn Kieffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750968715 PECOS PAC ID: 2961819271 Enrollment ID: I20210405001063 |
| Provider Name | Heather Marie Schilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649855388 PECOS PAC ID: 7810304078 Enrollment ID: I20210406000847 |
| Provider Name | Jonathan Bennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740228501 PECOS PAC ID: 7810963782 Enrollment ID: I20210408000207 |
| Provider Name | Danielle Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659956266 PECOS PAC ID: 6901214840 Enrollment ID: I20210414001953 |
| Provider Name | Kristy Dawn Moore-franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831706019 PECOS PAC ID: 4981012838 Enrollment ID: I20210414002476 |
| Provider Name | Alexia Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497336325 PECOS PAC ID: 5193133601 Enrollment ID: I20210422001525 |
| Provider Name | Ann M Schoen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043551856 PECOS PAC ID: 5193966869 Enrollment ID: I20210428003142 |
| Provider Name | Robin L Petit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851931000 PECOS PAC ID: 3375952518 Enrollment ID: I20210429001435 |
| Provider Name | Abdul Aleem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508232711 PECOS PAC ID: 1355750373 Enrollment ID: I20210504001247 |
| Provider Name | Neil Phippen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588805923 PECOS PAC ID: 9830315308 Enrollment ID: I20210506000869 |
| Provider Name | Cheryl Newbold-thompson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891786836 PECOS PAC ID: 2466746300 Enrollment ID: I20210514000962 |
| Provider Name | Nikhil Patrick Martis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144519760 PECOS PAC ID: 7911217765 Enrollment ID: I20210519002501 |
| Provider Name | Charles Noble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881755775 PECOS PAC ID: 8921394966 Enrollment ID: I20210601002429 |
| Provider Name | Shweta Kishore |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912242462 PECOS PAC ID: 9032439658 Enrollment ID: I20210604001098 |
| Provider Name | Saad Ullah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871978312 PECOS PAC ID: 1951617158 Enrollment ID: I20210607001339 |
| Provider Name | Richard Nunez Lopez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922386655 PECOS PAC ID: 9537481650 Enrollment ID: I20210607002765 |
| Provider Name | Rani Sree Ramaswamy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164717781 PECOS PAC ID: 9032428008 Enrollment ID: I20210611001852 |
| Provider Name | Anthony Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033786983 PECOS PAC ID: 3072913094 Enrollment ID: I20210614001661 |
| Provider Name | Colby Ann Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083208524 PECOS PAC ID: 3072913771 Enrollment ID: I20210617001697 |
| Provider Name | Umair Saleem Minhas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083001655 PECOS PAC ID: 0840535878 Enrollment ID: I20210618002080 |
| Provider Name | Daniel Bruce Eddelman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861807844 PECOS PAC ID: 7517265259 Enrollment ID: I20210624001484 |
| Provider Name | Brandon D Downing |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962852178 PECOS PAC ID: 7214338466 Enrollment ID: I20210625001756 |
| Provider Name | Laura Feder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043709363 PECOS PAC ID: 6002161718 Enrollment ID: I20210630001911 |
| Provider Name | Madeline Chikamba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154828986 PECOS PAC ID: 6204183544 Enrollment ID: I20210702001617 |
| Provider Name | Erin Leigh Jeffries |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447639893 PECOS PAC ID: 4284903667 Enrollment ID: I20210712000266 |
| Provider Name | Shelley Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194345926 PECOS PAC ID: 4880096015 Enrollment ID: I20210712000983 |
| Provider Name | Daniel P Capes |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770937369 PECOS PAC ID: 8426348061 Enrollment ID: I20210712002376 |
| Provider Name | Aaron Matthew Mang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750887980 PECOS PAC ID: 9638424864 Enrollment ID: I20210712002449 |
| Provider Name | Colin Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194219279 PECOS PAC ID: 5496001257 Enrollment ID: I20210712002477 |
| Provider Name | Tessa Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497320170 PECOS PAC ID: 3678975737 Enrollment ID: I20210712003036 |
| Provider Name | Joseph Kaleb Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104354505 PECOS PAC ID: 3678975745 Enrollment ID: I20210712003475 |
| Provider Name | Nathan Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154826683 PECOS PAC ID: 3274898895 Enrollment ID: I20210713002083 |
| Provider Name | Erik Charles Curry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831626126 PECOS PAC ID: 6305114091 Enrollment ID: I20210714002090 |
| Provider Name | Daniel T Cater |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548640808 PECOS PAC ID: 1456662287 Enrollment ID: I20210720001457 |
| Provider Name | Kalpana S Norbisrath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508261611 PECOS PAC ID: 5799102893 Enrollment ID: I20210720001557 |
| Provider Name | George Salfity |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932588563 PECOS PAC ID: 6507187499 Enrollment ID: I20210720001584 |
| Provider Name | Rachel Snell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649769795 PECOS PAC ID: 9638424856 Enrollment ID: I20210720001705 |
| Provider Name | Heather Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497325344 PECOS PAC ID: 0749683233 Enrollment ID: I20210721001903 |
| Provider Name | Audrey Gabriel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073010567 PECOS PAC ID: 9537424254 Enrollment ID: I20210721002195 |
| Provider Name | Nora Mossa-basha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457873630 PECOS PAC ID: 3072916592 Enrollment ID: I20210721003086 |
| Provider Name | Sarah Spurgeon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154810471 PECOS PAC ID: 0547515769 Enrollment ID: I20210722001440 |
| Provider Name | Kendra Renee Furtek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306472386 PECOS PAC ID: 3072931799 Enrollment ID: I20210722001856 |
| Provider Name | Morgan Lynnette Rhodes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265922108 PECOS PAC ID: 9931454683 Enrollment ID: I20210726001229 |
| Provider Name | Nur Un Nisa Nabil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932687035 PECOS PAC ID: 5092118166 Enrollment ID: I20210727002135 |
| Provider Name | Heidi Helene Bushnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043883739 PECOS PAC ID: 3779986732 Enrollment ID: I20210728001987 |
| Provider Name | Elizabeth A Russo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881263754 PECOS PAC ID: 5991108912 Enrollment ID: I20210729000269 |
| Provider Name | Alexander Augustyn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265893184 PECOS PAC ID: 6204239171 Enrollment ID: I20210729002318 |
| Provider Name | Aaditya Chandramouli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811493703 PECOS PAC ID: 8426385436 Enrollment ID: I20210730002006 |
| Provider Name | Breanna Kay Hostetler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093386617 PECOS PAC ID: 4981008612 Enrollment ID: I20210803002048 |
| Provider Name | Sarah Patten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962081042 PECOS PAC ID: 8022412618 Enrollment ID: I20210804000801 |
| Provider Name | John William Timothy |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730213604 PECOS PAC ID: 8426452038 Enrollment ID: I20210804001513 |
| Provider Name | Nathaniel Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386905099 PECOS PAC ID: 9830337625 Enrollment ID: I20210806000321 |
| Provider Name | Kaitlin Michelle Woolley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306292230 PECOS PAC ID: 9335436120 Enrollment ID: I20210806001421 |
| Provider Name | Kelsey Ann Cowden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831695071 PECOS PAC ID: 2365797073 Enrollment ID: I20210806001680 |
| Provider Name | Hasan Mukhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568953032 PECOS PAC ID: 5698179844 Enrollment ID: I20210810001742 |
| Provider Name | Samantha Marie Buszek |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407201643 PECOS PAC ID: 9931503109 Enrollment ID: I20210810002286 |
| Provider Name | Meredith L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912578139 PECOS PAC ID: 7315341443 Enrollment ID: I20210811001084 |
| Provider Name | Careah Elizabeth Bell Mcpeek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427723444 PECOS PAC ID: 7315341252 Enrollment ID: I20210813002401 |
| Provider Name | Rachel E Heneghan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730448176 PECOS PAC ID: 6901040682 Enrollment ID: I20210818001254 |
| Provider Name | Chelsea Ullmann Workman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851882203 PECOS PAC ID: 0446506844 Enrollment ID: I20210823001389 |
| Provider Name | Taryn L Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497420806 PECOS PAC ID: 2769887165 Enrollment ID: I20210824000524 |
| Provider Name | Megan A Coughlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962797308 PECOS PAC ID: 6103058060 Enrollment ID: I20210824000986 |
| Provider Name | Jasmine Danielle Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619387230 PECOS PAC ID: 6002031200 Enrollment ID: I20210824001224 |
| Provider Name | Danyell Cope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801560743 PECOS PAC ID: 4789089103 Enrollment ID: I20210824001443 |
| Provider Name | Courtney M Wendt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760157655 PECOS PAC ID: 5597160911 Enrollment ID: I20210824001475 |
| Provider Name | Ashley Jancuska |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942650197 PECOS PAC ID: 3971895574 Enrollment ID: I20210824001531 |
| Provider Name | Deanna Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104414879 PECOS PAC ID: 6002211430 Enrollment ID: I20210824002083 |
| Provider Name | Barrett P Cromeens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538425418 PECOS PAC ID: 3476846320 Enrollment ID: I20210825000641 |
| Provider Name | Allison Marie Brockley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669049649 PECOS PAC ID: 6608271986 Enrollment ID: I20210825000950 |
| Provider Name | Denese Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770258147 PECOS PAC ID: 3870998974 Enrollment ID: I20210827002192 |
| Provider Name | Hannah Cummins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285301408 PECOS PAC ID: 9638574619 Enrollment ID: I20210830002054 |
| Provider Name | Megan Day |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295184323 PECOS PAC ID: 8628369550 Enrollment ID: I20210901002043 |
| Provider Name | Cortney M Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306513387 PECOS PAC ID: 6406252352 Enrollment ID: I20210901002098 |
| Provider Name | Kevin Skuran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992226633 PECOS PAC ID: 3678837523 Enrollment ID: I20210901004136 |
| Provider Name | David Cherro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114458692 PECOS PAC ID: 3375812043 Enrollment ID: I20210901004183 |
| Provider Name | Michelle G. Pittard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497421531 PECOS PAC ID: 9335545789 Enrollment ID: I20210909002420 |
| Provider Name | Moiz Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750794244 PECOS PAC ID: 3870858749 Enrollment ID: I20210915001255 |
| Provider Name | Charles Samuel Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598945685 PECOS PAC ID: 3577694439 Enrollment ID: I20210921001028 |
| Provider Name | Shannon Fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457021503 PECOS PAC ID: 7012314743 Enrollment ID: I20210923001066 |
| Provider Name | Meghan Leslie Beer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134570468 PECOS PAC ID: 2567756547 Enrollment ID: I20210923001117 |
| Provider Name | Donita Roettcher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629423504 PECOS PAC ID: 5597055400 Enrollment ID: I20210928001289 |
| Provider Name | Rachael K Agbonhese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760988356 PECOS PAC ID: 4688922891 Enrollment ID: I20210928001451 |
| Provider Name | Jacob Mulinix |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871090175 PECOS PAC ID: 0840545802 Enrollment ID: I20210928002170 |
| Provider Name | Rachit Gupta |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669819629 PECOS PAC ID: 9830596162 Enrollment ID: I20210929000459 |
| Provider Name | Catherine Margaret Goldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760152060 PECOS PAC ID: 9830597038 Enrollment ID: I20211001000862 |
| Provider Name | Elizabeth Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962170316 PECOS PAC ID: 8527466747 Enrollment ID: I20211001001410 |
| Provider Name | Kelsie Scaringe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811667330 PECOS PAC ID: 8022416262 Enrollment ID: I20211001001979 |
| Provider Name | Christopher Andrew Patrick Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447920111 PECOS PAC ID: 2668870544 Enrollment ID: I20211006003264 |
| Provider Name | Kandace L Desadier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356017016 PECOS PAC ID: 6406254341 Enrollment ID: I20211007001860 |
| Provider Name | Alyssa Milenbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023784790 PECOS PAC ID: 1658779418 Enrollment ID: I20211007003382 |
| Provider Name | Victoria Marie Shickles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801480561 PECOS PAC ID: 6103224431 Enrollment ID: I20211018000524 |
| Provider Name | Janna Weatherly-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558940692 PECOS PAC ID: 6709274848 Enrollment ID: I20211022001377 |
| Provider Name | Sibel Guzel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861825598 PECOS PAC ID: 7618365693 Enrollment ID: I20211025000430 |
| Provider Name | Kierra Y Hayes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851825814 PECOS PAC ID: 7911231386 Enrollment ID: I20211027000362 |
| Provider Name | Stacey May |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538835335 PECOS PAC ID: 6901294768 Enrollment ID: I20211027001633 |
| Provider Name | Katheryn Lopshire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538597281 PECOS PAC ID: 8820486657 Enrollment ID: I20211028001271 |
| Provider Name | Alexandra Elizabeth Devore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538822390 PECOS PAC ID: 4688062318 Enrollment ID: I20211028001584 |
| Provider Name | Sarah Mott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588327019 PECOS PAC ID: 4981092376 Enrollment ID: I20211104001660 |
| Provider Name | Amalia Lehmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275068124 PECOS PAC ID: 5193093086 Enrollment ID: I20211112001469 |
| Provider Name | David C Streitman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083719637 PECOS PAC ID: 2466524103 Enrollment ID: I20211122000846 |
| Provider Name | Jakob Charles Bury |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821768920 PECOS PAC ID: 6800286865 Enrollment ID: I20211206001622 |
| Provider Name | George Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306374764 PECOS PAC ID: 2466875752 Enrollment ID: I20211216001721 |
| Provider Name | Georgiana Naylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609535616 PECOS PAC ID: 8921499807 Enrollment ID: I20220104000710 |
| Provider Name | Kathryn Robertson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578234530 PECOS PAC ID: 2769434638 Enrollment ID: I20220106001189 |
| Provider Name | Jesse Lynne Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063172484 PECOS PAC ID: 4880086180 Enrollment ID: I20220119000250 |
| Provider Name | Sarah Thixton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821768573 PECOS PAC ID: 9335531656 Enrollment ID: I20220119001250 |
| Provider Name | Kristin Marie Winternheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629732896 PECOS PAC ID: 1658763628 Enrollment ID: I20220125001214 |
| Provider Name | Raymond Candelaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023775848 PECOS PAC ID: 0648662585 Enrollment ID: I20220126001485 |
| Provider Name | Haley Elizabeth Ornelas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588316327 PECOS PAC ID: 2567855133 Enrollment ID: I20220202002065 |
| Provider Name | Rachel Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366101370 PECOS PAC ID: 7911390539 Enrollment ID: I20220203000669 |
| Provider Name | Kerri L Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053077198 PECOS PAC ID: 5799178273 Enrollment ID: I20220204000766 |
| Provider Name | Ronald Girt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477218899 PECOS PAC ID: 0042603524 Enrollment ID: I20220204000817 |
| Provider Name | Mohannad Moallem |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1003026501 PECOS PAC ID: 2860661527 Enrollment ID: I20220204001474 |
| Provider Name | Jeniffer Forson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043747462 PECOS PAC ID: 5193140614 Enrollment ID: I20220207000197 |
| Provider Name | Christina Graham |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063605301 PECOS PAC ID: 1052600202 Enrollment ID: I20220209000971 |
| Provider Name | Brooke Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285391011 PECOS PAC ID: 1355734658 Enrollment ID: I20220209001945 |
| Provider Name | Kelli Lyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922750264 PECOS PAC ID: 5294128195 Enrollment ID: I20220216001549 |
| Provider Name | Katie E Bricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275287658 PECOS PAC ID: 4183017049 Enrollment ID: I20220217000974 |
| Provider Name | Ellery Anne Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831853712 PECOS PAC ID: 3375937006 Enrollment ID: I20220223001590 |
| Provider Name | Erin Koenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588129308 PECOS PAC ID: 5597006577 Enrollment ID: I20220303002413 |
| Provider Name | Teresann Nickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831245786 PECOS PAC ID: 8426130774 Enrollment ID: I20220317001556 |
| Provider Name | Virali Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851702989 PECOS PAC ID: 9436448875 Enrollment ID: I20220328002168 |
| Provider Name | Dana Michelle Fluhler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255002366 PECOS PAC ID: 8022404946 Enrollment ID: I20220401000715 |
| Provider Name | Lea Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093282063 PECOS PAC ID: 7012257538 Enrollment ID: I20220404000814 |
| Provider Name | Molly Rene Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215698998 PECOS PAC ID: 7719373596 Enrollment ID: I20220404000990 |
| Provider Name | Megan E Mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295074052 PECOS PAC ID: 8729377825 Enrollment ID: I20220404001771 |
| Provider Name | Hiba Jawdat Mustafa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083011795 PECOS PAC ID: 0648557207 Enrollment ID: I20220405001087 |
| Provider Name | Angela Marie Scaringe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174284921 PECOS PAC ID: 8527454206 Enrollment ID: I20220405002699 |
| Provider Name | Sarah Zeilinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871244079 PECOS PAC ID: 0648666362 Enrollment ID: I20220406001249 |
| Provider Name | Charity Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932849072 PECOS PAC ID: 6002202736 Enrollment ID: I20220406001754 |
| Provider Name | Brookelyn Paige Abubakr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871177873 PECOS PAC ID: 2062808520 Enrollment ID: I20220408001873 |
| Provider Name | Augustina Hone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295403624 PECOS PAC ID: 7416343629 Enrollment ID: I20220414001692 |
| Provider Name | Gabrielle Fairchild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346980141 PECOS PAC ID: 7517354772 Enrollment ID: I20220419000742 |
| Provider Name | Caryn Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417699778 PECOS PAC ID: 5395132278 Enrollment ID: I20220422001806 |
| Provider Name | Victoria Renee Flick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639821622 PECOS PAC ID: 5496142887 Enrollment ID: I20220504001197 |
| Provider Name | Kiersten Loretta Sedler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831768928 PECOS PAC ID: 6305224783 Enrollment ID: I20220526001819 |
| Provider Name | Ryan J Logue |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093178477 PECOS PAC ID: 1557749587 Enrollment ID: I20220603001544 |
| Provider Name | Wesley Nicole Seulean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700521853 PECOS PAC ID: 4183002025 Enrollment ID: I20220603002556 |
| Provider Name | Jeronimo Berardo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659893519 PECOS PAC ID: 4789001645 Enrollment ID: I20220609001988 |
| Provider Name | Chirag Rajyaguru |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1326434937 PECOS PAC ID: 0345628855 Enrollment ID: I20220610001939 |
| Provider Name | Roberto Herrera Iii |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174812242 PECOS PAC ID: 7012132913 Enrollment ID: I20220614000523 |
| Provider Name | Katherine Spradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326787615 PECOS PAC ID: 4587043518 Enrollment ID: I20220622002773 |
| Provider Name | Erin Marie Cleary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932542438 PECOS PAC ID: 7517235237 Enrollment ID: I20220624000864 |
| Provider Name | Amandeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194455766 PECOS PAC ID: 8325427180 Enrollment ID: I20220624001033 |
| Provider Name | Miranda Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538899331 PECOS PAC ID: 8921488453 Enrollment ID: I20220630000960 |
| Provider Name | Kyle Morlan |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1720641863 PECOS PAC ID: 9739413972 Enrollment ID: I20220705000145 |
| Provider Name | Adam M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235691825 PECOS PAC ID: 7214329960 Enrollment ID: I20220705000237 |
| Provider Name | William Tyler Turchan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962937458 PECOS PAC ID: 8022387869 Enrollment ID: I20220706002961 |
| Provider Name | Whitney L Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578209961 PECOS PAC ID: 9436539574 Enrollment ID: I20220706003269 |
| Provider Name | Joshua Lee Manghelli |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1356721567 PECOS PAC ID: 3072825322 Enrollment ID: I20220712000773 |
| Provider Name | Prakash Nallani |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1164884813 PECOS PAC ID: 9739422338 Enrollment ID: I20220712000874 |
| Provider Name | Jennifer Marie Dimitroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922731561 PECOS PAC ID: 7416338926 Enrollment ID: I20220714003349 |
| Provider Name | Jennifer Obrzydowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407353881 PECOS PAC ID: 5991051351 Enrollment ID: I20220715000417 |
| Provider Name | Brooke Rohlfing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326771031 PECOS PAC ID: 1153702691 Enrollment ID: I20220715000460 |
| Provider Name | Chanukya Rama Dahagam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003103953 PECOS PAC ID: 5991001091 Enrollment ID: I20220719001513 |
| Provider Name | Jordon Courtney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801530852 PECOS PAC ID: 5395126510 Enrollment ID: I20220720000375 |
| Provider Name | Christina Salazar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447612593 PECOS PAC ID: 5092149369 Enrollment ID: I20220721002397 |
| Provider Name | Audrey Devine |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588194039 PECOS PAC ID: 9931478906 Enrollment ID: I20220721002710 |
| Provider Name | Harini Hopwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871087262 PECOS PAC ID: 1951654391 Enrollment ID: I20220724000030 |
| Provider Name | Shelley Baase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780318360 PECOS PAC ID: 4587045463 Enrollment ID: I20220725000157 |
| Provider Name | Alec Kelley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356802276 PECOS PAC ID: 7719369438 Enrollment ID: I20220727003698 |
| Provider Name | Samuel Louis Corey |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1043620412 PECOS PAC ID: 1355644543 Enrollment ID: I20220729002564 |
| Provider Name | Gabriel Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730686031 PECOS PAC ID: 8729333943 Enrollment ID: I20220801002884 |
| Provider Name | Kristian Clark-skeens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285042754 PECOS PAC ID: 6103045778 Enrollment ID: I20220802002246 |
| Provider Name | Mira K Trivedi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750778643 PECOS PAC ID: 0840672077 Enrollment ID: I20220803003348 |
| Provider Name | Jason Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346620564 PECOS PAC ID: 7113275330 Enrollment ID: I20220805000691 |
| Provider Name | Josephine Daeun Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376005793 PECOS PAC ID: 0143554105 Enrollment ID: I20220805000768 |
| Provider Name | Jacob Kirt Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225396237 PECOS PAC ID: 0941682926 Enrollment ID: I20220808002206 |
| Provider Name | Jordan Babcock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871054866 PECOS PAC ID: 0547598401 Enrollment ID: I20220810000164 |
| Provider Name | Guun Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124686357 PECOS PAC ID: 5991188864 Enrollment ID: I20220810003371 |
| Provider Name | Ryan Michael Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104387869 PECOS PAC ID: 1951784792 Enrollment ID: I20220811002411 |
| Provider Name | Kelsey Nicole Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760944524 PECOS PAC ID: 1658605480 Enrollment ID: I20220813000108 |
| Provider Name | Lindsey Elizabeth Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376295089 PECOS PAC ID: 3476936097 Enrollment ID: I20220815002800 |
| Provider Name | Sean Hiett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174186480 PECOS PAC ID: 9436487030 Enrollment ID: I20220829001612 |
| Provider Name | Ashley Nicole Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336892470 PECOS PAC ID: 9537543103 Enrollment ID: I20220831000303 |
| Provider Name | Abigail Jean Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487387866 PECOS PAC ID: 6406230010 Enrollment ID: I20220831001784 |
| Provider Name | Christopher Skok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811556467 PECOS PAC ID: 8224366182 Enrollment ID: I20220901000579 |
| Provider Name | Elaine Off |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285230268 PECOS PAC ID: 2860876364 Enrollment ID: I20220901001379 |
| Provider Name | Samantha Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356069520 PECOS PAC ID: 1658755020 Enrollment ID: I20220902000797 |
| Provider Name | Muhammad Tahir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447605449 PECOS PAC ID: 5890033369 Enrollment ID: I20220906000803 |
| Provider Name | Emily R Strube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699405589 PECOS PAC ID: 4385029420 Enrollment ID: I20220909002803 |
| Provider Name | Gregory P Wynne |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558725937 PECOS PAC ID: 4183919483 Enrollment ID: I20220926000098 |
| Provider Name | Spencer Deig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518497981 PECOS PAC ID: 6901175397 Enrollment ID: I20220927003107 |
| Provider Name | Megan Kelly Malone |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366175689 PECOS PAC ID: 5294111829 Enrollment ID: I20221004003454 |
| Provider Name | Milan Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336863554 PECOS PAC ID: 7517343924 Enrollment ID: I20221007000278 |
| Provider Name | Kiran Baikati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740550656 PECOS PAC ID: 3870757651 Enrollment ID: I20221010001148 |
| Provider Name | Mary Ann Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285364067 PECOS PAC ID: 9739555947 Enrollment ID: I20221012003873 |
| Provider Name | Kimberly Anne Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639893787 PECOS PAC ID: 0244606317 Enrollment ID: I20221013002653 |
| Provider Name | Robert Zukas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063734382 PECOS PAC ID: 6901040344 Enrollment ID: I20221017000101 |
| Provider Name | Gretchen Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508363672 PECOS PAC ID: 8527313741 Enrollment ID: I20221020000763 |
| Provider Name | Sharon J Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508586249 PECOS PAC ID: 6204202708 Enrollment ID: I20221025002987 |
| Provider Name | Tiffiney Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811614506 PECOS PAC ID: 5395113880 Enrollment ID: I20221114002464 |
| Provider Name | Ashley Taylor Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528793429 PECOS PAC ID: 5991173254 Enrollment ID: I20221118000301 |
| Provider Name | Anna Jo Ellen Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154061067 PECOS PAC ID: 5698143675 Enrollment ID: I20221122003546 |
| Provider Name | Zachary Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831810332 PECOS PAC ID: 9537537543 Enrollment ID: I20221123001043 |
| Provider Name | Kamilah Tourner-nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295450153 PECOS PAC ID: 8325416217 Enrollment ID: I20221128001062 |
| Provider Name | Yogesh B Patel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912356916 PECOS PAC ID: 2567754765 Enrollment ID: I20221128001593 |
| Provider Name | Rayanah Kawam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578958765 PECOS PAC ID: 7719383579 Enrollment ID: I20221129002330 |
| Provider Name | Thu Han Aung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659553162 PECOS PAC ID: 1759461593 Enrollment ID: I20221207000269 |
| Provider Name | Brookley Carlino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073975678 PECOS PAC ID: 1658740980 Enrollment ID: I20221208002287 |
| Provider Name | Leslie Anne Vaught |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356058549 PECOS PAC ID: 2668841826 Enrollment ID: I20221209000745 |
| Provider Name | Cynthia Ann Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124177001 PECOS PAC ID: 0749425874 Enrollment ID: I20221216000887 |
| Provider Name | Robert Beyerlein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003273582 PECOS PAC ID: 7911201355 Enrollment ID: I20230104000701 |
| Provider Name | Jeanne Ann Majors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922178524 PECOS PAC ID: 1456596584 Enrollment ID: I20230105001489 |
| Provider Name | Justina Lynn Staroska |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730502477 PECOS PAC ID: 0941635676 Enrollment ID: I20230117000609 |
| Provider Name | Courtney Steele |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295446466 PECOS PAC ID: 4587035290 Enrollment ID: I20230117001326 |
| Provider Name | Elizabeth A Bickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306910328 PECOS PAC ID: 0941671523 Enrollment ID: I20230118000963 |
| Provider Name | Lauren Amanda Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013599869 PECOS PAC ID: 8426429945 Enrollment ID: I20230120000836 |
| Provider Name | Jessica Julie Pietras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417627563 PECOS PAC ID: 9335510445 Enrollment ID: I20230128000283 |
| Provider Name | Stephen Francis Spika |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992173868 PECOS PAC ID: 9638469190 Enrollment ID: I20230208001658 |
| Provider Name | Matthew Maurice Redshaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477259224 PECOS PAC ID: 2365814993 Enrollment ID: I20230208002026 |
| Provider Name | Cory Sandberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043794548 PECOS PAC ID: 1759753056 Enrollment ID: I20230215000834 |
| Provider Name | Paige Marie Cardamon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740986041 PECOS PAC ID: 4981076296 Enrollment ID: I20230215001583 |
| Provider Name | Hiren Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730479486 PECOS PAC ID: 8729390364 Enrollment ID: I20230216002129 |
| Provider Name | George Sami Kassis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720217326 PECOS PAC ID: 3274782263 Enrollment ID: I20230217000195 |
| Provider Name | Stephanie Marie Fulks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780399907 PECOS PAC ID: 2466825492 Enrollment ID: I20230222001540 |
| Provider Name | Julie Hilfiker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073224994 PECOS PAC ID: 4082087820 Enrollment ID: I20230227001737 |
| Provider Name | Jacob Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356075931 PECOS PAC ID: 2860865490 Enrollment ID: I20230302000685 |
| Provider Name | Austin Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063110278 PECOS PAC ID: 1759754013 Enrollment ID: I20230307001950 |
| Provider Name | Kelsey Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124733068 PECOS PAC ID: 4284007550 Enrollment ID: I20230307002542 |
| Provider Name | Emily Jordan Kuzma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134832249 PECOS PAC ID: 9537533393 Enrollment ID: I20230316002348 |
| Provider Name | Erin Michelle Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821216672 PECOS PAC ID: 7315047255 Enrollment ID: I20230406002296 |
| Provider Name | Ciara Marie Goodbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528708534 PECOS PAC ID: 8527433374 Enrollment ID: I20230407001136 |
| Provider Name | Monica Rae Deford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538869458 PECOS PAC ID: 2163897653 Enrollment ID: I20230414002061 |
| Provider Name | Krista Brandle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508491648 PECOS PAC ID: 7719342070 Enrollment ID: I20230420002853 |
| Provider Name | Cortney Lynn Rife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760170849 PECOS PAC ID: 8123484102 Enrollment ID: I20230517001451 |
| Provider Name | Megan Allen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043821390 PECOS PAC ID: 7315303302 Enrollment ID: I20230517001913 |
| Provider Name | Kimberly Carlton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700499399 PECOS PAC ID: 1456717453 Enrollment ID: I20230517002218 |
| Provider Name | Mckenzie Dunham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497392583 PECOS PAC ID: 8123484136 Enrollment ID: I20230517002498 |
| Provider Name | April Kleber |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003421983 PECOS PAC ID: 1759747603 Enrollment ID: I20230518001278 |
| Provider Name | Karlyn Gremore Lynch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295341683 PECOS PAC ID: 8921464876 Enrollment ID: I20230518001307 |
| Provider Name | Karen Sarah Neff-zebrauskas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124632856 PECOS PAC ID: 1557727419 Enrollment ID: I20230518001426 |
| Provider Name | Abby Self |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922619550 PECOS PAC ID: 8729444682 Enrollment ID: I20230518001470 |
| Provider Name | Amanda Jo Pantone |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386259786 PECOS PAC ID: 3173989035 Enrollment ID: I20230518001518 |
| Provider Name | Sara Beth Wisehart |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720692015 PECOS PAC ID: 8224494182 Enrollment ID: I20230518001606 |
| Provider Name | Elilta Tsegai |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295341923 PECOS PAC ID: 7214393172 Enrollment ID: I20230518001660 |
| Provider Name | Derek Thiems |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538851373 PECOS PAC ID: 2860858446 Enrollment ID: I20230524001960 |
| Provider Name | Kara Kathryn Berning |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518571157 PECOS PAC ID: 4789041161 Enrollment ID: I20230530001659 |
| Provider Name | Megan Marie Grindall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013521962 PECOS PAC ID: 6002273489 Enrollment ID: I20230530001856 |
| Provider Name | Brooke A Fenneman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669131850 PECOS PAC ID: 9335506740 Enrollment ID: I20230530002988 |
| Provider Name | Carole Christine Corder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902420532 PECOS PAC ID: 5092172445 Enrollment ID: I20230531001327 |
| Provider Name | Helen Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992157945 PECOS PAC ID: 2062792591 Enrollment ID: I20230615001886 |
| Provider Name | Lauren Rose Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679257554 PECOS PAC ID: 8921466277 Enrollment ID: I20230620001556 |
| Provider Name | Mary Ocallaghan Butz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326625211 PECOS PAC ID: 5890153001 Enrollment ID: I20230621000774 |
| Provider Name | Cody E Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801359690 PECOS PAC ID: 3678808730 Enrollment ID: I20230621001360 |
| Provider Name | Matthew Buschur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356032080 PECOS PAC ID: 1759749765 Enrollment ID: I20230623001606 |
| Provider Name | Stephanie Tafflinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619669900 PECOS PAC ID: 6901265511 Enrollment ID: I20230629002368 |
| Provider Name | Emily Claire Burt Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104531839 PECOS PAC ID: 2961861588 Enrollment ID: I20230629002883 |
| Provider Name | Corey Christopher Marchant |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1598226078 PECOS PAC ID: 2062747744 Enrollment ID: I20230707003057 |
| Provider Name | Kanupriya Gulati |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1598261364 PECOS PAC ID: 4082961339 Enrollment ID: I20230710000441 |
| Provider Name | Brandon Kyle Money |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588358485 PECOS PAC ID: 7012376841 Enrollment ID: I20230711002140 |
| Provider Name | Logan Borgelt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114542099 PECOS PAC ID: 0446673628 Enrollment ID: I20230711003430 |
| Provider Name | Casey Detwiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982304077 PECOS PAC ID: 4789043563 Enrollment ID: I20230711004277 |
| Provider Name | Taylor Daggett |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1205451283 PECOS PAC ID: 8921421272 Enrollment ID: I20230713001538 |
| Provider Name | Sydney Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790300606 PECOS PAC ID: 6204259369 Enrollment ID: I20230713003137 |
| Provider Name | Shana Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174221964 PECOS PAC ID: 4082074638 Enrollment ID: I20230714001929 |
| Provider Name | Ryan Kaufman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205452059 PECOS PAC ID: 1658794714 Enrollment ID: I20230718004169 |
| Provider Name | Clinton Heyer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881219913 PECOS PAC ID: 7012330368 Enrollment ID: I20230719001028 |
| Provider Name | Hubert Dolubizno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578188462 PECOS PAC ID: 8426471608 Enrollment ID: I20230719001173 |
| Provider Name | Alan Jerel Sosa |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437655149 PECOS PAC ID: 9133589377 Enrollment ID: I20230719001394 |
| Provider Name | Crystal Seudeal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043743206 PECOS PAC ID: 2961778824 Enrollment ID: I20230719002534 |
| Provider Name | Jordan Phelps |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1871118836 PECOS PAC ID: 5698198943 Enrollment ID: I20230720001635 |
| Provider Name | Austin Quebedeaux |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528683661 PECOS PAC ID: 9537582713 Enrollment ID: I20230720002895 |
| Provider Name | Elizabeth Anne Rourke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003479262 PECOS PAC ID: 3274866058 Enrollment ID: I20230720003947 |
| Provider Name | Christopher Cox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619243367 PECOS PAC ID: 8628221595 Enrollment ID: I20230721000225 |
| Provider Name | James Cesare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295429181 PECOS PAC ID: 3173983152 Enrollment ID: I20230721003354 |
| Provider Name | Zachary Crowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346866183 PECOS PAC ID: 7911320072 Enrollment ID: I20230725001823 |
| Provider Name | Madison Pryor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912418625 PECOS PAC ID: 0941661615 Enrollment ID: I20230727001081 |
| Provider Name | Amber Lyn Wolverton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437611878 PECOS PAC ID: 3678806387 Enrollment ID: I20230802002249 |
| Provider Name | Mark Hood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699153148 PECOS PAC ID: 6103139670 Enrollment ID: I20230818001750 |
| Provider Name | Kelly White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457718975 PECOS PAC ID: 1557723723 Enrollment ID: I20230821000891 |
| Provider Name | Tarek Dabboussi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1407419658 PECOS PAC ID: 4789910860 Enrollment ID: I20230822000660 |
| Provider Name | Karina Terriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891578738 PECOS PAC ID: 0840653861 Enrollment ID: I20230823004182 |
| Provider Name | Mary Bala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841973344 PECOS PAC ID: 2961865902 Enrollment ID: I20230824000769 |
| Provider Name | Melissa A Zofchak |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457857054 PECOS PAC ID: 6608122874 Enrollment ID: I20230829000505 |
| Provider Name | Pei-tzu Angela Su |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144940586 PECOS PAC ID: 1951765163 Enrollment ID: I20230906003154 |
| Provider Name | Nikhilesh Raj Thapa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205464963 PECOS PAC ID: 3375965809 Enrollment ID: I20230908001067 |
| Provider Name | Rita C Ayeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306448980 PECOS PAC ID: 7810351467 Enrollment ID: I20230914002294 |
| Provider Name | Ashley Christine Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851075139 PECOS PAC ID: 7810351491 Enrollment ID: I20230914003765 |
| Provider Name | Sarah Vanzile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336923572 PECOS PAC ID: 2860856465 Enrollment ID: I20230915000320 |
| Provider Name | Ashley Jarvis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194502211 PECOS PAC ID: 3173987773 Enrollment ID: I20230915000558 |
| Provider Name | Sara King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033995618 PECOS PAC ID: 8123482742 Enrollment ID: I20230915001255 |
| Provider Name | Kimberly D Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629010798 PECOS PAC ID: 7911361530 Enrollment ID: I20230915001384 |
| Provider Name | Rebecca Rae Rearick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437934643 PECOS PAC ID: 2365806825 Enrollment ID: I20230915003361 |
| Provider Name | Nathaniel Spaulding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023895901 PECOS PAC ID: 4385008887 Enrollment ID: I20230918001491 |
| Provider Name | Haleigh Ann Tharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043094279 PECOS PAC ID: 8325402712 Enrollment ID: I20230919001502 |
| Provider Name | Nestor Anguiano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326381559 PECOS PAC ID: 8022231901 Enrollment ID: I20230922001105 |
| Provider Name | Lauren Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962101022 PECOS PAC ID: 2163876129 Enrollment ID: I20230925001143 |
| Provider Name | Chelsey Mcshane |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336520246 PECOS PAC ID: 9032424940 Enrollment ID: I20230926001481 |
| Provider Name | Taylor Bachert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346865318 PECOS PAC ID: 7113340464 Enrollment ID: I20230928001885 |
| Provider Name | Nathan Rhys Farlow |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861828568 PECOS PAC ID: 3476778481 Enrollment ID: I20231003000802 |
| Provider Name | Jordan Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184305955 PECOS PAC ID: 9133574494 Enrollment ID: I20231006002031 |
| Provider Name | John Marshall Stubblefield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871849281 PECOS PAC ID: 9537514740 Enrollment ID: I20231009000560 |
| Provider Name | Alexander Johnson Broady |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134755234 PECOS PAC ID: 6800217498 Enrollment ID: I20231010002680 |
| Provider Name | Meaghan P Merriman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689453805 PECOS PAC ID: 1850746991 Enrollment ID: I20231010003329 |
| Provider Name | Brooklyn J Taulman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427833011 PECOS PAC ID: 3375998883 Enrollment ID: I20231018000954 |
| Provider Name | Elyza Delda Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366125643 PECOS PAC ID: 0244685782 Enrollment ID: I20231018002089 |
| Provider Name | Laetitia Tchate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033735873 PECOS PAC ID: 2365865433 Enrollment ID: I20231018003917 |
| Provider Name | Alyssa Nicole Malander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013799006 PECOS PAC ID: 2961858444 Enrollment ID: I20231020000526 |
| Provider Name | Lora Dillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396526992 PECOS PAC ID: 6406202894 Enrollment ID: I20231020001389 |
| Provider Name | Dooniya I Shaikh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861926891 PECOS PAC ID: 9032455712 Enrollment ID: I20231024002874 |
| Provider Name | Katherine B Egan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790205706 PECOS PAC ID: 7618246646 Enrollment ID: I20231024002962 |
| Provider Name | Patrick Feeney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447875323 PECOS PAC ID: 8729402318 Enrollment ID: I20231026000188 |
| Provider Name | Sarah Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801675376 PECOS PAC ID: 2466809793 Enrollment ID: I20231108002455 |
| Provider Name | Fatoumata Binta Bah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386104693 PECOS PAC ID: 6305179102 Enrollment ID: I20231108003410 |
| Provider Name | Lisa Dionne Hoffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922887587 PECOS PAC ID: 4183072820 Enrollment ID: I20231120000148 |
| Provider Name | Jason Matthew Lynch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336700236 PECOS PAC ID: 5395193841 Enrollment ID: I20231122001733 |
| Provider Name | Sarah Simpkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174973788 PECOS PAC ID: 0840648309 Enrollment ID: I20231122002159 |
| Provider Name | Michael John Berg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548428881 PECOS PAC ID: 8022466390 Enrollment ID: I20231127002604 |
| Provider Name | Samantha Marie Grimes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154822161 PECOS PAC ID: 1951759299 Enrollment ID: I20231128001768 |
| Provider Name | Kristen L Rife |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215710421 PECOS PAC ID: 9739537994 Enrollment ID: I20231128002789 |
| Provider Name | Jodi Danielle Battle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386021681 PECOS PAC ID: 1153779053 Enrollment ID: I20231204001542 |
| Provider Name | Chantel White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790551141 PECOS PAC ID: 6204284052 Enrollment ID: I20231205000181 |
| Provider Name | Ashley Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134900061 PECOS PAC ID: 0345699161 Enrollment ID: I20231205003302 |
| Provider Name | Christina M Mcarthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598530867 PECOS PAC ID: 0042669756 Enrollment ID: I20231206003408 |
| Provider Name | Bobah Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467226993 PECOS PAC ID: 9436508926 Enrollment ID: I20231208002436 |
| Provider Name | Kelly Szymanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104254788 PECOS PAC ID: 5597991729 Enrollment ID: I20231209000386 |
| Provider Name | Andrew Robbins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790177343 PECOS PAC ID: 3173972379 Enrollment ID: I20231213002889 |
| Provider Name | Jennifer Marie Hockensmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225481054 PECOS PAC ID: 0042507584 Enrollment ID: I20231215002920 |
| Provider Name | Damilola Awonusi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104455500 PECOS PAC ID: 6901227982 Enrollment ID: I20231215003271 |
| Provider Name | Sherry Mcgowan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700654084 PECOS PAC ID: 1355791963 Enrollment ID: I20231222000743 |
| Provider Name | Casey Lynn Capps |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235876939 PECOS PAC ID: 9234589870 Enrollment ID: I20231222001889 |
| Provider Name | Betsy Lynn Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376318782 PECOS PAC ID: 9830541259 Enrollment ID: I20240122000469 |
| Provider Name | Kelliann Maddox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265219943 PECOS PAC ID: 1052764297 Enrollment ID: I20240124002638 |
| Provider Name | Jennifer Gayle Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073380218 PECOS PAC ID: 5597108159 Enrollment ID: I20240210000439 |
| Provider Name | Wade Gilman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053970442 PECOS PAC ID: 8426387184 Enrollment ID: I20240222001750 |
| Provider Name | Michelle Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568232676 PECOS PAC ID: 8022453299 Enrollment ID: I20240227003191 |
| Provider Name | Emma Wolfe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518722214 PECOS PAC ID: 1759726318 Enrollment ID: I20240305002674 |
| Provider Name | Elizabeth Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689436230 PECOS PAC ID: 6406292184 Enrollment ID: I20240316000189 |
| Provider Name | Terri Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245897891 PECOS PAC ID: 9133566821 Enrollment ID: I20240318000321 |
| Provider Name | Jeanette Etnier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649532490 PECOS PAC ID: 1456798529 Enrollment ID: I20240325002704 |
| Provider Name | Kelly Foreit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992569107 PECOS PAC ID: 4789021569 Enrollment ID: I20240328002452 |
| Provider Name | Shannon Marie Cronin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154075406 PECOS PAC ID: 8820436413 Enrollment ID: I20240402000811 |
| Provider Name | Kaitlin Leeanne Pennington |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467856872 PECOS PAC ID: 2567762578 Enrollment ID: I20240402002857 |
| Provider Name | Mallory W Gakpo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134701469 PECOS PAC ID: 6305284571 Enrollment ID: I20240406000489 |
| Provider Name | Katelynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508622903 PECOS PAC ID: 4880032960 Enrollment ID: I20240409002371 |
| Provider Name | Mariana Petrozzi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346260973 PECOS PAC ID: 9335186196 Enrollment ID: I20240417004036 |
| Provider Name | Ellen Christine Polak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508618547 PECOS PAC ID: 4284074667 Enrollment ID: I20240502000834 |
| Provider Name | Lori Christine Bonilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346089299 PECOS PAC ID: 3375985849 Enrollment ID: I20240529003105 |
| Provider Name | Hannah Micaela Moore Garcia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679152011 PECOS PAC ID: 3779983721 Enrollment ID: I20240604001883 |
Moazzam Habib Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 | |
Shalom 56th Street-new Access Point Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5750 W 56th St, Indianapolis, IN 46254 Phone: 317-291-7422 Fax: 317-291-4912 | |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 | |
Eskenazi Health Center Cottage Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210 | |
Hello Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 | |
Indiana Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9465 Counselors Row, Ste. 200 Office 257, Indianapolis, IN 46240 Phone: 317-614-0310 Fax: 866-279-4704 |