| The Curators Of The University Of Missouri | |
|
1 Hospital Dr Columbia MO 65212-0001 | |
| (573) 882-4141 | |
| Not Available |
| Full Name | The Curators Of The University Of Missouri |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Hospital Dr, Columbia, Missouri |
| Authorized Official Name and Position | Stephanie Schmidt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5738841753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Curators Of The University Of Missouri Po Box 843966 Kansas City MO 64184-3966 Ph: (573) 884-3300 | The Curators Of The University Of Missouri 1 Hospital Dr Columbia MO 65212-0001 Ph: (573) 882-4141 |
| NPI Number | 1235126921 |
|---|---|
| Provider Enumeration Date | 09/29/2005 |
| Last Update Date | 07/09/2024 |
| Medicare PECOS PAC ID | 4486759560 |
|---|---|
| Medicare Enrollment ID | O20070418000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235126921 | NPI | - | NPPES |
| DG0204 | Other | MO | RAILROAD MEDICARE |
| 550565402 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Robin Joy Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902899453 PECOS PAC ID: 7214831072 Enrollment ID: I20031122000143 |
| Provider Name | Serese Y Smith-haxton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518048735 PECOS PAC ID: 8022919273 Enrollment ID: I20040120000302 |
| Provider Name | Barbara A Gruner |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1760429484 PECOS PAC ID: 1254225147 Enrollment ID: I20040211000807 |
| Provider Name | Angela R Stewart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851357180 PECOS PAC ID: 2264326933 Enrollment ID: I20040212000528 |
| Provider Name | Daniel L Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699748772 PECOS PAC ID: 1850287103 Enrollment ID: I20040224001214 |
| Provider Name | Joseph Albert Beckmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366494783 PECOS PAC ID: 1951299072 Enrollment ID: I20040309000954 |
| Provider Name | Kevin Y Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083658041 PECOS PAC ID: 7719875848 Enrollment ID: I20040309000996 |
| Provider Name | David A Kropf |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396798641 PECOS PAC ID: 0345145868 Enrollment ID: I20040313000153 |
| Provider Name | Joel M Blackburn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801967047 PECOS PAC ID: 9830088012 Enrollment ID: I20040315000558 |
| Provider Name | Bert E Bachrach |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255388740 PECOS PAC ID: 1759272099 Enrollment ID: I20040324000663 |
| Provider Name | Aaron Bruce Koonce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902844384 PECOS PAC ID: 2769373026 Enrollment ID: I20040324000733 |
| Provider Name | Monica L Biddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396859153 PECOS PAC ID: 6204828403 Enrollment ID: I20040330001324 |
| Provider Name | Paul Santiago |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114945540 PECOS PAC ID: 1052304375 Enrollment ID: I20040405000387 |
| Provider Name | Morgan R Hahn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316981723 PECOS PAC ID: 8123011178 Enrollment ID: I20040406000246 |
| Provider Name | Zarah H Ner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760438147 PECOS PAC ID: 6608860507 Enrollment ID: I20040413001268 |
| Provider Name | Harsha N Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750328472 PECOS PAC ID: 8628062379 Enrollment ID: I20040414000514 |
| Provider Name | John R Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063486660 PECOS PAC ID: 8022002278 Enrollment ID: I20040415001032 |
| Provider Name | Jonathan Lee Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821067042 PECOS PAC ID: 1658288394 Enrollment ID: I20040416000001 |
| Provider Name | Susan M Zurowski |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407852502 PECOS PAC ID: 4082600739 Enrollment ID: I20040420001708 |
| Provider Name | Kenneth Michael Jacob |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437121829 PECOS PAC ID: 9133115447 Enrollment ID: I20040422000582 |
| Provider Name | Heather L Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053353201 PECOS PAC ID: 3870589062 Enrollment ID: I20040422001313 |
| Provider Name | John A Pardalos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568417699 PECOS PAC ID: 9032106109 Enrollment ID: I20040429000760 |
| Provider Name | Anuradha Rajagopalan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962457309 PECOS PAC ID: 0446247530 Enrollment ID: I20040429000953 |
| Provider Name | Deanna Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730131343 PECOS PAC ID: 2062493380 Enrollment ID: I20040525000121 |
| Provider Name | Joseph P Stitzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578622353 PECOS PAC ID: 9537140892 Enrollment ID: I20040525000411 |
| Provider Name | Jeffrey S Ehmke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780631978 PECOS PAC ID: 3779565122 Enrollment ID: I20040601001142 |
| Provider Name | William Earl Decker |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457349755 PECOS PAC ID: 2365424215 Enrollment ID: I20040603001045 |
| Provider Name | Theresa Marie Hogg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952460818 PECOS PAC ID: 9335121177 Enrollment ID: I20040604000148 |
| Provider Name | Mark E Idstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639264443 PECOS PAC ID: 8224013016 Enrollment ID: I20040624000406 |
| Provider Name | Thomas J Selva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922053859 PECOS PAC ID: 1850378555 Enrollment ID: I20040701000122 |
| Provider Name | Richard E Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962445049 PECOS PAC ID: 7911984596 Enrollment ID: I20040701000687 |
| Provider Name | Tawnyia Jerome |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710955760 PECOS PAC ID: 6204814049 Enrollment ID: I20040709000083 |
| Provider Name | James F Tritz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447230131 PECOS PAC ID: 4789664947 Enrollment ID: I20040720001354 |
| Provider Name | Mary Ann Jankowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336190925 PECOS PAC ID: 5193795136 Enrollment ID: I20040728000543 |
| Provider Name | Elizabeth Kay Early |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962408492 PECOS PAC ID: 6406826916 Enrollment ID: I20040730000230 |
| Provider Name | Jonathon Strong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578536363 PECOS PAC ID: 6406828482 Enrollment ID: I20040810001013 |
| Provider Name | Nancy C Mabe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902808892 PECOS PAC ID: 8123091840 Enrollment ID: I20040819000413 |
| Provider Name | Nan R Presser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497840276 PECOS PAC ID: 5890769707 Enrollment ID: I20040825000416 |
| Provider Name | Brian Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639147283 PECOS PAC ID: 3971578568 Enrollment ID: I20040827000437 |
| Provider Name | Andrew Egan Armstrong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881675346 PECOS PAC ID: 7113992629 Enrollment ID: I20040828000143 |
| Provider Name | Gregory P Markway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255373148 PECOS PAC ID: 3173599602 Enrollment ID: I20040907000941 |
| Provider Name | Brian W Herrbold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689650509 PECOS PAC ID: 6507832896 Enrollment ID: I20040911000165 |
| Provider Name | Victoria Gunn |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518915057 PECOS PAC ID: 5496654394 Enrollment ID: I20040913000211 |
| Provider Name | Dorothy Katherine Grange |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1801812128 PECOS PAC ID: 6901875376 Enrollment ID: I20041001000450 |
| Provider Name | Kent P Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649234089 PECOS PAC ID: 4981663010 Enrollment ID: I20041005000977 |
| Provider Name | Mark Richard Wakefield |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649226291 PECOS PAC ID: 7719946680 Enrollment ID: I20041006000870 |
| Provider Name | Matthew L Bechtold |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528023090 PECOS PAC ID: 5890756209 Enrollment ID: I20041020000005 |
| Provider Name | Reidun S Fuemmeler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982640447 PECOS PAC ID: 2860453032 Enrollment ID: I20041021000020 |
| Provider Name | Raghuram Mulamalla Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659318038 PECOS PAC ID: 6002710910 Enrollment ID: I20041101000133 |
| Provider Name | Stephanie D Bagby Stone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679530679 PECOS PAC ID: 1456313683 Enrollment ID: I20041101000162 |
| Provider Name | Carla A Dyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720033731 PECOS PAC ID: 3971565938 Enrollment ID: I20041102000069 |
| Provider Name | Gregory B Biedermann |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851463756 PECOS PAC ID: 3577525302 Enrollment ID: I20041103000195 |
| Provider Name | Daniel G Hoernschemeyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558312165 PECOS PAC ID: 1355305798 Enrollment ID: I20041116000707 |
| Provider Name | Laine M Young-walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831114958 PECOS PAC ID: 1254396088 Enrollment ID: I20041122000379 |
| Provider Name | Akshaya Jitendra Vachharajani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164448395 PECOS PAC ID: 5698730075 Enrollment ID: I20041124000602 |
| Provider Name | Jeffrey R Kunin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922018613 PECOS PAC ID: 5193618122 Enrollment ID: I20041124000753 |
| Provider Name | Darcy L Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922093608 PECOS PAC ID: 3476518713 Enrollment ID: I20041129000151 |
| Provider Name | Parvin Behrouzi Jareh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790742757 PECOS PAC ID: 8022073378 Enrollment ID: I20041129000238 |
| Provider Name | Celso Raul Velazquez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1205884756 PECOS PAC ID: 1052377041 Enrollment ID: I20041201000862 |
| Provider Name | Debra S Lumbley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730146408 PECOS PAC ID: 1153313424 Enrollment ID: I20041220000041 |
| Provider Name | Hunter V Hofmann |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497707996 PECOS PAC ID: 5991753568 Enrollment ID: I20050111000012 |
| Provider Name | Mark F Gortmaker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649244161 PECOS PAC ID: 0749239036 Enrollment ID: I20050113000393 |
| Provider Name | Andrew G Resnik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346299682 PECOS PAC ID: 0941259253 Enrollment ID: I20050113000563 |
| Provider Name | James Dean Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215989512 PECOS PAC ID: 9931159381 Enrollment ID: I20050125000051 |
| Provider Name | Jama Adam Mohmoud |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417948977 PECOS PAC ID: 6406806116 Enrollment ID: I20050129000189 |
| Provider Name | Uzma Zubair Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760478135 PECOS PAC ID: 9638120124 Enrollment ID: I20050202000093 |
| Provider Name | Stephen Fafinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902984842 PECOS PAC ID: 6103877584 Enrollment ID: I20050202000854 |
| Provider Name | John R Hall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578569612 PECOS PAC ID: 9537110788 Enrollment ID: I20050204000024 |
| Provider Name | Syed Faisal Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609929868 PECOS PAC ID: 7315998408 Enrollment ID: I20050207000290 |
| Provider Name | James G Osgood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235176959 PECOS PAC ID: 2769434109 Enrollment ID: I20050215000063 |
| Provider Name | Louis Scott Vince |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811999741 PECOS PAC ID: 1850344599 Enrollment ID: I20050223000066 |
| Provider Name | Jonathan Dyer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376591073 PECOS PAC ID: 4880647817 Enrollment ID: I20050302000001 |
| Provider Name | Mistie Renee Peil Mills |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437107224 PECOS PAC ID: 6305804774 Enrollment ID: I20050314000037 |
| Provider Name | Richard J Iken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962613430 PECOS PAC ID: 9032165865 Enrollment ID: I20050324000848 |
| Provider Name | Rachel C Orscheln |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396763017 PECOS PAC ID: 4789634833 Enrollment ID: I20050401000005 |
| Provider Name | Clayton L Cheney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972660538 PECOS PAC ID: 1951358563 Enrollment ID: I20050406000268 |
| Provider Name | William P Fay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467404814 PECOS PAC ID: 4082664990 Enrollment ID: I20050407000176 |
| Provider Name | Diana Kay Fauss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376771188 PECOS PAC ID: 2961440326 Enrollment ID: I20050418000771 |
| Provider Name | Chokkalingam Siva |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912952326 PECOS PAC ID: 7214975333 Enrollment ID: I20050420000175 |
| Provider Name | Kimberly L Ebersol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679510390 PECOS PAC ID: 7618915364 Enrollment ID: I20050422000001 |
| Provider Name | Edwin D Breshears |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154417178 PECOS PAC ID: 4284674003 Enrollment ID: I20050511000000 |
| Provider Name | Rob R Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720038565 PECOS PAC ID: 0749223725 Enrollment ID: I20050610000072 |
| Provider Name | Breton Foster Barrier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093773541 PECOS PAC ID: 9931143302 Enrollment ID: I20050616000208 |
| Provider Name | Kevin W Craig |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720046881 PECOS PAC ID: 5799729836 Enrollment ID: I20050620000260 |
| Provider Name | Jason Kyle Frost |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710944723 PECOS PAC ID: 3577509371 Enrollment ID: I20050701000393 |
| Provider Name | Gregory J Della Rocca |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053360016 PECOS PAC ID: 1658369681 Enrollment ID: I20050711000004 |
| Provider Name | Jennifer Jean Grigg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477511327 PECOS PAC ID: 0345276036 Enrollment ID: I20050714000005 |
| Provider Name | Brett Duane Crist |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104883040 PECOS PAC ID: 7113906850 Enrollment ID: I20050721000018 |
| Provider Name | Brice Pryor Windsor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104845783 PECOS PAC ID: 9335178623 Enrollment ID: I20050808000177 |
| Provider Name | Joel Isaac Shenker |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1528037991 PECOS PAC ID: 5597794800 Enrollment ID: I20050808000354 |
| Provider Name | Joseph M Bean |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881682177 PECOS PAC ID: 4587693700 Enrollment ID: I20050809000025 |
| Provider Name | Rick D Bendorf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346299393 PECOS PAC ID: 0547299760 Enrollment ID: I20050809000072 |
| Provider Name | Sarah Kelly Dunn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831291517 PECOS PAC ID: 7719916493 Enrollment ID: I20050812000228 |
| Provider Name | Andrew S Youkilis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740244813 PECOS PAC ID: 4284664780 Enrollment ID: I20050815000697 |
| Provider Name | Anna Michaele Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275531741 PECOS PAC ID: 0244260248 Enrollment ID: I20050819000016 |
| Provider Name | Jamal Ahmad Ibdah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063460400 PECOS PAC ID: 5092745737 Enrollment ID: I20050902000433 |
| Provider Name | Norbert L Richardson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093793929 PECOS PAC ID: 4981637477 Enrollment ID: I20050915000158 |
| Provider Name | Manjamalai Sivaraman |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1174581094 PECOS PAC ID: 6204860372 Enrollment ID: I20050920000052 |
| Provider Name | Chia Wai Chang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013975986 PECOS PAC ID: 0143297580 Enrollment ID: I20050920000075 |
| Provider Name | Andrew Knoop |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235182866 PECOS PAC ID: 7618901554 Enrollment ID: I20050921000206 |
| Provider Name | Erin R Tuller |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1457362485 PECOS PAC ID: 6204851280 Enrollment ID: I20051010000037 |
| Provider Name | Scott A Anderson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154302677 PECOS PAC ID: 1153229968 Enrollment ID: I20051123000205 |
| Provider Name | Christos N Papageorgio |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003861477 PECOS PAC ID: 3870513112 Enrollment ID: I20051130000970 |
| Provider Name | Geetha Raghuveer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740230192 PECOS PAC ID: 2062466741 Enrollment ID: I20051213000861 |
| Provider Name | Terry Jean Elwing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346237435 PECOS PAC ID: 7416979406 Enrollment ID: I20051219000525 |
| Provider Name | Irving M Asher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518933555 PECOS PAC ID: 2163444936 Enrollment ID: I20051221000067 |
| Provider Name | Yuji Oba |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265543367 PECOS PAC ID: 8628092293 Enrollment ID: I20060123000211 |
| Provider Name | Mona L Brownfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023055605 PECOS PAC ID: 3779507025 Enrollment ID: I20060125000617 |
| Provider Name | Ann M Pollock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124109079 PECOS PAC ID: 1254345424 Enrollment ID: I20060127000043 |
| Provider Name | Annaliese Kay Tapee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629020250 PECOS PAC ID: 7416973326 Enrollment ID: I20060217000671 |
| Provider Name | James Clayton Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588617674 PECOS PAC ID: 7012924756 Enrollment ID: I20060321000381 |
| Provider Name | Dale Edward Korn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184730236 PECOS PAC ID: 9335157882 Enrollment ID: I20060327000019 |
| Provider Name | Amie Margett Vanmorlan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235227901 PECOS PAC ID: 0042228454 Enrollment ID: I20060327000790 |
| Provider Name | Theodore John Choma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609813799 PECOS PAC ID: 7719995588 Enrollment ID: I20060405000395 |
| Provider Name | Daniel K Tucker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760543078 PECOS PAC ID: 4587672621 Enrollment ID: I20060406000062 |
| Provider Name | Michael Aro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649228081 PECOS PAC ID: 9335158849 Enrollment ID: I20060411000729 |
| Provider Name | Michael L Lefevre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962460055 PECOS PAC ID: 0042220675 Enrollment ID: I20060427000105 |
| Provider Name | Victor M Phillips |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1831131762 PECOS PAC ID: 3779593322 Enrollment ID: I20060427000275 |
| Provider Name | Holly Fay Orr Monroe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225075807 PECOS PAC ID: 6305856634 Enrollment ID: I20060501000455 |
| Provider Name | Amolak Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609828573 PECOS PAC ID: 5496668642 Enrollment ID: I20060503000829 |
| Provider Name | Cynthia L Ruffolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124074406 PECOS PAC ID: 3577574599 Enrollment ID: I20060505000290 |
| Provider Name | Thomas Leupold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245285881 PECOS PAC ID: 1850302936 Enrollment ID: I20060606000255 |
| Provider Name | Sarah Christian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679526255 PECOS PAC ID: 3375577950 Enrollment ID: I20060620000072 |
| Provider Name | Lynn M Wung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730133174 PECOS PAC ID: 6800808205 Enrollment ID: I20060630000089 |
| Provider Name | Neils C Beck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700835972 PECOS PAC ID: 4587676994 Enrollment ID: I20060630000139 |
| Provider Name | Jane Anne Emerson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164479531 PECOS PAC ID: 2062415219 Enrollment ID: I20060809000168 |
| Provider Name | Kelly J Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922041854 PECOS PAC ID: 2062415037 Enrollment ID: I20060811000071 |
| Provider Name | Erik M Grossmann |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1851367601 PECOS PAC ID: 0547264889 Enrollment ID: I20060829000410 |
| Provider Name | Lillian I Lukowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437184678 PECOS PAC ID: 2860416344 Enrollment ID: I20060901000238 |
| Provider Name | Christopher B Dysart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114952454 PECOS PAC ID: 3870582273 Enrollment ID: I20060901000253 |
| Provider Name | Sultana Jahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346294840 PECOS PAC ID: 9032113519 Enrollment ID: I20060914000553 |
| Provider Name | Stephen H Colbert |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942229596 PECOS PAC ID: 8022013549 Enrollment ID: I20060915000360 |
| Provider Name | Steven Tedd Fogel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558313148 PECOS PAC ID: 9830129212 Enrollment ID: I20060918000114 |
| Provider Name | Patricia Michelle D Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558380378 PECOS PAC ID: 4789689076 Enrollment ID: I20060920000054 |
| Provider Name | Adam Tyler Whaley-connell |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447204045 PECOS PAC ID: 9830194919 Enrollment ID: I20060922000549 |
| Provider Name | Amanda Lou Ann Allmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528089059 PECOS PAC ID: 7911902093 Enrollment ID: I20060922000555 |
| Provider Name | Michael Steven Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720081508 PECOS PAC ID: 5890791339 Enrollment ID: I20061006000091 |
| Provider Name | Adam H Beckett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770698052 PECOS PAC ID: 2567468853 Enrollment ID: I20061010000251 |
| Provider Name | Mark R Katsaros |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306894019 PECOS PAC ID: 9931105871 Enrollment ID: I20061017000039 |
| Provider Name | Lorrie L Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033170006 PECOS PAC ID: 9234142167 Enrollment ID: I20061019000432 |
| Provider Name | Simon John Mckeown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114942273 PECOS PAC ID: 3678579349 Enrollment ID: I20061020000177 |
| Provider Name | Kristen Deane Tarwater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306863006 PECOS PAC ID: 3678570371 Enrollment ID: I20061020000555 |
| Provider Name | Diane Jean Jacobi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912983560 PECOS PAC ID: 0042217168 Enrollment ID: I20061103000082 |
| Provider Name | Jeremy C Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881618155 PECOS PAC ID: 3577561067 Enrollment ID: I20061116000404 |
| Provider Name | Matthew T Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407829187 PECOS PAC ID: 1850344060 Enrollment ID: I20061130000375 |
| Provider Name | Jose Lorenzo Tirol Cocjin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366550261 PECOS PAC ID: 6507892981 Enrollment ID: I20061213000572 |
| Provider Name | Thomas E Hetherington |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063450104 PECOS PAC ID: 1658370705 Enrollment ID: I20061219000074 |
| Provider Name | Madhukar Misra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851342158 PECOS PAC ID: 0446250203 Enrollment ID: I20070102000267 |
| Provider Name | Kenneth L Gowdy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376640045 PECOS PAC ID: 7911938337 Enrollment ID: I20070108000556 |
| Provider Name | William Joseph Deckert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801977590 PECOS PAC ID: 9234139650 Enrollment ID: I20070109000598 |
| Provider Name | Robert W Lancey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285682997 PECOS PAC ID: 6608877428 Enrollment ID: I20070123000014 |
| Provider Name | Kenneth W Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659318236 PECOS PAC ID: 7012918386 Enrollment ID: I20070130000074 |
| Provider Name | Michael Jay Gardner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841397916 PECOS PAC ID: 5698777894 Enrollment ID: I20070131000554 |
| Provider Name | Matthew J Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518034404 PECOS PAC ID: 4486656683 Enrollment ID: I20070131000582 |
| Provider Name | Elizabeth A Blanchard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912900085 PECOS PAC ID: 1951303924 Enrollment ID: I20070203000030 |
| Provider Name | Tammy Michelle Gibson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891807970 PECOS PAC ID: 8123087046 Enrollment ID: I20070220000030 |
| Provider Name | Shauna D Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164585220 PECOS PAC ID: 2668574419 Enrollment ID: I20070226000006 |
| Provider Name | James R Allen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659369858 PECOS PAC ID: 8628078953 Enrollment ID: I20070228000022 |
| Provider Name | Edward Dean Messer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386792901 PECOS PAC ID: 0941274799 Enrollment ID: I20070302000367 |
| Provider Name | Christina M Pinkerman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821103128 PECOS PAC ID: 9830292507 Enrollment ID: I20070319000056 |
| Provider Name | Eric Caywood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194722371 PECOS PAC ID: 1355341686 Enrollment ID: I20070323000520 |
| Provider Name | Dustin Warbritton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093712275 PECOS PAC ID: 0244230571 Enrollment ID: I20070323000527 |
| Provider Name | Christopher S Sampson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659301711 PECOS PAC ID: 5294733697 Enrollment ID: I20070427000165 |
| Provider Name | Gregory S Campbell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598754566 PECOS PAC ID: 4880644772 Enrollment ID: I20070502000441 |
| Provider Name | Carl C Stacy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760556146 PECOS PAC ID: 6002912391 Enrollment ID: I20070502000631 |
| Provider Name | David C Mechlin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023079100 PECOS PAC ID: 2769588953 Enrollment ID: I20070504000119 |
| Provider Name | Mary L Dohrmann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912959412 PECOS PAC ID: 5496851594 Enrollment ID: I20070507000448 |
| Provider Name | Lisa Ellen Gore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508085358 PECOS PAC ID: 6305942210 Enrollment ID: I20070509000110 |
| Provider Name | Greg C Flaker |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1851342299 PECOS PAC ID: 7315043197 Enrollment ID: I20070511000204 |
| Provider Name | James R. Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215985189 PECOS PAC ID: 1658478482 Enrollment ID: I20070514000018 |
| Provider Name | Robert C Burger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053369231 PECOS PAC ID: 4385741156 Enrollment ID: I20070514000390 |
| Provider Name | Chandler F Bowser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902856966 PECOS PAC ID: 0547367310 Enrollment ID: I20070514000414 |
| Provider Name | Stephen H Weinstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912950098 PECOS PAC ID: 6305943010 Enrollment ID: I20070515000050 |
| Provider Name | Robert Paul Zitsch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295793164 PECOS PAC ID: 5799882411 Enrollment ID: I20070515000098 |
| Provider Name | Stephen A Brietzke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831136563 PECOS PAC ID: 0345347092 Enrollment ID: I20070515000325 |
| Provider Name | Kieth W Groh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588621585 PECOS PAC ID: 5496852162 Enrollment ID: I20070515000431 |
| Provider Name | Thomas P Dresser |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1679510259 PECOS PAC ID: 1355448028 Enrollment ID: I20070515000475 |
| Provider Name | Gregory Renner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770536195 PECOS PAC ID: 2264539683 Enrollment ID: I20070521000114 |
| Provider Name | Kul Aggarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720038300 PECOS PAC ID: 2264539691 Enrollment ID: I20070521000219 |
| Provider Name | Jack Colwill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851348692 PECOS PAC ID: 4284731563 Enrollment ID: I20070522000023 |
| Provider Name | Theresa Marie Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174679518 PECOS PAC ID: 2769589944 Enrollment ID: I20070523000153 |
| Provider Name | Steven C Zweig |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1598723686 PECOS PAC ID: 1658478714 Enrollment ID: I20070524000194 |
| Provider Name | David R Mehr |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811954365 PECOS PAC ID: 1557468618 Enrollment ID: I20070524000204 |
| Provider Name | William L Womack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205889383 PECOS PAC ID: 3274630348 Enrollment ID: I20070524000287 |
| Provider Name | Barbara Ann Page |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508822560 PECOS PAC ID: 5597862672 Enrollment ID: I20070524000354 |
| Provider Name | Erika N Ringdahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275590614 PECOS PAC ID: 1658478672 Enrollment ID: I20070525000138 |
| Provider Name | Lenard L Politte |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063464253 PECOS PAC ID: 1153429931 Enrollment ID: I20070601000015 |
| Provider Name | Shamita Misra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780630871 PECOS PAC ID: 4284732082 Enrollment ID: I20070601000149 |
| Provider Name | James J Stevermer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124061528 PECOS PAC ID: 3072611870 Enrollment ID: I20070601000175 |
| Provider Name | Kristin E Hahn Cover |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124070172 PECOS PAC ID: 8022116821 Enrollment ID: I20070601000207 |
| Provider Name | William E Roland |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831141332 PECOS PAC ID: 7012015811 Enrollment ID: I20070601000218 |
| Provider Name | Lilamani G Kurukulasuriya |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164477550 PECOS PAC ID: 6103924915 Enrollment ID: I20070601000228 |
| Provider Name | Judith Miles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609813286 PECOS PAC ID: 3971601733 Enrollment ID: I20070604000005 |
| Provider Name | Kimberly M Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215989405 PECOS PAC ID: 7416055272 Enrollment ID: I20070604000018 |
| Provider Name | Danita G Rife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942247663 PECOS PAC ID: 3779681531 Enrollment ID: I20070604000021 |
| Provider Name | Mark P Bryer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144217324 PECOS PAC ID: 2668570425 Enrollment ID: I20070604000046 |
| Provider Name | Robert B Fisher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932165487 PECOS PAC ID: 7517065386 Enrollment ID: I20070604000119 |
| Provider Name | William C Kinney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548323777 PECOS PAC ID: 9133227804 Enrollment ID: I20070604000241 |
| Provider Name | Tracy A Stroud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518904192 PECOS PAC ID: 3971601667 Enrollment ID: I20070604000406 |
| Provider Name | Venkatataman Ramachandran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982650958 PECOS PAC ID: 7416055041 Enrollment ID: I20070606000065 |
| Provider Name | David M Klachko |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518912005 PECOS PAC ID: 4486752011 Enrollment ID: I20070606000088 |
| Provider Name | John Gregory Markley |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1932190980 PECOS PAC ID: 9830297464 Enrollment ID: I20070606000101 |
| Provider Name | Raymond T Foster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235104787 PECOS PAC ID: 8123099918 Enrollment ID: I20070606000252 |
| Provider Name | Ebby G Varghese |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639200942 PECOS PAC ID: 6507964988 Enrollment ID: I20070608000051 |
| Provider Name | Robert Earl Gardner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649365917 PECOS PAC ID: 0042318297 Enrollment ID: I20070612000179 |
| Provider Name | Margaret C Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780639120 PECOS PAC ID: 3375641426 Enrollment ID: I20070613000318 |
| Provider Name | Stevan P Whitt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417909466 PECOS PAC ID: 6103924279 Enrollment ID: I20070613000500 |
| Provider Name | John H Montgomery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326085044 PECOS PAC ID: 3779681853 Enrollment ID: I20070613000562 |
| Provider Name | James P. Koller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851338586 PECOS PAC ID: 8729186721 Enrollment ID: I20070614000025 |
| Provider Name | Debra G Koivunen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1083651715 PECOS PAC ID: 7810095825 Enrollment ID: I20070614000031 |
| Provider Name | Erik J Lindbloom |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1598764011 PECOS PAC ID: 1254439268 Enrollment ID: I20070614000056 |
| Provider Name | Pradeep K Sahota |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1639137557 PECOS PAC ID: 7214035229 Enrollment ID: I20070614000084 |
| Provider Name | Melissa A Lawson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023063807 PECOS PAC ID: 5395843304 Enrollment ID: I20070614000094 |
| Provider Name | David W Gardner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659318384 PECOS PAC ID: 6002914017 Enrollment ID: I20070614000112 |
| Provider Name | Edward H Adelstein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790796142 PECOS PAC ID: 4880792803 Enrollment ID: I20070614000146 |
| Provider Name | Joseph Burris |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093744690 PECOS PAC ID: 9537267570 Enrollment ID: I20070614000314 |
| Provider Name | Ramesh Khanna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457300287 PECOS PAC ID: 0345349338 Enrollment ID: I20070615000010 |
| Provider Name | Dean P Hainsworth |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417905266 PECOS PAC ID: 3173622107 Enrollment ID: I20070615000430 |
| Provider Name | Robin D Riggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407893126 PECOS PAC ID: 6204935091 Enrollment ID: I20070619000707 |
| Provider Name | Reza S Farid |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528097722 PECOS PAC ID: 1850490038 Enrollment ID: I20070629000008 |
| Provider Name | Dana Mazuru Witten |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649386327 PECOS PAC ID: 2466551528 Enrollment ID: I20070702000038 |
| Provider Name | Melinda Michelle Zion Hecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508969312 PECOS PAC ID: 1254431356 Enrollment ID: I20070702000457 |
| Provider Name | Karen M Thies |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982791711 PECOS PAC ID: 7315047453 Enrollment ID: I20070703000224 |
| Provider Name | Aneesh K Tosh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609940790 PECOS PAC ID: 0446350326 Enrollment ID: I20070706000081 |
| Provider Name | Katherine Francis Edwards |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679676860 PECOS PAC ID: 0547360075 Enrollment ID: I20070712000279 |
| Provider Name | Bernard R Eskridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275635195 PECOS PAC ID: 6901906262 Enrollment ID: I20070716000453 |
| Provider Name | Nathan Lewis Beucke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558463463 PECOS PAC ID: 6002917291 Enrollment ID: I20070718000158 |
| Provider Name | Mitchell Godbee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558455196 PECOS PAC ID: 7416058615 Enrollment ID: I20070718000216 |
| Provider Name | Magda Esebua |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134153893 PECOS PAC ID: 1052412954 Enrollment ID: I20070723000258 |
| Provider Name | Sarah Jean Swofford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194828988 PECOS PAC ID: 6103917364 Enrollment ID: I20070802000489 |
| Provider Name | Martin Alvin Alpert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508913914 PECOS PAC ID: 2466543624 Enrollment ID: I20070802000510 |
| Provider Name | Kristin L Koehn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851493753 PECOS PAC ID: 5496846669 Enrollment ID: I20070802000567 |
| Provider Name | Jacob P Kesterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366565541 PECOS PAC ID: 4385735836 Enrollment ID: I20070813000313 |
| Provider Name | Aaron K Waggie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629275169 PECOS PAC ID: 9638260292 Enrollment ID: I20070814000435 |
| Provider Name | Julia Marie Kesterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295935609 PECOS PAC ID: 9234221151 Enrollment ID: I20070823000528 |
| Provider Name | Rebecca Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114118254 PECOS PAC ID: 7113019993 Enrollment ID: I20070824000166 |
| Provider Name | Tara E Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740306216 PECOS PAC ID: 1658463237 Enrollment ID: I20070828000200 |
| Provider Name | Carol Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588855811 PECOS PAC ID: 4183718729 Enrollment ID: I20070913000467 |
| Provider Name | Amber Backes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881886117 PECOS PAC ID: 2567556814 Enrollment ID: I20070918000590 |
| Provider Name | Michelle Barg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528010071 PECOS PAC ID: 2365454204 Enrollment ID: I20070921000234 |
| Provider Name | Peter J. Koopman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376526913 PECOS PAC ID: 7911091921 Enrollment ID: I20070921000340 |
| Provider Name | Ghassan Hammoud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205806882 PECOS PAC ID: 4880593607 Enrollment ID: I20071009000097 |
| Provider Name | Richelle Jaworski Koopman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003924960 PECOS PAC ID: 9739116724 Enrollment ID: I20071009000112 |
| Provider Name | Minh-tri Danny Dang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366535353 PECOS PAC ID: 4183716848 Enrollment ID: I20071009000315 |
| Provider Name | Stephen Timothy Keithahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235157827 PECOS PAC ID: 8426144528 Enrollment ID: I20071022000076 |
| Provider Name | Susan Z John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003953753 PECOS PAC ID: 0143316158 Enrollment ID: I20071022000275 |
| Provider Name | Deborah Krause |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962568550 PECOS PAC ID: 8527069251 Enrollment ID: I20071106000747 |
| Provider Name | Quinn L Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194765446 PECOS PAC ID: 1355439019 Enrollment ID: I20071113000476 |
| Provider Name | Jane A Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699750091 PECOS PAC ID: 6204924558 Enrollment ID: I20071120000297 |
| Provider Name | Jorge Vidal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487664454 PECOS PAC ID: 0941390231 Enrollment ID: I20071227000193 |
| Provider Name | Sanjay T Bhat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356322036 PECOS PAC ID: 6103908256 Enrollment ID: I20080128000640 |
| Provider Name | David Q Beversdorf |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1639253982 PECOS PAC ID: 3577465756 Enrollment ID: I20080401000726 |
| Provider Name | Daniela Cristina Bichianu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003907874 PECOS PAC ID: 0749367779 Enrollment ID: I20080401000735 |
| Provider Name | Jack Cody Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629042882 PECOS PAC ID: 2860570785 Enrollment ID: I20080417000486 |
| Provider Name | Charles F Edwards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174531198 PECOS PAC ID: 6204914815 Enrollment ID: I20080423000212 |
| Provider Name | Doug B Stelzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851561260 PECOS PAC ID: 7810075363 Enrollment ID: I20080423000599 |
| Provider Name | Carrie Ann Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144492547 PECOS PAC ID: 0547348740 Enrollment ID: I20080428000587 |
| Provider Name | Eliav Gov-ari |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508868951 PECOS PAC ID: 1850372566 Enrollment ID: I20080430000818 |
| Provider Name | Jason Edward Cafer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417069824 PECOS PAC ID: 1759460629 Enrollment ID: I20080502000496 |
| Provider Name | Erica R Milbach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750548558 PECOS PAC ID: 3173694775 Enrollment ID: I20080624000788 |
| Provider Name | Lisa M Brennaman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841384401 PECOS PAC ID: 0042382442 Enrollment ID: I20080630000447 |
| Provider Name | Jeffrey S Sanders |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407843139 PECOS PAC ID: 4385688340 Enrollment ID: I20080703000020 |
| Provider Name | William L Schlegel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487640223 PECOS PAC ID: 3274623624 Enrollment ID: I20080703000029 |
| Provider Name | Mark Ira Hunter |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1558441725 PECOS PAC ID: 6709852809 Enrollment ID: I20080707000289 |
| Provider Name | Jeffrey P Coughenour |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114139383 PECOS PAC ID: 7517059611 Enrollment ID: I20080711000477 |
| Provider Name | Sean E Lanigar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114044237 PECOS PAC ID: 0941395925 Enrollment ID: I20080714000286 |
| Provider Name | Belinda R Fender |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245338995 PECOS PAC ID: 0143393769 Enrollment ID: I20080715000756 |
| Provider Name | Abigail Kilpatric Emerson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477655520 PECOS PAC ID: 1951475557 Enrollment ID: I20080730000701 |
| Provider Name | Brandi R French |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659368413 PECOS PAC ID: 0840229951 Enrollment ID: I20080731000700 |
| Provider Name | Gracia L Nabhane |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184610917 PECOS PAC ID: 0648360099 Enrollment ID: I20080805000513 |
| Provider Name | George L Kistler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710973656 PECOS PAC ID: 1658461009 Enrollment ID: I20080805000535 |
| Provider Name | Lisa G Kolb |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336135276 PECOS PAC ID: 2567552912 Enrollment ID: I20080805000627 |
| Provider Name | Randall Dean Haight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306832266 PECOS PAC ID: 6002906450 Enrollment ID: I20080805000640 |
| Provider Name | Julia Christine Sohal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780772566 PECOS PAC ID: 3779582846 Enrollment ID: I20080808000434 |
| Provider Name | Jamie Akise Ogden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982707865 PECOS PAC ID: 4385718360 Enrollment ID: I20080808000684 |
| Provider Name | Adam T Clapper |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821208893 PECOS PAC ID: 2860583598 Enrollment ID: I20080812000349 |
| Provider Name | Muaid H Ithman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831201896 PECOS PAC ID: 1153496476 Enrollment ID: I20080821000374 |
| Provider Name | Kurt Daniel Tarwater |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134230097 PECOS PAC ID: 7315012598 Enrollment ID: I20080822000310 |
| Provider Name | Harold A Johnson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154327096 PECOS PAC ID: 2466525688 Enrollment ID: I20080827000273 |
| Provider Name | Jeffrey C Mees |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427037746 PECOS PAC ID: 1759316607 Enrollment ID: I20080828000144 |
| Provider Name | Joseph Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437118718 PECOS PAC ID: 9830265545 Enrollment ID: I20080903000639 |
| Provider Name | Stephen L Barnes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326016312 PECOS PAC ID: 9739153594 Enrollment ID: I20080909000689 |
| Provider Name | Hanna Klara Gov-ari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659578367 PECOS PAC ID: 4486720802 Enrollment ID: I20080909000704 |
| Provider Name | Michael Charles Trendle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104813732 PECOS PAC ID: 1557451879 Enrollment ID: I20080912000587 |
| Provider Name | Eric Luis Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982864088 PECOS PAC ID: 7416024591 Enrollment ID: I20080916000534 |
| Provider Name | Kristin Amanda Thomas Sohl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023114659 PECOS PAC ID: 0244307254 Enrollment ID: I20080917000233 |
| Provider Name | Eric S Hart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669511564 PECOS PAC ID: 5092882522 Enrollment ID: I20080924000595 |
| Provider Name | Julie Marie Marshall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285858886 PECOS PAC ID: 8820156193 Enrollment ID: I20081015000666 |
| Provider Name | Patricia A Beringer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225209927 PECOS PAC ID: 0244398808 Enrollment ID: I20081027000082 |
| Provider Name | Sheila Carnett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811902638 PECOS PAC ID: 9436153699 Enrollment ID: I20081030000295 |
| Provider Name | Jill E Mellinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134378821 PECOS PAC ID: 3072672377 Enrollment ID: I20081031000103 |
| Provider Name | Tammy Lynn Rood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336390277 PECOS PAC ID: 2567521677 Enrollment ID: I20081104000655 |
| Provider Name | Matthew I Goldsmith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144248626 PECOS PAC ID: 3072673086 Enrollment ID: I20081120000754 |
| Provider Name | Arthur A Bante |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538155460 PECOS PAC ID: 9032113840 Enrollment ID: I20090109000244 |
| Provider Name | Patrick J Morello |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194760041 PECOS PAC ID: 9739251919 Enrollment ID: I20090109000577 |
| Provider Name | Puja Nistala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205947835 PECOS PAC ID: 8224193735 Enrollment ID: I20090217000584 |
| Provider Name | Carl R Doerhoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003800244 PECOS PAC ID: 6305840935 Enrollment ID: I20090320000214 |
| Provider Name | Beverly Wilhelm-oney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912980186 PECOS PAC ID: 3173680717 Enrollment ID: I20090325000592 |
| Provider Name | Stacy A Kretzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518151117 PECOS PAC ID: 3173673803 Enrollment ID: I20090618000024 |
| Provider Name | Ramez Sami Sunna |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891880407 PECOS PAC ID: 0244382976 Enrollment ID: I20090710000203 |
| Provider Name | Courtney Leigh Barnes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225154875 PECOS PAC ID: 9830241348 Enrollment ID: I20090714000702 |
| Provider Name | Ajit Kurien Tharakan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700844453 PECOS PAC ID: 9830241389 Enrollment ID: I20090715000269 |
| Provider Name | Greggory Mark Kuhlmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972742807 PECOS PAC ID: 6002968955 Enrollment ID: I20090723000479 |
| Provider Name | Thorkild Vad Norregaard |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699805291 PECOS PAC ID: 0446201784 Enrollment ID: I20090724000081 |
| Provider Name | Ajay Aggarwal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417062217 PECOS PAC ID: 5698828580 Enrollment ID: I20090724000127 |
| Provider Name | Arun Kumar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912164963 PECOS PAC ID: 1658424544 Enrollment ID: I20090724000169 |
| Provider Name | Leslie J Luchene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154448215 PECOS PAC ID: 8628121787 Enrollment ID: I20090806000642 |
| Provider Name | Meghan Maureen Murphy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689609521 PECOS PAC ID: 3476607946 Enrollment ID: I20090818000423 |
| Provider Name | Nick S Koval |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669603866 PECOS PAC ID: 4284789272 Enrollment ID: I20090826000840 |
| Provider Name | Amanda Kate Swenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487694436 PECOS PAC ID: 3173678000 Enrollment ID: I20090828000412 |
| Provider Name | Hilton Lim Ngo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164513701 PECOS PAC ID: 8628123221 Enrollment ID: I20090903000363 |
| Provider Name | Humera Ahsan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114157443 PECOS PAC ID: 3779639943 Enrollment ID: I20090914000560 |
| Provider Name | Jennifer N. A. Silva |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376718734 PECOS PAC ID: 9739235672 Enrollment ID: I20090918000182 |
| Provider Name | James Stannard |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720030190 PECOS PAC ID: 9234167339 Enrollment ID: I20090929000496 |
| Provider Name | Nikole J Cronk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487886545 PECOS PAC ID: 6103962493 Enrollment ID: I20090929000551 |
| Provider Name | Senthil Annamalai Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194857524 PECOS PAC ID: 9638215924 Enrollment ID: I20090929000584 |
| Provider Name | Scott Kinkade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508825894 PECOS PAC ID: 2365405925 Enrollment ID: I20091005000385 |
| Provider Name | Raneat Cohen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407017155 PECOS PAC ID: 1153461405 Enrollment ID: I20091216000516 |
| Provider Name | Lorenzo D Mcknelly |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861508095 PECOS PAC ID: 9133269400 Enrollment ID: I20091217000106 |
| Provider Name | Shelly Lynn Gudehus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629043849 PECOS PAC ID: 6103843396 Enrollment ID: I20100120000703 |
| Provider Name | Rodney K Adkison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164538229 PECOS PAC ID: 3173667805 Enrollment ID: I20100226000648 |
| Provider Name | Robert Scott Foster |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700848348 PECOS PAC ID: 9234189135 Enrollment ID: I20100305000500 |
| Provider Name | James A Shelton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366438921 PECOS PAC ID: 1658416219 Enrollment ID: I20100308000193 |
| Provider Name | Janice M Gessel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881666238 PECOS PAC ID: 2860535986 Enrollment ID: I20100316000503 |
| Provider Name | James Reed Phillips |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942262290 PECOS PAC ID: 7113972753 Enrollment ID: I20100331000622 |
| Provider Name | James A Keeney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104833540 PECOS PAC ID: 1153457965 Enrollment ID: I20100331000812 |
| Provider Name | Renee C Stucky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982641601 PECOS PAC ID: 6901933852 Enrollment ID: I20100423000611 |
| Provider Name | Oleksiy Mykhaylovych Zyernov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003912213 PECOS PAC ID: 5991832552 Enrollment ID: I20100430000055 |
| Provider Name | Luke Anthony Stephens |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1194987461 PECOS PAC ID: 1153459474 Enrollment ID: I20100507000017 |
| Provider Name | Jonathan W Heidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972708063 PECOS PAC ID: 8022145887 Enrollment ID: I20100507000153 |
| Provider Name | Lisa J Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245259829 PECOS PAC ID: 8820151590 Enrollment ID: I20100514000102 |
| Provider Name | Michael Griswold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972575694 PECOS PAC ID: 4082702154 Enrollment ID: I20100526000115 |
| Provider Name | Lea Ann Lowery |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154650810 PECOS PAC ID: 0648309666 Enrollment ID: I20100528000520 |
| Provider Name | Robert Herman Koch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568409142 PECOS PAC ID: 8022028752 Enrollment ID: I20100601000198 |
| Provider Name | David A Hunstad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932127362 PECOS PAC ID: 9436288362 Enrollment ID: I20100602000289 |
| Provider Name | Joseph C Rakestraw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922002864 PECOS PAC ID: 4880694116 Enrollment ID: I20100603000921 |
| Provider Name | Alexis M Elward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972529287 PECOS PAC ID: 6901936780 Enrollment ID: I20100607000072 |
| Provider Name | Rishi Grewal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417054404 PECOS PAC ID: 5496823346 Enrollment ID: I20100615000464 |
| Provider Name | Sarah Marie Schaak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679892210 PECOS PAC ID: 5799816583 Enrollment ID: I20100622000834 |
| Provider Name | Jan R Finney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295707693 PECOS PAC ID: 3779614284 Enrollment ID: I20100628000509 |
| Provider Name | Teri A Deffenbaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427006071 PECOS PAC ID: 1355472515 Enrollment ID: I20100701000698 |
| Provider Name | Connie Johanna Morrison |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851614838 PECOS PAC ID: 9436280690 Enrollment ID: I20100701000711 |
| Provider Name | Robert Parker Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548289119 PECOS PAC ID: 9234235623 Enrollment ID: I20100708000210 |
| Provider Name | Joanie Nicole Welsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871814707 PECOS PAC ID: 3870625676 Enrollment ID: I20100714000483 |
| Provider Name | Heather Ragsdale Lobough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962646299 PECOS PAC ID: 3274665997 Enrollment ID: I20100715000868 |
| Provider Name | Laura E Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588862841 PECOS PAC ID: 6204969363 Enrollment ID: I20100727000537 |
| Provider Name | Lyudmyla Mykolaivna Trpkosh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104080241 PECOS PAC ID: 2365575446 Enrollment ID: I20100727000880 |
| Provider Name | Jeannette Lucille Welty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962581603 PECOS PAC ID: 6507875630 Enrollment ID: I20100806000653 |
| Provider Name | Sara M Echelmeyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346220746 PECOS PAC ID: 2961432273 Enrollment ID: I20100810000324 |
| Provider Name | Van T Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417064726 PECOS PAC ID: 4082748751 Enrollment ID: I20100817000560 |
| Provider Name | Preethi Yerram |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811008501 PECOS PAC ID: 4789718453 Enrollment ID: I20100817000603 |
| Provider Name | Detlef G Ritter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447207667 PECOS PAC ID: 3870627441 Enrollment ID: I20100818000361 |
| Provider Name | Timothy Craig Galbraith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861597304 PECOS PAC ID: 4789660242 Enrollment ID: I20100818001226 |
| Provider Name | Korshie S Dumor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154640811 PECOS PAC ID: 8022132117 Enrollment ID: I20100826000114 |
| Provider Name | James A. Roller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740267830 PECOS PAC ID: 0446374482 Enrollment ID: I20100827000889 |
| Provider Name | Vernita D Hairston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972589570 PECOS PAC ID: 5092839910 Enrollment ID: I20100830000884 |
| Provider Name | Ravi Nistala |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558464776 PECOS PAC ID: 5890819452 Enrollment ID: I20100902001057 |
| Provider Name | Dwight A Towler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013933241 PECOS PAC ID: 5890810204 Enrollment ID: I20100908000907 |
| Provider Name | James D Acton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225119449 PECOS PAC ID: 6507942406 Enrollment ID: I20100909001025 |
| Provider Name | Michael R Chicoine |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346268984 PECOS PAC ID: 3678698644 Enrollment ID: I20100914000828 |
| Provider Name | Zebulon Edward Thomeczek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033420724 PECOS PAC ID: 2769507748 Enrollment ID: I20100914000985 |
| Provider Name | David Andrew Volgas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265484901 PECOS PAC ID: 9436187531 Enrollment ID: I20100916001278 |
| Provider Name | Jason G Grant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790091635 PECOS PAC ID: 1153447560 Enrollment ID: I20100922001260 |
| Provider Name | Jeremy B Skinner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316969538 PECOS PAC ID: 1658497649 Enrollment ID: I20100928000217 |
| Provider Name | David G Lancaster |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114136686 PECOS PAC ID: 8729270913 Enrollment ID: I20101006000545 |
| Provider Name | Christopher S Nelson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477653095 PECOS PAC ID: 8527250646 Enrollment ID: I20101007001128 |
| Provider Name | Mary E Hartman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932295177 PECOS PAC ID: 4789686916 Enrollment ID: I20101011000740 |
| Provider Name | Hyun-min Mike Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639491483 PECOS PAC ID: 2062605553 Enrollment ID: I20101015000918 |
| Provider Name | Camila Margarita Manrique Acevedo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245341544 PECOS PAC ID: 3779776018 Enrollment ID: I20101019001586 |
| Provider Name | Guido Lastra Gonzalez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558454017 PECOS PAC ID: 1557554896 Enrollment ID: I20101019001637 |
| Provider Name | Stanley R. Horner |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1578576864 PECOS PAC ID: 8527251776 Enrollment ID: I20101020000143 |
| Provider Name | Christine Lynn Gardner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609182211 PECOS PAC ID: 2961695838 Enrollment ID: I20101023000194 |
| Provider Name | Marion William Manion |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376506147 PECOS PAC ID: 4688683782 Enrollment ID: I20101023000208 |
| Provider Name | Bobby D Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922316504 PECOS PAC ID: 3779777263 Enrollment ID: I20101028000873 |
| Provider Name | John L Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689984783 PECOS PAC ID: 8921292442 Enrollment ID: I20101028001178 |
| Provider Name | Jennifer Michele Patrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831182427 PECOS PAC ID: 0941495675 Enrollment ID: I20101108001166 |
| Provider Name | William Andrew Parker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790946333 PECOS PAC ID: 8123214251 Enrollment ID: I20101201000206 |
| Provider Name | Sarah Beth Younger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568564607 PECOS PAC ID: 4082801642 Enrollment ID: I20101208000407 |
| Provider Name | Mark A Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932180940 PECOS PAC ID: 7719967785 Enrollment ID: I20101220000404 |
| Provider Name | Nicholas S Havens |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952403016 PECOS PAC ID: 8123216785 Enrollment ID: I20101223000117 |
| Provider Name | Yordanos Yohannes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144304254 PECOS PAC ID: 6103853304 Enrollment ID: I20110103000522 |
| Provider Name | Susan Diane Jenkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154434686 PECOS PAC ID: 8224034483 Enrollment ID: I20110120001216 |
| Provider Name | Radwan Faris Issa Khozouz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225221021 PECOS PAC ID: 0345421814 Enrollment ID: I20110217000264 |
| Provider Name | Lisa Michelle Gard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720275373 PECOS PAC ID: 2860483997 Enrollment ID: I20110222001000 |
| Provider Name | Brandi N Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144527490 PECOS PAC ID: 3870775638 Enrollment ID: I20110315000939 |
| Provider Name | Lucas R Buffaloe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205064672 PECOS PAC ID: 7113100371 Enrollment ID: I20110324000917 |
| Provider Name | Rebecca P Mckeon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962724757 PECOS PAC ID: 9638293277 Enrollment ID: I20110409000057 |
| Provider Name | Michael R Fann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235433319 PECOS PAC ID: 4688859515 Enrollment ID: I20110419000774 |
| Provider Name | Paul Vernon Dimond |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295032951 PECOS PAC ID: 4688850068 Enrollment ID: I20110519000472 |
| Provider Name | Chamelle Jan March |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508061359 PECOS PAC ID: 9335327543 Enrollment ID: I20110616000651 |
| Provider Name | Betsy L Borsheski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023223088 PECOS PAC ID: 4284794900 Enrollment ID: I20110630000060 |
| Provider Name | Adam C Patterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912013582 PECOS PAC ID: 2365620945 Enrollment ID: I20110630000102 |
| Provider Name | Sarah E Hyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871897405 PECOS PAC ID: 0345428603 Enrollment ID: I20110711000302 |
| Provider Name | Jason A Dundulis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548421183 PECOS PAC ID: 1456529759 Enrollment ID: I20110712000201 |
| Provider Name | Lori Ann Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588963177 PECOS PAC ID: 9133397391 Enrollment ID: I20110714000536 |
| Provider Name | Emily Denise Fondahn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609038074 PECOS PAC ID: 7618145798 Enrollment ID: I20110714000859 |
| Provider Name | Sara Bess Enochs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821389313 PECOS PAC ID: 5294903316 Enrollment ID: I20110715000417 |
| Provider Name | Lindsey Leigh Saint |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386871069 PECOS PAC ID: 1456529437 Enrollment ID: I20110718000538 |
| Provider Name | Casey Drew Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215199377 PECOS PAC ID: 5698943322 Enrollment ID: I20110722000337 |
| Provider Name | John Chao-chun Lin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629042379 PECOS PAC ID: 8325216971 Enrollment ID: I20110726000361 |
| Provider Name | Christa Ann Avenell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174845333 PECOS PAC ID: 6507995768 Enrollment ID: I20110727000124 |
| Provider Name | Naveen Pokala |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174780852 PECOS PAC ID: 8628246121 Enrollment ID: I20110728000465 |
| Provider Name | Crystal L Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285897827 PECOS PAC ID: 5092984138 Enrollment ID: I20110808000318 |
| Provider Name | Kyle C Fiala |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013246701 PECOS PAC ID: 5799954764 Enrollment ID: I20110808000742 |
| Provider Name | Margaret Ann Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619139979 PECOS PAC ID: 0143499913 Enrollment ID: I20110811000715 |
| Provider Name | Michael Whitcomb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972894269 PECOS PAC ID: 2961671748 Enrollment ID: I20110811000828 |
| Provider Name | Nathan P Hesemann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700082542 PECOS PAC ID: 4981873585 Enrollment ID: I20110817000187 |
| Provider Name | Aaron D Gray |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1629276043 PECOS PAC ID: 0547430019 Enrollment ID: I20110819000570 |
| Provider Name | Robert R Borsheski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619963527 PECOS PAC ID: 7618147984 Enrollment ID: I20110823000852 |
| Provider Name | Geetha Kancherla Rao Davis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265638001 PECOS PAC ID: 2668642380 Enrollment ID: I20110907000770 |
| Provider Name | Benjamin J Summerhays |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598087413 PECOS PAC ID: 3375714512 Enrollment ID: I20110920000912 |
| Provider Name | Frederick T Odonnell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023212511 PECOS PAC ID: 2466623483 Enrollment ID: I20110923000498 |
| Provider Name | Allison F Bax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811287642 PECOS PAC ID: 5698947133 Enrollment ID: I20111005000845 |
| Provider Name | Sandeep Gautam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568416014 PECOS PAC ID: 4082637145 Enrollment ID: I20111007000445 |
| Provider Name | Heidi Hinshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346532546 PECOS PAC ID: 7719159797 Enrollment ID: I20111018000037 |
| Provider Name | Heather Mcbee Johns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639287915 PECOS PAC ID: 4880867548 Enrollment ID: I20111026000075 |
| Provider Name | Todd Vogel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235215054 PECOS PAC ID: 8426080979 Enrollment ID: I20111214000648 |
| Provider Name | Tara L Kempker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740565779 PECOS PAC ID: 6608041983 Enrollment ID: I20111215000209 |
| Provider Name | Mark C Gelatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073570685 PECOS PAC ID: 6507031630 Enrollment ID: I20111219000459 |
| Provider Name | Brett A Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477715720 PECOS PAC ID: 3779750799 Enrollment ID: I20120116000039 |
| Provider Name | Kevin Clary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821280769 PECOS PAC ID: 0446317150 Enrollment ID: I20120125000281 |
| Provider Name | Rachel Lynne Lenon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205114089 PECOS PAC ID: 8628235405 Enrollment ID: I20120206000885 |
| Provider Name | Alison Rose Burco |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942587050 PECOS PAC ID: 3971762279 Enrollment ID: I20120306000544 |
| Provider Name | Megan Clary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356550438 PECOS PAC ID: 4880766971 Enrollment ID: I20120316000621 |
| Provider Name | Krista Deann Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326024548 PECOS PAC ID: 9638339302 Enrollment ID: I20120404000808 |
| Provider Name | Tiffany T Tidwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255603932 PECOS PAC ID: 4981865755 Enrollment ID: I20120423000479 |
| Provider Name | Catherine J Ashbaugh |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053345736 PECOS PAC ID: 2961664594 Enrollment ID: I20120427000232 |
| Provider Name | Kenneth R Velleman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528178498 PECOS PAC ID: 1557401122 Enrollment ID: I20120514000202 |
| Provider Name | Kevin Nance Bartow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306043799 PECOS PAC ID: 0941464895 Enrollment ID: I20120606000113 |
| Provider Name | Nicolette Wise |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104084888 PECOS PAC ID: 5092970954 Enrollment ID: I20120628000072 |
| Provider Name | Hemant Godara |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417184029 PECOS PAC ID: 3779748223 Enrollment ID: I20120706000407 |
| Provider Name | Kristina Marie Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275892861 PECOS PAC ID: 5991951063 Enrollment ID: I20120804000113 |
| Provider Name | Fadi Mohammed Thaer Bdair |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356383889 PECOS PAC ID: 1759308950 Enrollment ID: I20120816000647 |
| Provider Name | Mark D Travis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760455281 PECOS PAC ID: 8729138185 Enrollment ID: I20120820000309 |
| Provider Name | Amy Sue Braddock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235366915 PECOS PAC ID: 7517114655 Enrollment ID: I20120824000646 |
| Provider Name | Mark Drymalski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720180953 PECOS PAC ID: 0547355505 Enrollment ID: I20120824000666 |
| Provider Name | Susan Voss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023073145 PECOS PAC ID: 7416104567 Enrollment ID: I20120824000777 |
| Provider Name | Amy D Shatto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699038166 PECOS PAC ID: 3072760024 Enrollment ID: I20120827000022 |
| Provider Name | Nicole Andrea Pele |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972765956 PECOS PAC ID: 4082861844 Enrollment ID: I20120829000743 |
| Provider Name | Andrew A Wheeler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427142769 PECOS PAC ID: 7618124306 Enrollment ID: I20120831000475 |
| Provider Name | Abby Catherine Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619265196 PECOS PAC ID: 9830347236 Enrollment ID: I20120910000355 |
| Provider Name | Kevin G Frazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740418284 PECOS PAC ID: 6901054865 Enrollment ID: I20120918000588 |
| Provider Name | Kari L Martin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083811335 PECOS PAC ID: 7012195845 Enrollment ID: I20120924000204 |
| Provider Name | Meghan S Vaughan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023375490 PECOS PAC ID: 1153570536 Enrollment ID: I20120928000046 |
| Provider Name | George T Koburov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205995008 PECOS PAC ID: 7214117209 Enrollment ID: I20121002000083 |
| Provider Name | Eric John Johannesen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821281833 PECOS PAC ID: 2668633009 Enrollment ID: I20121004000772 |
| Provider Name | Kristen Lynn Heins Fernandez |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316119787 PECOS PAC ID: 4183874431 Enrollment ID: I20121022000563 |
| Provider Name | Pauline Burrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326267659 PECOS PAC ID: 3173773447 Enrollment ID: I20121022000689 |
| Provider Name | Amruta Narendra Padhye |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497984496 PECOS PAC ID: 9537310362 Enrollment ID: I20121103000051 |
| Provider Name | Stuart Howard Friess |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437184819 PECOS PAC ID: 9537262183 Enrollment ID: I20121103000093 |
| Provider Name | Nabila I Khaleel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619106507 PECOS PAC ID: 5496906232 Enrollment ID: I20121103000134 |
| Provider Name | Kraig Jason Lage |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972793842 PECOS PAC ID: 2365693116 Enrollment ID: I20121105000133 |
| Provider Name | Austyn Patrice Belle Isle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417210949 PECOS PAC ID: 6204087067 Enrollment ID: I20121105000233 |
| Provider Name | Melissa Renee Koga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922356294 PECOS PAC ID: 1759532385 Enrollment ID: I20121108000100 |
| Provider Name | Lester J Layfield |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033209648 PECOS PAC ID: 5496706855 Enrollment ID: I20121110000171 |
| Provider Name | Ryan M Davis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1548366610 PECOS PAC ID: 6800047341 Enrollment ID: I20121110000184 |
| Provider Name | John Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972850964 PECOS PAC ID: 7416108386 Enrollment ID: I20121127000502 |
| Provider Name | Rafael Marroquin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740419431 PECOS PAC ID: 3476704354 Enrollment ID: I20121127000681 |
| Provider Name | Laura Lisa Billings |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1174879464 PECOS PAC ID: 1557514700 Enrollment ID: I20130121000172 |
| Provider Name | Sumit Kumar Gupta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225382302 PECOS PAC ID: 8729233812 Enrollment ID: I20130220000421 |
| Provider Name | Salman Ahmad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083638225 PECOS PAC ID: 0143226720 Enrollment ID: I20130328000077 |
| Provider Name | Cynthia A Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639432057 PECOS PAC ID: 2466698774 Enrollment ID: I20130411000052 |
| Provider Name | Hoanh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1982649133 PECOS PAC ID: 5092714196 Enrollment ID: I20130417000230 |
| Provider Name | Paul M Angleton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043242001 PECOS PAC ID: 2264436823 Enrollment ID: I20130423000252 |
| Provider Name | Richard D Hammer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750342218 PECOS PAC ID: 7214066398 Enrollment ID: I20130708000217 |
| Provider Name | Muskinni Olanrewaju Salau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215167895 PECOS PAC ID: 9931349396 Enrollment ID: I20130708000314 |
| Provider Name | Walter C Coats |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316122245 PECOS PAC ID: 0941440911 Enrollment ID: I20130716000286 |
| Provider Name | Andrea J Evenski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679773089 PECOS PAC ID: 4183779713 Enrollment ID: I20130719000230 |
| Provider Name | Nicholas James Shields |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710323191 PECOS PAC ID: 9537301585 Enrollment ID: I20130805000365 |
| Provider Name | Tara Macseene Grgurich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619313459 PECOS PAC ID: 6608018296 Enrollment ID: I20130812000076 |
| Provider Name | Turi Ann Mcnamee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609840305 PECOS PAC ID: 0840287231 Enrollment ID: I20130820000536 |
| Provider Name | Jonathan M Collins |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659473510 PECOS PAC ID: 0547403503 Enrollment ID: I20130823000930 |
| Provider Name | Dennis Baskaran Chairman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043486764 PECOS PAC ID: 4183867153 Enrollment ID: I20130823001070 |
| Provider Name | Christian Andres Rojas Moreno |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245492396 PECOS PAC ID: 1951544824 Enrollment ID: I20130823001139 |
| Provider Name | Kunal Malhotra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720236904 PECOS PAC ID: 2860635786 Enrollment ID: I20130826000239 |
| Provider Name | Renee N Manley-markowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669790796 PECOS PAC ID: 6709029507 Enrollment ID: I20130827000157 |
| Provider Name | Julia R Crim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578650529 PECOS PAC ID: 9830090240 Enrollment ID: I20130830000569 |
| Provider Name | Bruce E Harry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982651063 PECOS PAC ID: 3870760887 Enrollment ID: I20130830000810 |
| Provider Name | Tiffany M Bohon |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366679037 PECOS PAC ID: 6800039173 Enrollment ID: I20130905000767 |
| Provider Name | Amanda M Tucker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093058224 PECOS PAC ID: 2264676196 Enrollment ID: I20130916000665 |
| Provider Name | Syed H Naqvi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386841047 PECOS PAC ID: 9436259009 Enrollment ID: I20130919000599 |
| Provider Name | Kevin L Ingalls |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770748543 PECOS PAC ID: 9436393972 Enrollment ID: I20130923000647 |
| Provider Name | Abbie C Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740413418 PECOS PAC ID: 8729222088 Enrollment ID: I20130926000638 |
| Provider Name | David Cole Sorley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841343365 PECOS PAC ID: 5496891764 Enrollment ID: I20130930000286 |
| Provider Name | Janette Dianne Mcvey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487881405 PECOS PAC ID: 0446484661 Enrollment ID: I20131001000499 |
| Provider Name | Joshua M Britton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336489806 PECOS PAC ID: 3971737800 Enrollment ID: I20131009000588 |
| Provider Name | Kerri Lynn Rohr-stephens |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1578907077 PECOS PAC ID: 6800020421 Enrollment ID: I20131014000749 |
| Provider Name | Shen Ying Ma |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1427265529 PECOS PAC ID: 1951536093 Enrollment ID: I20131028000793 |
| Provider Name | Albert K Chan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669598629 PECOS PAC ID: 0143476036 Enrollment ID: I20131030000265 |
| Provider Name | Kara Marie Braudis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164620670 PECOS PAC ID: 3274760509 Enrollment ID: I20131212001102 |
| Provider Name | Timothy John Koboldt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255642484 PECOS PAC ID: 2466689666 Enrollment ID: I20131213001663 |
| Provider Name | Terri C Garton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518391291 PECOS PAC ID: 6709013709 Enrollment ID: I20131219001147 |
| Provider Name | Amy R Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811338767 PECOS PAC ID: 7719115641 Enrollment ID: I20140122000872 |
| Provider Name | Brian P Bostick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790097541 PECOS PAC ID: 0648404897 Enrollment ID: I20140122001868 |
| Provider Name | Erin M Gubbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962823443 PECOS PAC ID: 3274764113 Enrollment ID: I20140318001684 |
| Provider Name | Constance Moore Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750470506 PECOS PAC ID: 9032340344 Enrollment ID: I20140331001631 |
| Provider Name | Harathi Bandaru |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629229935 PECOS PAC ID: 7315113008 Enrollment ID: I20140409002082 |
| Provider Name | James Derek Stensby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942461074 PECOS PAC ID: 5193989689 Enrollment ID: I20140421000900 |
| Provider Name | Cristina Ileana Danila |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912257379 PECOS PAC ID: 9638392970 Enrollment ID: I20140514000903 |
| Provider Name | Angelee Mchelle Geisler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538587241 PECOS PAC ID: 2769605393 Enrollment ID: I20140528001845 |
| Provider Name | Alda Magda Del Porto-dahms |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760808182 PECOS PAC ID: 5092938688 Enrollment ID: I20140529001478 |
| Provider Name | Melinda L Cherrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801156633 PECOS PAC ID: 7214151539 Enrollment ID: I20140606000969 |
| Provider Name | Frederick W Fraunfelder |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962453241 PECOS PAC ID: 0749315778 Enrollment ID: I20140612002245 |
| Provider Name | Chrissa Lea Mcclellan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497067250 PECOS PAC ID: 1658505342 Enrollment ID: I20140703000151 |
| Provider Name | Muhammad W Salam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689802381 PECOS PAC ID: 3072748573 Enrollment ID: I20140703000844 |
| Provider Name | Hassan Farra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346688652 PECOS PAC ID: 7416181599 Enrollment ID: I20140703000985 |
| Provider Name | Dean B Lasseter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336182336 PECOS PAC ID: 5799883872 Enrollment ID: I20140707000448 |
| Provider Name | Jason Michael Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710117577 PECOS PAC ID: 9032334990 Enrollment ID: I20140709000529 |
| Provider Name | Ravi Shankar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306070115 PECOS PAC ID: 9537385810 Enrollment ID: I20140722001745 |
| Provider Name | Clayton J Butcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144531435 PECOS PAC ID: 8325272677 Enrollment ID: I20140802000036 |
| Provider Name | Kevin Andrew Lease |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083909055 PECOS PAC ID: 2163650953 Enrollment ID: I20140805002189 |
| Provider Name | George Jesus Ubinas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043508153 PECOS PAC ID: 7416182399 Enrollment ID: I20140807000987 |
| Provider Name | Manav Nayyar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164678116 PECOS PAC ID: 7416134770 Enrollment ID: I20140813001135 |
| Provider Name | Clayton W Nuelle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811125859 PECOS PAC ID: 3072757459 Enrollment ID: I20140815000327 |
| Provider Name | Amanda K Shipp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508152992 PECOS PAC ID: 3577707116 Enrollment ID: I20140819000107 |
| Provider Name | Phillip Paul Rohde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972811933 PECOS PAC ID: 6002034790 Enrollment ID: I20140821000721 |
| Provider Name | Benjamin H Crenshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477580967 PECOS PAC ID: 2365459559 Enrollment ID: I20140821001074 |
| Provider Name | Cassidy L Leonard-scott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255628335 PECOS PAC ID: 9537393889 Enrollment ID: I20140827001330 |
| Provider Name | Kelli Yvette Shaon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255345500 PECOS PAC ID: 6002035797 Enrollment ID: I20140911000043 |
| Provider Name | Ragini Kapoor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255629192 PECOS PAC ID: 3870728272 Enrollment ID: I20140911000944 |
| Provider Name | Elizabeth Ashiokor Malm-buatsi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114039674 PECOS PAC ID: 1355560079 Enrollment ID: I20140911001271 |
| Provider Name | Laura Elizabeth Henderson Kelley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023073236 PECOS PAC ID: 3375588114 Enrollment ID: I20140911001433 |
| Provider Name | Erica H Salinas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396914321 PECOS PAC ID: 7214161116 Enrollment ID: I20140911001889 |
| Provider Name | Poorna Rajasekhar Karuparthi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225235286 PECOS PAC ID: 2860611100 Enrollment ID: I20140918000194 |
| Provider Name | Nicole C Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063640779 PECOS PAC ID: 3173767555 Enrollment ID: I20140923001375 |
| Provider Name | Morgan Nicole Goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558770230 PECOS PAC ID: 4587884465 Enrollment ID: I20140926001017 |
| Provider Name | Luisa Fernanda Waitman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881675593 PECOS PAC ID: 4688633746 Enrollment ID: I20141001001156 |
| Provider Name | Catherine Messick Jones |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1427044973 PECOS PAC ID: 0042110868 Enrollment ID: I20141007001241 |
| Provider Name | Delali K Buatsi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275778649 PECOS PAC ID: 4082872346 Enrollment ID: I20141008000790 |
| Provider Name | Karen L Florio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932405776 PECOS PAC ID: 9032397278 Enrollment ID: I20141021002542 |
| Provider Name | Wesley Clifford Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053714154 PECOS PAC ID: 9931320306 Enrollment ID: I20141028002156 |
| Provider Name | Tiffany Suzette Meller |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1104225846 PECOS PAC ID: 7911129713 Enrollment ID: I20141111001897 |
| Provider Name | Christin Jennifer Stoner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366855363 PECOS PAC ID: 1153543772 Enrollment ID: I20141117000419 |
| Provider Name | Mayank K Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003044702 PECOS PAC ID: 1153643390 Enrollment ID: I20141125001826 |
| Provider Name | Arnaldo L Rivera Perez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962482232 PECOS PAC ID: 9638396880 Enrollment ID: I20141205001835 |
| Provider Name | Paul J Imperato |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295787760 PECOS PAC ID: 5991748972 Enrollment ID: I20141209002486 |
| Provider Name | Boris Mraovic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184640484 PECOS PAC ID: 0143245324 Enrollment ID: I20141212000451 |
| Provider Name | Samina Hijab |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245496561 PECOS PAC ID: 3173546553 Enrollment ID: I20141215002305 |
| Provider Name | Tiona J Langton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295993962 PECOS PAC ID: 7416112040 Enrollment ID: I20141216000110 |
| Provider Name | Abby Marie Brunnert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679989800 PECOS PAC ID: 0446573232 Enrollment ID: I20141231001682 |
| Provider Name | Andrea T Roe |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740361484 PECOS PAC ID: 7315945144 Enrollment ID: I20150108001061 |
| Provider Name | Dorothy Anne Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609277615 PECOS PAC ID: 6608190871 Enrollment ID: I20150116000274 |
| Provider Name | Ashley Suzanne Millham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306132808 PECOS PAC ID: 1052555653 Enrollment ID: I20150213001116 |
| Provider Name | Rodney K Pratt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225436678 PECOS PAC ID: 0345565321 Enrollment ID: I20150216000463 |
| Provider Name | Tassi M Womack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285022848 PECOS PAC ID: 8426373200 Enrollment ID: I20150219001760 |
| Provider Name | Imran Ashraf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659683498 PECOS PAC ID: 0648414169 Enrollment ID: I20150403000201 |
| Provider Name | Aliessa Phipps Barnes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780880443 PECOS PAC ID: 8426149618 Enrollment ID: I20150406001428 |
| Provider Name | Dana Lalk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861885634 PECOS PAC ID: 1254650062 Enrollment ID: I20150429000880 |
| Provider Name | Ashley K Struemph |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740671676 PECOS PAC ID: 6406175769 Enrollment ID: I20150507002339 |
| Provider Name | Clinton L Harris |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1417940321 PECOS PAC ID: 4486695129 Enrollment ID: I20150508001859 |
| Provider Name | Blythe Erin Harris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801833959 PECOS PAC ID: 7618079575 Enrollment ID: I20150519001919 |
| Provider Name | Mark A Beresh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760409403 PECOS PAC ID: 1456245067 Enrollment ID: I20150605000205 |
| Provider Name | Jeremey Laflamme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003208877 PECOS PAC ID: 3870814452 Enrollment ID: I20150608002230 |
| Provider Name | Kristen L Richter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952792731 PECOS PAC ID: 3173844495 Enrollment ID: I20150611000930 |
| Provider Name | Laura Ellen Hesemann |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790972586 PECOS PAC ID: 0547571598 Enrollment ID: I20150618000393 |
| Provider Name | Jade Alexandria Holman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558750364 PECOS PAC ID: 4688986276 Enrollment ID: I20150710000913 |
| Provider Name | Arpit Aggarwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326351586 PECOS PAC ID: 9830324565 Enrollment ID: I20150710001492 |
| Provider Name | Premkumar Nattanmai Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063642650 PECOS PAC ID: 5395057871 Enrollment ID: I20150713000930 |
| Provider Name | Deanna Mantle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194117671 PECOS PAC ID: 8729391214 Enrollment ID: I20150713001563 |
| Provider Name | Andrew J Gerhardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417341165 PECOS PAC ID: 4880907237 Enrollment ID: I20150715000477 |
| Provider Name | Sharmila Suri Mohanram |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053690669 PECOS PAC ID: 4688818487 Enrollment ID: I20150716002204 |
| Provider Name | Jeanise Marie Butterfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447562517 PECOS PAC ID: 2163663527 Enrollment ID: I20150717000382 |
| Provider Name | Benjamin Thomas Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427286897 PECOS PAC ID: 4587977400 Enrollment ID: I20150722003637 |
| Provider Name | Jeffrey T Carroll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710364641 PECOS PAC ID: 2264745066 Enrollment ID: I20150723006742 |
| Provider Name | Ahmed Sm Said |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043522923 PECOS PAC ID: 9537472139 Enrollment ID: I20150724010306 |
| Provider Name | Zachary M Holliday |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306108790 PECOS PAC ID: 1153555263 Enrollment ID: I20150728003288 |
| Provider Name | Amber S Ratliff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649408261 PECOS PAC ID: 4284948613 Enrollment ID: I20150729009890 |
| Provider Name | Ammar Taha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992032577 PECOS PAC ID: 1850538968 Enrollment ID: I20150731014411 |
| Provider Name | Ani Nathalang-pinon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174838759 PECOS PAC ID: 7214241231 Enrollment ID: I20150805006771 |
| Provider Name | Lori Sue Anderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811327315 PECOS PAC ID: 2062726870 Enrollment ID: I20150806010295 |
| Provider Name | Natalie Abert Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942562897 PECOS PAC ID: 0840434403 Enrollment ID: I20150806010421 |
| Provider Name | Allison Nicole Kolker Cupp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952662769 PECOS PAC ID: 8426292830 Enrollment ID: I20150806010980 |
| Provider Name | Emily G Goeller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144516931 PECOS PAC ID: 8628202108 Enrollment ID: I20150811003825 |
| Provider Name | Ryan J Pomajzl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508889577 PECOS PAC ID: 1355384124 Enrollment ID: I20150811004249 |
| Provider Name | Shady Nashaat Adib Keleh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1669737227 PECOS PAC ID: 3779898457 Enrollment ID: I20150811004281 |
| Provider Name | Carisa K Petris |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962630673 PECOS PAC ID: 2961645395 Enrollment ID: I20150811004446 |
| Provider Name | Jaime M Sutton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346642642 PECOS PAC ID: 1254553001 Enrollment ID: I20150811004519 |
| Provider Name | Morgan Schiermeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841552700 PECOS PAC ID: 9931343548 Enrollment ID: I20150811004704 |
| Provider Name | Blair E Lansford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013397132 PECOS PAC ID: 9032424437 Enrollment ID: I20150813011797 |
| Provider Name | Laura M Dooley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336304336 PECOS PAC ID: 2769648492 Enrollment ID: I20150817000216 |
| Provider Name | Jamie Brianne Luetkemeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386906899 PECOS PAC ID: 6901040500 Enrollment ID: I20150818004744 |
| Provider Name | Craig Luetkemeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013279967 PECOS PAC ID: 5597909101 Enrollment ID: I20150818005630 |
| Provider Name | Kasey C Cornell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790047082 PECOS PAC ID: 9133353881 Enrollment ID: I20150820009924 |
| Provider Name | Melissa V Terry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144264326 PECOS PAC ID: 8022290444 Enrollment ID: I20150825004833 |
| Provider Name | Lasette Denise Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598143521 PECOS PAC ID: 1557677200 Enrollment ID: I20150826001907 |
| Provider Name | Seth C Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083975890 PECOS PAC ID: 4789819186 Enrollment ID: I20150831001659 |
| Provider Name | Michael D Mohrland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336390178 PECOS PAC ID: 0840350278 Enrollment ID: I20150909001106 |
| Provider Name | Eric S English |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124409263 PECOS PAC ID: 0345557054 Enrollment ID: I20150914000473 |
| Provider Name | Ashley Lepage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790177236 PECOS PAC ID: 2668789140 Enrollment ID: I20150916000571 |
| Provider Name | Katy Farber Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922360882 PECOS PAC ID: 2769626308 Enrollment ID: I20150917002176 |
| Provider Name | Mauricio Kfuri |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1184091118 PECOS PAC ID: 3577870765 Enrollment ID: I20150921002460 |
| Provider Name | Diana Busjra Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487033114 PECOS PAC ID: 1759690894 Enrollment ID: I20151012001962 |
| Provider Name | Richard M Delano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043692973 PECOS PAC ID: 7315256328 Enrollment ID: I20151014000615 |
| Provider Name | Anne Elizabeth Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194191478 PECOS PAC ID: 2769791318 Enrollment ID: I20151021001630 |
| Provider Name | Ashley Sandbothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689083511 PECOS PAC ID: 2961711411 Enrollment ID: I20151022002569 |
| Provider Name | Shelby Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508232166 PECOS PAC ID: 6204145402 Enrollment ID: I20151028001773 |
| Provider Name | Keven Odell Cutler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790785004 PECOS PAC ID: 0244123701 Enrollment ID: I20151104000175 |
| Provider Name | Raul Antonio Castillo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770589699 PECOS PAC ID: 4183618622 Enrollment ID: I20151104000305 |
| Provider Name | Komal Hargovind Ashraf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457580490 PECOS PAC ID: 7719121839 Enrollment ID: I20151109000065 |
| Provider Name | Amy Michelle Scheer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043696271 PECOS PAC ID: 1456661032 Enrollment ID: I20151111000883 |
| Provider Name | Jessica Dawn Gerbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770969982 PECOS PAC ID: 2062722937 Enrollment ID: I20151117000247 |
| Provider Name | William Carpenter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164787594 PECOS PAC ID: 9032345400 Enrollment ID: I20151211000481 |
| Provider Name | Ayman Gaballah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477870087 PECOS PAC ID: 4385839539 Enrollment ID: I20151217000461 |
| Provider Name | Jessica L Hegstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386010510 PECOS PAC ID: 2264733187 Enrollment ID: I20151218001612 |
| Provider Name | Christine B Franzese |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932171352 PECOS PAC ID: 6002880168 Enrollment ID: I20160114000907 |
| Provider Name | Rubayat Rahman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073723458 PECOS PAC ID: 5092860221 Enrollment ID: I20160121001771 |
| Provider Name | Amanda Naumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184096711 PECOS PAC ID: 9234432444 Enrollment ID: I20160121002578 |
| Provider Name | Rachel Lorraine Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730553256 PECOS PAC ID: 5597069252 Enrollment ID: I20160201002290 |
| Provider Name | Nathan James Mozingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295711315 PECOS PAC ID: 7719282367 Enrollment ID: I20160219001560 |
| Provider Name | Jussuf Thomas Kaifi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144555723 PECOS PAC ID: 2567502909 Enrollment ID: I20160226001127 |
| Provider Name | Elizabeth Ann Yarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023491099 PECOS PAC ID: 1850697277 Enrollment ID: I20160311000254 |
| Provider Name | Robert David Eden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558473298 PECOS PAC ID: 5991758781 Enrollment ID: I20160331002716 |
| Provider Name | John Starke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114355633 PECOS PAC ID: 6002114436 Enrollment ID: I20160418001938 |
| Provider Name | Charolette Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528421799 PECOS PAC ID: 3971802034 Enrollment ID: I20160425001621 |
| Provider Name | Katherine A Cavender |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184081168 PECOS PAC ID: 6901105782 Enrollment ID: I20160428001744 |
| Provider Name | Maryam D Sammet |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598076085 PECOS PAC ID: 0143449926 Enrollment ID: I20160506000047 |
| Provider Name | Laura Elizabeth Besgrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073976957 PECOS PAC ID: 0446549463 Enrollment ID: I20160516000391 |
| Provider Name | Jeff S Johanningmeier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356700611 PECOS PAC ID: 8921398942 Enrollment ID: I20160603000985 |
| Provider Name | Talissa Ann Altes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598715351 PECOS PAC ID: 9436058005 Enrollment ID: I20160603001053 |
| Provider Name | Taia Diane Delano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396129904 PECOS PAC ID: 2961792833 Enrollment ID: I20160606000723 |
| Provider Name | Logan Anthony Frank |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356655104 PECOS PAC ID: 1557595204 Enrollment ID: I20160607002199 |
| Provider Name | Michael S Shoemaker Moyle |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376563510 PECOS PAC ID: 9739277567 Enrollment ID: I20160712000166 |
| Provider Name | Daniel R Woolery |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740620251 PECOS PAC ID: 9739316753 Enrollment ID: I20160713000348 |
| Provider Name | Tabitha Lynn Ireland Galloway |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740591916 PECOS PAC ID: 9234365602 Enrollment ID: I20160801000679 |
| Provider Name | Kyle Michael Schweser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912293952 PECOS PAC ID: 1456653260 Enrollment ID: I20160802000658 |
| Provider Name | Amber Nicole Cichon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104274844 PECOS PAC ID: 5991099582 Enrollment ID: I20160804000619 |
| Provider Name | Mohammed Mustafa Alnijoumi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699938449 PECOS PAC ID: 2466621222 Enrollment ID: I20160804001459 |
| Provider Name | Lauren P Cook |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275829764 PECOS PAC ID: 6608010004 Enrollment ID: I20160808001061 |
| Provider Name | Jay R Malone |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093940751 PECOS PAC ID: 8426204041 Enrollment ID: I20160808002420 |
| Provider Name | Angelique Irene Carroll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104273317 PECOS PAC ID: 7416241740 Enrollment ID: I20160810000667 |
| Provider Name | Khalid I Waliullah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275829723 PECOS PAC ID: 6406090786 Enrollment ID: I20160818001299 |
| Provider Name | Alexandra Frances James |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649610833 PECOS PAC ID: 4385878032 Enrollment ID: I20160822000510 |
| Provider Name | Alicia Kathryn Ludden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144669730 PECOS PAC ID: 2769626498 Enrollment ID: I20160901002645 |
| Provider Name | Ahmed Mohamed Elkeeb |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568648699 PECOS PAC ID: 9931275450 Enrollment ID: I20160902000196 |
| Provider Name | Sheila Marie Struckmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003360850 PECOS PAC ID: 7810284874 Enrollment ID: I20160920001241 |
| Provider Name | Jeffrey Mark Stein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952583809 PECOS PAC ID: 8921030453 Enrollment ID: I20161006001473 |
| Provider Name | Catherine D Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568737658 PECOS PAC ID: 3476841719 Enrollment ID: I20161019001366 |
| Provider Name | Jennifer Lynn Hanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518412329 PECOS PAC ID: 7618255324 Enrollment ID: I20161101001464 |
| Provider Name | Kassie Thoenen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619427945 PECOS PAC ID: 8325327752 Enrollment ID: I20161108000615 |
| Provider Name | Andrew Robert Pelikan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114331600 PECOS PAC ID: 4688898190 Enrollment ID: I20161111000551 |
| Provider Name | Ashley Marie Hardesty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700338159 PECOS PAC ID: 2062793276 Enrollment ID: I20161230001363 |
| Provider Name | Regina A Clemens |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366676801 PECOS PAC ID: 8426361031 Enrollment ID: I20170116000003 |
| Provider Name | Andrea Theresa Kuensting |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1558811760 PECOS PAC ID: 8921380544 Enrollment ID: I20170116000250 |
| Provider Name | Bhupinder Romana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710319447 PECOS PAC ID: 2365679388 Enrollment ID: I20170117002236 |
| Provider Name | Carmen Saeler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841371390 PECOS PAC ID: 9830184027 Enrollment ID: I20170124000804 |
| Provider Name | Tina Lynn Kile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407399413 PECOS PAC ID: 7719269539 Enrollment ID: I20170131000326 |
| Provider Name | Charles A Kitley |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891968392 PECOS PAC ID: 7911139092 Enrollment ID: I20170302001682 |
| Provider Name | Sara Ann Landreth |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740722404 PECOS PAC ID: 0143504324 Enrollment ID: I20170307002668 |
| Provider Name | Elaine K Hobein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396296265 PECOS PAC ID: 9537444575 Enrollment ID: I20170314001259 |
| Provider Name | Erin B Gerloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740720358 PECOS PAC ID: 8628353281 Enrollment ID: I20170321002679 |
| Provider Name | Ashley Nicole Edelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447793997 PECOS PAC ID: 5092090134 Enrollment ID: I20170331002083 |
| Provider Name | Jonathan Bath |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811041643 PECOS PAC ID: 8628200656 Enrollment ID: I20170405001023 |
| Provider Name | Scott T Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700997459 PECOS PAC ID: 0042276909 Enrollment ID: I20170508001150 |
| Provider Name | Jae Cheul Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447324009 PECOS PAC ID: 3577594654 Enrollment ID: I20170511000911 |
| Provider Name | Aaron V Sapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649240367 PECOS PAC ID: 3274835863 Enrollment ID: I20170512001448 |
| Provider Name | Cheryl M Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770823205 PECOS PAC ID: 0446558407 Enrollment ID: I20170516000856 |
| Provider Name | Nancy A Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477866168 PECOS PAC ID: 9133428873 Enrollment ID: I20170523002095 |
| Provider Name | Pauline Yuen Ling Kwong Bridgeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215981642 PECOS PAC ID: 5092736561 Enrollment ID: I20170524000575 |
| Provider Name | Shikha Gupta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760884498 PECOS PAC ID: 5799052676 Enrollment ID: I20170524002064 |
| Provider Name | Ambarish Pervaje Bhat |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1316102080 PECOS PAC ID: 1254509946 Enrollment ID: I20170619001372 |
| Provider Name | Soumya Paul Kattikat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073801874 PECOS PAC ID: 4284903352 Enrollment ID: I20170705001206 |
| Provider Name | Haley R Shrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619327111 PECOS PAC ID: 9436428539 Enrollment ID: I20170705002834 |
| Provider Name | Oe Suk Hackney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629512256 PECOS PAC ID: 5597034629 Enrollment ID: I20170706000329 |
| Provider Name | Jared S Coberly |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073876322 PECOS PAC ID: 3870862824 Enrollment ID: I20170706001734 |
| Provider Name | Kenneth J Miller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639375629 PECOS PAC ID: 5799678801 Enrollment ID: I20170706003020 |
| Provider Name | Kamalesh Rajah Karthikeyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598106841 PECOS PAC ID: 9234363359 Enrollment ID: I20170707000489 |
| Provider Name | Andrew B Janowski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578884961 PECOS PAC ID: 8820367832 Enrollment ID: I20170707000685 |
| Provider Name | Erin Elizabeth Finkeldei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477073328 PECOS PAC ID: 0042589905 Enrollment ID: I20170707002962 |
| Provider Name | Veronica Conaway Sievert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609280189 PECOS PAC ID: 2860618436 Enrollment ID: I20170707003095 |
| Provider Name | David P Bates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306387386 PECOS PAC ID: 8224307103 Enrollment ID: I20170710000275 |
| Provider Name | Amr Samy Mohamed Abdelaziz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568718443 PECOS PAC ID: 3779729843 Enrollment ID: I20170712003020 |
| Provider Name | Kimberly Anne Eisenstein |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821356759 PECOS PAC ID: 2062706120 Enrollment ID: I20170713001744 |
| Provider Name | Anjali Patel Anders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619288594 PECOS PAC ID: 3870727951 Enrollment ID: I20170719001136 |
| Provider Name | Jennifer L Adelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780105007 PECOS PAC ID: 3678844107 Enrollment ID: I20170802001168 |
| Provider Name | Christine Leanne Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336553783 PECOS PAC ID: 3870719453 Enrollment ID: I20170802001178 |
| Provider Name | Tushar Tarun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497160386 PECOS PAC ID: 4688890015 Enrollment ID: I20170802001599 |
| Provider Name | Brian Wayne Toedebusch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588929566 PECOS PAC ID: 9638309719 Enrollment ID: I20170814001022 |
| Provider Name | Teresa Marie Backes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700128121 PECOS PAC ID: 6507148988 Enrollment ID: I20170816003848 |
| Provider Name | Ashley Rose Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821510389 PECOS PAC ID: 1557633054 Enrollment ID: I20170817003391 |
| Provider Name | Kayla Christine Strodtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679007454 PECOS PAC ID: 0941572325 Enrollment ID: I20170818002945 |
| Provider Name | Syed A Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144585340 PECOS PAC ID: 5799910196 Enrollment ID: I20170822002002 |
| Provider Name | Mohamad H Yousef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215377890 PECOS PAC ID: 6901030154 Enrollment ID: I20170823001823 |
| Provider Name | Bart Dewayne Kuhns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598280166 PECOS PAC ID: 2961774971 Enrollment ID: I20170824002671 |
| Provider Name | Kara Jo Zahn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912427840 PECOS PAC ID: 5799058988 Enrollment ID: I20170911001569 |
| Provider Name | Ghaith Abdulkarim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295021236 PECOS PAC ID: 8921371121 Enrollment ID: I20170911001815 |
| Provider Name | Emily Laraine Albright |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1407942352 PECOS PAC ID: 2163546516 Enrollment ID: I20170911002024 |
| Provider Name | Anna E Cundiff |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1033558812 PECOS PAC ID: 5991949307 Enrollment ID: I20170911002648 |
| Provider Name | Nicole Tweedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730619073 PECOS PAC ID: 9537432588 Enrollment ID: I20170913002175 |
| Provider Name | Adnan Iqbal Qureshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184658692 PECOS PAC ID: 4789588377 Enrollment ID: I20170920000688 |
| Provider Name | Ella D Speichinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528272630 PECOS PAC ID: 5991868325 Enrollment ID: I20170920003222 |
| Provider Name | Kristin B Aubuchon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093231151 PECOS PAC ID: 4587938675 Enrollment ID: I20170928002062 |
| Provider Name | Jalyn N North |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578921052 PECOS PAC ID: 8820395460 Enrollment ID: I20171002002686 |
| Provider Name | Kerri Nowell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225403926 PECOS PAC ID: 4688949365 Enrollment ID: I20171005001598 |
| Provider Name | Tara Sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699157081 PECOS PAC ID: 9739493008 Enrollment ID: I20171017002095 |
| Provider Name | Joseph P Cousins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093748873 PECOS PAC ID: 3375544604 Enrollment ID: I20171024000224 |
| Provider Name | Melissa Maria Grcic-jacobelli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023094372 PECOS PAC ID: 0547202053 Enrollment ID: I20171031000211 |
| Provider Name | Erin Noelle Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942726138 PECOS PAC ID: 7618243908 Enrollment ID: I20171101002141 |
| Provider Name | Nanda Deepa Thimmappa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639472384 PECOS PAC ID: 0244597003 Enrollment ID: I20171204000081 |
| Provider Name | Albert L Hsu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801018023 PECOS PAC ID: 7113069543 Enrollment ID: I20171204001850 |
| Provider Name | Zhenguo Liu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538173166 PECOS PAC ID: 9234109679 Enrollment ID: I20171205001640 |
| Provider Name | Mary Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184143323 PECOS PAC ID: 3476810086 Enrollment ID: I20171206000883 |
| Provider Name | Sheila Marie Zawieja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811409139 PECOS PAC ID: 8921367541 Enrollment ID: I20180104001868 |
| Provider Name | Molly J Omohundro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366956963 PECOS PAC ID: 4981964608 Enrollment ID: I20180129000027 |
| Provider Name | Joshua D Stilley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265752331 PECOS PAC ID: 9739336934 Enrollment ID: I20180131000131 |
| Provider Name | Sebastien Lalonde |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1861990731 PECOS PAC ID: 7517228232 Enrollment ID: I20180220003240 |
| Provider Name | Carey L Winkler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669434395 PECOS PAC ID: 1658363031 Enrollment ID: I20180314001088 |
| Provider Name | Audrianna Nicole Ruffel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356843296 PECOS PAC ID: 7214290139 Enrollment ID: I20180406000369 |
| Provider Name | Ahmed Baqer Saeed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033423744 PECOS PAC ID: 2062645542 Enrollment ID: I20180411000512 |
| Provider Name | Robert Carl Cheney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386059574 PECOS PAC ID: 2769608108 Enrollment ID: I20180412000833 |
| Provider Name | W. Richard Sylvanovich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053356840 PECOS PAC ID: 9638434335 Enrollment ID: I20180530001898 |
| Provider Name | Nicole Bethmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154839363 PECOS PAC ID: 6103181433 Enrollment ID: I20180607000691 |
| Provider Name | Don K Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255302261 PECOS PAC ID: 3072640705 Enrollment ID: I20180607001671 |
| Provider Name | Alisha M Hinds |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578825485 PECOS PAC ID: 9133353246 Enrollment ID: I20180608001590 |
| Provider Name | William L Pearman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659860765 PECOS PAC ID: 8527249804 Enrollment ID: I20180621001563 |
| Provider Name | Jorge Luis Granadillo De Luque |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1952717902 PECOS PAC ID: 0941556336 Enrollment ID: I20180627000438 |
| Provider Name | Deepthi Shivaram Rao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245593730 PECOS PAC ID: 8325343205 Enrollment ID: I20180710001537 |
| Provider Name | Diana Marie Olive |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285098343 PECOS PAC ID: 0345549176 Enrollment ID: I20180710001729 |
| Provider Name | Jose Gerardo Figueroa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750379889 PECOS PAC ID: 6608869219 Enrollment ID: I20180710003184 |
| Provider Name | Dima Rami Dandachi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235486705 PECOS PAC ID: 9234485921 Enrollment ID: I20180711001087 |
| Provider Name | July K Jean Cuevas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609271287 PECOS PAC ID: 0941591192 Enrollment ID: I20180711001374 |
| Provider Name | Andres Bran Acevedo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821353509 PECOS PAC ID: 1658643267 Enrollment ID: I20180711001383 |
| Provider Name | Rebekah Joy Nevel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255694220 PECOS PAC ID: 3375777477 Enrollment ID: I20180711001597 |
| Provider Name | Molly Rhea Jaecques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598267668 PECOS PAC ID: 5395091953 Enrollment ID: I20180712000104 |
| Provider Name | Ann Marie Melookaran Iliff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972863694 PECOS PAC ID: 6507159886 Enrollment ID: I20180712003430 |
| Provider Name | Jonathan Ross Fortes Ang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780956862 PECOS PAC ID: 4183996465 Enrollment ID: I20180713000370 |
| Provider Name | Armin Krvavac |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134482490 PECOS PAC ID: 2769617877 Enrollment ID: I20180714000102 |
| Provider Name | Mark Allen Reed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225418015 PECOS PAC ID: 3678885019 Enrollment ID: I20180716000323 |
| Provider Name | Alexander Paul Zweig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083031934 PECOS PAC ID: 2567689862 Enrollment ID: I20180717002010 |
| Provider Name | Allison Lesley Twyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427543453 PECOS PAC ID: 9234486358 Enrollment ID: I20180720001028 |
| Provider Name | Satish Kalanjeri Balasubramanian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942459433 PECOS PAC ID: 0749581783 Enrollment ID: I20180725002597 |
| Provider Name | Devin S Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508270307 PECOS PAC ID: 7214153527 Enrollment ID: I20180801003413 |
| Provider Name | Sowjanya Naha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821471293 PECOS PAC ID: 2860740040 Enrollment ID: I20180803001441 |
| Provider Name | Claire Finkel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467866202 PECOS PAC ID: 1759507171 Enrollment ID: I20180803002830 |
| Provider Name | Suman Vaddi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790125318 PECOS PAC ID: 4587891445 Enrollment ID: I20180803002840 |
| Provider Name | Morgan Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326452327 PECOS PAC ID: 9032421383 Enrollment ID: I20180806000353 |
| Provider Name | Eric Andrew Grider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285149195 PECOS PAC ID: 5991053126 Enrollment ID: I20180806000433 |
| Provider Name | Srinivas Krishna Chaitanya Panchangam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023364767 PECOS PAC ID: 7416255872 Enrollment ID: I20180806000814 |
| Provider Name | Vovanti Tivoli Jones |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831519230 PECOS PAC ID: 3173871316 Enrollment ID: I20180806000952 |
| Provider Name | Bradford Cardonell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417299181 PECOS PAC ID: 8325342538 Enrollment ID: I20180807001057 |
| Provider Name | James Voon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912312463 PECOS PAC ID: 9133344138 Enrollment ID: I20180808003540 |
| Provider Name | Niraj Arora |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225399488 PECOS PAC ID: 9537417373 Enrollment ID: I20180809005670 |
| Provider Name | Farhan Siddiq |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740472745 PECOS PAC ID: 7214006618 Enrollment ID: I20180816001052 |
| Provider Name | Jennifer Lynn Sanford |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1669798252 PECOS PAC ID: 1759683139 Enrollment ID: I20180820003238 |
| Provider Name | Sara Elizabeth Redmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922502111 PECOS PAC ID: 8921357955 Enrollment ID: I20180823002266 |
| Provider Name | Rose Maura O'donnell Kaemmerer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194213355 PECOS PAC ID: 7416207881 Enrollment ID: I20180905002424 |
| Provider Name | Krystal Rose Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447631858 PECOS PAC ID: 7113239823 Enrollment ID: I20180905003145 |
| Provider Name | Steven Benjamin Carr |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588989172 PECOS PAC ID: 4981954377 Enrollment ID: I20180905003292 |
| Provider Name | David Alan Freeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861987190 PECOS PAC ID: 3971853839 Enrollment ID: I20180913003439 |
| Provider Name | Regina Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336599703 PECOS PAC ID: 4385928936 Enrollment ID: I20181004000136 |
| Provider Name | Abigail Maryce Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295220374 PECOS PAC ID: 1951653815 Enrollment ID: I20181004001648 |
| Provider Name | Jennifer Michelle Kandlik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003302035 PECOS PAC ID: 6507118122 Enrollment ID: I20181010000534 |
| Provider Name | Devin Squires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598262305 PECOS PAC ID: 9638421266 Enrollment ID: I20181010001219 |
| Provider Name | Callie Duckworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700362548 PECOS PAC ID: 6305198847 Enrollment ID: I20181010002068 |
| Provider Name | Sebastian David Wiesemann |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669955001 PECOS PAC ID: 3072865476 Enrollment ID: I20181012002246 |
| Provider Name | Trisha Lynn Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073097515 PECOS PAC ID: 1355694456 Enrollment ID: I20181018002019 |
| Provider Name | Aaron C Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760724223 PECOS PAC ID: 7214239763 Enrollment ID: I20181023000698 |
| Provider Name | Shahzad Bin Waheed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114419850 PECOS PAC ID: 8426301920 Enrollment ID: I20181031000982 |
| Provider Name | Mark Raymond Gilbert |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851534960 PECOS PAC ID: 1951671338 Enrollment ID: I20181105000260 |
| Provider Name | Linda Helen Dunscombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275013864 PECOS PAC ID: 7012260318 Enrollment ID: I20181105000345 |
| Provider Name | Kisha Marie Linwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760962385 PECOS PAC ID: 8325392467 Enrollment ID: I20181108001921 |
| Provider Name | Gregory Weldon Caplinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912493495 PECOS PAC ID: 2264786243 Enrollment ID: I20181109000742 |
| Provider Name | Christine Schneider |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164855797 PECOS PAC ID: 4082848197 Enrollment ID: I20181115001730 |
| Provider Name | Ashley Miles Jenkins |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104239037 PECOS PAC ID: 0547562126 Enrollment ID: I20181121002160 |
| Provider Name | Cheryl Lynn Fromm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083125348 PECOS PAC ID: 5890049290 Enrollment ID: I20181124000057 |
| Provider Name | Lauren Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891169082 PECOS PAC ID: 2466757273 Enrollment ID: I20181203001634 |
| Provider Name | James L Pan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346655560 PECOS PAC ID: 9436469541 Enrollment ID: I20181205001969 |
| Provider Name | Megan Elaine Hilderbrand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013468446 PECOS PAC ID: 7113296310 Enrollment ID: I20181205003140 |
| Provider Name | Jessica Leigh Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093280042 PECOS PAC ID: 2365786928 Enrollment ID: I20181207002198 |
| Provider Name | Camilo Ramiro Gomez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316904170 PECOS PAC ID: 0547158164 Enrollment ID: I20181214002997 |
| Provider Name | Sara J Marso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033688924 PECOS PAC ID: 1153666011 Enrollment ID: I20181220001837 |
| Provider Name | Paul Kevin Linneman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801362710 PECOS PAC ID: 7113262098 Enrollment ID: I20181220002461 |
| Provider Name | Susan Lipasek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679050678 PECOS PAC ID: 2567707383 Enrollment ID: I20181226002100 |
| Provider Name | Brady Asa Fleshman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1790134518 PECOS PAC ID: 2769774645 Enrollment ID: I20181226002105 |
| Provider Name | Kimberly Carroll Mountain Kimchi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689972333 PECOS PAC ID: 4880930122 Enrollment ID: I20190108002449 |
| Provider Name | Taishi Hirai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932495165 PECOS PAC ID: 0042580250 Enrollment ID: I20190109001755 |
| Provider Name | Lori Jean Weekley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205302882 PECOS PAC ID: 3072859677 Enrollment ID: I20190117001999 |
| Provider Name | Kimberley Sue Pfeiffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487121349 PECOS PAC ID: 5799022976 Enrollment ID: I20190125001223 |
| Provider Name | Mary Elizabeth Bernardin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104266493 PECOS PAC ID: 6507105335 Enrollment ID: I20190222000329 |
| Provider Name | Mandy Lynn Hayes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184829137 PECOS PAC ID: 2668632308 Enrollment ID: I20190226001078 |
| Provider Name | Arash Michael Saemi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1629205158 PECOS PAC ID: 4587805478 Enrollment ID: I20190307002678 |
| Provider Name | Lauren Glyn Nystrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275981052 PECOS PAC ID: 3678866258 Enrollment ID: I20190403001725 |
| Provider Name | Ahmad Abou Leila |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861741126 PECOS PAC ID: 4183993546 Enrollment ID: I20190417000333 |
| Provider Name | Christina Marie Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780629758 PECOS PAC ID: 8921026816 Enrollment ID: I20190508000352 |
| Provider Name | Andrew Weldon Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912478116 PECOS PAC ID: 0749523462 Enrollment ID: I20190521003055 |
| Provider Name | Malynda C Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255707907 PECOS PAC ID: 8921373598 Enrollment ID: I20190522000354 |
| Provider Name | Bradley S Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235557638 PECOS PAC ID: 7416170345 Enrollment ID: I20190611000182 |
| Provider Name | Thiago Q Desouza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063862647 PECOS PAC ID: 3870886484 Enrollment ID: I20190613000974 |
| Provider Name | Taylor B Nelson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104230903 PECOS PAC ID: 6002032430 Enrollment ID: I20190710002536 |
| Provider Name | Lauren M Valbracht |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194176669 PECOS PAC ID: 5698068278 Enrollment ID: I20190710002750 |
| Provider Name | Ryan Martin Rozycki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861958852 PECOS PAC ID: 2163757220 Enrollment ID: I20190711000775 |
| Provider Name | Shyam Shankar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043650542 PECOS PAC ID: 0648515759 Enrollment ID: I20190711003442 |
| Provider Name | Tarang Pankaj Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295186054 PECOS PAC ID: 3072805944 Enrollment ID: I20190712001084 |
| Provider Name | Ila Danielle Durkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609250570 PECOS PAC ID: 4981976826 Enrollment ID: I20190715000349 |
| Provider Name | Danielle R. Keebaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013368844 PECOS PAC ID: 5698000453 Enrollment ID: I20190716002271 |
| Provider Name | Denicia Shane Dwarica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710243324 PECOS PAC ID: 0547561425 Enrollment ID: I20190722000763 |
| Provider Name | William Brady Shaw |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417344011 PECOS PAC ID: 1456664739 Enrollment ID: I20190725001767 |
| Provider Name | Reed Evans Cope |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801214267 PECOS PAC ID: 6800192022 Enrollment ID: I20190726000195 |
| Provider Name | Kathryn Lynette Mohr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811370463 PECOS PAC ID: 2860709110 Enrollment ID: I20190726000878 |
| Provider Name | Dzmitry Matsiukevich |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063790269 PECOS PAC ID: 0244466266 Enrollment ID: I20190729001322 |
| Provider Name | Steven Lewis Geiss |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770965584 PECOS PAC ID: 4789989351 Enrollment ID: I20190729002144 |
| Provider Name | Janet Lyson Ostendarp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730301805 PECOS PAC ID: 4587757737 Enrollment ID: I20190731001252 |
| Provider Name | Kelli Jo Moore |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1427391846 PECOS PAC ID: 1658502992 Enrollment ID: I20190731001526 |
| Provider Name | Ghulam Ghous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003260787 PECOS PAC ID: 7810223641 Enrollment ID: I20190731001734 |
| Provider Name | Megan Sarah Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740661537 PECOS PAC ID: 0042521577 Enrollment ID: I20190821002357 |
| Provider Name | Veronica Pilar Kloeppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285290940 PECOS PAC ID: 4183952666 Enrollment ID: I20190821002948 |
| Provider Name | Zahid Ijaz Tarar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922459056 PECOS PAC ID: 1355679507 Enrollment ID: I20190826002008 |
| Provider Name | Megan Ann Burnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962064352 PECOS PAC ID: 1153650817 Enrollment ID: I20190906000300 |
| Provider Name | Victoria Danielle Newcom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871151001 PECOS PAC ID: 1254660871 Enrollment ID: I20190906003253 |
| Provider Name | Megan Elizabeth Gauthier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669899647 PECOS PAC ID: 1658597455 Enrollment ID: I20190907000195 |
| Provider Name | Christina Rhea Tryon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639512288 PECOS PAC ID: 6406087048 Enrollment ID: I20190909001305 |
| Provider Name | Patrick Toerner Tassone |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326481672 PECOS PAC ID: 1951533017 Enrollment ID: I20190910002263 |
| Provider Name | Samantha D Friedman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831432756 PECOS PAC ID: 7517243843 Enrollment ID: I20190911001144 |
| Provider Name | Joshua Eric Smothers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053769737 PECOS PAC ID: 2668764515 Enrollment ID: I20190912000447 |
| Provider Name | Kathleen Ann Long |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710367503 PECOS PAC ID: 2567774904 Enrollment ID: I20190919000357 |
| Provider Name | Casey Ann Sevy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477948255 PECOS PAC ID: 1153637566 Enrollment ID: I20190924001078 |
| Provider Name | Robert D Wissman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760412167 PECOS PAC ID: 2062317753 Enrollment ID: I20190930001314 |
| Provider Name | Amber Dawn Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326526542 PECOS PAC ID: 2062742349 Enrollment ID: I20190930002323 |
| Provider Name | Melissa Dawn Burwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912569484 PECOS PAC ID: 7911237169 Enrollment ID: I20191001002110 |
| Provider Name | Jamie Lynn Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205489630 PECOS PAC ID: 0840521118 Enrollment ID: I20191017001690 |
| Provider Name | Michael Sands |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558551358 PECOS PAC ID: 1658603352 Enrollment ID: I20191030001058 |
| Provider Name | Issam Mohammed El Halabi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164494050 PECOS PAC ID: 6901894591 Enrollment ID: I20191101001174 |
| Provider Name | Naseem Sulayman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346366903 PECOS PAC ID: 1759512361 Enrollment ID: I20191107003160 |
| Provider Name | John K Olson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447254081 PECOS PAC ID: 7113970922 Enrollment ID: I20191111002987 |
| Provider Name | Sarah E Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487208757 PECOS PAC ID: 2365874864 Enrollment ID: I20191122000212 |
| Provider Name | Victoria R Davolt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932757465 PECOS PAC ID: 2163854563 Enrollment ID: I20191122000298 |
| Provider Name | Leila Kheirandish |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1326698929 PECOS PAC ID: 1052744034 Enrollment ID: I20191205000305 |
| Provider Name | Mohammed A Siddiqui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215303375 PECOS PAC ID: 1557677945 Enrollment ID: I20191209000839 |
| Provider Name | Shirley Louise Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548821747 PECOS PAC ID: 7517391535 Enrollment ID: I20191230000756 |
| Provider Name | Matthew P Tucker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285106450 PECOS PAC ID: 6103153606 Enrollment ID: I20200107002424 |
| Provider Name | Laura Beth Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326680893 PECOS PAC ID: 0244665339 Enrollment ID: I20200117001982 |
| Provider Name | Ayman Mohamed Abdel Nada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386115715 PECOS PAC ID: 4688009780 Enrollment ID: I20200117002134 |
| Provider Name | Jessica Theo Sorrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255972139 PECOS PAC ID: 9739515651 Enrollment ID: I20200212000892 |
| Provider Name | Keith N Norton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164680369 PECOS PAC ID: 6305273061 Enrollment ID: I20200219001941 |
| Provider Name | Young Ok Jade Park |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629229976 PECOS PAC ID: 8921233222 Enrollment ID: I20200220001210 |
| Provider Name | Steven Michael Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346872306 PECOS PAC ID: 9234566878 Enrollment ID: I20200220002699 |
| Provider Name | Asma Malik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144612219 PECOS PAC ID: 3971805417 Enrollment ID: I20200221001907 |
| Provider Name | Tiffany Jane Carmichael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598301905 PECOS PAC ID: 7012345762 Enrollment ID: I20200312000809 |
| Provider Name | Meghan R Pagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851946263 PECOS PAC ID: 4082042601 Enrollment ID: I20200313001897 |
| Provider Name | Meelie Bordoloi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033593991 PECOS PAC ID: 5799113718 Enrollment ID: I20200325000371 |
| Provider Name | Terrance T Ursetta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023085347 PECOS PAC ID: 0547449548 Enrollment ID: I20200328000096 |
| Provider Name | Briauna Lyn Azan-loesing |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316505761 PECOS PAC ID: 7113356064 Enrollment ID: I20200329000701 |
| Provider Name | Ellen Louise Marolf |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1538651021 PECOS PAC ID: 6901147305 Enrollment ID: I20200401001140 |
| Provider Name | Shalisa Anne Henson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598914905 PECOS PAC ID: 2365500725 Enrollment ID: I20200413000128 |
| Provider Name | Allison J Wildin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437569381 PECOS PAC ID: 4789800012 Enrollment ID: I20200418000282 |
| Provider Name | Andrew Joseph Leiker |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568859023 PECOS PAC ID: 4981977311 Enrollment ID: I20200514000588 |
| Provider Name | Francis Edward Dailey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942611892 PECOS PAC ID: 6305116393 Enrollment ID: I20200518002487 |
| Provider Name | Jonathan A Levin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255878237 PECOS PAC ID: 8123301009 Enrollment ID: I20200527000711 |
| Provider Name | Sonny Phan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366065211 PECOS PAC ID: 9133540883 Enrollment ID: I20200604000814 |
| Provider Name | Kristina K Gifft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427588235 PECOS PAC ID: 9032489554 Enrollment ID: I20200707002874 |
| Provider Name | Richard Joel Barohn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073610663 PECOS PAC ID: 2062546187 Enrollment ID: I20200717002457 |
| Provider Name | Sarah Ondocsin Pickett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720440035 PECOS PAC ID: 7911321161 Enrollment ID: I20200721001387 |
| Provider Name | Paul Richard Carney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750327938 PECOS PAC ID: 1052452075 Enrollment ID: I20200721002603 |
| Provider Name | Rylee S Duckworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003337163 PECOS PAC ID: 2567732100 Enrollment ID: I20200728001788 |
| Provider Name | Michael James Ulen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043751332 PECOS PAC ID: 2860766987 Enrollment ID: I20200729000157 |
| Provider Name | Ayesha Nasrullah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033566740 PECOS PAC ID: 2961834387 Enrollment ID: I20200803000184 |
| Provider Name | Gary Daniel Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831541812 PECOS PAC ID: 7214229517 Enrollment ID: I20200805000109 |
| Provider Name | Daniel R Walker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891824272 PECOS PAC ID: 0547400863 Enrollment ID: I20200812000955 |
| Provider Name | Jessica Cynthia Luebbering |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760839823 PECOS PAC ID: 7416238720 Enrollment ID: I20200812002340 |
| Provider Name | David F Butler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730422569 PECOS PAC ID: 8921300260 Enrollment ID: I20200817001966 |
| Provider Name | David Badami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245768696 PECOS PAC ID: 2264700566 Enrollment ID: I20200819003284 |
| Provider Name | Steven Ray Mcafee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760896989 PECOS PAC ID: 4486976131 Enrollment ID: I20200820000758 |
| Provider Name | Megan Michelle Loehr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942650213 PECOS PAC ID: 0143513440 Enrollment ID: I20200824002061 |
| Provider Name | Justin William Robison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124461272 PECOS PAC ID: 0547484925 Enrollment ID: I20200825001299 |
| Provider Name | Susan S Lava Parmele |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972703486 PECOS PAC ID: 5799941191 Enrollment ID: I20200826001972 |
| Provider Name | Francisco Eduardo Gomez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043630114 PECOS PAC ID: 1759708134 Enrollment ID: I20200831001693 |
| Provider Name | Ayman Okla Suleiman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437538956 PECOS PAC ID: 5597199109 Enrollment ID: I20200903000553 |
| Provider Name | Shelby Terrill Emmett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396265641 PECOS PAC ID: 8921425901 Enrollment ID: I20200908000386 |
| Provider Name | Lauren Clough Pringle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083984074 PECOS PAC ID: 1153546932 Enrollment ID: I20200908000498 |
| Provider Name | Carol M Kao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912273988 PECOS PAC ID: 6709133341 Enrollment ID: I20200908000568 |
| Provider Name | Catherine Frances Gooch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295180867 PECOS PAC ID: 1153618111 Enrollment ID: I20200909000337 |
| Provider Name | Jared James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386176840 PECOS PAC ID: 4688946023 Enrollment ID: I20200909002749 |
| Provider Name | Deborah Ariel Trigg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780995688 PECOS PAC ID: 0042527731 Enrollment ID: I20201001000335 |
| Provider Name | Andrew Mark Kiselica |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104434190 PECOS PAC ID: 3274952767 Enrollment ID: I20201002000334 |
| Provider Name | Eddie Wayne Runde |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1154440550 PECOS PAC ID: 6204256266 Enrollment ID: I20201014000642 |
| Provider Name | Thomas Mcafee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366479966 PECOS PAC ID: 4183529068 Enrollment ID: I20201015000081 |
| Provider Name | Mohamed Ahmed Ebada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982125407 PECOS PAC ID: 2567733363 Enrollment ID: I20201027002253 |
| Provider Name | Sandra M Johnson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730198714 PECOS PAC ID: 4183526726 Enrollment ID: I20201028002606 |
| Provider Name | Kimberly Nicole O'leary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790399590 PECOS PAC ID: 6103236344 Enrollment ID: I20201029001594 |
| Provider Name | Kristen Leigh Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780295907 PECOS PAC ID: 6305256405 Enrollment ID: I20201030001624 |
| Provider Name | Melissa D Princivalli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124219100 PECOS PAC ID: 5092126961 Enrollment ID: I20201125000113 |
| Provider Name | Aaron D Webel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326452673 PECOS PAC ID: 9638482235 Enrollment ID: I20201130001183 |
| Provider Name | Payton Scot Hackmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295365823 PECOS PAC ID: 0547671117 Enrollment ID: I20201203000727 |
| Provider Name | Ryan Farmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235545070 PECOS PAC ID: 5799903753 Enrollment ID: I20201209002898 |
| Provider Name | Andrew Van Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245586635 PECOS PAC ID: 3779876461 Enrollment ID: I20201214001313 |
| Provider Name | Shannon Marie Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750995270 PECOS PAC ID: 4385056464 Enrollment ID: I20201214002424 |
| Provider Name | Brian Everett Bendorf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962842427 PECOS PAC ID: 4284877457 Enrollment ID: I20201228001856 |
| Provider Name | Stephanie Irene Tosh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093236754 PECOS PAC ID: 4284047432 Enrollment ID: I20210106002705 |
| Provider Name | Hannu Tapio Huhdanpaa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780903773 PECOS PAC ID: 0143473611 Enrollment ID: I20210107001887 |
| Provider Name | Courtney Kunze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740807031 PECOS PAC ID: 1153734892 Enrollment ID: I20210119001860 |
| Provider Name | Christopher John Wilhelm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326243403 PECOS PAC ID: 3375884505 Enrollment ID: I20210204000619 |
| Provider Name | Kelsey Ill Loethen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639770928 PECOS PAC ID: 2860806718 Enrollment ID: I20210204000926 |
| Provider Name | Lindsey Michelle Redington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861095580 PECOS PAC ID: 6204241417 Enrollment ID: I20210222001987 |
| Provider Name | Dalton Ebel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528611811 PECOS PAC ID: 5193131571 Enrollment ID: I20210309003188 |
| Provider Name | Bethany A Lindaman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912596586 PECOS PAC ID: 5799191987 Enrollment ID: I20210315000151 |
| Provider Name | Jon Steven Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730157769 PECOS PAC ID: 1658386693 Enrollment ID: I20210331001014 |
| Provider Name | Zhao Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114963394 PECOS PAC ID: 9032140967 Enrollment ID: I20210331001653 |
| Provider Name | Rahul Jain |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003018201 PECOS PAC ID: 9133281009 Enrollment ID: I20210402000249 |
| Provider Name | Stephanie I Buendia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578026688 PECOS PAC ID: 6608100136 Enrollment ID: I20210415000704 |
| Provider Name | Kirk Denti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427548031 PECOS PAC ID: 4183059454 Enrollment ID: I20210419002564 |
| Provider Name | Sarah Elizabeth Heeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710570890 PECOS PAC ID: 5395154587 Enrollment ID: I20210428002764 |
| Provider Name | Caroline N Mbom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770007080 PECOS PAC ID: 8820359581 Enrollment ID: I20210505000496 |
| Provider Name | John Steven Waschak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922102045 PECOS PAC ID: 3072596782 Enrollment ID: I20210514001714 |
| Provider Name | Kelly Ann Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598351462 PECOS PAC ID: 0749689487 Enrollment ID: I20210528001106 |
| Provider Name | Stephanie Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851985832 PECOS PAC ID: 3779983549 Enrollment ID: I20210616000406 |
| Provider Name | Stephanie Ann Jenkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558938274 PECOS PAC ID: 3779983416 Enrollment ID: I20210616003326 |
| Provider Name | Margaret M Goodrich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194252791 PECOS PAC ID: 7911270996 Enrollment ID: I20210617002563 |
| Provider Name | Garrick Michael Procter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225606403 PECOS PAC ID: 0941601272 Enrollment ID: I20210624001195 |
| Provider Name | Tinashe Maduke |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144670894 PECOS PAC ID: 1557638954 Enrollment ID: I20210702001577 |
| Provider Name | Lyssa Lynn Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205421757 PECOS PAC ID: 3476955998 Enrollment ID: I20210707000608 |
| Provider Name | Joanna L Mussey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407158405 PECOS PAC ID: 6800017195 Enrollment ID: I20210707003570 |
| Provider Name | Ryan Michael Schell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629428578 PECOS PAC ID: 0749551190 Enrollment ID: I20210712000088 |
| Provider Name | Chirag Pankajkumar Bavishi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518224476 PECOS PAC ID: 8729321617 Enrollment ID: I20210712002039 |
| Provider Name | Jenna Marie Strawhun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245688183 PECOS PAC ID: 2466854500 Enrollment ID: I20210712002224 |
| Provider Name | Christy Waranch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740630854 PECOS PAC ID: 6103118922 Enrollment ID: I20210712003689 |
| Provider Name | Steven Shing Yan Cheung |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1669880613 PECOS PAC ID: 8820375389 Enrollment ID: I20210713000372 |
| Provider Name | Kirby Alyson Woodall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336679802 PECOS PAC ID: 3779855085 Enrollment ID: I20210714000508 |
| Provider Name | Jared Andrew Lammert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962995944 PECOS PAC ID: 4789930801 Enrollment ID: I20210715000341 |
| Provider Name | Alicia Caryn Bach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629455365 PECOS PAC ID: 2769798941 Enrollment ID: I20210719001690 |
| Provider Name | Charles Bo Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902291370 PECOS PAC ID: 1355643958 Enrollment ID: I20210722002412 |
| Provider Name | Brian Haslag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861978074 PECOS PAC ID: 6608104310 Enrollment ID: I20210723000998 |
| Provider Name | Tricia Ann Fernandez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124551981 PECOS PAC ID: 6002161817 Enrollment ID: I20210723001123 |
| Provider Name | Kelly Marie Douglas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366889909 PECOS PAC ID: 2365686359 Enrollment ID: I20210723001652 |
| Provider Name | Eliza Lamin Defroda |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184060329 PECOS PAC ID: 1951609502 Enrollment ID: I20210726001668 |
| Provider Name | Carl Ryan Tunink |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1669901831 PECOS PAC ID: 6204105224 Enrollment ID: I20210726003467 |
| Provider Name | Jenna Brooke Wheeler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427647502 PECOS PAC ID: 9234532201 Enrollment ID: I20210728002302 |
| Provider Name | Kushal Naha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639586506 PECOS PAC ID: 2062765506 Enrollment ID: I20210728003393 |
| Provider Name | Rene Martin Roy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669899878 PECOS PAC ID: 1052608924 Enrollment ID: I20210802001921 |
| Provider Name | Tamar Gubeladze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982199840 PECOS PAC ID: 3971852427 Enrollment ID: I20210802003625 |
| Provider Name | Callie Lynn Sell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356932396 PECOS PAC ID: 6507260288 Enrollment ID: I20210803000173 |
| Provider Name | Steven F Defroda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609289008 PECOS PAC ID: 3173740651 Enrollment ID: I20210803001950 |
| Provider Name | Molly Peoples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336727783 PECOS PAC ID: 0446654172 Enrollment ID: I20210803002000 |
| Provider Name | Daniel William Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063932978 PECOS PAC ID: 1951658384 Enrollment ID: I20210805003147 |
| Provider Name | Tiara Renee Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982138293 PECOS PAC ID: 1850795204 Enrollment ID: I20210806000277 |
| Provider Name | Daniel A London |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1053706192 PECOS PAC ID: 9133465446 Enrollment ID: I20210806000626 |
| Provider Name | James Winston Clevenger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164916649 PECOS PAC ID: 2668729047 Enrollment ID: I20210809000409 |
| Provider Name | Mohammed Elkhatim Zaki Mustafa Salih |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104312453 PECOS PAC ID: 4082018320 Enrollment ID: I20210809000575 |
| Provider Name | Fizza Hirani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952887937 PECOS PAC ID: 5597013037 Enrollment ID: I20210809001607 |
| Provider Name | Milan Amrutlal Gajera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043796246 PECOS PAC ID: 6608297676 Enrollment ID: I20210809002019 |
| Provider Name | Julia Ann Vetter Nuelle |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1144516634 PECOS PAC ID: 9830333129 Enrollment ID: I20210809002356 |
| Provider Name | Kristi Lynn Mofield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346648128 PECOS PAC ID: 9436466083 Enrollment ID: I20210810002278 |
| Provider Name | Megan Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235512104 PECOS PAC ID: 7113231093 Enrollment ID: I20210811002094 |
| Provider Name | Paaras Kohli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417443847 PECOS PAC ID: 4880930163 Enrollment ID: I20210812000374 |
| Provider Name | Rose Elizabeth Todd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003259367 PECOS PAC ID: 8224330261 Enrollment ID: I20210812000455 |
| Provider Name | Taylor Joseph Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225514003 PECOS PAC ID: 6507105244 Enrollment ID: I20210820002663 |
| Provider Name | Edward B Wiemholt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619392909 PECOS PAC ID: 9436450319 Enrollment ID: I20210825000238 |
| Provider Name | Deirdre E Amaro |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891138764 PECOS PAC ID: 1951706183 Enrollment ID: I20210825002991 |
| Provider Name | Troy Joseph Loethen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457731234 PECOS PAC ID: 2668784000 Enrollment ID: I20210830000248 |
| Provider Name | Timothy D Todd |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255626487 PECOS PAC ID: 4587919345 Enrollment ID: I20210831002848 |
| Provider Name | Sarah Marie Von Thaer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003201104 PECOS PAC ID: 7315254851 Enrollment ID: I20210831002896 |
| Provider Name | Emanuel Santiago Santana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992200752 PECOS PAC ID: 3375949357 Enrollment ID: I20210831002967 |
| Provider Name | Tracy Marrs Conner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487092987 PECOS PAC ID: 9537424536 Enrollment ID: I20210901003069 |
| Provider Name | Cherian Verghese |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568548824 PECOS PAC ID: 1456303783 Enrollment ID: I20210902002083 |
| Provider Name | Brittany Diane Mccarty |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1265953160 PECOS PAC ID: 7214333061 Enrollment ID: I20210902002460 |
| Provider Name | Junaid Subhani Mir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316428998 PECOS PAC ID: 0547666067 Enrollment ID: I20210909000859 |
| Provider Name | Ryan Daniel Montgomery |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003346552 PECOS PAC ID: 4385991728 Enrollment ID: I20210910000779 |
| Provider Name | Ahmad H Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700048147 PECOS PAC ID: 4082885751 Enrollment ID: I20210914002543 |
| Provider Name | Karl Wilhelm Huesgen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538470810 PECOS PAC ID: 3274769039 Enrollment ID: I20210914003350 |
| Provider Name | Marcia Marie Mains |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093194797 PECOS PAC ID: 6406153360 Enrollment ID: I20210914003372 |
| Provider Name | Ryan Matthew Kavalier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932559283 PECOS PAC ID: 9638464142 Enrollment ID: I20210914003529 |
| Provider Name | Thomas Wesley Andrews |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1770012932 PECOS PAC ID: 0446520951 Enrollment ID: I20210915000417 |
| Provider Name | Emily Catherine Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073286696 PECOS PAC ID: 7113324740 Enrollment ID: I20210924001786 |
| Provider Name | Lauren Marie Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700457223 PECOS PAC ID: 7810394442 Enrollment ID: I20210924001942 |
| Provider Name | Crystal Izella Maltsbarger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770159642 PECOS PAC ID: 7113324641 Enrollment ID: I20210924002336 |
| Provider Name | Stephen Jon Sheinkopf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972546992 PECOS PAC ID: 8022031566 Enrollment ID: I20210927000186 |
| Provider Name | Whitney Beck Lefevre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902245731 PECOS PAC ID: 1456588615 Enrollment ID: I20210927000441 |
| Provider Name | Abigail Lorraine Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417579194 PECOS PAC ID: 9234550989 Enrollment ID: I20210927001909 |
| Provider Name | Benjamin David Washburn |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1174979744 PECOS PAC ID: 6901184605 Enrollment ID: I20210928000442 |
| Provider Name | Jill Karen Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467020545 PECOS PAC ID: 7113324575 Enrollment ID: I20210928000631 |
| Provider Name | Paul Steven Jones |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639138969 PECOS PAC ID: 6800293143 Enrollment ID: I20210929000614 |
| Provider Name | Alexandria Geist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417453655 PECOS PAC ID: 0345595922 Enrollment ID: I20211005001351 |
| Provider Name | Nicholas Michael Lefevre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255845 PECOS PAC ID: 3577707082 Enrollment ID: I20211006000472 |
| Provider Name | Bryce Bond |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649624016 PECOS PAC ID: 4385938638 Enrollment ID: I20211011000848 |
| Provider Name | James Patrick Newman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336633858 PECOS PAC ID: 7315345816 Enrollment ID: I20211014000645 |
| Provider Name | Veronica Pilar Kloeppel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285290940 PECOS PAC ID: 4183952666 Enrollment ID: I20211020001685 |
| Provider Name | Tessa Thao Vi Nguyen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124793823 PECOS PAC ID: 7315335510 Enrollment ID: I20211020001807 |
| Provider Name | Kirsten Diane Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851061774 PECOS PAC ID: 4183012727 Enrollment ID: I20211101000644 |
| Provider Name | Vrinda Trivedi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154677995 PECOS PAC ID: 2567774821 Enrollment ID: I20211101002052 |
| Provider Name | Mary S Wehner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235125923 PECOS PAC ID: 6305803339 Enrollment ID: I20211103000291 |
| Provider Name | Ahmed Marwan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366599185 PECOS PAC ID: 2062662422 Enrollment ID: I20211104001560 |
| Provider Name | Jean Ricci Goodman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447228093 PECOS PAC ID: 4385675669 Enrollment ID: I20211122001654 |
| Provider Name | Russell Leon Mcelveen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275714735 PECOS PAC ID: 1951540343 Enrollment ID: I20211203001122 |
| Provider Name | Jana Lynn Holsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679239719 PECOS PAC ID: 1658761630 Enrollment ID: I20211206002349 |
| Provider Name | Joel Saeger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306405717 PECOS PAC ID: 3971837816 Enrollment ID: I20211213000412 |
| Provider Name | Erik Richard Ensrud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982658738 PECOS PAC ID: 7012974652 Enrollment ID: I20211223000557 |
| Provider Name | Oscar Luis Llanos Ulloa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235544313 PECOS PAC ID: 3971820150 Enrollment ID: I20220105001275 |
| Provider Name | Leslie Joan Desha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114526266 PECOS PAC ID: 0446641211 Enrollment ID: I20220105001786 |
| Provider Name | Maria Isabel Pino Argumedo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871934083 PECOS PAC ID: 3375837636 Enrollment ID: I20220106000284 |
| Provider Name | Mitchell Goldman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215993688 PECOS PAC ID: 9537119375 Enrollment ID: I20220106001570 |
| Provider Name | Margaret Elizabeth Mike |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1982689006 PECOS PAC ID: 3375505258 Enrollment ID: I20220107000734 |
| Provider Name | Roopa Bhat |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1932561180 PECOS PAC ID: 0648563577 Enrollment ID: I20220124000796 |
| Provider Name | Courtney Brianne Shankar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790440832 PECOS PAC ID: 1557754025 Enrollment ID: I20220204000562 |
| Provider Name | Vineela Kasireddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003256645 PECOS PAC ID: 8820239809 Enrollment ID: I20220217000118 |
| Provider Name | Michelle Elizabeth Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467114801 PECOS PAC ID: 5890180715 Enrollment ID: I20220311000557 |
| Provider Name | Ashley Lynae Sapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275286577 PECOS PAC ID: 2668868654 Enrollment ID: I20220330002282 |
| Provider Name | Robert Michael Robbins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023462439 PECOS PAC ID: 7012288814 Enrollment ID: I20220331001652 |
| Provider Name | Taylor Lee Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871247718 PECOS PAC ID: 1850787821 Enrollment ID: I20220331001747 |
| Provider Name | Jaime L Bellamy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548420458 PECOS PAC ID: 1557504107 Enrollment ID: I20220412000339 |
| Provider Name | Olga Lupascu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801542584 PECOS PAC ID: 0547657454 Enrollment ID: I20220425000198 |
| Provider Name | Debra A Guinn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386627974 PECOS PAC ID: 4486634672 Enrollment ID: I20220427000385 |
| Provider Name | Abdul Fettah Buyuk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407371545 PECOS PAC ID: 8325370299 Enrollment ID: I20220524000315 |
| Provider Name | Taylor Danielle Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881342459 PECOS PAC ID: 3173901303 Enrollment ID: I20220531002586 |
| Provider Name | Amy Leigh Bridges |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861874497 PECOS PAC ID: 8527371798 Enrollment ID: I20220603002305 |
| Provider Name | Jacob Michael Feldhaus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154765600 PECOS PAC ID: 3274774195 Enrollment ID: I20220606001693 |
| Provider Name | Cory R Brune |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376049510 PECOS PAC ID: 5496002859 Enrollment ID: I20220608001154 |
| Provider Name | Michelle Selene Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982364394 PECOS PAC ID: 5597143131 Enrollment ID: I20220609002100 |
| Provider Name | Sarah Jordan Landreneau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053805150 PECOS PAC ID: 1456607571 Enrollment ID: I20220616001165 |
| Provider Name | Sarah Elizabeth Greene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699229633 PECOS PAC ID: 3577942192 Enrollment ID: I20220628000743 |
| Provider Name | Amy E Liepert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366611972 PECOS PAC ID: 9436390523 Enrollment ID: I20220705001991 |
| Provider Name | James Rodney Landreneau |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396276135 PECOS PAC ID: 6204107865 Enrollment ID: I20220707003605 |
| Provider Name | Suong Thu Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992155113 PECOS PAC ID: 1052791050 Enrollment ID: I20220708000527 |
| Provider Name | Olivia May Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700361755 PECOS PAC ID: 9436402732 Enrollment ID: I20220708003467 |
| Provider Name | Nitish Singh Nandu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962999086 PECOS PAC ID: 9739560277 Enrollment ID: I20220715000298 |
| Provider Name | Navpreet Kaur Bains |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588011860 PECOS PAC ID: 5991077547 Enrollment ID: I20220720003376 |
| Provider Name | Jesse Philip Hirner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548642135 PECOS PAC ID: 3870800220 Enrollment ID: I20220726001358 |
| Provider Name | Ruo Bing Xue |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174973275 PECOS PAC ID: 4183916091 Enrollment ID: I20220727001181 |
| Provider Name | Semaan Kobrossi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366825101 PECOS PAC ID: 1557762655 Enrollment ID: I20220729000530 |
| Provider Name | Cody Lin Mills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396485058 PECOS PAC ID: 1850773409 Enrollment ID: I20220729001160 |
| Provider Name | Zachary Luebbering |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346697455 PECOS PAC ID: 5597035022 Enrollment ID: I20220730000068 |
| Provider Name | Sally Claire Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982349700 PECOS PAC ID: 7618359126 Enrollment ID: I20220801000391 |
| Provider Name | Steven C Hedgecorth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790262855 PECOS PAC ID: 5395127849 Enrollment ID: I20220801002162 |
| Provider Name | Gerhard Carl Hildebrandt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245568633 PECOS PAC ID: 8921149204 Enrollment ID: I20220802002985 |
| Provider Name | Regina Heyl Depietro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457883969 PECOS PAC ID: 8820369366 Enrollment ID: I20220803000705 |
| Provider Name | Carissa Danielle Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306592696 PECOS PAC ID: 0749662880 Enrollment ID: I20220805000650 |
| Provider Name | Moutaz Eltahir Adam Taha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851952451 PECOS PAC ID: 2668703257 Enrollment ID: I20220809000373 |
| Provider Name | Musaab Moh Nour Abdelrahim Alfaki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720630387 PECOS PAC ID: 7113309022 Enrollment ID: I20220809000390 |
| Provider Name | Sarah R Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720507981 PECOS PAC ID: 3870859440 Enrollment ID: I20220809001315 |
| Provider Name | Thomas David Willson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1043530819 PECOS PAC ID: 5395022917 Enrollment ID: I20220813000484 |
| Provider Name | Minh-chau Chuong Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508327404 PECOS PAC ID: 2466835939 Enrollment ID: I20220816001417 |
| Provider Name | Olakunle Oni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033774716 PECOS PAC ID: 6507249984 Enrollment ID: I20220817003091 |
| Provider Name | Cynthia Breanne Lombardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194386987 PECOS PAC ID: 8224363452 Enrollment ID: I20220822002852 |
| Provider Name | Sostanie Enoru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740671254 PECOS PAC ID: 9537404561 Enrollment ID: I20220823003529 |
| Provider Name | Candy Suzanne Lincoln |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326487109 PECOS PAC ID: 4880838366 Enrollment ID: I20220826000480 |
| Provider Name | Sarah K Steenson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427410828 PECOS PAC ID: 4183917867 Enrollment ID: I20220826000794 |
| Provider Name | Miranda Luebbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982336640 PECOS PAC ID: 3173907946 Enrollment ID: I20220826002864 |
| Provider Name | Ashish Kumar Sarangi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376064329 PECOS PAC ID: 2769753417 Enrollment ID: I20220829000264 |
| Provider Name | Kristen Laprade Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689292740 PECOS PAC ID: 6204210875 Enrollment ID: I20220831000584 |
| Provider Name | Kathryn Joan Ideker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588300404 PECOS PAC ID: 6103200597 Enrollment ID: I20220902001808 |
| Provider Name | Amanda Elizabeth Mccarthy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215674924 PECOS PAC ID: 4587048806 Enrollment ID: I20220904000071 |
| Provider Name | Mallory E Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114664869 PECOS PAC ID: 6103200464 Enrollment ID: I20220906000862 |
| Provider Name | Jack Griffin Campbell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649633736 PECOS PAC ID: 1456647098 Enrollment ID: I20220908001242 |
| Provider Name | Sarah Elizabeth Severance |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1609256981 PECOS PAC ID: 0244551927 Enrollment ID: I20220908001717 |
| Provider Name | Emma Sayre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245790807 PECOS PAC ID: 8820415318 Enrollment ID: I20220909001431 |
| Provider Name | John Savooji |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447684808 PECOS PAC ID: 8729400130 Enrollment ID: I20220915000324 |
| Provider Name | Rushabh Prakash Dev |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255719274 PECOS PAC ID: 1052619558 Enrollment ID: I20220919000708 |
| Provider Name | Christopher Allen Huxel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053978528 PECOS PAC ID: 7719210400 Enrollment ID: I20220919000776 |
| Provider Name | Elizabeth Ann Sundvold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740915727 PECOS PAC ID: 3476938077 Enrollment ID: I20220919000786 |
| Provider Name | Tyler S Severance |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366822579 PECOS PAC ID: 3870804511 Enrollment ID: I20220919001247 |
| Provider Name | Nkanyezi Ngwenyama Ferguson |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1366755530 PECOS PAC ID: 8628232733 Enrollment ID: I20220919002780 |
| Provider Name | Peter James Nilsson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104347046 PECOS PAC ID: 4284904665 Enrollment ID: I20220923002664 |
| Provider Name | Esra Demirtas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730507799 PECOS PAC ID: 5799022190 Enrollment ID: I20221003001475 |
| Provider Name | Yuuki Kaminoh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356830707 PECOS PAC ID: 0244616977 Enrollment ID: I20221004002692 |
| Provider Name | Brandon P Brewer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417478397 PECOS PAC ID: 6103196266 Enrollment ID: I20221007000556 |
| Provider Name | Jaime Renee Renfro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356073712 PECOS PAC ID: 6305222720 Enrollment ID: I20221007000866 |
| Provider Name | Marvell Saint Victor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821452947 PECOS PAC ID: 0244525608 Enrollment ID: I20221022000194 |
| Provider Name | Cheryl A Stallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881322600 PECOS PAC ID: 0941676522 Enrollment ID: I20221024000305 |
| Provider Name | Erika Linhart Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972231116 PECOS PAC ID: 3678949252 Enrollment ID: I20221024000326 |
| Provider Name | Brenna Elise Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528787231 PECOS PAC ID: 0941676357 Enrollment ID: I20221026000248 |
| Provider Name | Ashley Lynne Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275147563 PECOS PAC ID: 2365818788 Enrollment ID: I20221026000428 |
| Provider Name | Philip Silva |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316467046 PECOS PAC ID: 1052682150 Enrollment ID: I20221107002523 |
| Provider Name | Nikhil Jain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881188506 PECOS PAC ID: 4688926371 Enrollment ID: I20221108000179 |
| Provider Name | Jacqueline Diane Leasure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780391219 PECOS PAC ID: 2466820709 Enrollment ID: I20221117002833 |
| Provider Name | Zachary Fleming |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760008353 PECOS PAC ID: 2264855329 Enrollment ID: I20221122001279 |
| Provider Name | Crystal Stack Lim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356625081 PECOS PAC ID: 4284809617 Enrollment ID: I20221207001373 |
| Provider Name | Laurie Ann Shellhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255054540 PECOS PAC ID: 4385013663 Enrollment ID: I20221208000662 |
| Provider Name | Kathryn Elizabeth Higdon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639529787 PECOS PAC ID: 5698069094 Enrollment ID: I20221209001839 |
| Provider Name | Brian J Kenkel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518122381 PECOS PAC ID: 9234373358 Enrollment ID: I20221212000577 |
| Provider Name | Sunny Buchler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356803977 PECOS PAC ID: 5496086597 Enrollment ID: I20221213002175 |
| Provider Name | Taylor Ray Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093422560 PECOS PAC ID: 5799154746 Enrollment ID: I20221213002957 |
| Provider Name | Reiana Jo Mahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609437490 PECOS PAC ID: 2860727096 Enrollment ID: I20221214000988 |
| Provider Name | Lauren Taylor Vollrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003551532 PECOS PAC ID: 1355711706 Enrollment ID: I20221230000960 |
| Provider Name | David L Raj |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508091893 PECOS PAC ID: 6800028861 Enrollment ID: I20230111000165 |
| Provider Name | Andrew Ryan Palisch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578701827 PECOS PAC ID: 8022258177 Enrollment ID: I20230111002095 |
| Provider Name | Frank Mullens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720050198 PECOS PAC ID: 1254734940 Enrollment ID: I20230123001163 |
| Provider Name | Kelly Christine Gossett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578271557 PECOS PAC ID: 0042681462 Enrollment ID: I20230123002385 |
| Provider Name | Edvin Isufi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144701798 PECOS PAC ID: 3375896392 Enrollment ID: I20230124001279 |
| Provider Name | Rodger Ellis Wilhite |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225493844 PECOS PAC ID: 1456643329 Enrollment ID: I20230124003097 |
| Provider Name | Charles N Spear |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780070276 PECOS PAC ID: 6103128442 Enrollment ID: I20230207001622 |
| Provider Name | Milot Thaqi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356792345 PECOS PAC ID: 1052665148 Enrollment ID: I20230207001671 |
| Provider Name | Ana Cecilia Belzarena Genovese |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982159810 PECOS PAC ID: 5597019257 Enrollment ID: I20230214002077 |
| Provider Name | Nikki A Clatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568101822 PECOS PAC ID: 8729450093 Enrollment ID: I20230214002967 |
| Provider Name | Akram Mohamed Osman Babkir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891340741 PECOS PAC ID: 8426420530 Enrollment ID: I20230217000363 |
| Provider Name | Abdo Maroun Saad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518149830 PECOS PAC ID: 6800038977 Enrollment ID: I20230217001818 |
| Provider Name | William David Arnold |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174653976 PECOS PAC ID: 8022154822 Enrollment ID: I20230222001167 |
| Provider Name | Taran E Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033821640 PECOS PAC ID: 0244603140 Enrollment ID: I20230223001404 |
| Provider Name | Angela M Stonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821763855 PECOS PAC ID: 5890168751 Enrollment ID: I20230224001145 |
| Provider Name | Alexis M Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154033835 PECOS PAC ID: 2961875778 Enrollment ID: I20230227000460 |
| Provider Name | Elie S Ghanem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932306685 PECOS PAC ID: 6305094483 Enrollment ID: I20230227002480 |
| Provider Name | Teresa Lynne Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295446706 PECOS PAC ID: 2961875315 Enrollment ID: I20230306000727 |
| Provider Name | Alicia Gabrielle Dessain |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194219261 PECOS PAC ID: 6709133127 Enrollment ID: I20230306002005 |
| Provider Name | Bo Lu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245314343 PECOS PAC ID: 3173426012 Enrollment ID: I20230309000422 |
| Provider Name | Matthew Doherty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013439215 PECOS PAC ID: 5597030759 Enrollment ID: I20230315003170 |
| Provider Name | Krista Lena Schaller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609444637 PECOS PAC ID: 5395119259 Enrollment ID: I20230316002115 |
| Provider Name | Curt Ritchey Canine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932586971 PECOS PAC ID: 4082947932 Enrollment ID: I20230323000340 |
| Provider Name | Marina Kay Pelikan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780300129 PECOS PAC ID: 9739553058 Enrollment ID: I20230328000389 |
| Provider Name | Melvyn Karp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871579243 PECOS PAC ID: 2466415120 Enrollment ID: I20230503002924 |
| Provider Name | Anthony Gerard Pompa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366804643 PECOS PAC ID: 5496124653 Enrollment ID: I20230612001393 |
| Provider Name | Andrew P Kong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285139162 PECOS PAC ID: 5597015354 Enrollment ID: I20230621000551 |
| Provider Name | Mai Lan Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578729455 PECOS PAC ID: 7315163730 Enrollment ID: I20230710000891 |
| Provider Name | Laurel Camilla Owen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417650177 PECOS PAC ID: 3779943055 Enrollment ID: I20230718003225 |
| Provider Name | Daniel James Romine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770102758 PECOS PAC ID: 5698199776 Enrollment ID: I20230721000903 |
| Provider Name | Garrett T Hull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528685906 PECOS PAC ID: 1355765512 Enrollment ID: I20230724001986 |
| Provider Name | Staci D Reinert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871152827 PECOS PAC ID: 8426419375 Enrollment ID: I20230725003719 |
| Provider Name | Jacob R Hayden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871022954 PECOS PAC ID: 2365712882 Enrollment ID: I20230726003141 |
| Provider Name | Quang Trong Trung Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598285959 PECOS PAC ID: 1658640289 Enrollment ID: I20230803003097 |
| Provider Name | John D Richard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568448116 PECOS PAC ID: 9830550045 Enrollment ID: I20230804000443 |
| Provider Name | Byron Cris Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063067254 PECOS PAC ID: 2961800263 Enrollment ID: I20230809003548 |
| Provider Name | Christopher Reid Mandler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265058366 PECOS PAC ID: 5193149797 Enrollment ID: I20230816000525 |
| Provider Name | Zane Zhanxiang He |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750949541 PECOS PAC ID: 3779817614 Enrollment ID: I20230817003731 |
| Provider Name | Casey N Beckley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194309351 PECOS PAC ID: 1052705027 Enrollment ID: I20230821003590 |
| Provider Name | Shawn P Stallings |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184616369 PECOS PAC ID: 1850421223 Enrollment ID: I20230823004041 |
| Provider Name | Rohan Asit Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740779032 PECOS PAC ID: 9234475807 Enrollment ID: I20230824003284 |
| Provider Name | William K Korn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609807882 PECOS PAC ID: 9739117011 Enrollment ID: I20230825001179 |
| Provider Name | Hilary Amaechi Elom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437788213 PECOS PAC ID: 2062822562 Enrollment ID: I20230825002500 |
| Provider Name | Jill Lynn Feurt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063421048 PECOS PAC ID: 4880748433 Enrollment ID: I20230828000300 |
| Provider Name | Hayley Elizabeth Twagirayezu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710677414 PECOS PAC ID: 3476916214 Enrollment ID: I20230828002162 |
| Provider Name | Conner John Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033735196 PECOS PAC ID: 1153744511 Enrollment ID: I20230828002320 |
| Provider Name | Brian Bahman Borg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902916778 PECOS PAC ID: 8224183124 Enrollment ID: I20230830000882 |
| Provider Name | Jonathan Thomas Misch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730705765 PECOS PAC ID: 4486077153 Enrollment ID: I20230831000836 |
| Provider Name | Melanie Joy Oler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194341560 PECOS PAC ID: 0143643205 Enrollment ID: I20230831003118 |
| Provider Name | Colbert Charles Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417573874 PECOS PAC ID: 8224451380 Enrollment ID: I20230831003134 |
| Provider Name | Whitney Diane Ficker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285154534 PECOS PAC ID: 4587087788 Enrollment ID: I20230831003945 |
| Provider Name | Jordan Elizabeth Parker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174182026 PECOS PAC ID: 3476888967 Enrollment ID: I20230831003998 |
| Provider Name | Travis William Smoot |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396230629 PECOS PAC ID: 1153670609 Enrollment ID: I20230831004019 |
| Provider Name | Hannah Nicole Farmer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982265567 PECOS PAC ID: 2567790769 Enrollment ID: I20230831004233 |
| Provider Name | Sanu Raja Yadav |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467972828 PECOS PAC ID: 2062783632 Enrollment ID: I20230901000289 |
| Provider Name | Krishna Christopher Bhat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174029409 PECOS PAC ID: 9537490891 Enrollment ID: I20230907003884 |
| Provider Name | Sagar Bansal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871084749 PECOS PAC ID: 7113277930 Enrollment ID: I20230908000645 |
| Provider Name | Theppharit Panichsillapakit |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972033397 PECOS PAC ID: 4587094966 Enrollment ID: I20230908001541 |
| Provider Name | Filip G Garrett |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649652520 PECOS PAC ID: 6800180548 Enrollment ID: I20230908002021 |
| Provider Name | Abdul Hannan Ali Rasheed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710565072 PECOS PAC ID: 5597163303 Enrollment ID: I20230908002251 |
| Provider Name | Henry Wei-en Tsang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578017174 PECOS PAC ID: 1658735642 Enrollment ID: I20230908002684 |
| Provider Name | Elliot Sun Toy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871080747 PECOS PAC ID: 0547624405 Enrollment ID: I20230911002220 |
| Provider Name | Chelsea Anne Broomhead |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770100430 PECOS PAC ID: 2466875547 Enrollment ID: I20230913001390 |
| Provider Name | Mohamed Gamal Elbanan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598291684 PECOS PAC ID: 8921342809 Enrollment ID: I20230913002334 |
| Provider Name | Siri Kommareddy-sloane |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649702523 PECOS PAC ID: 7315365319 Enrollment ID: I20230914001931 |
| Provider Name | Kathryn Anne Guymon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699393355 PECOS PAC ID: 4284098823 Enrollment ID: I20230914002244 |
| Provider Name | Amanda Marie Mcintosh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093057366 PECOS PAC ID: 3072837095 Enrollment ID: I20230915001443 |
| Provider Name | Altaf Jamil |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255089561 PECOS PAC ID: 6507220993 Enrollment ID: I20230919001541 |
| Provider Name | Mary Beth Fisher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467834341 PECOS PAC ID: 8729349675 Enrollment ID: I20230919002155 |
| Provider Name | Abhinav Golla |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649762501 PECOS PAC ID: 3678909728 Enrollment ID: I20230920003368 |
| Provider Name | Fizah Sajjad Chaudhary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942838719 PECOS PAC ID: 3476943291 Enrollment ID: I20230921001181 |
| Provider Name | Richard Sidlow |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1689647380 PECOS PAC ID: 4880952670 Enrollment ID: I20230921002068 |
| Provider Name | Laurence George Ducker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467913889 PECOS PAC ID: 3577806876 Enrollment ID: I20230921003084 |
| Provider Name | Obianuju Chinonye Eziolisa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679033039 PECOS PAC ID: 4587047220 Enrollment ID: I20230922000477 |
| Provider Name | Eslam Mohamed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558098293 PECOS PAC ID: 7214310432 Enrollment ID: I20230922001118 |
| Provider Name | Aatif Sayeed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437648961 PECOS PAC ID: 1951666965 Enrollment ID: I20230922002553 |
| Provider Name | Douglas Reed Haase |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396276564 PECOS PAC ID: 1557633104 Enrollment ID: I20230922003509 |
| Provider Name | Jeffrey Daniel Klott |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306376801 PECOS PAC ID: 1355610387 Enrollment ID: I20230922003596 |
| Provider Name | Maggie Lynn Sevrin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144889965 PECOS PAC ID: 1557695129 Enrollment ID: I20230922003677 |
| Provider Name | Bornali Kundu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376939702 PECOS PAC ID: 4981984481 Enrollment ID: I20230923000348 |
| Provider Name | Laura Janine Pickard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760433734 PECOS PAC ID: 1557373388 Enrollment ID: I20230923000646 |
| Provider Name | Vaishnavi Balendiran |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023570850 PECOS PAC ID: 5698191252 Enrollment ID: I20230926003223 |
| Provider Name | James Mcdaniel Dent |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912358854 PECOS PAC ID: 9537451406 Enrollment ID: I20230927002650 |
| Provider Name | Durdana Iram |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245988559 PECOS PAC ID: 6204280951 Enrollment ID: I20230928002040 |
| Provider Name | Emily Angelynne Graves |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922793140 PECOS PAC ID: 9335593037 Enrollment ID: I20230929000243 |
| Provider Name | Carissa Michelle White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982959342 PECOS PAC ID: 6901113117 Enrollment ID: I20230929001099 |
| Provider Name | Benjamin Christian Castro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881117018 PECOS PAC ID: 1951755578 Enrollment ID: I20230929001308 |
| Provider Name | Michael Lon Tan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871150763 PECOS PAC ID: 9032445770 Enrollment ID: I20230929001330 |
| Provider Name | Sana Hasan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811549389 PECOS PAC ID: 7719217157 Enrollment ID: I20230929001430 |
| Provider Name | Emily J Stubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467826636 PECOS PAC ID: 8820358880 Enrollment ID: I20230929001963 |
| Provider Name | Brian Samuel Allen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225560360 PECOS PAC ID: 9537425681 Enrollment ID: I20230929002294 |
| Provider Name | Khurshaid Alam |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1588871826 PECOS PAC ID: 0345398277 Enrollment ID: I20231002000510 |
| Provider Name | Thomas Qinglang Xu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124481502 PECOS PAC ID: 3476846130 Enrollment ID: I20231002001853 |
| Provider Name | Kiersten Elizabeth Norby |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033477500 PECOS PAC ID: 6204127590 Enrollment ID: I20231003002342 |
| Provider Name | Maaz Ahmed Ghouri |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1154857514 PECOS PAC ID: 2860736212 Enrollment ID: I20231003002571 |
| Provider Name | Gregory Douglas Gaskey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003432642 PECOS PAC ID: 9537582291 Enrollment ID: I20231004002923 |
| Provider Name | Joshua Paul Landreneau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699152355 PECOS PAC ID: 1658655329 Enrollment ID: I20231011000841 |
| Provider Name | Majd Fayad Nimer Al-ahmad |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962062034 PECOS PAC ID: 2163752072 Enrollment ID: I20231011003316 |
| Provider Name | Stephanie Barata-kirby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144881509 PECOS PAC ID: 8224364864 Enrollment ID: I20231012001832 |
| Provider Name | Pak Ho Au |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972120814 PECOS PAC ID: 5698198356 Enrollment ID: I20231012003007 |
| Provider Name | Patrick D Ward |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184157661 PECOS PAC ID: 8224364872 Enrollment ID: I20231013000299 |
| Provider Name | Ethan Scott Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104455732 PECOS PAC ID: 3476908211 Enrollment ID: I20231013000932 |
| Provider Name | Stephanie Bustros |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316467756 PECOS PAC ID: 6002261849 Enrollment ID: I20231013000960 |
| Provider Name | Ahmed Ibrahem Ahmed Swi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285181578 PECOS PAC ID: 8325494842 Enrollment ID: I20231019001835 |
| Provider Name | Kari A Malwitz |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1447514070 PECOS PAC ID: 8022301191 Enrollment ID: I20231024002127 |
| Provider Name | Sara Catherine Mayeu Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891182929 PECOS PAC ID: 9638472475 Enrollment ID: I20231027002788 |
| Provider Name | Gregory Burchett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194989269 PECOS PAC ID: 0244398105 Enrollment ID: I20231031000454 |
| Provider Name | Vipul Keshavji Bhanderi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154532885 PECOS PAC ID: 5294861621 Enrollment ID: I20231031003609 |
| Provider Name | Arwa Mawaffak Mohammad |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1376992727 PECOS PAC ID: 4385938158 Enrollment ID: I20231102000475 |
| Provider Name | Venugopal B Bhattad |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1568879294 PECOS PAC ID: 0547662082 Enrollment ID: I20231102000491 |
| Provider Name | Angela Marie Richmond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144724238 PECOS PAC ID: 1153670690 Enrollment ID: I20231106001909 |
| Provider Name | Kimberly Ann Frazier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013953678 PECOS PAC ID: 7517918154 Enrollment ID: I20231107002364 |
| Provider Name | Uttara Nag |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427478973 PECOS PAC ID: 5395192744 Enrollment ID: I20231107003181 |
| Provider Name | Marc Edward Shelton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245313840 PECOS PAC ID: 2860385291 Enrollment ID: I20231107003261 |
| Provider Name | Jeffrey C King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962508218 PECOS PAC ID: 8729072277 Enrollment ID: I20231108000277 |
| Provider Name | Denise Alejandra Lopez Domowicz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326308966 PECOS PAC ID: 8820415722 Enrollment ID: I20231113003413 |
| Provider Name | Lauren N Toy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639632250 PECOS PAC ID: 3274981782 Enrollment ID: I20231122000314 |
| Provider Name | Fred Thomas Hurst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841247954 PECOS PAC ID: 7618969015 Enrollment ID: I20231127001063 |
| Provider Name | Brittany Bius Raines |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750856811 PECOS PAC ID: 9537491451 Enrollment ID: I20231127001106 |
| Provider Name | Gary J Jarvis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134717283 PECOS PAC ID: 8325454002 Enrollment ID: I20231127002320 |
| Provider Name | Aleksandra Bacewicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245720853 PECOS PAC ID: 3971850751 Enrollment ID: I20231207000386 |
| Provider Name | Vivek Yagnik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376533505 PECOS PAC ID: 7315081379 Enrollment ID: I20231207003616 |
| Provider Name | Michaella Lynn Dudenhoeffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477288090 PECOS PAC ID: 5597148247 Enrollment ID: I20231214002733 |
| Provider Name | Ejike C Nwokwor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871118109 PECOS PAC ID: 4082036538 Enrollment ID: I20231219001990 |
| Provider Name | Balint Istvan Otvos |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720338452 PECOS PAC ID: 6305148644 Enrollment ID: I20240108005217 |
| Provider Name | Isaac Wayne Parrish |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417696204 PECOS PAC ID: 7810370913 Enrollment ID: I20240109001049 |
| Provider Name | Lorie Ann Bousquet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174304497 PECOS PAC ID: 5597116137 Enrollment ID: I20240109001079 |
| Provider Name | Catherine Augusta Muzzey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073394813 PECOS PAC ID: 3678924156 Enrollment ID: I20240109002975 |
| Provider Name | Wesley James Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629155726 PECOS PAC ID: 9234503129 Enrollment ID: I20240110004190 |
| Provider Name | George Shenouda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316457914 PECOS PAC ID: 8628446929 Enrollment ID: I20240110005055 |
| Provider Name | Gary Wayne Jay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063839793 PECOS PAC ID: 5597663591 Enrollment ID: I20240111001169 |
| Provider Name | Shawn M Degler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922037118 PECOS PAC ID: 8921062852 Enrollment ID: I20240111003217 |
| Provider Name | Kailyn Marie Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053197525 PECOS PAC ID: 5496106502 Enrollment ID: I20240112001216 |
| Provider Name | Latoshia E Donald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023617016 PECOS PAC ID: 9931513058 Enrollment ID: I20240119001476 |
| Provider Name | Donna Elizabeth Wheeler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942431275 PECOS PAC ID: 0345387346 Enrollment ID: I20240119001624 |
| Provider Name | Amanda Christine Brodeur |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1528164159 PECOS PAC ID: 8123470689 Enrollment ID: I20240119002709 |
| Provider Name | Natalie Nicole Wuest |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396331690 PECOS PAC ID: 9133562440 Enrollment ID: I20240202003258 |
| Provider Name | Hannia Lorena Burke Aguero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871007823 PECOS PAC ID: 5597108829 Enrollment ID: I20240203000098 |
| Provider Name | Pagena M Nichols |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417591900 PECOS PAC ID: 6305289646 Enrollment ID: I20240203000167 |
| Provider Name | Erika D Barrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336288463 PECOS PAC ID: 3577906817 Enrollment ID: I20240203000189 |
| Provider Name | Suzanne Marie Boss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457499402 PECOS PAC ID: 0749623080 Enrollment ID: I20240203000230 |
| Provider Name | Melissa Ann Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417424896 PECOS PAC ID: 1456794791 Enrollment ID: I20240203000330 |
| Provider Name | Zachary C Dwiggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053092999 PECOS PAC ID: 0244673580 Enrollment ID: I20240203000419 |
| Provider Name | Barbara Ann Price-boucher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134262967 PECOS PAC ID: 5698118883 Enrollment ID: I20240205001894 |
| Provider Name | Nicole L Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962077768 PECOS PAC ID: 7618371964 Enrollment ID: I20240205004110 |
| Provider Name | Olivia Xenia Mae Sognesand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760102396 PECOS PAC ID: 1456727932 Enrollment ID: I20240208000830 |
| Provider Name | Cassandra Daella King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740846534 PECOS PAC ID: 2466780283 Enrollment ID: I20240208002826 |
| Provider Name | Noel Marie Elrod |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073123675 PECOS PAC ID: 3072957851 Enrollment ID: I20240220003472 |
| Provider Name | Rhonda Karyl Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023132149 PECOS PAC ID: 9739523556 Enrollment ID: I20240221000217 |
| Provider Name | Julia S Halsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669767927 PECOS PAC ID: 9739313933 Enrollment ID: I20240304000667 |
| Provider Name | Carolyn Sue Quinsey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205156502 PECOS PAC ID: 4981824091 Enrollment ID: I20240304000943 |
| Provider Name | Deepak Alapati |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1750709705 PECOS PAC ID: 8426356353 Enrollment ID: I20240306002823 |
| Provider Name | Kristen Marie Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699386417 PECOS PAC ID: 6103235437 Enrollment ID: I20240307000378 |
| Provider Name | Jacob Caruso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649673757 PECOS PAC ID: 1456673540 Enrollment ID: I20240315001067 |
| Provider Name | Adrine Sue Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649230970 PECOS PAC ID: 2769448539 Enrollment ID: I20240315001161 |
| Provider Name | Ryan Castoro |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427437789 PECOS PAC ID: 2264734169 Enrollment ID: I20240315002999 |
| Provider Name | Abbey Gail White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275960593 PECOS PAC ID: 2163868845 Enrollment ID: I20240316000480 |
| Provider Name | Unknown Kazi Amir Irfan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295482586 PECOS PAC ID: 1254726847 Enrollment ID: I20240318002204 |
| Provider Name | Bhavana Kranthi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114226693 PECOS PAC ID: 3577874478 Enrollment ID: I20240325003676 |
| Provider Name | Lisa Marie Bruns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720840945 PECOS PAC ID: 2466899414 Enrollment ID: I20240326001844 |
| Provider Name | Rebecca Joann Renfrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285403634 PECOS PAC ID: 1052758976 Enrollment ID: I20240327000410 |
| Provider Name | Charles Wayne Baysinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538939210 PECOS PAC ID: 6406294297 Enrollment ID: I20240328003338 |
| Provider Name | Alex Witcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457879330 PECOS PAC ID: 9739446279 Enrollment ID: I20240329001153 |
| Provider Name | Yvonne Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588901490 PECOS PAC ID: 0749425965 Enrollment ID: I20240402002787 |
| Provider Name | Bryton Perman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952963241 PECOS PAC ID: 7416287487 Enrollment ID: I20240405001410 |
| Provider Name | Amelia Keiko Nakanishi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750816815 PECOS PAC ID: 5092153221 Enrollment ID: I20240405002590 |
| Provider Name | Wedad Alfarkh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558859835 PECOS PAC ID: 6103267240 Enrollment ID: I20240507003631 |
| Provider Name | Zahra Dashtaki |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770135451 PECOS PAC ID: 3971944851 Enrollment ID: I20240509000632 |
| Provider Name | Daniel Au |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346771151 PECOS PAC ID: 6002188802 Enrollment ID: I20240510000354 |
| Provider Name | Benjamin Vega |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326509001 PECOS PAC ID: 3375878077 Enrollment ID: I20240510000477 |
| Provider Name | Desiree Maria Ferdinandi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013409531 PECOS PAC ID: 2668716630 Enrollment ID: I20240513002206 |
| Provider Name | Britton Odle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417450271 PECOS PAC ID: 9931430808 Enrollment ID: I20240515003332 |
| Provider Name | Deepa Baswaraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033604053 PECOS PAC ID: 5698024131 Enrollment ID: I20240515003586 |
| Provider Name | Nicole Formhals |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396313987 PECOS PAC ID: 2466852488 Enrollment ID: I20240516003287 |
| Provider Name | Soumya Mikkilineni |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942861695 PECOS PAC ID: 7517321508 Enrollment ID: I20240520001010 |
| Provider Name | Shawn Sood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699161778 PECOS PAC ID: 8325350127 Enrollment ID: I20240522001657 |
| Provider Name | Devon Kyle Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689439986 PECOS PAC ID: 0345682837 Enrollment ID: I20240529003949 |
| Provider Name | Kim Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699303305 PECOS PAC ID: 5698199537 Enrollment ID: I20240601000125 |
| Provider Name | Tarek S Elkadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245302736 PECOS PAC ID: 9436125580 Enrollment ID: I20240607002076 |
Columbia Family Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Keene St, Suite 301, Columbia, MO 65201 Phone: 573-449-0808 Fax: 573-442-1331 | |
Sme Virginia Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5728 Pergola Dr Apt 207, Columbia, MO 65201 Phone: 678-977-5507 | |
University Physicians Specialty Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 W Broadway, Columbia, MO 65203 Phone: 573-884-7701 | |
Sme Utah, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5728 Pergola Dr Apt 207, Columbia, MO 65201 Phone: 678-977-5507 | |
Sme Idaho P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5728 Pergola Dr Apt 207, Columbia, MO 65201 Phone: 678-977-5507 | |
Nephrology And Hypertension Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1205 W Broadway, Columbia, MO 65203 Phone: 573-499-0642 Fax: 573-449-1787 | |
Family Dental Center Columbia East Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2475 Broadway Bluffs Dr, Suite 200, Columbia, MO 65201 Phone: 573-777-9282 Fax: 573-777-9569 |