| Cone Health Sickle Cell Center | |
|
509-e North Elam Avenue 3rd Floor Greensboro NC 27403-1129 | |
| (336) 832-1970 | |
| (336) 832-1988 |
| Full Name | Cone Health Sickle Cell Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 509-e North Elam Avenue, Greensboro, North Carolina |
| Authorized Official Name and Position | David Lawrence Kitzmiller (ASSISTANT TREASURER) |
| Authorized Official Contact | 3368327579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cone Health Sickle Cell Center Po Box 405633 Atlanta GA 30384-5633 Ph: (888) 333-1348 | Cone Health Sickle Cell Center 509-e North Elam Avenue 3rd Floor Greensboro NC 27403-1129 Ph: (336) 832-1970 |
| NPI Number | 1013265909 |
|---|---|
| Provider Enumeration Date | 08/27/2012 |
| Last Update Date | 10/20/2015 |
| Medicare PECOS PAC ID | 6204744600 |
|---|---|
| Medicare Enrollment ID | O20121003000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013265909 | NPI | - | NPPES |
| 5921312 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lacey A Armistead |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023057452 PECOS PAC ID: 0244138493 Enrollment ID: I20031223000875 |
| Provider Name | Zachary S Beckner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346329091 PECOS PAC ID: 0244126357 Enrollment ID: I20040225000907 |
| Provider Name | Timothy D Blocker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407935182 PECOS PAC ID: 7517853641 Enrollment ID: I20040225000979 |
| Provider Name | Jonathan J Berry |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1235237926 PECOS PAC ID: 4385637099 Enrollment ID: I20040407001120 |
| Provider Name | Jennifer Nixon Pierce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225089691 PECOS PAC ID: 2961483300 Enrollment ID: I20040601000350 |
| Provider Name | Janet E Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336103498 PECOS PAC ID: 3870578578 Enrollment ID: I20040618000395 |
| Provider Name | Howard Glen Stubblefield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245309947 PECOS PAC ID: 4082691530 Enrollment ID: I20040701001261 |
| Provider Name | Linda D Payne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790832608 PECOS PAC ID: 3375520745 Enrollment ID: I20040702000574 |
| Provider Name | Jennifer T Denenny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083781173 PECOS PAC ID: 1456338839 Enrollment ID: I20040702000679 |
| Provider Name | Paula V Ross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316904949 PECOS PAC ID: 5496734634 Enrollment ID: I20040720000443 |
| Provider Name | Paul F Welty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770535775 PECOS PAC ID: 6406820018 Enrollment ID: I20040820000277 |
| Provider Name | Henry W Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760582951 PECOS PAC ID: 0941274997 Enrollment ID: I20040824001461 |
| Provider Name | Robin Giddens Callaway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447362884 PECOS PAC ID: 9234104803 Enrollment ID: I20040827000298 |
| Provider Name | Samuel G Mcdowell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457315335 PECOS PAC ID: 4789650961 Enrollment ID: I20040908001586 |
| Provider Name | James S Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780617621 PECOS PAC ID: 9133189624 Enrollment ID: I20041019000500 |
| Provider Name | Rajan R Revankar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508915307 PECOS PAC ID: 3870554868 Enrollment ID: I20041022000742 |
| Provider Name | Daniel Bensimhon |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1245293505 PECOS PAC ID: 2961465265 Enrollment ID: I20041108000956 |
| Provider Name | Karen E Daniel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114074820 PECOS PAC ID: 3678537289 Enrollment ID: I20041115000137 |
| Provider Name | Scott M Mcmillan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659327039 PECOS PAC ID: 4082670310 Enrollment ID: I20041208000146 |
| Provider Name | Angela Draughon Rickelton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508836297 PECOS PAC ID: 4486603065 Enrollment ID: I20050120000965 |
| Provider Name | Colleen S Rhymer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336217934 PECOS PAC ID: 0648221580 Enrollment ID: I20050208000505 |
| Provider Name | Gregg William Taylor |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1801846217 PECOS PAC ID: 9335186758 Enrollment ID: I20050415000833 |
| Provider Name | Janet Lund Mullins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912070202 PECOS PAC ID: 2062450075 Enrollment ID: I20050420000928 |
| Provider Name | Valerie P Wilkerson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306919592 PECOS PAC ID: 3678511441 Enrollment ID: I20050421000919 |
| Provider Name | Stephen R Alday |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891779229 PECOS PAC ID: 1254379704 Enrollment ID: I20050425000553 |
| Provider Name | Wesley Webster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306939897 PECOS PAC ID: 8628017910 Enrollment ID: I20050426001340 |
| Provider Name | Debra R Merritt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134199813 PECOS PAC ID: 6507805892 Enrollment ID: I20050426001364 |
| Provider Name | Angela Marie Mirarchi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891764346 PECOS PAC ID: 0749229359 Enrollment ID: I20050503000152 |
| Provider Name | James Hochrein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467415166 PECOS PAC ID: 5890736623 Enrollment ID: I20050520001000 |
| Provider Name | Peter C Nishan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407810435 PECOS PAC ID: 7315988144 Enrollment ID: I20050520001044 |
| Provider Name | Peter Manning Jordan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235286626 PECOS PAC ID: 1850332685 Enrollment ID: I20050520001052 |
| Provider Name | Philip J Nahser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710034053 PECOS PAC ID: 5597707935 Enrollment ID: I20050525001360 |
| Provider Name | Vedwattie Moses |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073563011 PECOS PAC ID: 0648261297 Enrollment ID: I20050617000429 |
| Provider Name | Candace Marie Ferencik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255414413 PECOS PAC ID: 3072540236 Enrollment ID: I20050720000350 |
| Provider Name | Melanie Berthel Good |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629180781 PECOS PAC ID: 1456388263 Enrollment ID: I20050725000090 |
| Provider Name | Kurian D Kasa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457335457 PECOS PAC ID: 6103856323 Enrollment ID: I20050817000836 |
| Provider Name | Traci M Turner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780784983 PECOS PAC ID: 8123059599 Enrollment ID: I20050825000342 |
| Provider Name | Thomas A Kelly |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902902182 PECOS PAC ID: 4880625268 Enrollment ID: I20050825000405 |
| Provider Name | Beth M Marshall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861565186 PECOS PAC ID: 5092731422 Enrollment ID: I20051014000769 |
| Provider Name | April W Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154491314 PECOS PAC ID: 9133148505 Enrollment ID: I20051115000399 |
| Provider Name | Rebecca Dobson Mahony |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497802409 PECOS PAC ID: 8820017296 Enrollment ID: I20051115000431 |
| Provider Name | Amanda M Auston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790864403 PECOS PAC ID: 5193744167 Enrollment ID: I20051118000379 |
| Provider Name | Clinton Young |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538119094 PECOS PAC ID: 1355250770 Enrollment ID: I20051213000695 |
| Provider Name | Monique M Leblanc |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598857609 PECOS PAC ID: 3577586171 Enrollment ID: I20060110000533 |
| Provider Name | Deborah B Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255373288 PECOS PAC ID: 0941217186 Enrollment ID: I20060314000346 |
| Provider Name | Linda Ann Burger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770525479 PECOS PAC ID: 2860401676 Enrollment ID: I20060406000058 |
| Provider Name | Christopher Ronald Berge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619908811 PECOS PAC ID: 0345259941 Enrollment ID: I20060410000465 |
| Provider Name | Lisa D Hazel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972572485 PECOS PAC ID: 5395754790 Enrollment ID: I20060412000652 |
| Provider Name | Patrick Wright |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265482889 PECOS PAC ID: 7315956380 Enrollment ID: I20060419000556 |
| Provider Name | Peter E Babcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013950377 PECOS PAC ID: 1557371325 Enrollment ID: I20060425000524 |
| Provider Name | Brian James Munley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093775793 PECOS PAC ID: 8729054390 Enrollment ID: I20060712000281 |
| Provider Name | Robert Jerzy Krasowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346209699 PECOS PAC ID: 8729091830 Enrollment ID: I20060712000347 |
| Provider Name | Robert S Byrum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487620654 PECOS PAC ID: 4082603964 Enrollment ID: I20060912000345 |
| Provider Name | Steven Cochran Klein |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366406340 PECOS PAC ID: 2264438290 Enrollment ID: I20061013000190 |
| Provider Name | Vineet Sood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306861133 PECOS PAC ID: 9234136789 Enrollment ID: I20061026000235 |
| Provider Name | Jayadeep S Varanasi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356355648 PECOS PAC ID: 7911009782 Enrollment ID: I20070226000103 |
| Provider Name | Thomas Gregory Winn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215982442 PECOS PAC ID: 1254346182 Enrollment ID: I20070605000315 |
| Provider Name | Michael D Cooper |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992929137 PECOS PAC ID: 9830183805 Enrollment ID: I20070809000081 |
| Provider Name | Lynn C Beeson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649485798 PECOS PAC ID: 0446343297 Enrollment ID: I20070910000718 |
| Provider Name | Amelia Pugh Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306810460 PECOS PAC ID: 5395763031 Enrollment ID: I20070913000678 |
| Provider Name | Kelly S Batts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497804116 PECOS PAC ID: 7113011362 Enrollment ID: I20070918000678 |
| Provider Name | David A Adeloye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114996824 PECOS PAC ID: 4486749637 Enrollment ID: I20071002000861 |
| Provider Name | Wynn O Linn Fussell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992873509 PECOS PAC ID: 0648367672 Enrollment ID: I20071107000386 |
| Provider Name | Joseph Carlos Conrad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902892839 PECOS PAC ID: 6901993948 Enrollment ID: I20071107000477 |
| Provider Name | Janice F Weatherly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346436102 PECOS PAC ID: 8426146457 Enrollment ID: I20071108000543 |
| Provider Name | Suzanne Marie Gregory |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558560706 PECOS PAC ID: 7911095898 Enrollment ID: I20071109000305 |
| Provider Name | Laura Johnson Peters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497934343 PECOS PAC ID: 1557459112 Enrollment ID: I20071114000595 |
| Provider Name | Stephanie C Austria |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881873735 PECOS PAC ID: 7214025824 Enrollment ID: I20071115000315 |
| Provider Name | Jessica W Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457534208 PECOS PAC ID: 4587744214 Enrollment ID: I20080107000689 |
| Provider Name | Kathryn M Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275565152 PECOS PAC ID: 6002993813 Enrollment ID: I20080403000291 |
| Provider Name | Theresa M Gordon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720156581 PECOS PAC ID: 4183702897 Enrollment ID: I20080422000303 |
| Provider Name | Timothy Gollan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891839262 PECOS PAC ID: 6002849833 Enrollment ID: I20080516000537 |
| Provider Name | Dana Gregory Wrinkle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982674693 PECOS PAC ID: 4981689197 Enrollment ID: I20080610000430 |
| Provider Name | Muhammad A Arida |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1053528554 PECOS PAC ID: 3173694833 Enrollment ID: I20080624000395 |
| Provider Name | Robyn R Browder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033180856 PECOS PAC ID: 2062584485 Enrollment ID: I20080630000632 |
| Provider Name | Michelle Mccleaf Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891974671 PECOS PAC ID: 2769554427 Enrollment ID: I20080712000033 |
| Provider Name | Rakesh V Alva |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093868929 PECOS PAC ID: 2365428273 Enrollment ID: I20080717000695 |
| Provider Name | Grace Ann Simpson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245200948 PECOS PAC ID: 6608941711 Enrollment ID: I20080822000704 |
| Provider Name | Melinda H Gilbert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518136365 PECOS PAC ID: 0749356749 Enrollment ID: I20080827000291 |
| Provider Name | Murali Ramaswamy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013994797 PECOS PAC ID: 2769482199 Enrollment ID: I20080828000532 |
| Provider Name | Mark C Skains |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679794275 PECOS PAC ID: 0547336687 Enrollment ID: I20080913000185 |
| Provider Name | Kelly A Tonkin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356590152 PECOS PAC ID: 7416025754 Enrollment ID: I20081014000232 |
| Provider Name | Mohammad L Garba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235177809 PECOS PAC ID: 7517998644 Enrollment ID: I20081031000466 |
| Provider Name | Kathryn M Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437309366 PECOS PAC ID: 3971665100 Enrollment ID: I20081223000359 |
| Provider Name | Bhavani Balaravi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982681417 PECOS PAC ID: 2567428295 Enrollment ID: I20090407000105 |
| Provider Name | Kristopher L Key |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609000744 PECOS PAC ID: 1658424122 Enrollment ID: I20090730000493 |
| Provider Name | Christopher D Mcalhany |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265656011 PECOS PAC ID: 3375522725 Enrollment ID: I20090803000517 |
| Provider Name | Dalton Singletry Mclean |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1316995400 PECOS PAC ID: 2860545183 Enrollment ID: I20090804000845 |
| Provider Name | Timothy L Gruebel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417131376 PECOS PAC ID: 4880748078 Enrollment ID: I20090822000203 |
| Provider Name | James D Allred |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669583316 PECOS PAC ID: 3476559857 Enrollment ID: I20090901000725 |
| Provider Name | James G Adams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659351385 PECOS PAC ID: 8123189131 Enrollment ID: I20090908000691 |
| Provider Name | Carrie B Maness |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265766471 PECOS PAC ID: 4486794203 Enrollment ID: I20091229000422 |
| Provider Name | Robert Franklin Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184957052 PECOS PAC ID: 4688717119 Enrollment ID: I20100205000706 |
| Provider Name | Ryan A Holton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346574100 PECOS PAC ID: 7810031267 Enrollment ID: I20100223000365 |
| Provider Name | William C Wall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902138894 PECOS PAC ID: 1759418932 Enrollment ID: I20100420000434 |
| Provider Name | Kathryn P Whiteheart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831427996 PECOS PAC ID: 0749317956 Enrollment ID: I20100420000691 |
| Provider Name | Wendy P Bush |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164474359 PECOS PAC ID: 1759310014 Enrollment ID: I20100430000565 |
| Provider Name | Brandi Ollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851629075 PECOS PAC ID: 6709914930 Enrollment ID: I20100510000577 |
| Provider Name | Brian S Crenshaw |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093778227 PECOS PAC ID: 0143359000 Enrollment ID: I20100602000659 |
| Provider Name | Jeffrey Wayne Younger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043280027 PECOS PAC ID: 5799814505 Enrollment ID: I20100603000206 |
| Provider Name | Shaili Deveshwar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295788990 PECOS PAC ID: 0547391898 Enrollment ID: I20100630000186 |
| Provider Name | Valerie A Leschber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518922145 PECOS PAC ID: 3274666474 Enrollment ID: I20100809000128 |
| Provider Name | Linda Harwi Trimble |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407839889 PECOS PAC ID: 6709910599 Enrollment ID: I20100816000626 |
| Provider Name | Derrick T King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467766162 PECOS PAC ID: 3173647146 Enrollment ID: I20100826001152 |
| Provider Name | Ronald G Cochran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336118819 PECOS PAC ID: 8921122367 Enrollment ID: I20100907001077 |
| Provider Name | Crystal M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417262023 PECOS PAC ID: 6002931037 Enrollment ID: I20100915000204 |
| Provider Name | Richard Adami |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104896547 PECOS PAC ID: 4981729589 Enrollment ID: I20100920001003 |
| Provider Name | Stephanie F Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508081183 PECOS PAC ID: 7618093089 Enrollment ID: I20100923000570 |
| Provider Name | Michael B. Wert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558310276 PECOS PAC ID: 0042403693 Enrollment ID: I20101015000221 |
| Provider Name | Michelle F Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194039164 PECOS PAC ID: 0345433827 Enrollment ID: I20101015000778 |
| Provider Name | Luz E Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295042893 PECOS PAC ID: 8224221445 Enrollment ID: I20101020001085 |
| Provider Name | Sarah Jane Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447569181 PECOS PAC ID: 4789878711 Enrollment ID: I20101103000542 |
| Provider Name | Rose Nyambura Gacuga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487967485 PECOS PAC ID: 1355536400 Enrollment ID: I20101115000565 |
| Provider Name | Crystal Krohn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992015374 PECOS PAC ID: 8527254432 Enrollment ID: I20101117001561 |
| Provider Name | Teresa S Yates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225101389 PECOS PAC ID: 6204023930 Enrollment ID: I20101207001318 |
| Provider Name | Sandra A Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174600449 PECOS PAC ID: 1456549955 Enrollment ID: I20101228000744 |
| Provider Name | Diana Lee Reardon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750450458 PECOS PAC ID: 2365630787 Enrollment ID: I20101229000079 |
| Provider Name | Suzanne Newnam Brewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952488264 PECOS PAC ID: 5092904177 Enrollment ID: I20110105000176 |
| Provider Name | Lynn A Paxton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760539753 PECOS PAC ID: 0446449466 Enrollment ID: I20110106000575 |
| Provider Name | Tammy S Parrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699706028 PECOS PAC ID: 4880883800 Enrollment ID: I20110106000611 |
| Provider Name | David R Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487733077 PECOS PAC ID: 4789873712 Enrollment ID: I20110106000759 |
| Provider Name | Peggy Dee Williford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407925142 PECOS PAC ID: 3375732969 Enrollment ID: I20110113000213 |
| Provider Name | Margaret A Flynn-cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386723260 PECOS PAC ID: 8729277330 Enrollment ID: I20110113000474 |
| Provider Name | Vernon J Banks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417027053 PECOS PAC ID: 9638358559 Enrollment ID: I20110125000535 |
| Provider Name | Jennifer K Rock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164730149 PECOS PAC ID: 0042490351 Enrollment ID: I20110203000525 |
| Provider Name | Myra D Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821139775 PECOS PAC ID: 3274713821 Enrollment ID: I20110214000851 |
| Provider Name | Ginette A Archinal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235231762 PECOS PAC ID: 0840206934 Enrollment ID: I20110228000281 |
| Provider Name | Tabatha Jo Berry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841509445 PECOS PAC ID: 1052592680 Enrollment ID: I20110302000057 |
| Provider Name | Mihai Croitoru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932192309 PECOS PAC ID: 2062481666 Enrollment ID: I20110308000594 |
| Provider Name | Rhonda Laxton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902888225 PECOS PAC ID: 5890777981 Enrollment ID: I20110316000916 |
| Provider Name | William S Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881751840 PECOS PAC ID: 8123201845 Enrollment ID: I20110317000687 |
| Provider Name | Rachel P Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437468873 PECOS PAC ID: 4082890694 Enrollment ID: I20110517000134 |
| Provider Name | Valerie Mumm Decarlo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043516644 PECOS PAC ID: 9537330287 Enrollment ID: I20110929000188 |
| Provider Name | Jamie Elizabeth Corbett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629367289 PECOS PAC ID: 4385816958 Enrollment ID: I20111004000839 |
| Provider Name | Kenneth C Hilty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487766267 PECOS PAC ID: 4183896079 Enrollment ID: I20111019000609 |
| Provider Name | Jennifer M Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639453285 PECOS PAC ID: 4486828696 Enrollment ID: I20111129000077 |
| Provider Name | Lisa B Clayton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447532874 PECOS PAC ID: 8123293404 Enrollment ID: I20111215000102 |
| Provider Name | David W Harding |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457576043 PECOS PAC ID: 8426215120 Enrollment ID: I20120208000600 |
| Provider Name | Cheryl Yvette Blake |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649214339 PECOS PAC ID: 4587623459 Enrollment ID: I20120420000691 |
| Provider Name | Said Iskandar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679608053 PECOS PAC ID: 9032217187 Enrollment ID: I20120620000406 |
| Provider Name | Enobong Newlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548429343 PECOS PAC ID: 1254596349 Enrollment ID: I20120621000657 |
| Provider Name | Belinda L Stanislaus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982842282 PECOS PAC ID: 8224186705 Enrollment ID: I20120726000171 |
| Provider Name | Kelly J Carver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962760744 PECOS PAC ID: 7719134162 Enrollment ID: I20120821000118 |
| Provider Name | Douglas B Mcquaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124230776 PECOS PAC ID: 5597835132 Enrollment ID: I20120912000342 |
| Provider Name | Nataliya Hristova Malinova |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861743221 PECOS PAC ID: 2961653779 Enrollment ID: I20121102000448 |
| Provider Name | Arese Eady |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285982900 PECOS PAC ID: 3274784962 Enrollment ID: I20121105000651 |
| Provider Name | Alisha Bunn Beckner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790035889 PECOS PAC ID: 5092966432 Enrollment ID: I20121113000539 |
| Provider Name | Christine Todd Moser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215289772 PECOS PAC ID: 0244481406 Enrollment ID: I20121115000560 |
| Provider Name | Holly M Quinn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316296585 PECOS PAC ID: 1456502665 Enrollment ID: I20121116000525 |
| Provider Name | Julie Rennie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417208653 PECOS PAC ID: 2860643707 Enrollment ID: I20121127000276 |
| Provider Name | Heather Brown Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235487679 PECOS PAC ID: 2668623513 Enrollment ID: I20121127000305 |
| Provider Name | Charlesetta Marie Sterling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427338607 PECOS PAC ID: 1254505340 Enrollment ID: I20121218000568 |
| Provider Name | Stephanie W Capozzi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518204478 PECOS PAC ID: 2961648340 Enrollment ID: I20130410000311 |
| Provider Name | Sarah A Cato |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831430099 PECOS PAC ID: 1951549013 Enrollment ID: I20130530000721 |
| Provider Name | Alison L Carver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487996344 PECOS PAC ID: 5294973913 Enrollment ID: I20130607000251 |
| Provider Name | Jessica Lynne Marshall |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447561907 PECOS PAC ID: 4688813538 Enrollment ID: I20130625000663 |
| Provider Name | Bradley Lorne Strother |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386081198 PECOS PAC ID: 5294969366 Enrollment ID: I20131002000570 |
| Provider Name | Christopher A End |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609072495 PECOS PAC ID: 5597929653 Enrollment ID: I20131113000130 |
| Provider Name | Jennifer S Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588097406 PECOS PAC ID: 9133356330 Enrollment ID: I20131214000124 |
| Provider Name | Samantha B Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518390632 PECOS PAC ID: 9032346275 Enrollment ID: I20131216000897 |
| Provider Name | Jennifer P Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568896116 PECOS PAC ID: 5294962122 Enrollment ID: I20131220000549 |
| Provider Name | Laura R Ingold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356447478 PECOS PAC ID: 6507094745 Enrollment ID: I20140114001204 |
| Provider Name | Joshua Benton Hawkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568805919 PECOS PAC ID: 1759510795 Enrollment ID: I20140214001343 |
| Provider Name | Sonia Teixeira Jahoo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093152084 PECOS PAC ID: 2567695455 Enrollment ID: I20140430000059 |
| Provider Name | Jonathan F Branch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609035757 PECOS PAC ID: 2163642026 Enrollment ID: I20140929000918 |
| Provider Name | Lachina M Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215340872 PECOS PAC ID: 5799905964 Enrollment ID: I20141010000859 |
| Provider Name | Olugbemiga E Jegede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003006503 PECOS PAC ID: 1951572312 Enrollment ID: I20141014001668 |
| Provider Name | Jon F Faigle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851791107 PECOS PAC ID: 0244451144 Enrollment ID: I20141017001085 |
| Provider Name | Joshua R Jarvela |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114327640 PECOS PAC ID: 2062634082 Enrollment ID: I20141106001991 |
| Provider Name | Sarah T Bell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033519764 PECOS PAC ID: 5597987479 Enrollment ID: I20141107002119 |
| Provider Name | Fudan Jiang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215339635 PECOS PAC ID: 0244452555 Enrollment ID: I20141120001271 |
| Provider Name | Kamal H Henderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003137407 PECOS PAC ID: 8729220967 Enrollment ID: I20141222000626 |
| Provider Name | Jennifer Marie Bachich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619388790 PECOS PAC ID: 1658694690 Enrollment ID: I20141229000021 |
| Provider Name | Benjamin Peter Logan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720499809 PECOS PAC ID: 3375866056 Enrollment ID: I20150105001204 |
| Provider Name | Rokoshi Taonki-dennquan Flowers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831592534 PECOS PAC ID: 4486978251 Enrollment ID: I20150127000937 |
| Provider Name | Paul W Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841510419 PECOS PAC ID: 4587980552 Enrollment ID: I20150310001579 |
| Provider Name | Tatyana V Boytim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558751164 PECOS PAC ID: 0042530214 Enrollment ID: I20150529000936 |
| Provider Name | Dustin Eugene Harvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912314741 PECOS PAC ID: 4587985411 Enrollment ID: I20150604000514 |
| Provider Name | Tiffany C Randolph |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861636300 PECOS PAC ID: 1052627874 Enrollment ID: I20150825002953 |
| Provider Name | Brittany L Deitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710362330 PECOS PAC ID: 0042526246 Enrollment ID: I20150902002807 |
| Provider Name | Tonya S Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366819807 PECOS PAC ID: 8628388196 Enrollment ID: I20151112002373 |
| Provider Name | Sarah E Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891100988 PECOS PAC ID: 8426275355 Enrollment ID: I20151118001620 |
| Provider Name | Sarah F Groce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174988992 PECOS PAC ID: 9234435926 Enrollment ID: I20160307000716 |
| Provider Name | Tina A Betancourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578850657 PECOS PAC ID: 5395042121 Enrollment ID: I20160322002574 |
| Provider Name | Will M Camnitz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1871751545 PECOS PAC ID: 0840429650 Enrollment ID: I20160920002208 |
| Provider Name | Andrew Robert Karenz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053670554 PECOS PAC ID: 1456648286 Enrollment ID: I20160922001255 |
| Provider Name | Stacy Siders Yancey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528514528 PECOS PAC ID: 7113215013 Enrollment ID: I20161010000332 |
| Provider Name | Praveen Mannam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316113897 PECOS PAC ID: 0446436331 Enrollment ID: I20161012002372 |
| Provider Name | Kelsey T White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205382207 PECOS PAC ID: 6406135060 Enrollment ID: I20161122002436 |
| Provider Name | Ariel L Holtzman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669929022 PECOS PAC ID: 5294016648 Enrollment ID: I20161227001237 |
| Provider Name | Kari Mercer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245788827 PECOS PAC ID: 7214217207 Enrollment ID: I20170228000114 |
| Provider Name | Emily Stone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790228278 PECOS PAC ID: 0749564110 Enrollment ID: I20170302000975 |
| Provider Name | Karen Lynn Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801332119 PECOS PAC ID: 8426333709 Enrollment ID: I20170329001092 |
| Provider Name | Magdalene Tukov-yual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962732792 PECOS PAC ID: 8224173414 Enrollment ID: I20170404001710 |
| Provider Name | Kristale R Privette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942758156 PECOS PAC ID: 3971889981 Enrollment ID: I20170405001865 |
| Provider Name | Alyssia Anderson Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982140208 PECOS PAC ID: 1254617186 Enrollment ID: I20170407001452 |
| Provider Name | Lindsay Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306384235 PECOS PAC ID: 6901173210 Enrollment ID: I20170516002737 |
| Provider Name | Brandon Vincent Meyers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114315264 PECOS PAC ID: 8820316839 Enrollment ID: I20170809002365 |
| Provider Name | Dana Graves Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710412762 PECOS PAC ID: 4880966514 Enrollment ID: I20170816000158 |
| Provider Name | Elizabeth A Ouma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730618455 PECOS PAC ID: 7618240953 Enrollment ID: I20170907001895 |
| Provider Name | Kobina Wilmot |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356667505 PECOS PAC ID: 6507131133 Enrollment ID: I20171009001194 |
| Provider Name | Zelda Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376068320 PECOS PAC ID: 1951676345 Enrollment ID: I20171011001826 |
| Provider Name | Jennifer C Waggoner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669997201 PECOS PAC ID: 8123394236 Enrollment ID: I20171017003118 |
| Provider Name | Andrea Rose Mazzoni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093158966 PECOS PAC ID: 4880960756 Enrollment ID: I20171019002710 |
| Provider Name | Kimberly S Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760919187 PECOS PAC ID: 1951677590 Enrollment ID: I20171025002950 |
| Provider Name | Deana Glasgow Starr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902345556 PECOS PAC ID: 4981960820 Enrollment ID: I20171109002493 |
| Provider Name | Katalina Marie Eubanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396009 PECOS PAC ID: 9830456995 Enrollment ID: I20171127002924 |
| Provider Name | Shannon M Page |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073879680 PECOS PAC ID: 3072808278 Enrollment ID: I20171130003299 |
| Provider Name | Shane C Leonard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598283293 PECOS PAC ID: 2062779515 Enrollment ID: I20171208000640 |
| Provider Name | Bridgette A Christopher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790044238 PECOS PAC ID: 1759649544 Enrollment ID: I20171228000756 |
| Provider Name | Patricia Ann Tuttle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255300364 PECOS PAC ID: 7517863954 Enrollment ID: I20180201000844 |
| Provider Name | Blaire S Harder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669991444 PECOS PAC ID: 5698032175 Enrollment ID: I20180223000027 |
| Provider Name | Samantha Turner Muqtasid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336656677 PECOS PAC ID: 1052672599 Enrollment ID: I20180226002296 |
| Provider Name | Jennifer E Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063924660 PECOS PAC ID: 0143584037 Enrollment ID: I20180430002448 |
| Provider Name | Paula Brooke Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801397062 PECOS PAC ID: 3971867219 Enrollment ID: I20180514001341 |
| Provider Name | Samantha Marie Robertson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023413267 PECOS PAC ID: 4183947252 Enrollment ID: I20180720002790 |
| Provider Name | Anita Md Kelkar |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1376832824 PECOS PAC ID: 9133470560 Enrollment ID: I20180925001916 |
| Provider Name | Jennifer Lynn Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184118952 PECOS PAC ID: 1557613403 Enrollment ID: I20181004001308 |
| Provider Name | Jill Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023591807 PECOS PAC ID: 7012260946 Enrollment ID: I20181023002548 |
| Provider Name | Tewana I Passmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609262146 PECOS PAC ID: 1759686421 Enrollment ID: I20181029000028 |
| Provider Name | Patricia Ann Brenner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942780614 PECOS PAC ID: 4981957164 Enrollment ID: I20181106000997 |
| Provider Name | Hannah Archer Wood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649754326 PECOS PAC ID: 3971857020 Enrollment ID: I20181108002401 |
| Provider Name | Ravi Agarwala |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376582353 PECOS PAC ID: 9436256328 Enrollment ID: I20181113003309 |
| Provider Name | Kelli Hunt Pike |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801377387 PECOS PAC ID: 6103170766 Enrollment ID: I20181116002032 |
| Provider Name | Diana J Huggins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518448190 PECOS PAC ID: 0143574756 Enrollment ID: I20181119001054 |
| Provider Name | John Michael Dye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346721750 PECOS PAC ID: 6002160389 Enrollment ID: I20181127000622 |
| Provider Name | Grace Elizabeth Bowser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083190052 PECOS PAC ID: 1658617444 Enrollment ID: I20190116000594 |
| Provider Name | Grace Brewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609268143 PECOS PAC ID: 1254651052 Enrollment ID: I20190312002551 |
| Provider Name | Brian Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063979128 PECOS PAC ID: 2062753551 Enrollment ID: I20190410001753 |
| Provider Name | Jeremiah David Keene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720542590 PECOS PAC ID: 7810239902 Enrollment ID: I20190419000033 |
| Provider Name | Whitney Fay Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447717640 PECOS PAC ID: 9234471228 Enrollment ID: I20190423000619 |
| Provider Name | Elizabeth Whitney Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407308307 PECOS PAC ID: 4486937026 Enrollment ID: I20190530001274 |
| Provider Name | Chi Jane Ellison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376982876 PECOS PAC ID: 8820321508 Enrollment ID: I20190612000816 |
| Provider Name | Labkhand Kaviani Kossari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578621496 PECOS PAC ID: 4587716055 Enrollment ID: I20190619003222 |
| Provider Name | Adewale Ademola Olalere |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538160262 PECOS PAC ID: 2163452723 Enrollment ID: I20190620002912 |
| Provider Name | Rustin Dale Green |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467939355 PECOS PAC ID: 9335473503 Enrollment ID: I20190620003252 |
| Provider Name | Martin A Portillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134292493 PECOS PAC ID: 7911039227 Enrollment ID: I20190702001248 |
| Provider Name | Bradley Len Icard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720320898 PECOS PAC ID: 1951536598 Enrollment ID: I20190807000157 |
| Provider Name | Jacob Muthalaly Mathew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710177506 PECOS PAC ID: 4183899198 Enrollment ID: I20190807003254 |
| Provider Name | Carmen Laura Gonzalez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245294610 PECOS PAC ID: 2365501434 Enrollment ID: I20190815001893 |
| Provider Name | Jonathan Puthenveetil Mathew |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760896484 PECOS PAC ID: 6204057367 Enrollment ID: I20190910000595 |
| Provider Name | Gayatri Ajay Acharya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013270248 PECOS PAC ID: 7416193230 Enrollment ID: I20190924001940 |
| Provider Name | Casey Overcash Coates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245778570 PECOS PAC ID: 6901182799 Enrollment ID: I20191007003590 |
| Provider Name | Eldridge Coates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861768624 PECOS PAC ID: 5395900955 Enrollment ID: I20191007003666 |
| Provider Name | Jamie Cambareri Golob |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538627658 PECOS PAC ID: 0648501049 Enrollment ID: I20191016002790 |
| Provider Name | Adam Scarboro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518528793 PECOS PAC ID: 9032448378 Enrollment ID: I20191022002538 |
| Provider Name | Caroline Denise Killmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740839414 PECOS PAC ID: 7113259003 Enrollment ID: I20191025001377 |
| Provider Name | James Botts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326696824 PECOS PAC ID: 3577895408 Enrollment ID: I20191026000118 |
| Provider Name | Fan Ye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558715912 PECOS PAC ID: 2860789963 Enrollment ID: I20191104002344 |
| Provider Name | Elizabeth Coble Pulliam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679124580 PECOS PAC ID: 5890127526 Enrollment ID: I20191118001246 |
| Provider Name | Emilee Smith Barr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073071908 PECOS PAC ID: 8426481748 Enrollment ID: I20191127000891 |
| Provider Name | Nicole Alicia Gonzales |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598089997 PECOS PAC ID: 4183802713 Enrollment ID: I20191218002919 |
| Provider Name | Mahesh Anand Chandrasekhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033537774 PECOS PAC ID: 3577823087 Enrollment ID: I20191219002970 |
| Provider Name | Scott Wilson Rose |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114371762 PECOS PAC ID: 0749579183 Enrollment ID: I20200127000316 |
| Provider Name | Nicholas Glover |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659906303 PECOS PAC ID: 9436589223 Enrollment ID: I20200417003335 |
| Provider Name | Matthew Ryan Hunsucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285012625 PECOS PAC ID: 0840502787 Enrollment ID: I20200421001149 |
| Provider Name | Caitlin Shea Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205468238 PECOS PAC ID: 4789015256 Enrollment ID: I20200518000723 |
| Provider Name | Jesse Michael Cleaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740824614 PECOS PAC ID: 2567883846 Enrollment ID: I20200523000019 |
| Provider Name | Susan Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609402866 PECOS PAC ID: 9032530597 Enrollment ID: I20200609001485 |
| Provider Name | Daniel Clarence Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609142819 PECOS PAC ID: 2860709466 Enrollment ID: I20200615000469 |
| Provider Name | Kristina C Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861053308 PECOS PAC ID: 6507288115 Enrollment ID: I20200626000402 |
| Provider Name | Xika Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740542299 PECOS PAC ID: 3072828284 Enrollment ID: I20200716001542 |
| Provider Name | Francis Ugowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154784759 PECOS PAC ID: 4981028735 Enrollment ID: I20200727001177 |
| Provider Name | Laura Clark |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972920841 PECOS PAC ID: 0143440842 Enrollment ID: I20200727002392 |
| Provider Name | Kelly Elizabeth Arps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578926788 PECOS PAC ID: 7214235944 Enrollment ID: I20200803002222 |
| Provider Name | John Marc Provenzano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437129335 PECOS PAC ID: 6305007196 Enrollment ID: I20200804002494 |
| Provider Name | Nathaniel Meier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508228255 PECOS PAC ID: 2769725332 Enrollment ID: I20200813002056 |
| Provider Name | Brian Besong Agbor-etang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245673284 PECOS PAC ID: 5698035368 Enrollment ID: I20200814000078 |
| Provider Name | Wesley T O'neal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437596269 PECOS PAC ID: 7719276708 Enrollment ID: I20200817000014 |
| Provider Name | Christopher L Schumann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871869065 PECOS PAC ID: 8022259456 Enrollment ID: I20200817000032 |
| Provider Name | Olivia Chasse Helseth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477929651 PECOS PAC ID: 4082912316 Enrollment ID: I20200824002536 |
| Provider Name | Kardie Tobb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427462977 PECOS PAC ID: 4486876711 Enrollment ID: I20200826000840 |
| Provider Name | Carriel Taylor Nipp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184165326 PECOS PAC ID: 6002247483 Enrollment ID: I20200909001519 |
| Provider Name | Alexander Ivanov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356873657 PECOS PAC ID: 5698194314 Enrollment ID: I20200930000890 |
| Provider Name | Marianna Furr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689289589 PECOS PAC ID: 8022437433 Enrollment ID: I20201005002376 |
| Provider Name | Todd Alan Stevens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639784093 PECOS PAC ID: 5698185460 Enrollment ID: I20201105002096 |
| Provider Name | Christopher Rogge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548872633 PECOS PAC ID: 2365852704 Enrollment ID: I20201113000821 |
| Provider Name | Michael W Causey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518425867 PECOS PAC ID: 5092126466 Enrollment ID: I20201117000590 |
| Provider Name | Nikita Shwetal Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356600662 PECOS PAC ID: 9133356421 Enrollment ID: I20201117000931 |
| Provider Name | Amy Jeanette Brown Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316554231 PECOS PAC ID: 5890107924 Enrollment ID: I20201215001679 |
| Provider Name | Arthur Zak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417319146 PECOS PAC ID: 0143566513 Enrollment ID: I20210123000152 |
| Provider Name | Dennis Ignatius Narcisse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881126613 PECOS PAC ID: 0244646917 Enrollment ID: I20210303002008 |
| Provider Name | Robin Fernandes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255747713 PECOS PAC ID: 4183992035 Enrollment ID: I20210423000386 |
| Provider Name | Matthew Alexander Carlisle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508399015 PECOS PAC ID: 7810397213 Enrollment ID: I20210607000584 |
| Provider Name | Sudham Chand |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356689319 PECOS PAC ID: 2860635992 Enrollment ID: I20210624001408 |
| Provider Name | Benjamin Chilcutt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225563463 PECOS PAC ID: 3678844271 Enrollment ID: I20210707000833 |
| Provider Name | Christopher Allen Wrobel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417343872 PECOS PAC ID: 6002171865 Enrollment ID: I20210714000829 |
| Provider Name | Jonathan B Dewald |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366829293 PECOS PAC ID: 8123313814 Enrollment ID: I20210802003290 |
| Provider Name | Heather Elyse Pemberton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710367537 PECOS PAC ID: 9335457902 Enrollment ID: I20210805002501 |
| Provider Name | Cameron Lambert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346583747 PECOS PAC ID: 0042508608 Enrollment ID: I20210806000428 |
| Provider Name | Christopher William Rice |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235584335 PECOS PAC ID: 0941594253 Enrollment ID: I20210819000482 |
| Provider Name | Courtney Craft Woodall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821556887 PECOS PAC ID: 5496153496 Enrollment ID: I20211005003361 |
| Provider Name | Blake Teal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811457070 PECOS PAC ID: 2062810070 Enrollment ID: I20211006000009 |
| Provider Name | Meredith Lea Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700449063 PECOS PAC ID: 7416355912 Enrollment ID: I20211014000595 |
| Provider Name | Brittany Alexis Schaefer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659831774 PECOS PAC ID: 3971901356 Enrollment ID: I20211015001317 |
| Provider Name | Ali Boyce Cosgrove |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609116854 PECOS PAC ID: 6103061536 Enrollment ID: I20211027000568 |
| Provider Name | Britton Lee Rust-chester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659945335 PECOS PAC ID: 1456740091 Enrollment ID: I20211119000928 |
| Provider Name | Jonathan Jonah Mayl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477059616 PECOS PAC ID: 4082004478 Enrollment ID: I20211129000349 |
| Provider Name | Megan Squires Brewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275016271 PECOS PAC ID: 4587909973 Enrollment ID: I20220118001008 |
| Provider Name | Summer Necole Farlow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417415043 PECOS PAC ID: 5597157339 Enrollment ID: I20220127002940 |
| Provider Name | Timothy Scott George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750051074 PECOS PAC ID: 7719371020 Enrollment ID: I20220303000263 |
| Provider Name | Crystal Nnenne Azu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114457769 PECOS PAC ID: 3476822321 Enrollment ID: I20220317002274 |
| Provider Name | Mohammad Shahzeb Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275055600 PECOS PAC ID: 0042585705 Enrollment ID: I20220407002677 |
| Provider Name | Jordan Tannenbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144727645 PECOS PAC ID: 8921354846 Enrollment ID: I20220427000481 |
| Provider Name | Milton F Nathan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114909744 PECOS PAC ID: 1557261740 Enrollment ID: I20220510001103 |
| Provider Name | Joseph Liberal Giramata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831666197 PECOS PAC ID: 5890033864 Enrollment ID: I20220608002169 |
| Provider Name | Ahmed Hassaan Qavi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427404565 PECOS PAC ID: 3971841594 Enrollment ID: I20220609000877 |
| Provider Name | Arun Thukkani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467573659 PECOS PAC ID: 9335387745 Enrollment ID: I20220809003871 |
| Provider Name | George Sipa Adjah Yankey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902292683 PECOS PAC ID: 9133502917 Enrollment ID: I20220811000078 |
| Provider Name | Eric Mitchell Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912403783 PECOS PAC ID: 9335490218 Enrollment ID: I20220929000461 |
| Provider Name | Emily Coates Monge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841921293 PECOS PAC ID: 9830575604 Enrollment ID: I20220930002416 |
| Provider Name | Folashade Ruth Paseda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144968959 PECOS PAC ID: 4183000961 Enrollment ID: I20220930002564 |
| Provider Name | Gerald Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598391435 PECOS PAC ID: 3072999507 Enrollment ID: I20221006000163 |
| Provider Name | Mahdi S Agha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720548977 PECOS PAC ID: 5890176648 Enrollment ID: I20221012000552 |
| Provider Name | Mildred Alexandra Shaw |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093340648 PECOS PAC ID: 8729455175 Enrollment ID: I20221027003133 |
| Provider Name | Mary Branch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710371976 PECOS PAC ID: 7315252293 Enrollment ID: I20221102001234 |
| Provider Name | Tania Lalli Bardsley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689208217 PECOS PAC ID: 4789051632 Enrollment ID: I20221104002011 |
| Provider Name | Lonnie Thomas Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609372424 PECOS PAC ID: 9335516251 Enrollment ID: I20221107001774 |
| Provider Name | Michelle Matthews Swinyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841923638 PECOS PAC ID: 3779950340 Enrollment ID: I20221110002461 |
| Provider Name | Suzann Elizabeth Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477146009 PECOS PAC ID: 8729455241 Enrollment ID: I20221111001916 |
| Provider Name | Adrienne Windham Wyssbrod |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942834585 PECOS PAC ID: 7719355809 Enrollment ID: I20221121002600 |
| Provider Name | Katherine Virginia Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356070031 PECOS PAC ID: 3577933092 Enrollment ID: I20221228000027 |
| Provider Name | Ernest Henry Dick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477217636 PECOS PAC ID: 0648642025 Enrollment ID: I20230213000456 |
| Provider Name | Andrew Eric Andreae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689135766 PECOS PAC ID: 5890168793 Enrollment ID: I20230223001389 |
| Provider Name | Luke Seminara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033821236 PECOS PAC ID: 2365816873 Enrollment ID: I20230324000835 |
| Provider Name | Asante Cheyenne Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124644539 PECOS PAC ID: 9032584008 Enrollment ID: I20230404001991 |
| Provider Name | Sheri Renee Hammock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619417789 PECOS PAC ID: 2860746500 Enrollment ID: I20230407001474 |
| Provider Name | Michael Cosiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043772957 PECOS PAC ID: 4688030893 Enrollment ID: I20230514000008 |
| Provider Name | Manasi Tannu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013440098 PECOS PAC ID: 3971922410 Enrollment ID: I20230516001487 |
| Provider Name | Belal Abdel-karim Suleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164981445 PECOS PAC ID: 8820478894 Enrollment ID: I20230526002353 |
| Provider Name | Khabib Dgayli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134572878 PECOS PAC ID: 4688094071 Enrollment ID: I20230613000027 |
| Provider Name | Elizabeth Mary Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417653791 PECOS PAC ID: 9537527809 Enrollment ID: I20230619000020 |
| Provider Name | Jessica Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629423330 PECOS PAC ID: 2163703869 Enrollment ID: I20230703000271 |
| Provider Name | Christina C Fulton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265822464 PECOS PAC ID: 0648568303 Enrollment ID: I20230728000235 |
| Provider Name | Vicki Perry Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356691018 PECOS PAC ID: 5890157721 Enrollment ID: I20230809003090 |
| Provider Name | Augustus Everett Mealor |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1891954616 PECOS PAC ID: 6901075191 Enrollment ID: I20230814002061 |
| Provider Name | Brian Roland Doucette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285220012 PECOS PAC ID: 3779760210 Enrollment ID: I20230815001461 |
| Provider Name | Thomas Richard Woodson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760972681 PECOS PAC ID: 4688069610 Enrollment ID: I20230821003768 |
| Provider Name | Deborah Marie Wittenborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568160877 PECOS PAC ID: 7911360045 Enrollment ID: I20230822004395 |
| Provider Name | Vishnu Priya Mallipeddi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386175008 PECOS PAC ID: 6002192481 Enrollment ID: I20230922002596 |
| Provider Name | Jennifer Christine Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598462012 PECOS PAC ID: 8022464585 Enrollment ID: I20231019003531 |
| Provider Name | Nathan Goodwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942763248 PECOS PAC ID: 9931555034 Enrollment ID: I20231025003734 |
| Provider Name | Rachel P Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366140303 PECOS PAC ID: 1254788540 Enrollment ID: I20231108000574 |
| Provider Name | Nkiru Cynthia Osude |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992237390 PECOS PAC ID: 9739445255 Enrollment ID: I20231211001995 |
| Provider Name | Ezequiel David Munoz Gonzalez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598118408 PECOS PAC ID: 5092008961 Enrollment ID: I20231214002433 |
| Provider Name | Daniel Bowman Loriaux |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932638962 PECOS PAC ID: 0446520993 Enrollment ID: I20240208000011 |
| Provider Name | Barrie Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982705000 PECOS PAC ID: 7315902723 Enrollment ID: I20240326001922 |
| Provider Name | Anthony Lee Lin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205396595 PECOS PAC ID: 3274941950 Enrollment ID: I20240401003463 |
| Provider Name | Katlyn Danielle West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235991597 PECOS PAC ID: 8426496985 Enrollment ID: I20240402004262 |
| Provider Name | Husam Mi Salah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629638382 PECOS PAC ID: 1850626011 Enrollment ID: I20240416000939 |
Greensboro True Health Chiropractic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 N Elam Ave Ste C, Greensboro, NC 27403 Phone: 336-866-0340 | |
3ehome Visiting Provider Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7614 Cedar Chase Dr, Greensboro, NC 27455 Phone: 702-328-1646 | |
Guilford Medical Center, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1593 Yanceyville St, Suite 100, Bldg A, Greensboro, NC 27405 Phone: 336-275-1306 Fax: 336-275-1307 | |
Eagle Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 W Friendly Ave Ste 200, Greensboro, NC 27410 Phone: 336-373-1996 Fax: 336-482-2320 | |
Infocus Eyewear Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Green Valley Rd, Ste 303 B, Greensboro, NC 27408 Phone: 336-235-2577 Fax: 336-235-2578 | |
Viarenew Greensboro, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5587 Garden Village Way, Ste E, Greensboro, NC 27410 Phone: 336-763-1600 Fax: 336-763-6796 |