| Conemaugh Physician Group Cresson | |
|
815 2nd St Cresson PA 16630-1141 | |
| (814) 886-2911 | |
| (814) 886-8929 |
| Full Name | Conemaugh Physician Group Cresson |
|---|---|
| Speciality | Family Medicine |
| Location | 815 2nd St, Cresson, Pennsylvania |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conemaugh Physician Group Cresson 815 2nd St Cresson PA 16630-1141 Ph: (814) 886-2911 | Conemaugh Physician Group Cresson 815 2nd St Cresson PA 16630-1141 Ph: (814) 886-2911 |
| NPI Number | 1932515905 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 10/10/2024 |
| Medicare PECOS PAC ID | 7315166949 |
|---|---|
| Medicare Enrollment ID | O20140915002522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932515905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ali M Tunio |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962481374 PECOS PAC ID: 7517870124 Enrollment ID: I20031111000038 |
| Provider Name | Michael Chmielewski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659378388 PECOS PAC ID: 7810800232 Enrollment ID: I20031111000312 |
| Provider Name | Edward J Seidmon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639274087 PECOS PAC ID: 1254244668 Enrollment ID: I20031111000701 |
| Provider Name | Stuart G Tauberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437120672 PECOS PAC ID: 4284548561 Enrollment ID: I20031119000688 |
| Provider Name | Mitchell H Rothenberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780669002 PECOS PAC ID: 9830093582 Enrollment ID: I20031124000490 |
| Provider Name | James Tretter |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629079371 PECOS PAC ID: 5991601262 Enrollment ID: I20031209000013 |
| Provider Name | John E Moskaitis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316042591 PECOS PAC ID: 3274439260 Enrollment ID: I20031210000566 |
| Provider Name | Kevin Lee Messner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689642530 PECOS PAC ID: 0244139350 Enrollment ID: I20040107000954 |
| Provider Name | Rory Tropp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801855747 PECOS PAC ID: 9537068572 Enrollment ID: I20040108000154 |
| Provider Name | Clifford P Catania |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215976063 PECOS PAC ID: 8729989116 Enrollment ID: I20040119000268 |
| Provider Name | Abdul Waheed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851375042 PECOS PAC ID: 7911808274 Enrollment ID: I20040119000689 |
| Provider Name | Saied Talaie |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1831233840 PECOS PAC ID: 5698677508 Enrollment ID: I20040122000209 |
| Provider Name | Rajiv Dhawan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710967005 PECOS PAC ID: 8426950791 Enrollment ID: I20040126000833 |
| Provider Name | Erik B Mauzy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184696957 PECOS PAC ID: 0446143283 Enrollment ID: I20040205000134 |
| Provider Name | Amitabha Mitra |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1831187871 PECOS PAC ID: 4688570682 Enrollment ID: I20040205000872 |
| Provider Name | Jeffrey L Dakas |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336142256 PECOS PAC ID: 0446144364 Enrollment ID: I20040217000460 |
| Provider Name | T Clark Simpson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740373729 PECOS PAC ID: 4789579640 Enrollment ID: I20040219000007 |
| Provider Name | Charles Lambiotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609969534 PECOS PAC ID: 8325933286 Enrollment ID: I20040219000011 |
| Provider Name | Philip Joseph Hlavac |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548238322 PECOS PAC ID: 4183519002 Enrollment ID: I20040219000364 |
| Provider Name | Mohammed Fakhru Islam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457343683 PECOS PAC ID: 3577458330 Enrollment ID: I20040219000617 |
| Provider Name | Robert B Schlesinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225031172 PECOS PAC ID: 5193611044 Enrollment ID: I20040226000443 |
| Provider Name | Samer Azouz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275532129 PECOS PAC ID: 1951291541 Enrollment ID: I20040317001206 |
| Provider Name | Arif Husain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043276918 PECOS PAC ID: 5799676615 Enrollment ID: I20040322000866 |
| Provider Name | Arleen G Haynes Laing |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922017342 PECOS PAC ID: 8729979356 Enrollment ID: I20040323001205 |
| Provider Name | Tomasz J Niewiarowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073624441 PECOS PAC ID: 6305839895 Enrollment ID: I20040408000700 |
| Provider Name | Joshua B Rosman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780679423 PECOS PAC ID: 5092701516 Enrollment ID: I20040421001050 |
| Provider Name | Ronald E Harbut |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1588618946 PECOS PAC ID: 0345239307 Enrollment ID: I20040506001323 |
| Provider Name | Richard S Wozniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396739744 PECOS PAC ID: 2860482338 Enrollment ID: I20040517000209 |
| Provider Name | Jeanne Putinas Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396739454 PECOS PAC ID: 5496745689 Enrollment ID: I20040518000841 |
| Provider Name | Francis L Ergina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740253087 PECOS PAC ID: 9436140886 Enrollment ID: I20040524000433 |
| Provider Name | Kussay Nassr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316942022 PECOS PAC ID: 8820079684 Enrollment ID: I20040527000138 |
| Provider Name | Bhupinder Singh Datta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205872421 PECOS PAC ID: 8426039876 Enrollment ID: I20040601000409 |
| Provider Name | Shriram Sirsikar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245239391 PECOS PAC ID: 1557343027 Enrollment ID: I20040607001236 |
| Provider Name | Anthony L. Sico |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942290176 PECOS PAC ID: 0244216935 Enrollment ID: I20040624001214 |
| Provider Name | Jean M Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457353591 PECOS PAC ID: 8820077993 Enrollment ID: I20040714000695 |
| Provider Name | Kevin M Zitnay |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952395329 PECOS PAC ID: 3072592872 Enrollment ID: I20040715000852 |
| Provider Name | Donato R Carusi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740243039 PECOS PAC ID: 6406826577 Enrollment ID: I20040727000973 |
| Provider Name | Theresa Marie Fonash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588630677 PECOS PAC ID: 3577534981 Enrollment ID: I20040802000150 |
| Provider Name | Michael Allen Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316987464 PECOS PAC ID: 4385616408 Enrollment ID: I20040810000403 |
| Provider Name | Ahmed Jahangeer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033153127 PECOS PAC ID: 0941272082 Enrollment ID: I20040810000596 |
| Provider Name | Anthony J Palmisano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912957077 PECOS PAC ID: 6002889813 Enrollment ID: I20040818000991 |
| Provider Name | David A Glusko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295737518 PECOS PAC ID: 0042283749 Enrollment ID: I20040819000222 |
| Provider Name | Marianne L Shaw |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790785582 PECOS PAC ID: 9931174976 Enrollment ID: I20040901000762 |
| Provider Name | George W Cummings |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235225111 PECOS PAC ID: 0749256220 Enrollment ID: I20040907000490 |
| Provider Name | Paul Meade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457314023 PECOS PAC ID: 1759357783 Enrollment ID: I20040909001099 |
| Provider Name | John Jeffrey Cortina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194834275 PECOS PAC ID: 0042280539 Enrollment ID: I20040916000179 |
| Provider Name | Mukul Bhatnagar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790750453 PECOS PAC ID: 5991774085 Enrollment ID: I20040927000228 |
| Provider Name | David F Holsinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760412712 PECOS PAC ID: 1153390877 Enrollment ID: I20040929000897 |
| Provider Name | Anne R Laforte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326033713 PECOS PAC ID: 1850360389 Enrollment ID: I20040930000614 |
| Provider Name | William B Weiss |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568650919 PECOS PAC ID: 8123087020 Enrollment ID: I20041006001095 |
| Provider Name | Joel A Bezek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780630798 PECOS PAC ID: 4587623129 Enrollment ID: I20041008000091 |
| Provider Name | Hemanth Bhimasani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801995642 PECOS PAC ID: 5193708634 Enrollment ID: I20041011000323 |
| Provider Name | Fernando M Garzia |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1306896360 PECOS PAC ID: 7113989971 Enrollment ID: I20041103000397 |
| Provider Name | Frank J Giugliano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285724203 PECOS PAC ID: 5890759773 Enrollment ID: I20041119000378 |
| Provider Name | Cara L Mccandless |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063463255 PECOS PAC ID: 4183689946 Enrollment ID: I20041122000587 |
| Provider Name | Satyasagar Morisetty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699771527 PECOS PAC ID: 0941109607 Enrollment ID: I20041216000584 |
| Provider Name | Mark J Henzes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457351488 PECOS PAC ID: 0547228561 Enrollment ID: I20041222000347 |
| Provider Name | Gregory Kimble |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356315543 PECOS PAC ID: 9931158953 Enrollment ID: I20050118000213 |
| Provider Name | Lisa Lynn Cone |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003811506 PECOS PAC ID: 0547219255 Enrollment ID: I20050120000405 |
| Provider Name | M Denice Leonard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669473393 PECOS PAC ID: 6709835309 Enrollment ID: I20050121000027 |
| Provider Name | Howard K Horne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356395883 PECOS PAC ID: 0446214308 Enrollment ID: I20050125000912 |
| Provider Name | Anthony J Zinobile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376528547 PECOS PAC ID: 3779533864 Enrollment ID: I20050126000837 |
| Provider Name | Lorraine J Spikol |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932118817 PECOS PAC ID: 6901793694 Enrollment ID: I20050131000562 |
| Provider Name | Jeremy N Meisel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679513865 PECOS PAC ID: 6204890817 Enrollment ID: I20050201000538 |
| Provider Name | Shamsher Bakth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083643233 PECOS PAC ID: 5799736922 Enrollment ID: I20050204000645 |
| Provider Name | William E Smeal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497710701 PECOS PAC ID: 6103872676 Enrollment ID: I20050328000804 |
| Provider Name | Hany F Shanoudy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942206784 PECOS PAC ID: 1052358132 Enrollment ID: I20050411000518 |
| Provider Name | Emil Dib |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104818970 PECOS PAC ID: 5395782767 Enrollment ID: I20050418000125 |
| Provider Name | Lynn C Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114922564 PECOS PAC ID: 7810935459 Enrollment ID: I20050422000856 |
| Provider Name | Richard W Pidutti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215956016 PECOS PAC ID: 2668412289 Enrollment ID: I20050503001073 |
| Provider Name | Cynthia M Stallings |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164422762 PECOS PAC ID: 4789624115 Enrollment ID: I20050505000322 |
| Provider Name | Vincent E Vena |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154330579 PECOS PAC ID: 3779524491 Enrollment ID: I20050512000663 |
| Provider Name | Stephanie Freeman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497732135 PECOS PAC ID: 8729989918 Enrollment ID: I20050520000388 |
| Provider Name | Brian E Lieb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871598268 PECOS PAC ID: 3577457613 Enrollment ID: I20050525000143 |
| Provider Name | Jude A Mugerwa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639112642 PECOS PAC ID: 4183666225 Enrollment ID: I20050527000683 |
| Provider Name | John P Cawley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790775039 PECOS PAC ID: 8527000504 Enrollment ID: I20050601000017 |
| Provider Name | Jyothi Gella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235124918 PECOS PAC ID: 8921040023 Enrollment ID: I20050601000635 |
| Provider Name | Adib Najib Khouzami |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710982178 PECOS PAC ID: 3173566874 Enrollment ID: I20050603000415 |
| Provider Name | Darin S Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710955679 PECOS PAC ID: 3779526157 Enrollment ID: I20050607000339 |
| Provider Name | Reynaldo Puesan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376572586 PECOS PAC ID: 9335183052 Enrollment ID: I20050614000771 |
| Provider Name | Lori A Verostick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710041074 PECOS PAC ID: 9133163876 Enrollment ID: I20050614000874 |
| Provider Name | Geraldine G Amper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801890736 PECOS PAC ID: 2163466616 Enrollment ID: I20050615000359 |
| Provider Name | Stephen Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942293881 PECOS PAC ID: 7719922707 Enrollment ID: I20050621000381 |
| Provider Name | Jameel Farrukh Durrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689760274 PECOS PAC ID: 5193760585 Enrollment ID: I20050627000346 |
| Provider Name | Amy M Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942293360 PECOS PAC ID: 7810924180 Enrollment ID: I20050719000959 |
| Provider Name | Leonardo S Amper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346225869 PECOS PAC ID: 2264460641 Enrollment ID: I20050727000687 |
| Provider Name | Amina I Shikara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134113368 PECOS PAC ID: 6305874108 Enrollment ID: I20050802001110 |
| Provider Name | Navin S Thakur |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639146566 PECOS PAC ID: 9830127448 Enrollment ID: I20050815000010 |
| Provider Name | Atia Hashim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225013006 PECOS PAC ID: 4183654932 Enrollment ID: I20050822000309 |
| Provider Name | Linda E Shaffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568485712 PECOS PAC ID: 2466484670 Enrollment ID: I20050908000930 |
| Provider Name | Raymond S Resnick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427043553 PECOS PAC ID: 4880631720 Enrollment ID: I20050909000110 |
| Provider Name | David Blumberg |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295890440 PECOS PAC ID: 5698707610 Enrollment ID: I20050909000721 |
| Provider Name | Nnamdi A Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609801430 PECOS PAC ID: 4880619675 Enrollment ID: I20051011000551 |
| Provider Name | Paul A Rollins |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1407840762 PECOS PAC ID: 1456377183 Enrollment ID: I20051021000092 |
| Provider Name | Patricia Eagleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063494896 PECOS PAC ID: 2163448762 Enrollment ID: I20051024000021 |
| Provider Name | Charles E Camacho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700871985 PECOS PAC ID: 1557328739 Enrollment ID: I20051107000231 |
| Provider Name | Richard T Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578505459 PECOS PAC ID: 6800819590 Enrollment ID: I20060109000673 |
| Provider Name | Molly B Trostle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386616175 PECOS PAC ID: 1355355348 Enrollment ID: I20060130000193 |
| Provider Name | Anas Wardeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295705598 PECOS PAC ID: 0345219341 Enrollment ID: I20060201000297 |
| Provider Name | A Michael Michael Samaha |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295773877 PECOS PAC ID: 4284648999 Enrollment ID: I20060203000247 |
| Provider Name | Lolita Evange Chiu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740265669 PECOS PAC ID: 6800801093 Enrollment ID: I20060208000830 |
| Provider Name | Samer Makhoul |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235102369 PECOS PAC ID: 3274548375 Enrollment ID: I20060210000280 |
| Provider Name | John T Sommer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467414920 PECOS PAC ID: 0941217004 Enrollment ID: I20060314000630 |
| Provider Name | Saba Waseem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295795615 PECOS PAC ID: 3577570522 Enrollment ID: I20060320000193 |
| Provider Name | William P Diefenbach |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740268812 PECOS PAC ID: 2062422942 Enrollment ID: I20060424000233 |
| Provider Name | David Kulling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528028800 PECOS PAC ID: 5496765554 Enrollment ID: I20060503000617 |
| Provider Name | Jonathan L Shingles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659301091 PECOS PAC ID: 6002827961 Enrollment ID: I20060508000431 |
| Provider Name | Dale A Dangleben |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730138256 PECOS PAC ID: 8921010521 Enrollment ID: I20060623000166 |
| Provider Name | Patrick Robert Shannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528090172 PECOS PAC ID: 7113936402 Enrollment ID: I20060801000343 |
| Provider Name | Yaoxian Ding |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427033943 PECOS PAC ID: 5698706489 Enrollment ID: I20060810000486 |
| Provider Name | Alexander Marcus Spiess |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1245255447 PECOS PAC ID: 1052314432 Enrollment ID: I20060825000101 |
| Provider Name | Renu Kishor Pokharna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508870874 PECOS PAC ID: 2062416233 Enrollment ID: I20060830000185 |
| Provider Name | Chandra Sheker Reddy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407870868 PECOS PAC ID: 8628072741 Enrollment ID: I20060905000003 |
| Provider Name | Rajesh Mohan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376565507 PECOS PAC ID: 6507821634 Enrollment ID: I20060915000232 |
| Provider Name | Howard Victor Katz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528072121 PECOS PAC ID: 5395762215 Enrollment ID: I20060918000287 |
| Provider Name | Zafar Iqbal Chowdhry |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881601508 PECOS PAC ID: 3678578077 Enrollment ID: I20060918000409 |
| Provider Name | Kenneth A Nizza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578593547 PECOS PAC ID: 2264437318 Enrollment ID: I20060922000262 |
| Provider Name | Afaq Ahmad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568411015 PECOS PAC ID: 2769488378 Enrollment ID: I20061004000443 |
| Provider Name | John A Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386654697 PECOS PAC ID: 3870599228 Enrollment ID: I20061009000212 |
| Provider Name | Charlene R Saloom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558387472 PECOS PAC ID: 8628072113 Enrollment ID: I20061016000004 |
| Provider Name | Steven O Bossinger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164407417 PECOS PAC ID: 0244237980 Enrollment ID: I20061023000285 |
| Provider Name | Nadine M Zatsick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710082748 PECOS PAC ID: 8325046097 Enrollment ID: I20061114000200 |
| Provider Name | Emile H Chreky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396701280 PECOS PAC ID: 8729087614 Enrollment ID: I20061202000169 |
| Provider Name | Gaurav Arora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467496257 PECOS PAC ID: 7618976655 Enrollment ID: I20061220000330 |
| Provider Name | Sarah N Gatumu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750489845 PECOS PAC ID: 1951303833 Enrollment ID: I20070206000197 |
| Provider Name | Lian Qian |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104822006 PECOS PAC ID: 7416937347 Enrollment ID: I20070208000028 |
| Provider Name | Andrew S Gaunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346315108 PECOS PAC ID: 9931201845 Enrollment ID: I20070223000380 |
| Provider Name | Phillip Painley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922165711 PECOS PAC ID: 6800999038 Enrollment ID: I20070308000524 |
| Provider Name | Salman Lateef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609975267 PECOS PAC ID: 4587661426 Enrollment ID: I20070328000660 |
| Provider Name | Alva Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124010608 PECOS PAC ID: 1355445297 Enrollment ID: I20070402000455 |
| Provider Name | Kavitha V Manjunath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992847768 PECOS PAC ID: 8325142185 Enrollment ID: I20070404000032 |
| Provider Name | Rupal P Dumasia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447278478 PECOS PAC ID: 5092817916 Enrollment ID: I20070417000603 |
| Provider Name | Jeffrey George |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366403289 PECOS PAC ID: 7113023789 Enrollment ID: I20070430000015 |
| Provider Name | Dennis R Glover |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578562344 PECOS PAC ID: 0244296135 Enrollment ID: I20070504000195 |
| Provider Name | Russell Dumire |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619971223 PECOS PAC ID: 3072610005 Enrollment ID: I20070525000179 |
| Provider Name | Michaeleen N Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861519985 PECOS PAC ID: 6305945734 Enrollment ID: I20070626000002 |
| Provider Name | Mehran Hamzeh Langroudi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033317631 PECOS PAC ID: 6305947912 Enrollment ID: I20070726000616 |
| Provider Name | Ankush Kumar Bansal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013913102 PECOS PAC ID: 6305947649 Enrollment ID: I20070731000160 |
| Provider Name | William F Wright |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548473010 PECOS PAC ID: 4688766751 Enrollment ID: I20070821000109 |
| Provider Name | Michael Joseph Larkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639147788 PECOS PAC ID: 3274626148 Enrollment ID: I20070908000039 |
| Provider Name | Kenneth J Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669407748 PECOS PAC ID: 1759318819 Enrollment ID: I20070917000126 |
| Provider Name | James Dewar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629045661 PECOS PAC ID: 9739157355 Enrollment ID: I20071003000156 |
| Provider Name | Amit Sohagia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447456306 PECOS PAC ID: 5395832216 Enrollment ID: I20071024000534 |
| Provider Name | James J Pisano |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609803147 PECOS PAC ID: 1153418876 Enrollment ID: I20071029000070 |
| Provider Name | Ali Raja |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013131275 PECOS PAC ID: 3274621859 Enrollment ID: I20071115000094 |
| Provider Name | Robert S Magley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013945047 PECOS PAC ID: 6002888278 Enrollment ID: I20071126000618 |
| Provider Name | Nickie L Mcintire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871780783 PECOS PAC ID: 7012006711 Enrollment ID: I20071204000048 |
| Provider Name | Manohar Shetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750350435 PECOS PAC ID: 5395835300 Enrollment ID: I20071214000037 |
| Provider Name | Kelli Manippo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598986283 PECOS PAC ID: 3577523521 Enrollment ID: I20071228000163 |
| Provider Name | Francis T Ferraro |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821096876 PECOS PAC ID: 4486695921 Enrollment ID: I20080103000587 |
| Provider Name | David C Faber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073509287 PECOS PAC ID: 7618057076 Enrollment ID: I20080110000462 |
| Provider Name | Dean Watzman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497738967 PECOS PAC ID: 9638119258 Enrollment ID: I20080123000345 |
| Provider Name | Kevin T Murtha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225034879 PECOS PAC ID: 5799868196 Enrollment ID: I20080208000010 |
| Provider Name | Kristin Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912022153 PECOS PAC ID: 1951484146 Enrollment ID: I20080212000010 |
| Provider Name | Frank Matthew Abraham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851304364 PECOS PAC ID: 6406758002 Enrollment ID: I20080227000468 |
| Provider Name | William M Carney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396776282 PECOS PAC ID: 9133203094 Enrollment ID: I20080303000014 |
| Provider Name | D'arcy N Duke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720019680 PECOS PAC ID: 9931284726 Enrollment ID: I20080304000262 |
| Provider Name | Lauren E Trimeloni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225250913 PECOS PAC ID: 9830282656 Enrollment ID: I20080313000083 |
| Provider Name | Veerunna Chowdary Yadagani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851348189 PECOS PAC ID: 1759466840 Enrollment ID: I20080313000426 |
| Provider Name | Suzanne J Templer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093903163 PECOS PAC ID: 5698844215 Enrollment ID: I20080521000670 |
| Provider Name | Robert F Sawicki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063672889 PECOS PAC ID: 5496827248 Enrollment ID: I20080710000563 |
| Provider Name | John Lawrence Gray |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215958715 PECOS PAC ID: 0941245518 Enrollment ID: I20080731000650 |
| Provider Name | Anuj Chopra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396712139 PECOS PAC ID: 8426122011 Enrollment ID: I20080806000599 |
| Provider Name | Tracy Lavern Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467479402 PECOS PAC ID: 1951399179 Enrollment ID: I20080827000277 |
| Provider Name | Brian J Wieczorek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558339820 PECOS PAC ID: 6709952740 Enrollment ID: I20080827000639 |
| Provider Name | Megan Mesaros |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265697023 PECOS PAC ID: 8628145257 Enrollment ID: I20080924000454 |
| Provider Name | Mark J Ratchford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669479101 PECOS PAC ID: 8426126483 Enrollment ID: I20081006000002 |
| Provider Name | Tracy L Beltowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710136510 PECOS PAC ID: 8022176973 Enrollment ID: I20081021000489 |
| Provider Name | Vishal Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770787749 PECOS PAC ID: 5092873448 Enrollment ID: I20081029000284 |
| Provider Name | Jose A Stoute |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275691925 PECOS PAC ID: 8224197215 Enrollment ID: I20081105000668 |
| Provider Name | John O Chan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407850993 PECOS PAC ID: 1355401704 Enrollment ID: I20081115000135 |
| Provider Name | Robert J Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750341608 PECOS PAC ID: 6901966076 Enrollment ID: I20081119000240 |
| Provider Name | Hussien Farrag |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811070923 PECOS PAC ID: 3476613431 Enrollment ID: I20081120000323 |
| Provider Name | Patrick J Connolly |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134113889 PECOS PAC ID: 6608767074 Enrollment ID: I20081124000280 |
| Provider Name | Nicole L Clapper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831141159 PECOS PAC ID: 2769544980 Enrollment ID: I20081223000296 |
| Provider Name | Mohamed H Yassin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912186396 PECOS PAC ID: 4082638903 Enrollment ID: I20090113000072 |
| Provider Name | Shannon D Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164669743 PECOS PAC ID: 2365508983 Enrollment ID: I20090306000210 |
| Provider Name | Savas Mavridis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013912070 PECOS PAC ID: 0648336834 Enrollment ID: I20090313000377 |
| Provider Name | Hashem Younes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184864845 PECOS PAC ID: 8325195845 Enrollment ID: I20090420000392 |
| Provider Name | Timothy Horsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578519096 PECOS PAC ID: 9032004726 Enrollment ID: I20090422000134 |
| Provider Name | Amy M Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528009552 PECOS PAC ID: 9931126505 Enrollment ID: I20090520000033 |
| Provider Name | Sahar Elias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053438184 PECOS PAC ID: 1153470109 Enrollment ID: I20090521000198 |
| Provider Name | George F Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356340343 PECOS PAC ID: 0042381048 Enrollment ID: I20090608000278 |
| Provider Name | Aileen P Oandasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376601815 PECOS PAC ID: 6901971373 Enrollment ID: I20090612000370 |
| Provider Name | Charles E Zaleski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013993179 PECOS PAC ID: 7113020306 Enrollment ID: I20090616000331 |
| Provider Name | Courtney Dawn Cuppett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912114976 PECOS PAC ID: 4385794114 Enrollment ID: I20090616000672 |
| Provider Name | Roseann N Romito |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639397342 PECOS PAC ID: 5597815241 Enrollment ID: I20090618000272 |
| Provider Name | Gail A Stotler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063651008 PECOS PAC ID: 3971654773 Enrollment ID: I20090707000309 |
| Provider Name | Christopher T Lebrun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710902655 PECOS PAC ID: 1850393828 Enrollment ID: I20090716000137 |
| Provider Name | Stacey Rene Zavala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144433673 PECOS PAC ID: 0244382281 Enrollment ID: I20090722000248 |
| Provider Name | Pardeep Bansal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750526141 PECOS PAC ID: 0941356778 Enrollment ID: I20090921000455 |
| Provider Name | Marc Laufe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891780490 PECOS PAC ID: 1254487564 Enrollment ID: I20090928000470 |
| Provider Name | Beverly C Prince |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912973314 PECOS PAC ID: 9335110980 Enrollment ID: I20091009000558 |
| Provider Name | Rhonda Pena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316196538 PECOS PAC ID: 6103963376 Enrollment ID: I20091020000488 |
| Provider Name | Helen F Makinde-ajayi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174789176 PECOS PAC ID: 5597803817 Enrollment ID: I20091106000324 |
| Provider Name | Raniah S Khairy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942447834 PECOS PAC ID: 6305984311 Enrollment ID: I20091112000102 |
| Provider Name | Seema R Bonney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497799159 PECOS PAC ID: 8426027442 Enrollment ID: I20091123000445 |
| Provider Name | Carmela Rita Coppola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144220849 PECOS PAC ID: 6406995596 Enrollment ID: I20091203000032 |
| Provider Name | Elena A Ackah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922289891 PECOS PAC ID: 9739228537 Enrollment ID: I20091208000734 |
| Provider Name | Barbara L Walton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972583938 PECOS PAC ID: 5597705509 Enrollment ID: I20091210000632 |
| Provider Name | Alan H Shapiro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073713921 PECOS PAC ID: 5395777577 Enrollment ID: I20091228000199 |
| Provider Name | Matthew D Perry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669670675 PECOS PAC ID: 1153461009 Enrollment ID: I20091228000295 |
| Provider Name | Ian Katz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033128632 PECOS PAC ID: 2769538115 Enrollment ID: I20091230000309 |
| Provider Name | Richard D Schroeder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639188287 PECOS PAC ID: 1850447202 Enrollment ID: I20091230000578 |
| Provider Name | John T Brennan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306840178 PECOS PAC ID: 7517008923 Enrollment ID: I20100107000491 |
| Provider Name | Titilayo Olutola Adetu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053479204 PECOS PAC ID: 3375457153 Enrollment ID: I20100113000157 |
| Provider Name | Elizabeth E Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639283989 PECOS PAC ID: 6305988239 Enrollment ID: I20100115000133 |
| Provider Name | Randy Metcalf |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1073506648 PECOS PAC ID: 4486685765 Enrollment ID: I20100119000521 |
| Provider Name | Michael M Stefan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1932142650 PECOS PAC ID: 8820145949 Enrollment ID: I20100125000281 |
| Provider Name | Hasan Askari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700940277 PECOS PAC ID: 4486655602 Enrollment ID: I20100216000904 |
| Provider Name | William J Welsh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1407838527 PECOS PAC ID: 4587651336 Enrollment ID: I20100218000295 |
| Provider Name | Nitin Verma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598872731 PECOS PAC ID: 2264439256 Enrollment ID: I20100218000791 |
| Provider Name | Frank James Kosnosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568791689 PECOS PAC ID: 5092859207 Enrollment ID: I20100225000183 |
| Provider Name | Ali A Siddiqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265478275 PECOS PAC ID: 0547261190 Enrollment ID: I20100331000030 |
| Provider Name | Marja Elina Mattila-evenden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750552089 PECOS PAC ID: 0749316610 Enrollment ID: I20100331000140 |
| Provider Name | Elizabeth W Dunmore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548254816 PECOS PAC ID: 6305973330 Enrollment ID: I20100423000277 |
| Provider Name | Anne Sterlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669473302 PECOS PAC ID: 8729116090 Enrollment ID: I20100506000380 |
| Provider Name | Phillip D Gvozden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992709497 PECOS PAC ID: 1850429986 Enrollment ID: I20100512000034 |
| Provider Name | Alexander E Kalenak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831123496 PECOS PAC ID: 5395873145 Enrollment ID: I20100514000498 |
| Provider Name | Gerard A Garguilo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003810599 PECOS PAC ID: 1254469018 Enrollment ID: I20100514000703 |
| Provider Name | Enrique S Koh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184629552 PECOS PAC ID: 9638207434 Enrollment ID: I20100517000096 |
| Provider Name | Lisa Wirfel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598759946 PECOS PAC ID: 9830228469 Enrollment ID: I20100520000158 |
| Provider Name | Claire V Landry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447284096 PECOS PAC ID: 6901935949 Enrollment ID: I20100528000677 |
| Provider Name | Delbert L Yoder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457346736 PECOS PAC ID: 3072643329 Enrollment ID: I20100611000646 |
| Provider Name | Jeanmarie Koh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992700371 PECOS PAC ID: 5890826275 Enrollment ID: I20100629000325 |
| Provider Name | Jessica Lynn Masser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386842839 PECOS PAC ID: 3072646512 Enrollment ID: I20100804000138 |
| Provider Name | Donald F Ratchford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134125792 PECOS PAC ID: 1052401841 Enrollment ID: I20100809000288 |
| Provider Name | Guy N Piegari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659361095 PECOS PAC ID: 1759463334 Enrollment ID: I20100812000096 |
| Provider Name | Vivian J Boyer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639173586 PECOS PAC ID: 2466586391 Enrollment ID: I20100814000060 |
| Provider Name | Dawn R Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134129604 PECOS PAC ID: 5597889378 Enrollment ID: I20100831000595 |
| Provider Name | Ibrahim H Sbeitan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1558367110 PECOS PAC ID: 9931299732 Enrollment ID: I20100903000413 |
| Provider Name | Javier G Taboada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780731802 PECOS PAC ID: 1658382346 Enrollment ID: I20100914000871 |
| Provider Name | Ronald J. Brzana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861426173 PECOS PAC ID: 8820996358 Enrollment ID: I20100928000907 |
| Provider Name | Rani Md Kumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548210420 PECOS PAC ID: 5092747733 Enrollment ID: I20100928001449 |
| Provider Name | Nancy P Fetzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508860073 PECOS PAC ID: 3476679275 Enrollment ID: I20100929001327 |
| Provider Name | Genevieve L Everett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275736415 PECOS PAC ID: 3577755859 Enrollment ID: I20101005000525 |
| Provider Name | Manu S. Rajachandran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639132558 PECOS PAC ID: 5294758025 Enrollment ID: I20101005000686 |
| Provider Name | Neil W Yoder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437339652 PECOS PAC ID: 1850458589 Enrollment ID: I20101007000204 |
| Provider Name | Dariusz R Pierko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417074188 PECOS PAC ID: 8325194293 Enrollment ID: I20101011000612 |
| Provider Name | Michael L Humphrey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093793572 PECOS PAC ID: 5193918399 Enrollment ID: I20101020000841 |
| Provider Name | Todd H Lynn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780616300 PECOS PAC ID: 5991748071 Enrollment ID: I20101025000523 |
| Provider Name | Koroush Khalighi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356345193 PECOS PAC ID: 9537352372 Enrollment ID: I20101025000746 |
| Provider Name | Ramya Sri Pasunuri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811934623 PECOS PAC ID: 3678523974 Enrollment ID: I20101027001383 |
| Provider Name | Louis Spikol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508895186 PECOS PAC ID: 7416141858 Enrollment ID: I20101029001237 |
| Provider Name | Bruce Bordman Sloane |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518954536 PECOS PAC ID: 0547366973 Enrollment ID: I20101116000109 |
| Provider Name | Shashi Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710949466 PECOS PAC ID: 8022046317 Enrollment ID: I20101117000424 |
| Provider Name | Leonard E Maliver |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548215353 PECOS PAC ID: 0941236699 Enrollment ID: I20101214001054 |
| Provider Name | Kishor Singapuri |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336127018 PECOS PAC ID: 2769571850 Enrollment ID: I20110110000873 |
| Provider Name | Henry A Boateng |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316084866 PECOS PAC ID: 2567539042 Enrollment ID: I20110118001020 |
| Provider Name | Kamran Shayesteh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1336150564 PECOS PAC ID: 8527066448 Enrollment ID: I20110127000210 |
| Provider Name | Ryan Dunne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326296377 PECOS PAC ID: 0042490484 Enrollment ID: I20110202000465 |
| Provider Name | Karl Berger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083661417 PECOS PAC ID: 4880875129 Enrollment ID: I20110221000456 |
| Provider Name | Vishwanath M Khajuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932202389 PECOS PAC ID: 0143401059 Enrollment ID: I20110225000307 |
| Provider Name | Sadaf Sultana Ijaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609084664 PECOS PAC ID: 0345422978 Enrollment ID: I20110303000253 |
| Provider Name | John J Sirotnak |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790757722 PECOS PAC ID: 0547442501 Enrollment ID: I20110311000409 |
| Provider Name | Wesam Hassen Moustafa Hussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043539919 PECOS PAC ID: 5890977763 Enrollment ID: I20110314000844 |
| Provider Name | Franklin Margolis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487727517 PECOS PAC ID: 4789604265 Enrollment ID: I20110420000591 |
| Provider Name | Gebran Abboud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518160373 PECOS PAC ID: 0244417186 Enrollment ID: I20110602000269 |
| Provider Name | Hal I Sussman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194790923 PECOS PAC ID: 8729990312 Enrollment ID: I20110614000486 |
| Provider Name | Donald M Leckey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871532499 PECOS PAC ID: 1759569932 Enrollment ID: I20110620000007 |
| Provider Name | Krishna Bhat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205870797 PECOS PAC ID: 6507769700 Enrollment ID: I20110630000033 |
| Provider Name | Jimmy Pyakurel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720240112 PECOS PAC ID: 4587832290 Enrollment ID: I20110725000547 |
| Provider Name | Babak Movassaghi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518177914 PECOS PAC ID: 2365611571 Enrollment ID: I20110804000251 |
| Provider Name | Jennifer L Savino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770757825 PECOS PAC ID: 1850560970 Enrollment ID: I20110808000031 |
| Provider Name | Anurag Bajaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093955148 PECOS PAC ID: 5890966493 Enrollment ID: I20110912000087 |
| Provider Name | Nicholas J Mandalakas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811988868 PECOS PAC ID: 6103956503 Enrollment ID: I20111003000310 |
| Provider Name | Larissa M Clayton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982869327 PECOS PAC ID: 5395918148 Enrollment ID: I20111024000393 |
| Provider Name | Shelley Oxenhorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427214121 PECOS PAC ID: 8224201819 Enrollment ID: I20111026000616 |
| Provider Name | Navneet Bhullar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154364818 PECOS PAC ID: 4688696966 Enrollment ID: I20111109000391 |
| Provider Name | Joseph R Contarino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467491043 PECOS PAC ID: 0042105413 Enrollment ID: I20111109000472 |
| Provider Name | Harold G Ashcraft |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114987401 PECOS PAC ID: 7618142407 Enrollment ID: I20111206000389 |
| Provider Name | Paul A Suri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962499400 PECOS PAC ID: 2264329127 Enrollment ID: I20111215000747 |
| Provider Name | Geraldine J Idoniboye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134394877 PECOS PAC ID: 0143496950 Enrollment ID: I20111228000758 |
| Provider Name | James A Stewart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619097078 PECOS PAC ID: 7113193459 Enrollment ID: I20120109000157 |
| Provider Name | Thomas L Showers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821138272 PECOS PAC ID: 7315099975 Enrollment ID: I20120224000320 |
| Provider Name | Catherine A Buletza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912971607 PECOS PAC ID: 1052369832 Enrollment ID: I20120517000553 |
| Provider Name | Michael A Galuska |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003002932 PECOS PAC ID: 9739344656 Enrollment ID: I20120627000366 |
| Provider Name | Katherine Sprague Patil |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023286929 PECOS PAC ID: 9032374632 Enrollment ID: I20120705000393 |
| Provider Name | Huaitao Yang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528271236 PECOS PAC ID: 0143485342 Enrollment ID: I20120712000528 |
| Provider Name | Amanpreet S Sandhu |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1639195423 PECOS PAC ID: 6305840752 Enrollment ID: I20120718000346 |
| Provider Name | Nitin B Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710109202 PECOS PAC ID: 4789755638 Enrollment ID: I20120809000413 |
| Provider Name | Arash G Pasha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780828095 PECOS PAC ID: 2365698008 Enrollment ID: I20120810000627 |
| Provider Name | Michael G Weddle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336230556 PECOS PAC ID: 8123128352 Enrollment ID: I20120813000091 |
| Provider Name | Gorgi Kozeski |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1689817272 PECOS PAC ID: 7719134592 Enrollment ID: I20120830000035 |
| Provider Name | Natalie N Allman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548429137 PECOS PAC ID: 5496903791 Enrollment ID: I20120911000667 |
| Provider Name | Jamey Sarvis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912950296 PECOS PAC ID: 2062503220 Enrollment ID: I20120912000398 |
| Provider Name | Susan M Trocciola |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1831365345 PECOS PAC ID: 2769631183 Enrollment ID: I20120928000480 |
| Provider Name | Jennifer Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104001320 PECOS PAC ID: 2961651989 Enrollment ID: I20121009000022 |
| Provider Name | Ruth H Trondsen Pawlowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255566139 PECOS PAC ID: 4284883992 Enrollment ID: I20121012000154 |
| Provider Name | Piyush K Agarwal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629193180 PECOS PAC ID: 5496856965 Enrollment ID: I20121015000485 |
| Provider Name | Richard A Nahouraii |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700971298 PECOS PAC ID: 7113104092 Enrollment ID: I20121016000031 |
| Provider Name | Michael Sleet |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932357878 PECOS PAC ID: 5395996524 Enrollment ID: I20121115000250 |
| Provider Name | Diane Kenealy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154409332 PECOS PAC ID: 7810022563 Enrollment ID: I20121203000398 |
| Provider Name | Abidemi Adegbola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669544169 PECOS PAC ID: 1153427281 Enrollment ID: I20130104000212 |
| Provider Name | Basma Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801135322 PECOS PAC ID: 7416102785 Enrollment ID: I20130313000147 |
| Provider Name | Christine M Rohanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225295280 PECOS PAC ID: 9537314802 Enrollment ID: I20130313000225 |
| Provider Name | Patricia N Vigder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114926979 PECOS PAC ID: 1456530385 Enrollment ID: I20130320000566 |
| Provider Name | Jennifer B Woodring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174864649 PECOS PAC ID: 9830334457 Enrollment ID: I20130401000393 |
| Provider Name | Pamela Ann Harris-haman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083825236 PECOS PAC ID: 2769627256 Enrollment ID: I20130404000461 |
| Provider Name | Megan E Rishel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164688974 PECOS PAC ID: 7416000427 Enrollment ID: I20130411000045 |
| Provider Name | Aneesuddin S Hashmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164464962 PECOS PAC ID: 9830369602 Enrollment ID: I20130429000104 |
| Provider Name | Karen Lee Menser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851698294 PECOS PAC ID: 2860676079 Enrollment ID: I20130503000466 |
| Provider Name | Augusta Czysz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295781789 PECOS PAC ID: 8224276829 Enrollment ID: I20130521000060 |
| Provider Name | Joseph W Hensley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003132044 PECOS PAC ID: 5991945453 Enrollment ID: I20130703000303 |
| Provider Name | Claude We Zeifman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962423004 PECOS PAC ID: 5698738441 Enrollment ID: I20130716000149 |
| Provider Name | Spyridon I Marinis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487622239 PECOS PAC ID: 6901823483 Enrollment ID: I20130729000254 |
| Provider Name | Michael V Muench |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710976899 PECOS PAC ID: 2163472499 Enrollment ID: I20130731000442 |
| Provider Name | Bernard A Leech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730407339 PECOS PAC ID: 7315188398 Enrollment ID: I20130802000658 |
| Provider Name | Ebere A Anokwuru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619255825 PECOS PAC ID: 7315189123 Enrollment ID: I20130807000589 |
| Provider Name | Rena Mcdermott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154508927 PECOS PAC ID: 3870667025 Enrollment ID: I20130812000074 |
| Provider Name | Amit Chopra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770776361 PECOS PAC ID: 0042350704 Enrollment ID: I20130812000289 |
| Provider Name | Safwat Nasrat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649598830 PECOS PAC ID: 5294978797 Enrollment ID: I20130903000282 |
| Provider Name | Jonathan G Eli-phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417196601 PECOS PAC ID: 5799815353 Enrollment ID: I20130903000469 |
| Provider Name | Linet Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255595153 PECOS PAC ID: 7719120054 Enrollment ID: I20130905000377 |
| Provider Name | Peter J Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902124506 PECOS PAC ID: 4183867351 Enrollment ID: I20130909000252 |
| Provider Name | Salah M. Aldergash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649581265 PECOS PAC ID: 9436393436 Enrollment ID: I20130912000585 |
| Provider Name | Alan M Geringer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114981065 PECOS PAC ID: 2163590621 Enrollment ID: I20130917000420 |
| Provider Name | Kimberly A Foley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851618524 PECOS PAC ID: 7214171867 Enrollment ID: I20130920000342 |
| Provider Name | Elias Shattahi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245495605 PECOS PAC ID: 2264566363 Enrollment ID: I20130925000668 |
| Provider Name | Kristin Strannigan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164733671 PECOS PAC ID: 0648404616 Enrollment ID: I20131004000468 |
| Provider Name | Mark C Mattison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730347444 PECOS PAC ID: 4385878990 Enrollment ID: I20131015001731 |
| Provider Name | Jennifer L Axe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588810170 PECOS PAC ID: 9931334422 Enrollment ID: I20131111000173 |
| Provider Name | Andrei T Nemoianu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063614238 PECOS PAC ID: 1759527427 Enrollment ID: I20131220001737 |
| Provider Name | Faraz A Siddiqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326354374 PECOS PAC ID: 2668600172 Enrollment ID: I20140108000454 |
| Provider Name | Jodi M Rager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467881052 PECOS PAC ID: 4486882818 Enrollment ID: I20140110000910 |
| Provider Name | Karen A Kelly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699876045 PECOS PAC ID: 7113104985 Enrollment ID: I20140130001930 |
| Provider Name | Srinath Kadimi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730144734 PECOS PAC ID: 9931394715 Enrollment ID: I20140306001775 |
| Provider Name | Chevelta A Bostick Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144399619 PECOS PAC ID: 5395844302 Enrollment ID: I20140314001078 |
| Provider Name | Pamela N Lorditch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437146651 PECOS PAC ID: 7012149974 Enrollment ID: I20140409000399 |
| Provider Name | Rachel Bennett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194989814 PECOS PAC ID: 4284857723 Enrollment ID: I20140602000477 |
| Provider Name | Stuart I Myers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346357878 PECOS PAC ID: 6901807890 Enrollment ID: I20140617001167 |
| Provider Name | Ioanna Kanellitsas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932282738 PECOS PAC ID: 2769582261 Enrollment ID: I20140722000671 |
| Provider Name | Michael J Sabatini |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1346433703 PECOS PAC ID: 6103042478 Enrollment ID: I20140722001678 |
| Provider Name | Julia Catherine Stevenson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285835488 PECOS PAC ID: 2062638372 Enrollment ID: I20140723000365 |
| Provider Name | Maruthi Srikanth Penumetsa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043469471 PECOS PAC ID: 7810159266 Enrollment ID: I20140725001636 |
| Provider Name | Cynthia M Correll |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609036482 PECOS PAC ID: 4981821170 Enrollment ID: I20140812001632 |
| Provider Name | Henry Kesler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376554360 PECOS PAC ID: 6709025109 Enrollment ID: I20140822000691 |
| Provider Name | Lynn M Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386930519 PECOS PAC ID: 3678705118 Enrollment ID: I20140903000021 |
| Provider Name | Matthew G Walton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780904763 PECOS PAC ID: 3678791738 Enrollment ID: I20140903000080 |
| Provider Name | Yetunde O Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285895771 PECOS PAC ID: 4880869122 Enrollment ID: I20140909001828 |
| Provider Name | Gabriel Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245468396 PECOS PAC ID: 0446479208 Enrollment ID: I20140910001542 |
| Provider Name | Victor Heresniak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336194596 PECOS PAC ID: 5193624427 Enrollment ID: I20140919002006 |
| Provider Name | Mark J Dalton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710928536 PECOS PAC ID: 0143293506 Enrollment ID: I20140922002246 |
| Provider Name | Cynthia L Clagett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265647317 PECOS PAC ID: 4789804410 Enrollment ID: I20141001001320 |
| Provider Name | Abigail H Mcginnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801209770 PECOS PAC ID: 4385864883 Enrollment ID: I20141006000590 |
| Provider Name | Stanley M Zagorski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518932409 PECOS PAC ID: 0547260788 Enrollment ID: I20141124001917 |
| Provider Name | Aswin Mathew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447547104 PECOS PAC ID: 5698098531 Enrollment ID: I20141229000288 |
| Provider Name | Douglas C Barnas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396066288 PECOS PAC ID: 3072752773 Enrollment ID: I20141231000449 |
| Provider Name | Avrille Beverly George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770734782 PECOS PAC ID: 8426227331 Enrollment ID: I20150102000152 |
| Provider Name | Teresa B Malec |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134419674 PECOS PAC ID: 8123341815 Enrollment ID: I20150105001450 |
| Provider Name | David Michael Gnugnoli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922367713 PECOS PAC ID: 6002032521 Enrollment ID: I20150129001447 |
| Provider Name | Jule U Lesneski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528470846 PECOS PAC ID: 5294050621 Enrollment ID: I20150206000408 |
| Provider Name | Michael X Su |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881851004 PECOS PAC ID: 3870744931 Enrollment ID: I20150225001587 |
| Provider Name | Nassir Hm Monim Mansour |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790923951 PECOS PAC ID: 1355666736 Enrollment ID: I20150305000388 |
| Provider Name | Stefanie L Puher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467691196 PECOS PAC ID: 7618294471 Enrollment ID: I20150317000305 |
| Provider Name | Christopher Byerrum Seaman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306030242 PECOS PAC ID: 3779635982 Enrollment ID: I20150320001266 |
| Provider Name | Juan Gan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801001136 PECOS PAC ID: 7911226931 Enrollment ID: I20150424000859 |
| Provider Name | Valentyna Honchar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033499462 PECOS PAC ID: 0941529069 Enrollment ID: I20150512000546 |
| Provider Name | Joel S Goodwin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659454437 PECOS PAC ID: 4082706304 Enrollment ID: I20150513001713 |
| Provider Name | Lawrence H Roberts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598863193 PECOS PAC ID: 9234116823 Enrollment ID: I20150513001954 |
| Provider Name | Sheila Judge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851491344 PECOS PAC ID: 7214257757 Enrollment ID: I20150522001326 |
| Provider Name | Rebecca Eleanya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790006641 PECOS PAC ID: 6901127505 Enrollment ID: I20150608002831 |
| Provider Name | Ashish Bagal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033315304 PECOS PAC ID: 6507187002 Enrollment ID: I20150609002756 |
| Provider Name | Nicholas J Lanciano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508184953 PECOS PAC ID: 6305086513 Enrollment ID: I20150612002003 |
| Provider Name | Jeffrey M Costanzo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689802746 PECOS PAC ID: 5193036663 Enrollment ID: I20150624002701 |
| Provider Name | John P Mcnamara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760460596 PECOS PAC ID: 6800885591 Enrollment ID: I20150625000545 |
| Provider Name | Robert Hacker |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295985554 PECOS PAC ID: 1254556855 Enrollment ID: I20150626000509 |
| Provider Name | Simon Ouaknine |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548498496 PECOS PAC ID: 4789721945 Enrollment ID: I20150710001967 |
| Provider Name | Lou Mastrine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891955308 PECOS PAC ID: 4587979471 Enrollment ID: I20150821012960 |
| Provider Name | Syed T Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396733713 PECOS PAC ID: 6800786989 Enrollment ID: I20150826000614 |
| Provider Name | Shawna L Morrissey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790981686 PECOS PAC ID: 0648495911 Enrollment ID: I20150902001378 |
| Provider Name | Mark Seeley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891922894 PECOS PAC ID: 9234446089 Enrollment ID: I20150911000607 |
| Provider Name | Amy Martyanov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922270768 PECOS PAC ID: 3173681459 Enrollment ID: I20151002001806 |
| Provider Name | Krishna Gurram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255360244 PECOS PAC ID: 4789852674 Enrollment ID: I20151021000589 |
| Provider Name | Juddson T Chason |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376668228 PECOS PAC ID: 3577734086 Enrollment ID: I20151026000665 |
| Provider Name | Thomas R Murphy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457369712 PECOS PAC ID: 1557352861 Enrollment ID: I20151028000890 |
| Provider Name | Madhavi Kandel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831410687 PECOS PAC ID: 1951541077 Enrollment ID: I20151104001295 |
| Provider Name | Michael E Cherian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063772564 PECOS PAC ID: 3173835022 Enrollment ID: I20151111000462 |
| Provider Name | Glenn P Gardner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932165321 PECOS PAC ID: 9436114550 Enrollment ID: I20151203002256 |
| Provider Name | Lorraine Choi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215166897 PECOS PAC ID: 8022205756 Enrollment ID: I20151203003061 |
| Provider Name | Maria Mayorga |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558457127 PECOS PAC ID: 4880730977 Enrollment ID: I20160104000542 |
| Provider Name | Terry Jean Nesmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780026385 PECOS PAC ID: 3173825395 Enrollment ID: I20160105002530 |
| Provider Name | Lino F Miele |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1477684710 PECOS PAC ID: 8224330279 Enrollment ID: I20160107001040 |
| Provider Name | Musaid A Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134263460 PECOS PAC ID: 9638221559 Enrollment ID: I20160128000063 |
| Provider Name | Amanda J Ellis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588924716 PECOS PAC ID: 6406072917 Enrollment ID: I20160218001038 |
| Provider Name | Lisa Marie Janosik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023475944 PECOS PAC ID: 5092010587 Enrollment ID: I20160222000667 |
| Provider Name | Brian G Klokeid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609818111 PECOS PAC ID: 9537184601 Enrollment ID: I20160226001313 |
| Provider Name | Hamed Taheri |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679766745 PECOS PAC ID: 7214177583 Enrollment ID: I20160308002283 |
| Provider Name | Maria Curlej |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063795466 PECOS PAC ID: 9133426083 Enrollment ID: I20160321002134 |
| Provider Name | James A Pruitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013228592 PECOS PAC ID: 3072759992 Enrollment ID: I20160425001067 |
| Provider Name | Rebecca E Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407221864 PECOS PAC ID: 9436458874 Enrollment ID: I20160505002104 |
| Provider Name | Patricia Mcentire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568425486 PECOS PAC ID: 0840292876 Enrollment ID: I20160509000951 |
| Provider Name | Grayson Scott Goldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174933253 PECOS PAC ID: 2163640442 Enrollment ID: I20160510000274 |
| Provider Name | Kaycia Vansickle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780796755 PECOS PAC ID: 0941279079 Enrollment ID: I20160511000669 |
| Provider Name | Robert Moses |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316146384 PECOS PAC ID: 7517139058 Enrollment ID: I20160513000109 |
| Provider Name | Medhat Fekri Zaher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760438857 PECOS PAC ID: 2062416944 Enrollment ID: I20160519001679 |
| Provider Name | Christina Antoine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912012592 PECOS PAC ID: 9436214657 Enrollment ID: I20160520000866 |
| Provider Name | Jihad E Azar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932337086 PECOS PAC ID: 5294024733 Enrollment ID: I20160523001263 |
| Provider Name | Anand Mahajan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801862057 PECOS PAC ID: 8921398892 Enrollment ID: I20160606000464 |
| Provider Name | Nidhi Khosla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811227267 PECOS PAC ID: 5496046815 Enrollment ID: I20160615001126 |
| Provider Name | Reda Shedeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275652273 PECOS PAC ID: 5294820882 Enrollment ID: I20160616001106 |
| Provider Name | Casey J Jason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164459657 PECOS PAC ID: 8426028515 Enrollment ID: I20160617000814 |
| Provider Name | Stephen Gary Lalka |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194737478 PECOS PAC ID: 7810959962 Enrollment ID: I20160720000187 |
| Provider Name | Crystale J Cruz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275784969 PECOS PAC ID: 4880832872 Enrollment ID: I20160727000183 |
| Provider Name | Mariya H Apostolova |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649408477 PECOS PAC ID: 3870886682 Enrollment ID: I20160801000542 |
| Provider Name | Benjamin Kyle Peek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548523061 PECOS PAC ID: 9234450065 Enrollment ID: I20160810002843 |
| Provider Name | Ahmed Kamel Abou Hussein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841502275 PECOS PAC ID: 3870734544 Enrollment ID: I20160812000269 |
| Provider Name | Laura M. Wieczorek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336435122 PECOS PAC ID: 2365738119 Enrollment ID: I20160906000759 |
| Provider Name | Kimberly B Garman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942421789 PECOS PAC ID: 9739475351 Enrollment ID: I20160908001051 |
| Provider Name | Sheetal L Higbee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154559680 PECOS PAC ID: 4981903952 Enrollment ID: I20160913002279 |
| Provider Name | Omar Obeidat |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942274279 PECOS PAC ID: 5799754743 Enrollment ID: I20160926001545 |
| Provider Name | Subhash Pinnaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710292446 PECOS PAC ID: 2062700248 Enrollment ID: I20161004002766 |
| Provider Name | Shreyas Joshi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295028884 PECOS PAC ID: 1850681974 Enrollment ID: I20161010000389 |
| Provider Name | Joshua W Hinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669642823 PECOS PAC ID: 5890914576 Enrollment ID: I20161012002180 |
| Provider Name | Melissa Rosa Hinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740418334 PECOS PAC ID: 0547401242 Enrollment ID: I20161013001345 |
| Provider Name | Karen S Watt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154303626 PECOS PAC ID: 9830163724 Enrollment ID: I20161027000217 |
| Provider Name | Richard E Bird |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265435473 PECOS PAC ID: 4385704279 Enrollment ID: I20161108000704 |
| Provider Name | Corrin Fesko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790234052 PECOS PAC ID: 2264712751 Enrollment ID: I20161129000062 |
| Provider Name | Madad Ali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376564815 PECOS PAC ID: 8325180565 Enrollment ID: I20161201000908 |
| Provider Name | Diane E May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851502967 PECOS PAC ID: 8325149347 Enrollment ID: I20161222001116 |
| Provider Name | Amanda Leigh Jodon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801347430 PECOS PAC ID: 8426339599 Enrollment ID: I20170103001743 |
| Provider Name | Rodney Chan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1700964103 PECOS PAC ID: 1658391230 Enrollment ID: I20170104001950 |
| Provider Name | Matthew Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366731119 PECOS PAC ID: 3870742836 Enrollment ID: I20170118000433 |
| Provider Name | Angela M Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144481425 PECOS PAC ID: 5698921344 Enrollment ID: I20170125001679 |
| Provider Name | Cyntrell Crawford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710242904 PECOS PAC ID: 0648553321 Enrollment ID: I20170202001685 |
| Provider Name | Vinod S Kudagi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861684094 PECOS PAC ID: 2062635774 Enrollment ID: I20170223000322 |
| Provider Name | Gregory Luke Larkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205890084 PECOS PAC ID: 0042212995 Enrollment ID: I20170307000443 |
| Provider Name | Michael E Goldberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285835140 PECOS PAC ID: 7517188543 Enrollment ID: I20170318000195 |
| Provider Name | Ijeoma Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306104518 PECOS PAC ID: 8527365741 Enrollment ID: I20170329000631 |
| Provider Name | Tanya Kindel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598201808 PECOS PAC ID: 5294002127 Enrollment ID: I20170525001056 |
| Provider Name | Mia Branch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629008388 PECOS PAC ID: 0840361838 Enrollment ID: I20170531000287 |
| Provider Name | Lisa Drennen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093915381 PECOS PAC ID: 4789951450 Enrollment ID: I20170531000679 |
| Provider Name | George Reimann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871673756 PECOS PAC ID: 5395846018 Enrollment ID: I20170606003047 |
| Provider Name | Jessica Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639613003 PECOS PAC ID: 7618245416 Enrollment ID: I20170620002682 |
| Provider Name | Umesh Chakunta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528252210 PECOS PAC ID: 1759538150 Enrollment ID: I20170630001443 |
| Provider Name | Brian Kadow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386938157 PECOS PAC ID: 4789954314 Enrollment ID: I20170714000749 |
| Provider Name | Giuseppe Gioia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932188729 PECOS PAC ID: 6103894514 Enrollment ID: I20170717000069 |
| Provider Name | Alexander J Pozun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790164077 PECOS PAC ID: 1052624129 Enrollment ID: I20170717001137 |
| Provider Name | Anuj Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427332980 PECOS PAC ID: 6103129275 Enrollment ID: I20170719002398 |
| Provider Name | Kenneth J Glassford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548688161 PECOS PAC ID: 5294039079 Enrollment ID: I20170721000588 |
| Provider Name | Aryeh Keehn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083992234 PECOS PAC ID: 3678843570 Enrollment ID: I20170726001382 |
| Provider Name | Taher Elsdai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457616419 PECOS PAC ID: 4486932522 Enrollment ID: I20170728000203 |
| Provider Name | Latasha Naidu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396713053 PECOS PAC ID: 3678589686 Enrollment ID: I20170731003403 |
| Provider Name | Mustapha Daouadi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598906802 PECOS PAC ID: 4789993395 Enrollment ID: I20170801001509 |
| Provider Name | Alan Lantzy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194780882 PECOS PAC ID: 0840298006 Enrollment ID: I20170803000770 |
| Provider Name | Karandeep Maur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013209592 PECOS PAC ID: 1456678051 Enrollment ID: I20170803002237 |
| Provider Name | Tuhina Raman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760680318 PECOS PAC ID: 3375628712 Enrollment ID: I20170807000977 |
| Provider Name | Nishma Saini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487092235 PECOS PAC ID: 8123327632 Enrollment ID: I20170807003155 |
| Provider Name | Alcinto Steven Guirand |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1710243787 PECOS PAC ID: 3274832597 Enrollment ID: I20170809000551 |
| Provider Name | Mayurathan Kesavan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851687958 PECOS PAC ID: 2961718663 Enrollment ID: I20170815000368 |
| Provider Name | Tanya Sargent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134671720 PECOS PAC ID: 8527330265 Enrollment ID: I20170816000562 |
| Provider Name | Tim Lekic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578855151 PECOS PAC ID: 0941580096 Enrollment ID: I20170816001324 |
| Provider Name | Carmen Ayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851832869 PECOS PAC ID: 7214209774 Enrollment ID: I20170817001885 |
| Provider Name | Gauthami R Churukanti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962763219 PECOS PAC ID: 6406155548 Enrollment ID: I20170822001105 |
| Provider Name | Rumon Chakravarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982982856 PECOS PAC ID: 3870733447 Enrollment ID: I20170828001949 |
| Provider Name | Jian Hu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548419971 PECOS PAC ID: 2860552379 Enrollment ID: I20170831000348 |
| Provider Name | Susan Elizabeth Tarry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770798019 PECOS PAC ID: 6608052634 Enrollment ID: I20170901003058 |
| Provider Name | Akpene Ahoefa Gbegnon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184941379 PECOS PAC ID: 7012221500 Enrollment ID: I20170919002867 |
| Provider Name | Keyur Parikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700157450 PECOS PAC ID: 0042584419 Enrollment ID: I20170922003440 |
| Provider Name | Kimberly Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811426000 PECOS PAC ID: 8325312481 Enrollment ID: I20170928000857 |
| Provider Name | Michael P Kelley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639251929 PECOS PAC ID: 1153220017 Enrollment ID: I20171010001787 |
| Provider Name | Natalie Kukucka |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194272088 PECOS PAC ID: 8820378227 Enrollment ID: I20171024002908 |
| Provider Name | Alfredo Aguirre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841296654 PECOS PAC ID: 4183748700 Enrollment ID: I20171025001504 |
| Provider Name | Amanpreet Sherwal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114244654 PECOS PAC ID: 5395962435 Enrollment ID: I20171026001382 |
| Provider Name | Thadeus Dapash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871976902 PECOS PAC ID: 3577871292 Enrollment ID: I20171030000213 |
| Provider Name | Rebecca Allison Serre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194244871 PECOS PAC ID: 7719253194 Enrollment ID: I20171031000542 |
| Provider Name | Neeta Chaudhary |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235309543 PECOS PAC ID: 9638334121 Enrollment ID: I20171102002538 |
| Provider Name | Mark J Furin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407077712 PECOS PAC ID: 2062482672 Enrollment ID: I20171103001891 |
| Provider Name | Christy M James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801312657 PECOS PAC ID: 6406112317 Enrollment ID: I20171109001064 |
| Provider Name | Donna D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215456066 PECOS PAC ID: 6002174257 Enrollment ID: I20171218002490 |
| Provider Name | Cory P Gray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598143042 PECOS PAC ID: 0345553426 Enrollment ID: I20180103000352 |
| Provider Name | Abram D Weimer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972982254 PECOS PAC ID: 0941513022 Enrollment ID: I20180103001553 |
| Provider Name | James Barry Regan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609852987 PECOS PAC ID: 3476572744 Enrollment ID: I20180103002728 |
| Provider Name | Samuel J Potolicchio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114993367 PECOS PAC ID: 1557408846 Enrollment ID: I20180105001084 |
| Provider Name | Marvalyn Decambre |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801967666 PECOS PAC ID: 9133117401 Enrollment ID: I20180108000049 |
| Provider Name | Nathaniel Kriger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306224860 PECOS PAC ID: 1557675717 Enrollment ID: I20180126000682 |
| Provider Name | Obrad S Kokanovic |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528358660 PECOS PAC ID: 7012173529 Enrollment ID: I20180130001794 |
| Provider Name | Lusine Mesropyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225396351 PECOS PAC ID: 3678790847 Enrollment ID: I20180202000048 |
| Provider Name | Yusef Imani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114246543 PECOS PAC ID: 6901179381 Enrollment ID: I20180205001423 |
| Provider Name | Martina J Antony |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578941167 PECOS PAC ID: 4385957406 Enrollment ID: I20180213000421 |
| Provider Name | Robert Aranson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407894728 PECOS PAC ID: 4486613551 Enrollment ID: I20180221001758 |
| Provider Name | Khandakar M Hussain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639550064 PECOS PAC ID: 4486969102 Enrollment ID: I20180226000671 |
| Provider Name | Ikemefuna Nkanginieme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972524049 PECOS PAC ID: 3274501358 Enrollment ID: I20180302001911 |
| Provider Name | James T Cooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104119338 PECOS PAC ID: 4284877473 Enrollment ID: I20180302002111 |
| Provider Name | Christopher M. Wilson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760691752 PECOS PAC ID: 0840322673 Enrollment ID: I20180308002266 |
| Provider Name | Mohammad Al Baeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427203728 PECOS PAC ID: 8628224805 Enrollment ID: I20180314002032 |
| Provider Name | Noel Warwick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730440660 PECOS PAC ID: 4789983123 Enrollment ID: I20180315000592 |
| Provider Name | Ali Abdul Jabbar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578729406 PECOS PAC ID: 4587809579 Enrollment ID: I20180315001655 |
| Provider Name | David Osborn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841413275 PECOS PAC ID: 4688738792 Enrollment ID: I20180319000904 |
| Provider Name | Natasha Fontaine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598938177 PECOS PAC ID: 4789809484 Enrollment ID: I20180320001359 |
| Provider Name | Kelsey Marie Onder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710430145 PECOS PAC ID: 4880956143 Enrollment ID: I20180326001836 |
| Provider Name | Bruce L Hirshman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1790706000 PECOS PAC ID: 6800899253 Enrollment ID: I20180327002299 |
| Provider Name | Harold R Partsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831419878 PECOS PAC ID: 1658634480 Enrollment ID: I20180410000022 |
| Provider Name | Habib Habib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831471093 PECOS PAC ID: 1759652159 Enrollment ID: I20180412001282 |
| Provider Name | Deepak Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548403827 PECOS PAC ID: 7911022959 Enrollment ID: I20180418001762 |
| Provider Name | Mark Thompson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427043454 PECOS PAC ID: 6204875669 Enrollment ID: I20180419000434 |
| Provider Name | Abigael N Maxwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801171129 PECOS PAC ID: 6305132895 Enrollment ID: I20180419000570 |
| Provider Name | Gregory William Lanouette |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710974365 PECOS PAC ID: 0345141487 Enrollment ID: I20180420001029 |
| Provider Name | Vincent Florento Capaldi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649476185 PECOS PAC ID: 7517181639 Enrollment ID: I20180507002394 |
| Provider Name | Muhammad Imtiaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639315435 PECOS PAC ID: 5092866046 Enrollment ID: I20180509000490 |
| Provider Name | James J Mc Farland |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760510978 PECOS PAC ID: 2062314453 Enrollment ID: I20180509003006 |
| Provider Name | Jerry R Bartleson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386686376 PECOS PAC ID: 0042102667 Enrollment ID: I20180518000400 |
| Provider Name | Katie Ann Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477041150 PECOS PAC ID: 4880959550 Enrollment ID: I20180530000678 |
| Provider Name | Hernan O Altamar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033180062 PECOS PAC ID: 4981762747 Enrollment ID: I20180601001094 |
| Provider Name | Manish Bansal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811903222 PECOS PAC ID: 2668570078 Enrollment ID: I20180611001957 |
| Provider Name | Ashley L Peterman Beener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609374321 PECOS PAC ID: 8921353939 Enrollment ID: I20180615000137 |
| Provider Name | Kay Johnson-keys |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043247190 PECOS PAC ID: 4587621271 Enrollment ID: I20180618000101 |
| Provider Name | Marc R Walker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558522987 PECOS PAC ID: 8729347679 Enrollment ID: I20180618001260 |
| Provider Name | Michael Sue |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548245806 PECOS PAC ID: 0345381075 Enrollment ID: I20180621001311 |
| Provider Name | Richard Dennis Kutz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245635903 PECOS PAC ID: 7214283456 Enrollment ID: I20180702001273 |
| Provider Name | Renee L Arlow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285920074 PECOS PAC ID: 6204182157 Enrollment ID: I20180706001064 |
| Provider Name | Jamie Eckenrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467944405 PECOS PAC ID: 7012263569 Enrollment ID: I20180713000332 |
| Provider Name | Akinbowale Olatokunbo Oyalowo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821356957 PECOS PAC ID: 6800186115 Enrollment ID: I20180716002697 |
| Provider Name | Daniel Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871818880 PECOS PAC ID: 2769775634 Enrollment ID: I20180719002874 |
| Provider Name | Apurwa Karki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629467105 PECOS PAC ID: 1951673003 Enrollment ID: I20180809000035 |
| Provider Name | Jonathon J Lebovitz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306130885 PECOS PAC ID: 7113229659 Enrollment ID: I20180824002100 |
| Provider Name | Imran Ahmed Moinuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861649907 PECOS PAC ID: 5890963110 Enrollment ID: I20180905002234 |
| Provider Name | Erica Korin Wentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063892545 PECOS PAC ID: 3375856487 Enrollment ID: I20180911001457 |
| Provider Name | Bin Zhao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366702599 PECOS PAC ID: 8527339522 Enrollment ID: I20180918001361 |
| Provider Name | Thomas J Krisanda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770648370 PECOS PAC ID: 2466585930 Enrollment ID: I20180924001971 |
| Provider Name | Md Didar Ul Alam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417331331 PECOS PAC ID: 2466703574 Enrollment ID: I20180927002955 |
| Provider Name | Ryan Grant |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518196476 PECOS PAC ID: 3870812886 Enrollment ID: I20181004001351 |
| Provider Name | David Stroh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518232875 PECOS PAC ID: 4688926314 Enrollment ID: I20181009000073 |
| Provider Name | Zeke Feyock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033692546 PECOS PAC ID: 5799037867 Enrollment ID: I20181018000608 |
| Provider Name | Mollie Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922573435 PECOS PAC ID: 6406109644 Enrollment ID: I20181105002906 |
| Provider Name | Brennen T Puryear |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295180495 PECOS PAC ID: 7810281367 Enrollment ID: I20181109002189 |
| Provider Name | Joseph Bardinelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174978373 PECOS PAC ID: 9335433895 Enrollment ID: I20181113000004 |
| Provider Name | Aisha N Qazi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013342633 PECOS PAC ID: 6103128830 Enrollment ID: I20181119000243 |
| Provider Name | Taylor Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780039982 PECOS PAC ID: 8325332893 Enrollment ID: I20181128000985 |
| Provider Name | Faryal Durrani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912113390 PECOS PAC ID: 8022352244 Enrollment ID: I20181128003566 |
| Provider Name | Troy R Norred |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780689844 PECOS PAC ID: 5991776270 Enrollment ID: I20181204000193 |
| Provider Name | Gary Andrew Herring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124093356 PECOS PAC ID: 1658264627 Enrollment ID: I20181204002667 |
| Provider Name | Sharif A Ali |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043417728 PECOS PAC ID: 9335483163 Enrollment ID: I20181205003311 |
| Provider Name | Akil Hassam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700198975 PECOS PAC ID: 4486998119 Enrollment ID: I20181206000186 |
| Provider Name | Michael Robert Davis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1477622934 PECOS PAC ID: 2062510571 Enrollment ID: I20181210001473 |
| Provider Name | Alejandro Daniel Castellvi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356627350 PECOS PAC ID: 7315235504 Enrollment ID: I20181211001102 |
| Provider Name | Alexander Axelrad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306934690 PECOS PAC ID: 5597759688 Enrollment ID: I20190117000226 |
| Provider Name | Edward Ewing |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598767758 PECOS PAC ID: 1658301643 Enrollment ID: I20190124000623 |
| Provider Name | Ganesh Athappan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770749392 PECOS PAC ID: 3476780925 Enrollment ID: I20190206000007 |
| Provider Name | Michael Kwesi Darko Amponsah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518233899 PECOS PAC ID: 7113156837 Enrollment ID: I20190225000418 |
| Provider Name | Jonathan David Bussey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720296171 PECOS PAC ID: 1456499367 Enrollment ID: I20190304000678 |
| Provider Name | Janet Elizabeth Strozeski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497945398 PECOS PAC ID: 3577726827 Enrollment ID: I20190305001393 |
| Provider Name | William Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275981136 PECOS PAC ID: 1850679010 Enrollment ID: I20190610001394 |
| Provider Name | Stuart Bergman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992859805 PECOS PAC ID: 4587608112 Enrollment ID: I20190702001529 |
| Provider Name | Farzad A Masroor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467686212 PECOS PAC ID: 6800019779 Enrollment ID: I20190716001994 |
| Provider Name | Mohan Verghese |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730155391 PECOS PAC ID: 1153402417 Enrollment ID: I20190718000161 |
| Provider Name | Salam S Salman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255303251 PECOS PAC ID: 8628030525 Enrollment ID: I20190719000014 |
| Provider Name | Suril Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639460686 PECOS PAC ID: 7810286283 Enrollment ID: I20190730000337 |
| Provider Name | Christopher Hoodad Rashidifard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306280300 PECOS PAC ID: 6507088085 Enrollment ID: I20190801002328 |
| Provider Name | Kathryn J Parkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629531645 PECOS PAC ID: 7719213487 Enrollment ID: I20190802000009 |
| Provider Name | Bryan D Dempsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518317130 PECOS PAC ID: 3971898693 Enrollment ID: I20190805001330 |
| Provider Name | David Hak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942290341 PECOS PAC ID: 0547272619 Enrollment ID: I20190805002239 |
| Provider Name | Argun Can |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821432766 PECOS PAC ID: 0749428605 Enrollment ID: I20190809000597 |
| Provider Name | Tajdhary Tiwari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427472182 PECOS PAC ID: 8022328921 Enrollment ID: I20190809001287 |
| Provider Name | Amanke Chigozie Oranu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750544425 PECOS PAC ID: 4082899943 Enrollment ID: I20190820002037 |
| Provider Name | Nguyen Vo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053638858 PECOS PAC ID: 4981905106 Enrollment ID: I20190828003412 |
| Provider Name | Joel E Messom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376921403 PECOS PAC ID: 1052656055 Enrollment ID: I20190906002207 |
| Provider Name | Sean David Riek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326601659 PECOS PAC ID: 9335478643 Enrollment ID: I20190912000235 |
| Provider Name | Brooke Marie Heiple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467014050 PECOS PAC ID: 5193055028 Enrollment ID: I20190919001236 |
| Provider Name | Helen Vidali Fountain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609855436 PECOS PAC ID: 4789805714 Enrollment ID: I20190923002706 |
| Provider Name | Henry Quevedo Diaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679708374 PECOS PAC ID: 8325337686 Enrollment ID: I20190930000068 |
| Provider Name | Matthew Fennema |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700315868 PECOS PAC ID: 1850636648 Enrollment ID: I20191003002399 |
| Provider Name | Christopher M Ciccarelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215385067 PECOS PAC ID: 9537452263 Enrollment ID: I20191018000158 |
| Provider Name | Alicia Wells |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194170308 PECOS PAC ID: 0941597421 Enrollment ID: I20191018000948 |
| Provider Name | Katherine Elizabeth Yaffe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659486827 PECOS PAC ID: 6901041292 Enrollment ID: I20191024001199 |
| Provider Name | Travis Rearick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972957132 PECOS PAC ID: 4688968639 Enrollment ID: I20191105001125 |
| Provider Name | Anusha Edara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235542424 PECOS PAC ID: 2062844699 Enrollment ID: I20191119002600 |
| Provider Name | Mark Vaughn Larkins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740230317 PECOS PAC ID: 3072565175 Enrollment ID: I20191126003185 |
| Provider Name | Mats O Sanden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093730954 PECOS PAC ID: 8325330210 Enrollment ID: I20191206002087 |
| Provider Name | Stacie Marie Rickley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851957948 PECOS PAC ID: 1951735059 Enrollment ID: I20191226000622 |
| Provider Name | Michael Warren |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1093138075 PECOS PAC ID: 2860787488 Enrollment ID: I20200103000065 |
| Provider Name | Harrison Daiber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679002075 PECOS PAC ID: 6406281930 Enrollment ID: I20200110001371 |
| Provider Name | Sarabeth Hedge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710414669 PECOS PAC ID: 5496180838 Enrollment ID: I20200114000389 |
| Provider Name | Tyler P Harclerode |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295262145 PECOS PAC ID: 8527493881 Enrollment ID: I20200114001523 |
| Provider Name | Opoku Adjapong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962664896 PECOS PAC ID: 9133554421 Enrollment ID: I20200114003186 |
| Provider Name | Paul Plez Tinsley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689669707 PECOS PAC ID: 4183716301 Enrollment ID: I20200121002007 |
| Provider Name | William J Mcintyre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134193626 PECOS PAC ID: 9436153434 Enrollment ID: I20200127000145 |
| Provider Name | Apryle Lynn Bober |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679127641 PECOS PAC ID: 5698101376 Enrollment ID: I20200129001735 |
| Provider Name | Ihab Awad |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649254178 PECOS PAC ID: 5597753335 Enrollment ID: I20200204001782 |
| Provider Name | Sharon A Schell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326274705 PECOS PAC ID: 0042475980 Enrollment ID: I20200205001396 |
| Provider Name | Uchenna Okereke |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437566205 PECOS PAC ID: 2062849813 Enrollment ID: I20200218000156 |
| Provider Name | Kevan T Iffrig |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215347471 PECOS PAC ID: 9032546890 Enrollment ID: I20200218000326 |
| Provider Name | Katie Lee Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295219384 PECOS PAC ID: 0547697609 Enrollment ID: I20200302001206 |
| Provider Name | Oormila P Kovilam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659307189 PECOS PAC ID: 7113970195 Enrollment ID: I20200330003468 |
| Provider Name | Stephen Dubin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205839370 PECOS PAC ID: 7810941382 Enrollment ID: I20200428000419 |
| Provider Name | Auriel Ciccarelli |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710522693 PECOS PAC ID: 7113357468 Enrollment ID: I20200428002151 |
| Provider Name | Mikhail Litinski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912179946 PECOS PAC ID: 6103992557 Enrollment ID: I20200512002916 |
| Provider Name | Ryan T Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316476104 PECOS PAC ID: 5496186959 Enrollment ID: I20200518000330 |
| Provider Name | Weston Bettner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902224371 PECOS PAC ID: 6204069826 Enrollment ID: I20200522000318 |
| Provider Name | Aubrey Kotey Ashie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598146987 PECOS PAC ID: 3779884762 Enrollment ID: I20200612000957 |
| Provider Name | Rena L Stewart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386696391 PECOS PAC ID: 0143227694 Enrollment ID: I20200623000284 |
| Provider Name | Yuefeng Chen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467700716 PECOS PAC ID: 9638451867 Enrollment ID: I20200625000231 |
| Provider Name | David Phillips |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700846078 PECOS PAC ID: 3072402361 Enrollment ID: I20200701001538 |
| Provider Name | Tyler A Mummert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528595436 PECOS PAC ID: 7315360690 Enrollment ID: I20200702002269 |
| Provider Name | Venkatesha G S Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245218817 PECOS PAC ID: 6608820998 Enrollment ID: I20200721004231 |
| Provider Name | Fred Lindsay |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750352316 PECOS PAC ID: 0840316162 Enrollment ID: I20200727003691 |
| Provider Name | Kasaiah Makam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699087395 PECOS PAC ID: 4486898590 Enrollment ID: I20200729002592 |
| Provider Name | Samuel Agnew |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952374498 PECOS PAC ID: 0547151318 Enrollment ID: I20200804003082 |
| Provider Name | Pravesh Sangwan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144630930 PECOS PAC ID: 7911291190 Enrollment ID: I20200819000833 |
| Provider Name | Brittany Rae Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295363364 PECOS PAC ID: 9537586219 Enrollment ID: I20200826000986 |
| Provider Name | Jeffrey P York |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831106012 PECOS PAC ID: 5496791188 Enrollment ID: I20200826003125 |
| Provider Name | Howard B Levene |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952574774 PECOS PAC ID: 8325191513 Enrollment ID: I20200909002212 |
| Provider Name | Adam S Splaver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932155983 PECOS PAC ID: 0244217347 Enrollment ID: I20200914000021 |
| Provider Name | Whitney Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518227867 PECOS PAC ID: 7214152503 Enrollment ID: I20200923000085 |
| Provider Name | Mandy Marie Elbayly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982213724 PECOS PAC ID: 6002235199 Enrollment ID: I20200923000224 |
| Provider Name | Dany Hanna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346620002 PECOS PAC ID: 3375962210 Enrollment ID: I20200928000484 |
| Provider Name | Mark Andrew Nielsen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790873164 PECOS PAC ID: 7517988900 Enrollment ID: I20200929000044 |
| Provider Name | Gregory Ivan Kelts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144529066 PECOS PAC ID: 7911298948 Enrollment ID: I20201014000108 |
| Provider Name | Swathi Malepati |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184075020 PECOS PAC ID: 3173818424 Enrollment ID: I20201030001093 |
| Provider Name | Philip S Vittozzi Wong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316479488 PECOS PAC ID: 7618204363 Enrollment ID: I20201202000601 |
| Provider Name | Tammy Ann Schreiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629671334 PECOS PAC ID: 0143631788 Enrollment ID: I20201202002946 |
| Provider Name | Amy Goodrich-harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851627129 PECOS PAC ID: 7416088158 Enrollment ID: I20201218000106 |
| Provider Name | Justin Franklin Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841604501 PECOS PAC ID: 1052668340 Enrollment ID: I20201222001493 |
| Provider Name | Jennifer Hatto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699189985 PECOS PAC ID: 6800181520 Enrollment ID: I20210112003220 |
| Provider Name | Bahige Henry Arida |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942804935 PECOS PAC ID: 5890109169 Enrollment ID: I20210127002331 |
| Provider Name | Craig Person |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952401267 PECOS PAC ID: 1658509070 Enrollment ID: I20210208001006 |
| Provider Name | John H Greinwald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275547457 PECOS PAC ID: 9537215330 Enrollment ID: I20210219000958 |
| Provider Name | Martha J Stewart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588664809 PECOS PAC ID: 1850347501 Enrollment ID: I20210301000148 |
| Provider Name | Paul Augustus Acevedo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437358322 PECOS PAC ID: 8022148766 Enrollment ID: I20210315001874 |
| Provider Name | Lauren N Wackerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992297758 PECOS PAC ID: 9931455318 Enrollment ID: I20210322002597 |
| Provider Name | Ali Salah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225056724 PECOS PAC ID: 8527169002 Enrollment ID: I20210325000134 |
| Provider Name | Uyen Khanh Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558898783 PECOS PAC ID: 0648526731 Enrollment ID: I20210405002185 |
| Provider Name | Nicole V Dolhi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003309626 PECOS PAC ID: 6406102235 Enrollment ID: I20210408000035 |
| Provider Name | Shane A Weare |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588018048 PECOS PAC ID: 4284981127 Enrollment ID: I20210413003017 |
| Provider Name | Becky M Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962826388 PECOS PAC ID: 1850686585 Enrollment ID: I20210414001575 |
| Provider Name | Gregory Edmund Jeansonne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952344723 PECOS PAC ID: 7517961857 Enrollment ID: I20210421000819 |
| Provider Name | Colton R Rishor-olney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588156343 PECOS PAC ID: 3870841877 Enrollment ID: I20210426000480 |
| Provider Name | Yasser Salem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033226303 PECOS PAC ID: 8224070974 Enrollment ID: I20210427000040 |
| Provider Name | Douglas Pazehoski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114419975 PECOS PAC ID: 8921354051 Enrollment ID: I20210505000635 |
| Provider Name | Tarun S Tandon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629418942 PECOS PAC ID: 7618386525 Enrollment ID: I20210505002438 |
| Provider Name | Mario Deyulis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801380290 PECOS PAC ID: 6507117959 Enrollment ID: I20210507000837 |
| Provider Name | David James Leu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487791521 PECOS PAC ID: 6709922776 Enrollment ID: I20210518001406 |
| Provider Name | Brittany Louise Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023604576 PECOS PAC ID: 3577962612 Enrollment ID: I20210524000338 |
| Provider Name | Joshua M Rosenthal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801065172 PECOS PAC ID: 3476749946 Enrollment ID: I20210525001792 |
| Provider Name | Christopher Trumbetta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629636501 PECOS PAC ID: 9436485141 Enrollment ID: I20210526000799 |
| Provider Name | Connie Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114206042 PECOS PAC ID: 9638322779 Enrollment ID: I20210602001639 |
| Provider Name | Xiangna Tang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790181030 PECOS PAC ID: 4789908674 Enrollment ID: I20210603002137 |
| Provider Name | Sharon L Atencio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457886772 PECOS PAC ID: 8426329269 Enrollment ID: I20210610000017 |
| Provider Name | David Bianchi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821022690 PECOS PAC ID: 2769584259 Enrollment ID: I20210622001650 |
| Provider Name | Mackenzie M Magley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386204931 PECOS PAC ID: 1850627084 Enrollment ID: I20210630002230 |
| Provider Name | Luke Redden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184282154 PECOS PAC ID: 0749516003 Enrollment ID: I20210630003247 |
| Provider Name | Damian E Mosher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144888207 PECOS PAC ID: 4880920073 Enrollment ID: I20210701002110 |
| Provider Name | Joseph Pietropaoli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609303510 PECOS PAC ID: 3173925419 Enrollment ID: I20210709000963 |
| Provider Name | Danielle Pilarte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164083978 PECOS PAC ID: 6507195302 Enrollment ID: I20210713001178 |
| Provider Name | Choodmani Aryal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891289534 PECOS PAC ID: 5799036109 Enrollment ID: I20210723000796 |
| Provider Name | Christopher Caputo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740668318 PECOS PAC ID: 9739479460 Enrollment ID: I20210723000884 |
| Provider Name | William A Scalf |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306802657 PECOS PAC ID: 0244495984 Enrollment ID: I20210728000366 |
| Provider Name | Kenneth Leslie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669978557 PECOS PAC ID: 0345576575 Enrollment ID: I20210728001004 |
| Provider Name | Tiffany Nicole Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982055380 PECOS PAC ID: 2567755481 Enrollment ID: I20210804004204 |
| Provider Name | Mansoor A Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164464392 PECOS PAC ID: 2567458797 Enrollment ID: I20210811000037 |
| Provider Name | Frederick Stephens |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306005988 PECOS PAC ID: 9133397920 Enrollment ID: I20210811000149 |
| Provider Name | Jessica Jean Custer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053085530 PECOS PAC ID: 8022413848 Enrollment ID: I20210817002554 |
| Provider Name | Jason E Burmeister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972096246 PECOS PAC ID: 0143578724 Enrollment ID: I20210824002941 |
| Provider Name | Jessica R Camp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932770781 PECOS PAC ID: 0143626861 Enrollment ID: I20210903002751 |
| Provider Name | Nil Akgul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184282063 PECOS PAC ID: 0446586150 Enrollment ID: I20210916000495 |
| Provider Name | Jennifer L Silvis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063832319 PECOS PAC ID: 1658599949 Enrollment ID: I20210929000018 |
| Provider Name | Chudamani Giri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902286909 PECOS PAC ID: 6709193865 Enrollment ID: I20210930001348 |
| Provider Name | Chelsea Fallier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689175176 PECOS PAC ID: 3577960764 Enrollment ID: I20211001000096 |
| Provider Name | Loring I Perry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205057072 PECOS PAC ID: 6204068851 Enrollment ID: I20211004000416 |
| Provider Name | Dottie L Watson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598723454 PECOS PAC ID: 7618990847 Enrollment ID: I20211006000310 |
| Provider Name | Kathryn Vargo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508831207 PECOS PAC ID: 5698796555 Enrollment ID: I20211006002729 |
| Provider Name | Katherine Emily Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760031694 PECOS PAC ID: 2860890282 Enrollment ID: I20211014002105 |
| Provider Name | Dinesh Kumar Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306158514 PECOS PAC ID: 3870737653 Enrollment ID: I20211105001075 |
| Provider Name | Tinesha Renee Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902575681 PECOS PAC ID: 2961891882 Enrollment ID: I20211116000479 |
| Provider Name | Kimball Fuiks |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932170362 PECOS PAC ID: 0840211660 Enrollment ID: I20211119000265 |
| Provider Name | Tarek H Alansari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063776771 PECOS PAC ID: 2264740885 Enrollment ID: I20211119001280 |
| Provider Name | Lynne Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568130201 PECOS PAC ID: 7113317561 Enrollment ID: I20211130000065 |
| Provider Name | Jacqueline Deckard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164003661 PECOS PAC ID: 0941690309 Enrollment ID: I20211130000420 |
| Provider Name | Anje Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528168374 PECOS PAC ID: 5496846289 Enrollment ID: I20211203000997 |
| Provider Name | John M Hutson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538267976 PECOS PAC ID: 3678860798 Enrollment ID: I20211229002340 |
| Provider Name | Olubunmi O Esan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558795377 PECOS PAC ID: 6103131487 Enrollment ID: I20220106000714 |
| Provider Name | Waqas J Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386061729 PECOS PAC ID: 3678977717 Enrollment ID: I20220106001178 |
| Provider Name | Veronica Ashley Rupert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225484249 PECOS PAC ID: 3274926381 Enrollment ID: I20220215000004 |
| Provider Name | Paul Orin Rollins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942655493 PECOS PAC ID: 7810241254 Enrollment ID: I20220324001180 |
| Provider Name | Adam Seth Greenblatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336598226 PECOS PAC ID: 6305126731 Enrollment ID: I20220328000415 |
| Provider Name | Ikbal Alkhafaji |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851418164 PECOS PAC ID: 9335402296 Enrollment ID: I20220330000314 |
| Provider Name | Raphaella Weiser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609061779 PECOS PAC ID: 0244459683 Enrollment ID: I20220407001761 |
| Provider Name | Briana Elizabeth Beeghly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851774228 PECOS PAC ID: 0446646699 Enrollment ID: I20220415000521 |
| Provider Name | Saleem Naviwala |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609878255 PECOS PAC ID: 4688632441 Enrollment ID: I20220418001677 |
| Provider Name | Alexis Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790308450 PECOS PAC ID: 2062835085 Enrollment ID: I20220516000802 |
| Provider Name | Marco Antonio Ayala |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023089992 PECOS PAC ID: 0244470128 Enrollment ID: I20220519000009 |
| Provider Name | Mark M Ujevich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750902946 PECOS PAC ID: 5991128829 Enrollment ID: I20220521000237 |
| Provider Name | Vincent M Centore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891316063 PECOS PAC ID: 3375966096 Enrollment ID: I20220521000296 |
| Provider Name | Maison Austin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992321152 PECOS PAC ID: 7315360096 Enrollment ID: I20220523001411 |
| Provider Name | Kailey Rose Ziemianski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386266872 PECOS PAC ID: 4789007667 Enrollment ID: I20220524002221 |
| Provider Name | Syed Zain Ayaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437405388 PECOS PAC ID: 1153549589 Enrollment ID: I20220526002073 |
| Provider Name | Jacob Stern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073135562 PECOS PAC ID: 0143643924 Enrollment ID: I20220527001335 |
| Provider Name | Liuba Soldatova |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023472438 PECOS PAC ID: 2365733177 Enrollment ID: I20220527002070 |
| Provider Name | Kerry Alexandra Vaughan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396183034 PECOS PAC ID: 8527364041 Enrollment ID: I20220615000170 |
| Provider Name | Maurice Barnes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730224320 PECOS PAC ID: 2860542867 Enrollment ID: I20220623000917 |
| Provider Name | Deborah Reed-thurston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699989764 PECOS PAC ID: 0042481939 Enrollment ID: I20220623002156 |
| Provider Name | Sonya N Tuerff |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548373046 PECOS PAC ID: 1052404217 Enrollment ID: I20220628001756 |
| Provider Name | Riwaj Bhagat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942720487 PECOS PAC ID: 5799033346 Enrollment ID: I20220706001889 |
| Provider Name | Zulfiqar Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558677310 PECOS PAC ID: 2466745930 Enrollment ID: I20220716000474 |
| Provider Name | Susannah Chatham Orzell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962889485 PECOS PAC ID: 5597002196 Enrollment ID: I20220721002604 |
| Provider Name | Emily Misch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689037947 PECOS PAC ID: 7618260001 Enrollment ID: I20220727000512 |
| Provider Name | Sierra Schaller-mahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649927005 PECOS PAC ID: 8224410477 Enrollment ID: I20220804000154 |
| Provider Name | Julie Dillard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760658801 PECOS PAC ID: 2163704396 Enrollment ID: I20220809003258 |
| Provider Name | George M Dekornfeld |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386175875 PECOS PAC ID: 2163789256 Enrollment ID: I20220811002421 |
| Provider Name | Harpreet Singh Mahal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881256394 PECOS PAC ID: 8022345578 Enrollment ID: I20220812002330 |
| Provider Name | Mohsin Hamid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134501539 PECOS PAC ID: 9931412004 Enrollment ID: I20220819000248 |
| Provider Name | Mallika Batra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881925162 PECOS PAC ID: 3971820911 Enrollment ID: I20220823000020 |
| Provider Name | Daisy Obiora |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700378114 PECOS PAC ID: 3072996123 Enrollment ID: I20220823000476 |
| Provider Name | Jennifer Grace Kairys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245961804 PECOS PAC ID: 8921482944 Enrollment ID: I20220825000054 |
| Provider Name | Meaghan M Marley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437509932 PECOS PAC ID: 7214221647 Enrollment ID: I20220829001304 |
| Provider Name | Karleigh R Curfman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477903979 PECOS PAC ID: 9537453998 Enrollment ID: I20220902000619 |
| Provider Name | Ryan Flick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962069872 PECOS PAC ID: 4284018698 Enrollment ID: I20220902002782 |
| Provider Name | Richard P Goodrich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275772048 PECOS PAC ID: 8921282609 Enrollment ID: I20220912003180 |
| Provider Name | Elizabeth Johanna Satkovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467170886 PECOS PAC ID: 3173909777 Enrollment ID: I20221005002497 |
| Provider Name | Gene Wook Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134651706 PECOS PAC ID: 5799152856 Enrollment ID: I20221102000015 |
| Provider Name | Victor Ohale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679978167 PECOS PAC ID: 5395094064 Enrollment ID: I20221103000953 |
| Provider Name | Padmaraj Samarendra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205947512 PECOS PAC ID: 7618351768 Enrollment ID: I20221107000373 |
| Provider Name | Wilman B Olmedo Calderon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1457788796 PECOS PAC ID: 7113341462 Enrollment ID: I20221128002907 |
| Provider Name | Albert Huho |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295014249 PECOS PAC ID: 9638464464 Enrollment ID: I20221227001347 |
| Provider Name | Ivana Vettraino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417007428 PECOS PAC ID: 0446286249 Enrollment ID: I20230111000765 |
| Provider Name | Howard P Monsour |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407853518 PECOS PAC ID: 2668439092 Enrollment ID: I20230303000912 |
| Provider Name | Darshan S Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710347588 PECOS PAC ID: 9931463593 Enrollment ID: I20230407000118 |
| Provider Name | Hannah Nicole Kopach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518679240 PECOS PAC ID: 9537534052 Enrollment ID: I20230413001928 |
| Provider Name | Daphne Bree Gallucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285349712 PECOS PAC ID: 1951766716 Enrollment ID: I20230501000059 |
| Provider Name | Mark S Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770571432 PECOS PAC ID: 6800893678 Enrollment ID: I20230510000928 |
| Provider Name | Manogna Manne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922672310 PECOS PAC ID: 9335542257 Enrollment ID: I20230519000764 |
| Provider Name | David J Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518032648 PECOS PAC ID: 4486728136 Enrollment ID: I20230519001550 |
| Provider Name | Richard Licheng Wu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073895264 PECOS PAC ID: 9537447081 Enrollment ID: I20230524000270 |
| Provider Name | Amer Khatib |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861890790 PECOS PAC ID: 0446574164 Enrollment ID: I20230605001272 |
| Provider Name | Jay Copeland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215934922 PECOS PAC ID: 7416257977 Enrollment ID: I20230615001368 |
| Provider Name | Syed Raza Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205357688 PECOS PAC ID: 9830512433 Enrollment ID: I20230615002235 |
| Provider Name | Kudret Iman Usmani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205337508 PECOS PAC ID: 8022492081 Enrollment ID: I20230615003135 |
| Provider Name | Logan William Carr |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649512377 PECOS PAC ID: 2163702747 Enrollment ID: I20230622000636 |
| Provider Name | Kellie Lynn Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386334977 PECOS PAC ID: 0042678153 Enrollment ID: I20230622000859 |
| Provider Name | Christopher Lyon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073187456 PECOS PAC ID: 7315340288 Enrollment ID: I20230627000689 |
| Provider Name | Taylor Klein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295302834 PECOS PAC ID: 2668875469 Enrollment ID: I20230627001640 |
| Provider Name | Emily J Satkovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609495944 PECOS PAC ID: 8426472358 Enrollment ID: I20230705001567 |
| Provider Name | Zackery Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407430721 PECOS PAC ID: 8123421922 Enrollment ID: I20230714003612 |
| Provider Name | Natalino Vincent Ruggeri |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558823427 PECOS PAC ID: 6709246291 Enrollment ID: I20230715000026 |
| Provider Name | Michael Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477127876 PECOS PAC ID: 5092118968 Enrollment ID: I20230715000060 |
| Provider Name | Eliza Mae R Poareo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932737632 PECOS PAC ID: 6608290044 Enrollment ID: I20230715000444 |
| Provider Name | Shella K Mongia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447458997 PECOS PAC ID: 4082871272 Enrollment ID: I20230803000434 |
| Provider Name | Meredith Mishler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780268029 PECOS PAC ID: 0244633196 Enrollment ID: I20230804000335 |
| Provider Name | Bradley Carney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710561022 PECOS PAC ID: 4486057288 Enrollment ID: I20230809002213 |
| Provider Name | Ellen M Schneider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851968408 PECOS PAC ID: 3274936125 Enrollment ID: I20230814000843 |
| Provider Name | Mohamed Imad Saad Eldin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467978171 PECOS PAC ID: 6204163728 Enrollment ID: I20230824003378 |
| Provider Name | Mary Toth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790751105 PECOS PAC ID: 6608875729 Enrollment ID: I20230905000274 |
| Provider Name | Marshall Carpenter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730144353 PECOS PAC ID: 6002856366 Enrollment ID: I20230913004172 |
| Provider Name | Jon Hammarstedt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427552355 PECOS PAC ID: 8729326400 Enrollment ID: I20230914004202 |
| Provider Name | Deepthi Yarramsetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811506546 PECOS PAC ID: 0345696779 Enrollment ID: I20231021000042 |
| Provider Name | Sandeep Krishnan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922325687 PECOS PAC ID: 6507180643 Enrollment ID: I20240104002006 |
| Provider Name | Leslie Olson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427032812 PECOS PAC ID: 6901898253 Enrollment ID: I20240123002510 |
| Provider Name | Monika Kusuma Pringle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114588837 PECOS PAC ID: 2264768514 Enrollment ID: I20240206003672 |
| Provider Name | Joshua Casella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386388122 PECOS PAC ID: 8325424377 Enrollment ID: I20240311002326 |
| Provider Name | Patrice Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003318833 PECOS PAC ID: 4981969482 Enrollment ID: I20240417004341 |
| Provider Name | Jean Berkebile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679339287 PECOS PAC ID: 2668811050 Enrollment ID: I20240418000524 |
| Provider Name | Muhammad Hamza Saad Shaukat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255852356 PECOS PAC ID: 6608111554 Enrollment ID: I20240501001166 |
| Provider Name | Micah Scott Magley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588308548 PECOS PAC ID: 0840673653 Enrollment ID: I20240502000354 |
| Provider Name | Bethany Westrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053163352 PECOS PAC ID: 5597106427 Enrollment ID: I20240509002360 |
Conemaugh Health Initiatives Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Keystone Ave, Cresson, PA 16630 Phone: 814-886-4635 Fax: 814-886-5470 | |
Conemaugh Health Initiatives Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 2nd St, Cresson, PA 16630 Phone: 814-886-2911 Fax: 814-886-8929 | |
Cresson Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Keystone Ave, Cresson, PA 16630 Phone: 814-886-2911 | |
Cresson Family Practice- Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Keystone Ave, Cresson, PA 16630 Phone: 814-886-4635 Fax: 814-886-5470 | |
Conemaugh Physician Group - Cresson Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 823 2nd St, Cresson, PA 16630 Phone: 814-886-2911 Fax: 814-866-8929 |