| Deaconess Care Group | |
|
600 Mary Street Evansville IN 47747-0001 | |
| (812) 450-3036 | |
| (812) 450-2193 |
| Full Name | Deaconess Care Group |
|---|---|
| Speciality | Hospitalist |
| Location | 600 Mary Street, Evansville, Indiana |
| Authorized Official Name and Position | Cheryl A Wathen (CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Care Group Po Box 3407 Evansville IN 47733-3407 Ph: (812) 450-3036 | Deaconess Care Group 600 Mary Street Evansville IN 47747-0001 Ph: (812) 450-3036 |
| NPI Number | 1427097443 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 03/04/2021 |
| Medicare PECOS PAC ID | 9032021431 |
|---|---|
| Medicare Enrollment ID | O20040115000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427097443 | NPI | - | NPPES |
| 200153710A | Medicaid | IN | |
| CG1119 | Other | IN | RR MEDICARE GROUP # |
| Provider Name | Rama D Chilukuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699841874 PECOS PAC ID: 8527970847 Enrollment ID: I20031104000423 |
| Provider Name | Chandrashekar Kumbar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1568425692 PECOS PAC ID: 3274447479 Enrollment ID: I20031112000747 |
| Provider Name | David A Koehler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801973086 PECOS PAC ID: 4385548031 Enrollment ID: I20031124000486 |
| Provider Name | Hirak J Sen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386664852 PECOS PAC ID: 1658278163 Enrollment ID: I20031215000050 |
| Provider Name | Kenneth G Combs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619971942 PECOS PAC ID: 1759288152 Enrollment ID: I20031215000535 |
| Provider Name | Cathy Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063434470 PECOS PAC ID: 6002702388 Enrollment ID: I20040224000734 |
| Provider Name | Scott M Cordts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023095262 PECOS PAC ID: 4880680669 Enrollment ID: I20040426000649 |
| Provider Name | Patricia Gayle Wallace |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1356368849 PECOS PAC ID: 4789673682 Enrollment ID: I20040506001583 |
| Provider Name | Valerie Ann Turpen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003974270 PECOS PAC ID: 3375521743 Enrollment ID: I20040712000853 |
| Provider Name | Cynthia D Gress |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982636536 PECOS PAC ID: 2062490261 Enrollment ID: I20040713001058 |
| Provider Name | Shahid Idris Mufti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710985213 PECOS PAC ID: 3274445531 Enrollment ID: I20040724000347 |
| Provider Name | Terry M Hoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164469722 PECOS PAC ID: 5799767521 Enrollment ID: I20040726000004 |
| Provider Name | Christopher B Cannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730105875 PECOS PAC ID: 4183697832 Enrollment ID: I20040819000605 |
| Provider Name | Bernard J Kay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649202631 PECOS PAC ID: 8820991623 Enrollment ID: I20040823000236 |
| Provider Name | Clifford L Dotson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487689014 PECOS PAC ID: 9638144686 Enrollment ID: I20040901000798 |
| Provider Name | Mohammed A Allaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336142728 PECOS PAC ID: 9638146863 Enrollment ID: I20040915001160 |
| Provider Name | Ward M Neff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588667968 PECOS PAC ID: 7517936610 Enrollment ID: I20040927000294 |
| Provider Name | Barry W Gest |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952388183 PECOS PAC ID: 2860461472 Enrollment ID: I20040930000337 |
| Provider Name | Judy C Reising-knapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467577288 PECOS PAC ID: 1759340045 Enrollment ID: I20041004000240 |
| Provider Name | Sandhya Donepudi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275588055 PECOS PAC ID: 5890754808 Enrollment ID: I20041008001081 |
| Provider Name | Toni M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043213390 PECOS PAC ID: 5597725150 Enrollment ID: I20041018000789 |
| Provider Name | Prabhakara Shetty Heggunje |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316900442 PECOS PAC ID: 2466441209 Enrollment ID: I20041020001219 |
| Provider Name | Jacob Howard Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992782122 PECOS PAC ID: 6103888029 Enrollment ID: I20041102000642 |
| Provider Name | Charles R Crockett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932208345 PECOS PAC ID: 3375505217 Enrollment ID: I20041102000732 |
| Provider Name | Vernon H Humbert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740269679 PECOS PAC ID: 3173588860 Enrollment ID: I20041122000866 |
| Provider Name | Umesh C Jairath |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154384261 PECOS PAC ID: 8527960418 Enrollment ID: I20041221000064 |
| Provider Name | Deborah A Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124027255 PECOS PAC ID: 1759349921 Enrollment ID: I20041221000219 |
| Provider Name | Sherri A Walling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497799100 PECOS PAC ID: 0941258628 Enrollment ID: I20050110000476 |
| Provider Name | Jonathan S Lowrey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013912997 PECOS PAC ID: 5991753477 Enrollment ID: I20050111000867 |
| Provider Name | Susan Joan Chinworth Martig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528016227 PECOS PAC ID: 5294784138 Enrollment ID: I20050118000459 |
| Provider Name | Robert S Starrett |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437107521 PECOS PAC ID: 3779497961 Enrollment ID: I20050203000636 |
| Provider Name | Satyam Tatineni |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245298066 PECOS PAC ID: 7315851508 Enrollment ID: I20050203000657 |
| Provider Name | Mohit K Sheth |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851349930 PECOS PAC ID: 1052225240 Enrollment ID: I20050203000693 |
| Provider Name | Christine Gest |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1407819220 PECOS PAC ID: 3779496963 Enrollment ID: I20050203000958 |
| Provider Name | Charlene A Buchanan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104877430 PECOS PAC ID: 7315999059 Enrollment ID: I20050210000786 |
| Provider Name | Rekha Tummala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083772248 PECOS PAC ID: 9739131798 Enrollment ID: I20050217000647 |
| Provider Name | Patrick R Cross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902843782 PECOS PAC ID: 8921041682 Enrollment ID: I20050603000965 |
| Provider Name | Deirdre A Durkis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316047996 PECOS PAC ID: 8628013661 Enrollment ID: I20050621000839 |
| Provider Name | Nirmal Joshi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982607131 PECOS PAC ID: 2769447515 Enrollment ID: I20050627001189 |
| Provider Name | Sridhar Banuru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649244781 PECOS PAC ID: 0749225670 Enrollment ID: I20050628000826 |
| Provider Name | Narayan P Neupane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285675173 PECOS PAC ID: 8921044298 Enrollment ID: I20050708000175 |
| Provider Name | Roseanna Linn Parkhurst Gatewood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023051141 PECOS PAC ID: 9638105919 Enrollment ID: I20050718000986 |
| Provider Name | Joseph Waling |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1114902160 PECOS PAC ID: 9335178060 Enrollment ID: I20050812000376 |
| Provider Name | Lori L Munsie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801904867 PECOS PAC ID: 8820023088 Enrollment ID: I20050927001192 |
| Provider Name | David Scott James |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346282316 PECOS PAC ID: 0547237679 Enrollment ID: I20051010000712 |
| Provider Name | Arthur Bentsen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295713857 PECOS PAC ID: 5991721060 Enrollment ID: I20051018000707 |
| Provider Name | William Michael Roberts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336138650 PECOS PAC ID: 7012934011 Enrollment ID: I20051028000683 |
| Provider Name | Gina T Huhnke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811092307 PECOS PAC ID: 3870570310 Enrollment ID: I20051129000829 |
| Provider Name | Babar Zuberi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275532640 PECOS PAC ID: 9335165893 Enrollment ID: I20051205000300 |
| Provider Name | Pallavi K Bhatt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497733257 PECOS PAC ID: 9436164555 Enrollment ID: I20060210000478 |
| Provider Name | Rajesh J Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336128339 PECOS PAC ID: 5193730190 Enrollment ID: I20060213000428 |
| Provider Name | Evan C Speck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679502777 PECOS PAC ID: 2466467477 Enrollment ID: I20060213000535 |
| Provider Name | Amy K Reising |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326014655 PECOS PAC ID: 4587672266 Enrollment ID: I20060323000115 |
| Provider Name | Ahmed Zia Karim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205838414 PECOS PAC ID: 2466465059 Enrollment ID: I20060727000159 |
| Provider Name | Stephanie L Preston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427014331 PECOS PAC ID: 5092712042 Enrollment ID: I20061103000419 |
| Provider Name | Charles Alan Strickland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972541183 PECOS PAC ID: 4183622590 Enrollment ID: I20061120000210 |
| Provider Name | Roxana A Donea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205898400 PECOS PAC ID: 9234138769 Enrollment ID: I20061212000065 |
| Provider Name | Lorie E Hessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932113032 PECOS PAC ID: 1557360633 Enrollment ID: I20061219000350 |
| Provider Name | Naveen Devabhaktuni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679586705 PECOS PAC ID: 0547174252 Enrollment ID: I20061227000165 |
| Provider Name | William Tortoriello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861411100 PECOS PAC ID: 5092715268 Enrollment ID: I20070111000558 |
| Provider Name | Lawrence C Kilinski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669570206 PECOS PAC ID: 5991807125 Enrollment ID: I20070219000581 |
| Provider Name | James M Boling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003859810 PECOS PAC ID: 0941302095 Enrollment ID: I20070221000162 |
| Provider Name | Robert E Alley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346282241 PECOS PAC ID: 9830291988 Enrollment ID: I20070221000179 |
| Provider Name | Pamela S Pepper |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1447294095 PECOS PAC ID: 5890897946 Enrollment ID: I20070221000212 |
| Provider Name | Judith R Canlas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912926734 PECOS PAC ID: 1052414679 Enrollment ID: I20070319000609 |
| Provider Name | Bassam Yousef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598745184 PECOS PAC ID: 7113813304 Enrollment ID: I20070430000354 |
| Provider Name | James M Neahring |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104874379 PECOS PAC ID: 9234043423 Enrollment ID: I20070505000006 |
| Provider Name | Laura D Diaz Del Castillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194834440 PECOS PAC ID: 9537068580 Enrollment ID: I20070516000058 |
| Provider Name | Melissa Gail Fitch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275504706 PECOS PAC ID: 7113828005 Enrollment ID: I20070517000290 |
| Provider Name | Lindsay W Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033116314 PECOS PAC ID: 4486752003 Enrollment ID: I20070606000001 |
| Provider Name | Howard Heerdt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952356289 PECOS PAC ID: 4981612819 Enrollment ID: I20070612000665 |
| Provider Name | Andrew Houseman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558352021 PECOS PAC ID: 1557261823 Enrollment ID: I20070620000166 |
| Provider Name | Christine Schaffer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407866866 PECOS PAC ID: 7517986995 Enrollment ID: I20070720000486 |
| Provider Name | Jessica G Mendel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154526739 PECOS PAC ID: 7719079854 Enrollment ID: I20070822000384 |
| Provider Name | Terry L Sweatt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508855651 PECOS PAC ID: 0042235384 Enrollment ID: I20070910000745 |
| Provider Name | Cynthia Kay Kiesel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558405753 PECOS PAC ID: 6406941186 Enrollment ID: I20070927000061 |
| Provider Name | Elizabeth M Head |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396939559 PECOS PAC ID: 8426143306 Enrollment ID: I20071008000274 |
| Provider Name | Tracy J Deno-buechlein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467646752 PECOS PAC ID: 6204922602 Enrollment ID: I20071017000156 |
| Provider Name | William Francis Boone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881882793 PECOS PAC ID: 1254429434 Enrollment ID: I20071211000603 |
| Provider Name | Sally A Schuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073796405 PECOS PAC ID: 9032290507 Enrollment ID: I20080123000088 |
| Provider Name | Venkatesh R Madadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649264383 PECOS PAC ID: 0648257519 Enrollment ID: I20080205000245 |
| Provider Name | Roderick Warren |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093719841 PECOS PAC ID: 0446295059 Enrollment ID: I20080324000523 |
| Provider Name | Kurt D Bottles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942376116 PECOS PAC ID: 4789761990 Enrollment ID: I20080411000097 |
| Provider Name | Carolyn M Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720094808 PECOS PAC ID: 2769481944 Enrollment ID: I20080430000379 |
| Provider Name | Daniel W Henry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528046182 PECOS PAC ID: 8224051420 Enrollment ID: I20080514000015 |
| Provider Name | Karla R Kitch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942260138 PECOS PAC ID: 6709891336 Enrollment ID: I20080729000725 |
| Provider Name | Mell B Welborn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427116631 PECOS PAC ID: 9234204280 Enrollment ID: I20080826000613 |
| Provider Name | Ayaz Shaikh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1982673661 PECOS PAC ID: 1456323187 Enrollment ID: I20080925000683 |
| Provider Name | Alexander J Radnovich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669630661 PECOS PAC ID: 4385712462 Enrollment ID: I20081002000119 |
| Provider Name | Tabassum I Parkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205015898 PECOS PAC ID: 8325116098 Enrollment ID: I20081008000110 |
| Provider Name | David Earl Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912987363 PECOS PAC ID: 0345309258 Enrollment ID: I20081107000017 |
| Provider Name | Vicki L Mcneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508957457 PECOS PAC ID: 5092876235 Enrollment ID: I20081208000043 |
| Provider Name | April Ms Toelle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255530317 PECOS PAC ID: 6901967876 Enrollment ID: I20081210000592 |
| Provider Name | Andrew C Parker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972593572 PECOS PAC ID: 2264594498 Enrollment ID: I20081223000443 |
| Provider Name | Rebecca H Schadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508961954 PECOS PAC ID: 5597820399 Enrollment ID: I20090211000280 |
| Provider Name | Jorge Ballesteros |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174550925 PECOS PAC ID: 6305811944 Enrollment ID: I20090414000295 |
| Provider Name | James J Laguardia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790766996 PECOS PAC ID: 3577610930 Enrollment ID: I20090422000237 |
| Provider Name | Nathan J Reed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538380993 PECOS PAC ID: 1456402106 Enrollment ID: I20090619000460 |
| Provider Name | Angela L Schapker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174777072 PECOS PAC ID: 5890847750 Enrollment ID: I20090723000609 |
| Provider Name | Alissa N Worstell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952544991 PECOS PAC ID: 0840344149 Enrollment ID: I20090821000007 |
| Provider Name | Joshua N Kindrat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306009253 PECOS PAC ID: 8426116989 Enrollment ID: I20090825000623 |
| Provider Name | Deepa Jyothi Ghanta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588875231 PECOS PAC ID: 3173669363 Enrollment ID: I20091001000007 |
| Provider Name | Marty E Henderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922058874 PECOS PAC ID: 1557339462 Enrollment ID: I20091028000536 |
| Provider Name | Alysen M Weinzapfel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831374099 PECOS PAC ID: 0547309114 Enrollment ID: I20091120000584 |
| Provider Name | Dmitriy Rafael Sintsov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538267281 PECOS PAC ID: 6204815699 Enrollment ID: I20091121000092 |
| Provider Name | Robert L Rusche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437152808 PECOS PAC ID: 9133165129 Enrollment ID: I20091228000106 |
| Provider Name | Jameson D Way |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245248293 PECOS PAC ID: 4082756317 Enrollment ID: I20100125000090 |
| Provider Name | Michael Drake |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720029721 PECOS PAC ID: 7012052673 Enrollment ID: I20100306000325 |
| Provider Name | Rhonda Jeanne Eubanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235177338 PECOS PAC ID: 6204963432 Enrollment ID: I20100420000956 |
| Provider Name | Michael W Peters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801987854 PECOS PAC ID: 8022145846 Enrollment ID: I20100427000139 |
| Provider Name | David G Head |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518299940 PECOS PAC ID: 1355478132 Enrollment ID: I20100427000831 |
| Provider Name | Laura Louise Depas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053319020 PECOS PAC ID: 0749244218 Enrollment ID: I20100615000198 |
| Provider Name | Kenneth R Parker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457302564 PECOS PAC ID: 3678479359 Enrollment ID: I20100617000655 |
| Provider Name | Matthew Gilbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013117621 PECOS PAC ID: 8426189952 Enrollment ID: I20100628000723 |
| Provider Name | Mathias A Kolleck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720013378 PECOS PAC ID: 5496886848 Enrollment ID: I20100629000022 |
| Provider Name | John Michael Burnley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295839835 PECOS PAC ID: 2961533377 Enrollment ID: I20100629000617 |
| Provider Name | James Patrick Fouts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215031851 PECOS PAC ID: 7315078730 Enrollment ID: I20100629000740 |
| Provider Name | Reza G Mohammadi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386748903 PECOS PAC ID: 2466583885 Enrollment ID: I20100629000770 |
| Provider Name | Peter L Stevenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588768071 PECOS PAC ID: 1355304320 Enrollment ID: I20100629000889 |
| Provider Name | William P Hardesty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881799179 PECOS PAC ID: 8123120235 Enrollment ID: I20100630000379 |
| Provider Name | Azizullah Mehrzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518062819 PECOS PAC ID: 5991836280 Enrollment ID: I20100630000687 |
| Provider Name | Nitin Arun Khadilkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629237078 PECOS PAC ID: 5597897587 Enrollment ID: I20100708001083 |
| Provider Name | Venkata S Yelamanchili |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225022866 PECOS PAC ID: 1153234323 Enrollment ID: I20100716000518 |
| Provider Name | Prasanna L Yelamanchili |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083838130 PECOS PAC ID: 3476685058 Enrollment ID: I20100716000561 |
| Provider Name | Vernon Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346209798 PECOS PAC ID: 4981736071 Enrollment ID: I20100726000479 |
| Provider Name | Eric G Cure |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629172226 PECOS PAC ID: 1658404439 Enrollment ID: I20100730000198 |
| Provider Name | Julie K Gerhardt |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1568401503 PECOS PAC ID: 3678607462 Enrollment ID: I20100816000675 |
| Provider Name | John C Meunier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831391176 PECOS PAC ID: 1850416850 Enrollment ID: I20100914001149 |
| Provider Name | Mark H Robinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679895171 PECOS PAC ID: 3577756899 Enrollment ID: I20101019001313 |
| Provider Name | Krishna R Chilukuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841273968 PECOS PAC ID: 4789779463 Enrollment ID: I20101025001097 |
| Provider Name | Howard A Rumjahn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588644637 PECOS PAC ID: 8820022387 Enrollment ID: I20101112000434 |
| Provider Name | Dimple A Royalty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336343417 PECOS PAC ID: 8224225230 Enrollment ID: I20101202001168 |
| Provider Name | Cynthia D Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104131655 PECOS PAC ID: 5496943292 Enrollment ID: I20101221000486 |
| Provider Name | Cristina A Vardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558565564 PECOS PAC ID: 7416973474 Enrollment ID: I20110127000797 |
| Provider Name | Dan Vardi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245302108 PECOS PAC ID: 3476733320 Enrollment ID: I20110209000612 |
| Provider Name | David L Ryon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740230267 PECOS PAC ID: 3375646250 Enrollment ID: I20110209000987 |
| Provider Name | Todd Wendell Aud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639250616 PECOS PAC ID: 9537111265 Enrollment ID: I20110218000298 |
| Provider Name | Lisa M Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285936377 PECOS PAC ID: 6204017908 Enrollment ID: I20110301000750 |
| Provider Name | Jenna M Motycka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447550710 PECOS PAC ID: 8325220791 Enrollment ID: I20110307000049 |
| Provider Name | Linda S Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053547000 PECOS PAC ID: 1557554987 Enrollment ID: I20110323000278 |
| Provider Name | Hisham Allababidi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710913470 PECOS PAC ID: 5597655043 Enrollment ID: I20110715000126 |
| Provider Name | Chad E Link |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609038868 PECOS PAC ID: 1850569260 Enrollment ID: I20110729000015 |
| Provider Name | Jamie L Davison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235391491 PECOS PAC ID: 1759559164 Enrollment ID: I20110729000026 |
| Provider Name | Michael Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104832658 PECOS PAC ID: 1557367877 Enrollment ID: I20110824000081 |
| Provider Name | Bruce F Alexander |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699944751 PECOS PAC ID: 4880766542 Enrollment ID: I20110901000546 |
| Provider Name | Rori A Spray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538337019 PECOS PAC ID: 4789856378 Enrollment ID: I20111003000689 |
| Provider Name | Karen S Kolb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962566018 PECOS PAC ID: 2062304678 Enrollment ID: I20111028000642 |
| Provider Name | Kendra L Parus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801178496 PECOS PAC ID: 0042484230 Enrollment ID: I20111128000647 |
| Provider Name | Jessica L Fouts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386920551 PECOS PAC ID: 0345415030 Enrollment ID: I20111207000798 |
| Provider Name | John Vernon Holeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588749204 PECOS PAC ID: 0042336497 Enrollment ID: I20111207000812 |
| Provider Name | Corie A Aiken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326280868 PECOS PAC ID: 4385819663 Enrollment ID: I20111215000141 |
| Provider Name | Emily K Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770868606 PECOS PAC ID: 1355517947 Enrollment ID: I20120103000552 |
| Provider Name | Shauntrece C Deters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972813780 PECOS PAC ID: 2668633157 Enrollment ID: I20120410000343 |
| Provider Name | Sridhar Bhaskara |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1003892035 PECOS PAC ID: 7315935822 Enrollment ID: I20120625000183 |
| Provider Name | Riad Lutfi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558504506 PECOS PAC ID: 6406012590 Enrollment ID: I20120717000587 |
| Provider Name | Muhammad J Habib |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871856351 PECOS PAC ID: 1658529359 Enrollment ID: I20120921000777 |
| Provider Name | Nathan A Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316182934 PECOS PAC ID: 2668539982 Enrollment ID: I20121004000017 |
| Provider Name | David A Fish |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124150685 PECOS PAC ID: 3577714450 Enrollment ID: I20121127000669 |
| Provider Name | Michelle Estep |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063631141 PECOS PAC ID: 8628145687 Enrollment ID: I20121219000449 |
| Provider Name | Errin L M Weisman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235425299 PECOS PAC ID: 3072768217 Enrollment ID: I20130423000309 |
| Provider Name | Paige S Ambrose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326382466 PECOS PAC ID: 8123266699 Enrollment ID: I20130523000400 |
| Provider Name | Brittney N Fulcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376825786 PECOS PAC ID: 0143492918 Enrollment ID: I20130823000439 |
| Provider Name | Jennifer N Sitzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134462070 PECOS PAC ID: 5294978631 Enrollment ID: I20130904000107 |
| Provider Name | William R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770842890 PECOS PAC ID: 5092960815 Enrollment ID: I20130917000519 |
| Provider Name | Elvira Cane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497069926 PECOS PAC ID: 4082858345 Enrollment ID: I20130926000654 |
| Provider Name | Cindy L Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235562810 PECOS PAC ID: 1759518681 Enrollment ID: I20131220000484 |
| Provider Name | Tracy R Woodward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508973934 PECOS PAC ID: 2961630488 Enrollment ID: I20140108000971 |
| Provider Name | Amy Kathryn Gessford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265675193 PECOS PAC ID: 4981853884 Enrollment ID: I20140114000841 |
| Provider Name | Brent Mcdaniel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356636575 PECOS PAC ID: 3072741008 Enrollment ID: I20140120000287 |
| Provider Name | Cheryl L Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821251471 PECOS PAC ID: 0749337988 Enrollment ID: I20140122000376 |
| Provider Name | Amanda S Romerhausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649606815 PECOS PAC ID: 9133359672 Enrollment ID: I20140303001590 |
| Provider Name | Steve W Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720156235 PECOS PAC ID: 7416977491 Enrollment ID: I20140410001262 |
| Provider Name | Chong H Nicholls |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902850068 PECOS PAC ID: 3971409673 Enrollment ID: I20140410001940 |
| Provider Name | David Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346272184 PECOS PAC ID: 6002718236 Enrollment ID: I20140416001250 |
| Provider Name | Kari Nicole Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952729352 PECOS PAC ID: 6002049822 Enrollment ID: I20140501002070 |
| Provider Name | Megan Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467750497 PECOS PAC ID: 4587887641 Enrollment ID: I20140519002060 |
| Provider Name | Bradley B Scheu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427345099 PECOS PAC ID: 8224252994 Enrollment ID: I20140619001621 |
| Provider Name | Patricia D Copley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619912979 PECOS PAC ID: 5294768206 Enrollment ID: I20140623001302 |
| Provider Name | Kamal M. M. Abulebda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336395565 PECOS PAC ID: 4587889605 Enrollment ID: I20140703001832 |
| Provider Name | George N Gandev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548445927 PECOS PAC ID: 0143262048 Enrollment ID: I20140723001453 |
| Provider Name | Ryan D Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154519650 PECOS PAC ID: 4688711922 Enrollment ID: I20140814000605 |
| Provider Name | Christina N Bennett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194092668 PECOS PAC ID: 5698993913 Enrollment ID: I20140828001757 |
| Provider Name | Melinda A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578978557 PECOS PAC ID: 9638397805 Enrollment ID: I20140829001229 |
| Provider Name | Casana R Siebert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457572596 PECOS PAC ID: 8325194343 Enrollment ID: I20140918000807 |
| Provider Name | Dawn R Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376951939 PECOS PAC ID: 9931328051 Enrollment ID: I20140922001882 |
| Provider Name | Caitlin E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497169775 PECOS PAC ID: 3678793593 Enrollment ID: I20140927000313 |
| Provider Name | Erin Brooke Georges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144622572 PECOS PAC ID: 0042430514 Enrollment ID: I20141003002013 |
| Provider Name | Michael Johns |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710208178 PECOS PAC ID: 4284855495 Enrollment ID: I20141031000251 |
| Provider Name | Bridget Marie Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538569447 PECOS PAC ID: 2668694233 Enrollment ID: I20141114001214 |
| Provider Name | Sally J Bodensteiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851580823 PECOS PAC ID: 2365527983 Enrollment ID: I20141118001926 |
| Provider Name | Sarah E Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104227115 PECOS PAC ID: 0345562948 Enrollment ID: I20141210001969 |
| Provider Name | Carlos E Giammattei |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497741474 PECOS PAC ID: 2961437421 Enrollment ID: I20150115000283 |
| Provider Name | Joshua B Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457769978 PECOS PAC ID: 5496079170 Enrollment ID: I20150129000860 |
| Provider Name | Jody Sutton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023416252 PECOS PAC ID: 8325363740 Enrollment ID: I20150206000201 |
| Provider Name | Elton Fennell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497705891 PECOS PAC ID: 7012950926 Enrollment ID: I20150212000222 |
| Provider Name | Kenneth J Grall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568868511 PECOS PAC ID: 6507183969 Enrollment ID: I20150323002288 |
| Provider Name | Ramin Rashidian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730412826 PECOS PAC ID: 6507022548 Enrollment ID: I20150417000450 |
| Provider Name | Ashtin M Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225421886 PECOS PAC ID: 2769700780 Enrollment ID: I20150422002381 |
| Provider Name | Khawaja A Zaki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356676480 PECOS PAC ID: 3678894334 Enrollment ID: I20150605001792 |
| Provider Name | Joseph R Jenkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982810990 PECOS PAC ID: 0345488177 Enrollment ID: I20150605002139 |
| Provider Name | Shannon J Onstott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851780191 PECOS PAC ID: 4385965912 Enrollment ID: I20150608000847 |
| Provider Name | Mouhammad Yabrodi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356505101 PECOS PAC ID: 1557672193 Enrollment ID: I20150623001474 |
| Provider Name | Christopher Mcmullin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982041596 PECOS PAC ID: 0345481586 Enrollment ID: I20150630002159 |
| Provider Name | Amal Paul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205182854 PECOS PAC ID: 0547573800 Enrollment ID: I20150716001278 |
| Provider Name | Daniel L Huther |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194149765 PECOS PAC ID: 3173756194 Enrollment ID: I20150727002076 |
| Provider Name | Thanhtam Phu Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811377153 PECOS PAC ID: 1951615459 Enrollment ID: I20150728005198 |
| Provider Name | Matthew A Tucker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629207253 PECOS PAC ID: 1052561628 Enrollment ID: I20150804003186 |
| Provider Name | Tameem Al-aqtash |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164653804 PECOS PAC ID: 4981836228 Enrollment ID: I20150804004467 |
| Provider Name | Christopher Kevin Whetstine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992195051 PECOS PAC ID: 9638495047 Enrollment ID: I20150807013782 |
| Provider Name | Kurt Thomas Lancaster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295933810 PECOS PAC ID: 2062546377 Enrollment ID: I20150916000404 |
| Provider Name | Jaime L Redman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437538477 PECOS PAC ID: 8022325356 Enrollment ID: I20150917002669 |
| Provider Name | Laura L Pauckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629444856 PECOS PAC ID: 3779890074 Enrollment ID: I20150918001919 |
| Provider Name | Kevin L Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811375207 PECOS PAC ID: 1759285190 Enrollment ID: I20150921001128 |
| Provider Name | Angela L Sams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013392620 PECOS PAC ID: 2062721863 Enrollment ID: I20151019000447 |
| Provider Name | Tabitha A Shults |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144608605 PECOS PAC ID: 8123337938 Enrollment ID: I20151019000578 |
| Provider Name | Jessica L Jeffries |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033377106 PECOS PAC ID: 8527222579 Enrollment ID: I20151019000733 |
| Provider Name | Sara J Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205202892 PECOS PAC ID: 5597074161 Enrollment ID: I20151021002566 |
| Provider Name | Erin E Mahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063833523 PECOS PAC ID: 2365751641 Enrollment ID: I20151028000658 |
| Provider Name | Joseph A Mansour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083970016 PECOS PAC ID: 6709038268 Enrollment ID: I20151207001082 |
| Provider Name | Jason M Meckler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659351419 PECOS PAC ID: 1052342300 Enrollment ID: I20160301002558 |
| Provider Name | Harshit H Modi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861694259 PECOS PAC ID: 1052597309 Enrollment ID: I20160406002483 |
| Provider Name | Adam R Wadlington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730528944 PECOS PAC ID: 0547402323 Enrollment ID: I20160518000110 |
| Provider Name | Phillip M Adams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376982371 PECOS PAC ID: 9032351705 Enrollment ID: I20160520001106 |
| Provider Name | Douglas Satcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821126673 PECOS PAC ID: 2264591619 Enrollment ID: I20160602002643 |
| Provider Name | Samata Pathireddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053549287 PECOS PAC ID: 4789829938 Enrollment ID: I20160606002342 |
| Provider Name | Steven K Vonfrolio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851736268 PECOS PAC ID: 0042500886 Enrollment ID: I20160607000211 |
| Provider Name | Bhargav A Trivedi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043451727 PECOS PAC ID: 2365597960 Enrollment ID: I20160620001791 |
| Provider Name | Christopher M Dipiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285968149 PECOS PAC ID: 1355525296 Enrollment ID: I20160621000207 |
| Provider Name | Tejas Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780097386 PECOS PAC ID: 2769773472 Enrollment ID: I20160627001666 |
| Provider Name | Paul Mick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215295613 PECOS PAC ID: 6800188236 Enrollment ID: I20160706000462 |
| Provider Name | Meagan E Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952765208 PECOS PAC ID: 7012209091 Enrollment ID: I20160712001913 |
| Provider Name | Nathan D Oakley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124466040 PECOS PAC ID: 2769606797 Enrollment ID: I20160719001158 |
| Provider Name | Jacklyn M Oakley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225476146 PECOS PAC ID: 4587888227 Enrollment ID: I20160721001236 |
| Provider Name | Anna Kathryn Dauer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558625434 PECOS PAC ID: 5092012153 Enrollment ID: I20160725001810 |
| Provider Name | Mathura Babu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962757286 PECOS PAC ID: 9436451945 Enrollment ID: I20160802001052 |
| Provider Name | Manaf M Zawahreh |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1780973073 PECOS PAC ID: 9032403670 Enrollment ID: I20160804002012 |
| Provider Name | Herman M Blanton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255391413 PECOS PAC ID: 4789787151 Enrollment ID: I20160826000968 |
| Provider Name | Avi Arora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760809198 PECOS PAC ID: 8426375254 Enrollment ID: I20160908000414 |
| Provider Name | Michael R Hobson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922447135 PECOS PAC ID: 8628210879 Enrollment ID: I20160909000440 |
| Provider Name | Michelle R Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871047142 PECOS PAC ID: 1355637729 Enrollment ID: I20160912000358 |
| Provider Name | Marcus Obeius |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710036892 PECOS PAC ID: 5193750917 Enrollment ID: I20160923001140 |
| Provider Name | Kourtney E Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548612138 PECOS PAC ID: 8123315538 Enrollment ID: I20160929000493 |
| Provider Name | Diane E Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477007052 PECOS PAC ID: 5890073902 Enrollment ID: I20161025000575 |
| Provider Name | Lee Doyle Murphy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134482193 PECOS PAC ID: 2466751631 Enrollment ID: I20161027001442 |
| Provider Name | Dana Spivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316492416 PECOS PAC ID: 2769761386 Enrollment ID: I20161122000736 |
| Provider Name | Aaron L Stoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144673401 PECOS PAC ID: 6305126582 Enrollment ID: I20161205001394 |
| Provider Name | Lisa A Scheller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245695592 PECOS PAC ID: 6709182181 Enrollment ID: I20161205001417 |
| Provider Name | Samantha Frances Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093250086 PECOS PAC ID: 2769765163 Enrollment ID: I20170209000489 |
| Provider Name | Anthony Foreman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629514096 PECOS PAC ID: 4789967837 Enrollment ID: I20170215001329 |
| Provider Name | Rhonda E Jacks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609149202 PECOS PAC ID: 6103085865 Enrollment ID: I20170320002077 |
| Provider Name | Michelle H Rudolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578002028 PECOS PAC ID: 9830474279 Enrollment ID: I20170327000716 |
| Provider Name | Maruthi Srikanth Penumetsa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043469471 PECOS PAC ID: 7810159266 Enrollment ID: I20170411000404 |
| Provider Name | Donna L Sheets |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952374670 PECOS PAC ID: 3971402736 Enrollment ID: I20170411000540 |
| Provider Name | David Kline |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013959923 PECOS PAC ID: 0547293391 Enrollment ID: I20170424001987 |
| Provider Name | Gihan A Kader |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548258684 PECOS PAC ID: 3274639216 Enrollment ID: I20170508001771 |
| Provider Name | Jennifer Clark Bouwkamp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720312028 PECOS PAC ID: 1052449378 Enrollment ID: I20170614000853 |
| Provider Name | Colby P Dorroh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144462797 PECOS PAC ID: 3375723596 Enrollment ID: I20170614000978 |
| Provider Name | Mark H Murray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518305721 PECOS PAC ID: 0749406841 Enrollment ID: I20170627001071 |
| Provider Name | Raghav Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659668804 PECOS PAC ID: 3476791112 Enrollment ID: I20170627003044 |
| Provider Name | Brandon T Charlton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073855292 PECOS PAC ID: 1153555800 Enrollment ID: I20170630000830 |
| Provider Name | Michael R Daum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639517618 PECOS PAC ID: 2062700636 Enrollment ID: I20170719000614 |
| Provider Name | Tabatha A Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740527555 PECOS PAC ID: 0143465096 Enrollment ID: I20170724000659 |
| Provider Name | Ryan K Neal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992144638 PECOS PAC ID: 7113297094 Enrollment ID: I20170726000422 |
| Provider Name | Della Ellis Evans |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1588644744 PECOS PAC ID: 5597937375 Enrollment ID: I20170809000684 |
| Provider Name | Rebecca L Blair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659503472 PECOS PAC ID: 8123165115 Enrollment ID: I20170810001180 |
| Provider Name | Christina Anne Hamby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265769137 PECOS PAC ID: 0840329645 Enrollment ID: I20170810001390 |
| Provider Name | Tatiana Denega |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124439864 PECOS PAC ID: 5395044317 Enrollment ID: I20170815000491 |
| Provider Name | Lawrence D. Garcia-reyes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346508314 PECOS PAC ID: 8820381676 Enrollment ID: I20170818002870 |
| Provider Name | Ahmed Jawad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295049377 PECOS PAC ID: 6800168097 Enrollment ID: I20170823001815 |
| Provider Name | Jennifer L Lampert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982137428 PECOS PAC ID: 9931472834 Enrollment ID: I20170828004434 |
| Provider Name | David B Maver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144740549 PECOS PAC ID: 6901179837 Enrollment ID: I20170829000807 |
| Provider Name | Amanda J Miley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1235653908 PECOS PAC ID: 8820362627 Enrollment ID: I20170918001510 |
| Provider Name | Omar Rivera-rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649547712 PECOS PAC ID: 8820365133 Enrollment ID: I20170919000578 |
| Provider Name | David C Merz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598725640 PECOS PAC ID: 0840383378 Enrollment ID: I20170919000771 |
| Provider Name | Kristine M Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144750092 PECOS PAC ID: 2668746108 Enrollment ID: I20170921001186 |
| Provider Name | Jamie R Marksberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972030351 PECOS PAC ID: 3173897444 Enrollment ID: I20170926000552 |
| Provider Name | Alexandria Jo Carie-kroeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081345 PECOS PAC ID: 2961777461 Enrollment ID: I20171010001053 |
| Provider Name | Heather N Phelps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982128724 PECOS PAC ID: 1153696372 Enrollment ID: I20171013000786 |
| Provider Name | Amin H Jiminian Wilmot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710268412 PECOS PAC ID: 5799931788 Enrollment ID: I20171023002666 |
| Provider Name | Jahnavi Sagi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982012621 PECOS PAC ID: 1254551435 Enrollment ID: I20171103001811 |
| Provider Name | Claire M Sutherby |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1760905632 PECOS PAC ID: 1850650276 Enrollment ID: I20180110002441 |
| Provider Name | Autumn A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770981656 PECOS PAC ID: 2961761051 Enrollment ID: I20180118000388 |
| Provider Name | Gabriel M Ballinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689105462 PECOS PAC ID: 1052689148 Enrollment ID: I20180126000711 |
| Provider Name | Meredith L Schmitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497992101 PECOS PAC ID: 5698831691 Enrollment ID: I20180220002107 |
| Provider Name | Andrew J Krause |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609288356 PECOS PAC ID: 6002031234 Enrollment ID: I20180306001376 |
| Provider Name | Ricky J Deville |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457692857 PECOS PAC ID: 7719121284 Enrollment ID: I20180315000990 |
| Provider Name | Kathleen M Quatro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124526611 PECOS PAC ID: 3375806292 Enrollment ID: I20180406000061 |
| Provider Name | Jared B Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578725081 PECOS PAC ID: 7517137482 Enrollment ID: I20180613000101 |
| Provider Name | Spencer Greenwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790275766 PECOS PAC ID: 4688929540 Enrollment ID: I20180620001199 |
| Provider Name | Lisa Marie Phifer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083880694 PECOS PAC ID: 3072649979 Enrollment ID: I20180703001170 |
| Provider Name | Shalonda Maree Newcomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942576871 PECOS PAC ID: 8820237886 Enrollment ID: I20180705000611 |
| Provider Name | Enrique L Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306167689 PECOS PAC ID: 8426295890 Enrollment ID: I20180717000949 |
| Provider Name | James V Alsop |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942683263 PECOS PAC ID: 9032492319 Enrollment ID: I20180723001497 |
| Provider Name | Eun Joo Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447563366 PECOS PAC ID: 0244542835 Enrollment ID: I20180815001854 |
| Provider Name | Aaron M Quach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790270429 PECOS PAC ID: 0648529289 Enrollment ID: I20180815002405 |
| Provider Name | Michael A Murillo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316332620 PECOS PAC ID: 6305141508 Enrollment ID: I20180816003436 |
| Provider Name | Hendy Jean |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063823193 PECOS PAC ID: 7012287758 Enrollment ID: I20180830002739 |
| Provider Name | Clinton W Simpson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629367420 PECOS PAC ID: 9436376308 Enrollment ID: I20180910002212 |
| Provider Name | Mary Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902382757 PECOS PAC ID: 5092066571 Enrollment ID: I20180921001935 |
| Provider Name | Britni Lynn Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477035509 PECOS PAC ID: 4880946532 Enrollment ID: I20181009000913 |
| Provider Name | Thomas B Parkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639657679 PECOS PAC ID: 2062764640 Enrollment ID: I20181009002955 |
| Provider Name | Thomas Everett Wallace |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700822822 PECOS PAC ID: 9133171101 Enrollment ID: I20181126002712 |
| Provider Name | Erin E Nester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235606641 PECOS PAC ID: 2163766379 Enrollment ID: I20181128003344 |
| Provider Name | Shoaib Alam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962451245 PECOS PAC ID: 6800866914 Enrollment ID: I20181227000745 |
| Provider Name | Mariah L Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285109413 PECOS PAC ID: 3072859461 Enrollment ID: I20190104002731 |
| Provider Name | Joe N Choufani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629414651 PECOS PAC ID: 2062656861 Enrollment ID: I20190114001906 |
| Provider Name | Jeremy D Luckett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770748667 PECOS PAC ID: 4284803297 Enrollment ID: I20190122003062 |
| Provider Name | Talia J Nesmith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477716421 PECOS PAC ID: 1355495615 Enrollment ID: I20190123000268 |
| Provider Name | Beaujon O Davidson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407081987 PECOS PAC ID: 0042434672 Enrollment ID: I20190123000551 |
| Provider Name | Durga P Vedati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821288499 PECOS PAC ID: 4880731124 Enrollment ID: I20190123001670 |
| Provider Name | Sidney Allen Blake |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093800245 PECOS PAC ID: 9739267246 Enrollment ID: I20190212000851 |
| Provider Name | Barbara E Newberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124014071 PECOS PAC ID: 2062548142 Enrollment ID: I20190220003377 |
| Provider Name | William Cho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821397407 PECOS PAC ID: 3375769607 Enrollment ID: I20190301002405 |
| Provider Name | Elie Jose Checo Heinsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467764381 PECOS PAC ID: 9739322884 Enrollment ID: I20190305001800 |
| Provider Name | Courtney Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316234172 PECOS PAC ID: 9133345226 Enrollment ID: I20190313003202 |
| Provider Name | Jason Matthew Booth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548557721 PECOS PAC ID: 1153633995 Enrollment ID: I20190410000208 |
| Provider Name | Stephen Koster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942221726 PECOS PAC ID: 9234139502 Enrollment ID: I20190515003135 |
| Provider Name | Bilal Saeed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083878342 PECOS PAC ID: 5294041521 Enrollment ID: I20190606001996 |
| Provider Name | Rajashekar U Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871858514 PECOS PAC ID: 5294980637 Enrollment ID: I20190624001048 |
| Provider Name | Janeen M Gibson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801039763 PECOS PAC ID: 5890844294 Enrollment ID: I20190701002280 |
| Provider Name | Phillip A Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225369440 PECOS PAC ID: 7315076437 Enrollment ID: I20190701002428 |
| Provider Name | Ella Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821691 PECOS PAC ID: 1951330935 Enrollment ID: I20190710002266 |
| Provider Name | Amjad Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598739617 PECOS PAC ID: 6305855958 Enrollment ID: I20190710003041 |
| Provider Name | Tracy Welsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881929818 PECOS PAC ID: 4587704952 Enrollment ID: I20190716003483 |
| Provider Name | Jalaram Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366893539 PECOS PAC ID: 9032445697 Enrollment ID: I20190719002538 |
| Provider Name | William M Walker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184146078 PECOS PAC ID: 1951677046 Enrollment ID: I20190719002661 |
| Provider Name | Robert Wayde Gilmore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366837452 PECOS PAC ID: 8527355908 Enrollment ID: I20190726001362 |
| Provider Name | Ahmed A Taha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417308867 PECOS PAC ID: 3870885544 Enrollment ID: I20190726001441 |
| Provider Name | Raul J. Ramirez Velazquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821440801 PECOS PAC ID: 9537495478 Enrollment ID: I20190730002114 |
| Provider Name | Luke Keihan Barr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942620026 PECOS PAC ID: 5991014417 Enrollment ID: I20190731000208 |
| Provider Name | Jeremy K Curtis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710378526 PECOS PAC ID: 1254668866 Enrollment ID: I20190805003205 |
| Provider Name | Prasongchai Sattayaprasert |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1841570140 PECOS PAC ID: 4880837525 Enrollment ID: I20190808001561 |
| Provider Name | Timothy Michael Farley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710317979 PECOS PAC ID: 4183855869 Enrollment ID: I20190815000275 |
| Provider Name | Stefanie A Colavito |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548282916 PECOS PAC ID: 1355393034 Enrollment ID: I20190820001219 |
| Provider Name | Sukhwinder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164871174 PECOS PAC ID: 2769754332 Enrollment ID: I20190823002382 |
| Provider Name | Tanaporn Rasameesoraj |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649534496 PECOS PAC ID: 7315283827 Enrollment ID: I20190904001106 |
| Provider Name | Taylor A Coulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477112357 PECOS PAC ID: 0840529483 Enrollment ID: I20190909000234 |
| Provider Name | Elizabeth Ashley Turley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720435118 PECOS PAC ID: 6406108398 Enrollment ID: I20190914000171 |
| Provider Name | Richard Yu Uy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841647260 PECOS PAC ID: 5496047698 Enrollment ID: I20190925002031 |
| Provider Name | Andrew J Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568954501 PECOS PAC ID: 5890041115 Enrollment ID: I20190925002119 |
| Provider Name | Ann Marie Nau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730736950 PECOS PAC ID: 6608106141 Enrollment ID: I20190925002170 |
| Provider Name | Hannah Elizabeth Schamburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073169546 PECOS PAC ID: 2860724069 Enrollment ID: I20191021001804 |
| Provider Name | Joseph Anthony |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104208164 PECOS PAC ID: 2961712294 Enrollment ID: I20191021001946 |
| Provider Name | Paul W Brinton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912247297 PECOS PAC ID: 4880832633 Enrollment ID: I20191024000220 |
| Provider Name | Adetola A. Otesile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982086161 PECOS PAC ID: 9032470976 Enrollment ID: I20191030003593 |
| Provider Name | George F Girod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033756150 PECOS PAC ID: 1254765878 Enrollment ID: I20200107000888 |
| Provider Name | Kara W Doucet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336523539 PECOS PAC ID: 1456668847 Enrollment ID: I20200124001524 |
| Provider Name | Heather Michelle Cooper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285647313 PECOS PAC ID: 1456457696 Enrollment ID: I20200124001627 |
| Provider Name | David Scot Sandage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083276463 PECOS PAC ID: 4789911959 Enrollment ID: I20200215000088 |
| Provider Name | Christopher Oti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124066535 PECOS PAC ID: 4082679915 Enrollment ID: I20200224003003 |
| Provider Name | Mir M Ikramullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871817817 PECOS PAC ID: 8921244013 Enrollment ID: I20200318002411 |
| Provider Name | Olubunmi M Adegboyega |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629125679 PECOS PAC ID: 7719084136 Enrollment ID: I20200324003665 |
| Provider Name | Scott A Tritt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326057126 PECOS PAC ID: 6901898360 Enrollment ID: I20200416001761 |
| Provider Name | Francis Hinsberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275574105 PECOS PAC ID: 5698709202 Enrollment ID: I20200513000349 |
| Provider Name | Vanessa P Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912528001 PECOS PAC ID: 9335570001 Enrollment ID: I20200513000595 |
| Provider Name | Rejmon Dedaj |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124297361 PECOS PAC ID: 9133395502 Enrollment ID: I20200513000884 |
| Provider Name | Christopher Anthony Santos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992203152 PECOS PAC ID: 8921369349 Enrollment ID: I20200515000188 |
| Provider Name | William Salinas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336541275 PECOS PAC ID: 0446563498 Enrollment ID: I20200528003054 |
| Provider Name | Martin J Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851575476 PECOS PAC ID: 7113002734 Enrollment ID: I20200615000439 |
| Provider Name | Michelle M Hauck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801091269 PECOS PAC ID: 0840322871 Enrollment ID: I20200623002338 |
| Provider Name | Carlos Osorio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346669496 PECOS PAC ID: 3577895226 Enrollment ID: I20200623002678 |
| Provider Name | Joel Michael Phelps |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881129286 PECOS PAC ID: 7113293390 Enrollment ID: I20200630001637 |
| Provider Name | Zachary T Fields |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073048369 PECOS PAC ID: 1951642545 Enrollment ID: I20200630003012 |
| Provider Name | Brian Chaffin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073045498 PECOS PAC ID: 9537400213 Enrollment ID: I20200701000790 |
| Provider Name | Erica C Marburger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740719061 PECOS PAC ID: 3971871955 Enrollment ID: I20200701003136 |
| Provider Name | Virginia I Latouche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306395439 PECOS PAC ID: 7416370796 Enrollment ID: I20200702002224 |
| Provider Name | Jasdip Grewal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346778297 PECOS PAC ID: 3173946316 Enrollment ID: I20200707002746 |
| Provider Name | Raphael Bochent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275808008 PECOS PAC ID: 7113183070 Enrollment ID: I20200708001123 |
| Provider Name | Evan D Lahtinen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952708091 PECOS PAC ID: 8729307673 Enrollment ID: I20200709000598 |
| Provider Name | Kyle Kopatich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891224200 PECOS PAC ID: 7618213109 Enrollment ID: I20200714000677 |
| Provider Name | Dion Gabaldon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427096429 PECOS PAC ID: 1052219961 Enrollment ID: I20200717000623 |
| Provider Name | Veronica R Applewhite |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063783363 PECOS PAC ID: 2163689191 Enrollment ID: I20200721003255 |
| Provider Name | Jared Hutson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982133070 PECOS PAC ID: 0143599167 Enrollment ID: I20200804003476 |
| Provider Name | Rebecca V Raj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194256180 PECOS PAC ID: 4688947815 Enrollment ID: I20200811002432 |
| Provider Name | Adriano Michael Duran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154842029 PECOS PAC ID: 5294151742 Enrollment ID: I20200814001798 |
| Provider Name | Nicholas Molfetta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821447970 PECOS PAC ID: 4082030382 Enrollment ID: I20200818000691 |
| Provider Name | Pamela D Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851304190 PECOS PAC ID: 5395732994 Enrollment ID: I20200818000836 |
| Provider Name | Adeel Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720345929 PECOS PAC ID: 7911215348 Enrollment ID: I20200819003293 |
| Provider Name | Jordan K Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447876503 PECOS PAC ID: 0547686586 Enrollment ID: I20200820001989 |
| Provider Name | Jay A Bhavsar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568971505 PECOS PAC ID: 0941566913 Enrollment ID: I20200824001711 |
| Provider Name | Enrique Campos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417396094 PECOS PAC ID: 3375831902 Enrollment ID: I20200824002271 |
| Provider Name | Barbara M Zimmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437355377 PECOS PAC ID: 7810948122 Enrollment ID: I20200831000711 |
| Provider Name | Abisai Negron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861413650 PECOS PAC ID: 8224466230 Enrollment ID: I20200902001879 |
| Provider Name | Jovil Kannampuzha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710329776 PECOS PAC ID: 4385871417 Enrollment ID: I20200902002374 |
| Provider Name | Jeremy Henrie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356886832 PECOS PAC ID: 9638448244 Enrollment ID: I20200903002350 |
| Provider Name | David Baum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750648317 PECOS PAC ID: 7719149962 Enrollment ID: I20200909001029 |
| Provider Name | Kenneth M Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316454002 PECOS PAC ID: 9739435892 Enrollment ID: I20200917003136 |
| Provider Name | Michael D Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487630091 PECOS PAC ID: 1355390865 Enrollment ID: I20200928002775 |
| Provider Name | Elizabeth L Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942717400 PECOS PAC ID: 2163778077 Enrollment ID: I20201007002721 |
| Provider Name | Alex V Baronowsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952711582 PECOS PAC ID: 0143440644 Enrollment ID: I20201008003184 |
| Provider Name | Amy Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275145369 PECOS PAC ID: 6103246335 Enrollment ID: I20201008003210 |
| Provider Name | Pearl Quartey-kumapley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396001103 PECOS PAC ID: 3375831571 Enrollment ID: I20201009000482 |
| Provider Name | Dewey M Driscoll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871925057 PECOS PAC ID: 0941444509 Enrollment ID: I20201013002324 |
| Provider Name | Steven C Wooten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194816231 PECOS PAC ID: 7517991847 Enrollment ID: I20201013002435 |
| Provider Name | Alyssa M Glenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316496557 PECOS PAC ID: 2860774874 Enrollment ID: I20201027002593 |
| Provider Name | Rebecca D Hopper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174788756 PECOS PAC ID: 4587831680 Enrollment ID: I20201028000751 |
| Provider Name | Jessica L Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215543087 PECOS PAC ID: 6305256397 Enrollment ID: I20201103000701 |
| Provider Name | Rana Beg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962784165 PECOS PAC ID: 8022303593 Enrollment ID: I20201109002105 |
| Provider Name | Wanda K Murray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992743199 PECOS PAC ID: 6800794967 Enrollment ID: I20201113002324 |
| Provider Name | Joseph J Pannapara |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679984884 PECOS PAC ID: 2668690884 Enrollment ID: I20201124002363 |
| Provider Name | Anila V Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194204404 PECOS PAC ID: 8820409600 Enrollment ID: I20201130002046 |
| Provider Name | Nasir Mehmood Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770831984 PECOS PAC ID: 5092958314 Enrollment ID: I20201217002957 |
| Provider Name | Jenny Sheffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699093096 PECOS PAC ID: 0547497489 Enrollment ID: I20210106002844 |
| Provider Name | Dierdre Payne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760761613 PECOS PAC ID: 8426228412 Enrollment ID: I20210113000379 |
| Provider Name | Kelcy Barsotti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558718841 PECOS PAC ID: 3870888639 Enrollment ID: I20210113003083 |
| Provider Name | Mollie Mae Wetstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710479761 PECOS PAC ID: 9133475452 Enrollment ID: I20210205001530 |
| Provider Name | Kelli D Mathew |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386962223 PECOS PAC ID: 0941441240 Enrollment ID: I20210211001682 |
| Provider Name | Johnathon T Lannan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881047215 PECOS PAC ID: 5092057968 Enrollment ID: I20210211002317 |
| Provider Name | Sara Gayle Fergus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689171589 PECOS PAC ID: 6103232954 Enrollment ID: I20210303000903 |
| Provider Name | Najmul Salman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386601888 PECOS PAC ID: 3476591991 Enrollment ID: I20210303001682 |
| Provider Name | Benson A Avis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336662378 PECOS PAC ID: 2163831470 Enrollment ID: I20210517000951 |
| Provider Name | Alyssa J Schutte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801254982 PECOS PAC ID: 1456767474 Enrollment ID: I20210604001099 |
| Provider Name | John Caroccio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740871177 PECOS PAC ID: 1052710258 Enrollment ID: I20210621001095 |
| Provider Name | Andrei Tripac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912431453 PECOS PAC ID: 2668720293 Enrollment ID: I20210623002847 |
| Provider Name | Megan Hornyak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811459217 PECOS PAC ID: 1355674789 Enrollment ID: I20210628001807 |
| Provider Name | Edin Alihodzic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386148427 PECOS PAC ID: 1658772223 Enrollment ID: I20210702001618 |
| Provider Name | Jacob C Moore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336644723 PECOS PAC ID: 6204164197 Enrollment ID: I20210702002637 |
| Provider Name | Adam T Jordan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104321090 PECOS PAC ID: 5294063186 Enrollment ID: I20210706000122 |
| Provider Name | Simeon Gotzev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669959706 PECOS PAC ID: 1557607868 Enrollment ID: I20210710000038 |
| Provider Name | Blake A Houser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346744489 PECOS PAC ID: 2860720737 Enrollment ID: I20210712000214 |
| Provider Name | Thomas Hornyak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659963510 PECOS PAC ID: 6608285986 Enrollment ID: I20210713000991 |
| Provider Name | Paige A Ruddick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447825377 PECOS PAC ID: 9931501897 Enrollment ID: I20210714002623 |
| Provider Name | Daniel T Cater |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548640808 PECOS PAC ID: 1456662287 Enrollment ID: I20210720001457 |
| Provider Name | Lindsay M Yoder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063951382 PECOS PAC ID: 3870824188 Enrollment ID: I20210803001211 |
| Provider Name | Audrey A Bickel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043708480 PECOS PAC ID: 1658636501 Enrollment ID: I20210803001626 |
| Provider Name | Sarah K Kung |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891182010 PECOS PAC ID: 8426345679 Enrollment ID: I20210805001111 |
| Provider Name | Oriade Adeoye |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417397688 PECOS PAC ID: 8123317583 Enrollment ID: I20210805003431 |
| Provider Name | Esmeralda Espinoza Martinez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730756552 PECOS PAC ID: 7911301387 Enrollment ID: I20210806000845 |
| Provider Name | Reagan J Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417010752 PECOS PAC ID: 1557765898 Enrollment ID: I20210809000924 |
| Provider Name | Jonathan Balagna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871932442 PECOS PAC ID: 6800175340 Enrollment ID: I20210811001737 |
| Provider Name | Carrie Gresham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376118158 PECOS PAC ID: 0042615619 Enrollment ID: I20210819001353 |
| Provider Name | Irfan Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871913046 PECOS PAC ID: 3971894155 Enrollment ID: I20210901002249 |
| Provider Name | David K Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336815356 PECOS PAC ID: 1052717618 Enrollment ID: I20210907001514 |
| Provider Name | Danielle Rae Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215607122 PECOS PAC ID: 6305243338 Enrollment ID: I20210917001906 |
| Provider Name | Jennifer Lynn Ritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609544907 PECOS PAC ID: 4486051018 Enrollment ID: I20210924001819 |
| Provider Name | Julie Landess |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588136774 PECOS PAC ID: 2466791934 Enrollment ID: I20210928000587 |
| Provider Name | Quang Le Nguyen |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1932631520 PECOS PAC ID: 8224388095 Enrollment ID: I20211001000605 |
| Provider Name | Hafiz B Mahboob |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477947612 PECOS PAC ID: 2668780776 Enrollment ID: I20211006000877 |
| Provider Name | Alicia M Wheatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477121325 PECOS PAC ID: 8921406315 Enrollment ID: I20211015001559 |
| Provider Name | Jeremy Dennis Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568609378 PECOS PAC ID: 4688739824 Enrollment ID: I20211122001161 |
| Provider Name | Anna M Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447922547 PECOS PAC ID: 6608266457 Enrollment ID: I20211209001478 |
| Provider Name | Alexis Huynh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225328271 PECOS PAC ID: 7719107085 Enrollment ID: I20220214000174 |
| Provider Name | Nathalie Douge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891108692 PECOS PAC ID: 9537431986 Enrollment ID: I20220218001824 |
| Provider Name | Whitley Scott Emge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285385880 PECOS PAC ID: 6305231036 Enrollment ID: I20220316001844 |
| Provider Name | Lisa C Vellinga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366877433 PECOS PAC ID: 6507096898 Enrollment ID: I20220324001487 |
| Provider Name | Warren J Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043264864 PECOS PAC ID: 4688682776 Enrollment ID: I20220325000594 |
| Provider Name | Caridad Padron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003310616 PECOS PAC ID: 5496005068 Enrollment ID: I20220329001628 |
| Provider Name | Ling Twohig |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750523684 PECOS PAC ID: 9133301898 Enrollment ID: I20220408000350 |
| Provider Name | Adam Wayne Trotta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992785935 PECOS PAC ID: 3072699974 Enrollment ID: I20220426002280 |
| Provider Name | Gregory Burchett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194989269 PECOS PAC ID: 0244398105 Enrollment ID: I20220429001335 |
| Provider Name | Andy Sahadeo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730333832 PECOS PAC ID: 3173689304 Enrollment ID: I20220429001965 |
| Provider Name | Christopher L Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114946852 PECOS PAC ID: 8224099551 Enrollment ID: I20220513000588 |
| Provider Name | Tracy Marie Kania |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245243187 PECOS PAC ID: 6406872829 Enrollment ID: I20220513002219 |
| Provider Name | Teodora Botez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548379738 PECOS PAC ID: 5890173959 Enrollment ID: I20220601001018 |
| Provider Name | Brent Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730356981 PECOS PAC ID: 3375614449 Enrollment ID: I20220602002523 |
| Provider Name | James Patrick Gilstrap |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568935344 PECOS PAC ID: 7618216367 Enrollment ID: I20220603002332 |
| Provider Name | Teara Lynn Kist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477030831 PECOS PAC ID: 1153709936 Enrollment ID: I20220607002046 |
| Provider Name | Damonique Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679111702 PECOS PAC ID: 7618304486 Enrollment ID: I20220615000547 |
| Provider Name | James Pennington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255900064 PECOS PAC ID: 1557741410 Enrollment ID: I20220708002951 |
| Provider Name | Jonathan A Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770088767 PECOS PAC ID: 6901134717 Enrollment ID: I20220725002294 |
| Provider Name | Ahmed Aziz |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1831159037 PECOS PAC ID: 1759341696 Enrollment ID: I20220728000506 |
| Provider Name | Sarah Jean Volkman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124512520 PECOS PAC ID: 4880940105 Enrollment ID: I20220801000565 |
| Provider Name | Jonathan Cunningham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144892795 PECOS PAC ID: 1759768187 Enrollment ID: I20220802000712 |
| Provider Name | Latania Austin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124428990 PECOS PAC ID: 7719209634 Enrollment ID: I20220804001058 |
| Provider Name | Abduljabbar A Dheyab |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053607580 PECOS PAC ID: 2961709407 Enrollment ID: I20220805002229 |
| Provider Name | Nayef Nimri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184077992 PECOS PAC ID: 6800174442 Enrollment ID: I20220808001264 |
| Provider Name | Bailey Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861134314 PECOS PAC ID: 6709269673 Enrollment ID: I20220810003415 |
| Provider Name | Branden Moore |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912359993 PECOS PAC ID: 5698003002 Enrollment ID: I20220811000546 |
| Provider Name | Naga Sai Shravan Turaga |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922458322 PECOS PAC ID: 8123390838 Enrollment ID: I20220816001455 |
| Provider Name | Matthew Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063082394 PECOS PAC ID: 3375926629 Enrollment ID: I20220818001895 |
| Provider Name | Piotr H Tabaczewski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568657450 PECOS PAC ID: 3375699358 Enrollment ID: I20220819001469 |
| Provider Name | Mark Janorschke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720055171 PECOS PAC ID: 1153388129 Enrollment ID: I20220825001281 |
| Provider Name | Mallory E Blessinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164154621 PECOS PAC ID: 9335523109 Enrollment ID: I20220826002935 |
| Provider Name | Robin Elizabeth Betz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992437891 PECOS PAC ID: 6305220526 Enrollment ID: I20220907000713 |
| Provider Name | Oyenmwen Edo-ohonba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649731498 PECOS PAC ID: 7719213834 Enrollment ID: I20220908002572 |
| Provider Name | Courtney J Merkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982339917 PECOS PAC ID: 7113302852 Enrollment ID: I20220916001997 |
| Provider Name | Heather Mellish |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962919738 PECOS PAC ID: 6709145568 Enrollment ID: I20220919001307 |
| Provider Name | Donny Le |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245800671 PECOS PAC ID: 2466830880 Enrollment ID: I20220923000649 |
| Provider Name | Khang C Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023577848 PECOS PAC ID: 3678959731 Enrollment ID: I20220928000267 |
| Provider Name | Osciriah Press |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689061723 PECOS PAC ID: 8527372333 Enrollment ID: I20220928003451 |
| Provider Name | Karnika Ayinapudi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1164842415 PECOS PAC ID: 7719300987 Enrollment ID: I20221010000673 |
| Provider Name | Ying Tang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619537784 PECOS PAC ID: 7618375288 Enrollment ID: I20221012001680 |
| Provider Name | Ashwin Durairaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104212513 PECOS PAC ID: 7810288420 Enrollment ID: I20221012002864 |
| Provider Name | Samantha Byers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497476717 PECOS PAC ID: 2163898750 Enrollment ID: I20221024001029 |
| Provider Name | Sierra Sigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811614720 PECOS PAC ID: 6204202658 Enrollment ID: I20221026001573 |
| Provider Name | Evan Green |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023462744 PECOS PAC ID: 1951645183 Enrollment ID: I20221027002499 |
| Provider Name | Vicky Sandhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316407596 PECOS PAC ID: 4688093867 Enrollment ID: I20221101000564 |
| Provider Name | Logan L Bradbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477276913 PECOS PAC ID: 5597134858 Enrollment ID: I20221207002998 |
| Provider Name | Justine Moesner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518676816 PECOS PAC ID: 5799154613 Enrollment ID: I20221214003136 |
| Provider Name | Lydia M Roden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922623024 PECOS PAC ID: 2365811171 Enrollment ID: I20221216001085 |
| Provider Name | Austin Kirk Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154054054 PECOS PAC ID: 8820468804 Enrollment ID: I20230109001635 |
| Provider Name | Lisa Pagel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194816116 PECOS PAC ID: 7113917402 Enrollment ID: I20230109002252 |
| Provider Name | Simeon Zou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063649101 PECOS PAC ID: 4688817414 Enrollment ID: I20230112000128 |
| Provider Name | Hunter Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588378293 PECOS PAC ID: 9830560374 Enrollment ID: I20230120001638 |
| Provider Name | James Gebel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538210935 PECOS PAC ID: 6305737271 Enrollment ID: I20230217002368 |
| Provider Name | Danielle Sydnor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104429489 PECOS PAC ID: 2062821291 Enrollment ID: I20230302002966 |
| Provider Name | Lucas Moersdorf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912083379 PECOS PAC ID: 9931203528 Enrollment ID: I20230303001848 |
| Provider Name | Jerica Mason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194180786 PECOS PAC ID: 8921304544 Enrollment ID: I20230307001416 |
| Provider Name | Christina E Hamon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689387094 PECOS PAC ID: 0648644179 Enrollment ID: I20230323000529 |
| Provider Name | Fabian A Lopez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518041029 PECOS PAC ID: 2466559208 Enrollment ID: I20230429000241 |
| Provider Name | Lauren Cage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437648805 PECOS PAC ID: 1254685449 Enrollment ID: I20230505001192 |
| Provider Name | Brian Raymond |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952670846 PECOS PAC ID: 1658538939 Enrollment ID: I20230509000150 |
| Provider Name | Khalil Fouad Beydoun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942705694 PECOS PAC ID: 6608131776 Enrollment ID: I20230510001721 |
| Provider Name | Yuvraj Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134708084 PECOS PAC ID: 6103226519 Enrollment ID: I20230512000467 |
| Provider Name | Kristena Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861965212 PECOS PAC ID: 6103164371 Enrollment ID: I20230524000959 |
| Provider Name | Lindsey Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881031821 PECOS PAC ID: 3274767553 Enrollment ID: I20230608003287 |
| Provider Name | William Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225521214 PECOS PAC ID: 8729334842 Enrollment ID: I20230615002436 |
| Provider Name | Abbie L Huff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972160703 PECOS PAC ID: 0547628950 Enrollment ID: I20230616000972 |
| Provider Name | Ehimen J Okpoloa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689201733 PECOS PAC ID: 5698199446 Enrollment ID: I20230616003173 |
| Provider Name | Liz Rodriguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831517085 PECOS PAC ID: 5597000810 Enrollment ID: I20230620002998 |
| Provider Name | Osaze Edo-ohonba |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639331317 PECOS PAC ID: 7113094012 Enrollment ID: I20230621003439 |
| Provider Name | Jessica L Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740951078 PECOS PAC ID: 5193115400 Enrollment ID: I20230623000111 |
| Provider Name | Quan Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902301716 PECOS PAC ID: 0749679942 Enrollment ID: I20230625000025 |
| Provider Name | Ypaul Goldenmerry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255894325 PECOS PAC ID: 5193183861 Enrollment ID: I20230628001538 |
| Provider Name | Jahnavi Trivedi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104313444 PECOS PAC ID: 2668737321 Enrollment ID: I20230707000615 |
| Provider Name | Akshay Goel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508396961 PECOS PAC ID: 5597036491 Enrollment ID: I20230707001931 |
| Provider Name | Nona Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619698362 PECOS PAC ID: 2264733732 Enrollment ID: I20230711002147 |
| Provider Name | Jamare Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366019978 PECOS PAC ID: 5890192793 Enrollment ID: I20230717002553 |
| Provider Name | Brittany M Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942997473 PECOS PAC ID: 3476913708 Enrollment ID: I20230719000679 |
| Provider Name | P Lucas V Urbi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770251407 PECOS PAC ID: 9537554548 Enrollment ID: I20230804003470 |
| Provider Name | Hasan Albitar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316466774 PECOS PAC ID: 7719243716 Enrollment ID: I20230808001117 |
| Provider Name | Johnna Mckelvey Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912369182 PECOS PAC ID: 3375886096 Enrollment ID: I20230808002821 |
| Provider Name | Cameron Bradley Waller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700346830 PECOS PAC ID: 5991030678 Enrollment ID: I20230809002982 |
| Provider Name | Tara Elizabeth Mullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265728265 PECOS PAC ID: 2365804218 Enrollment ID: I20230809003967 |
| Provider Name | Johnathan Pierson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821526229 PECOS PAC ID: 5294077426 Enrollment ID: I20230810000433 |
| Provider Name | Kimberly Ann Frazier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013953678 PECOS PAC ID: 7517918154 Enrollment ID: I20230822001582 |
| Provider Name | Roman Comer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093449126 PECOS PAC ID: 8628454964 Enrollment ID: I20230914000433 |
| Provider Name | Marc Zabate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255866810 PECOS PAC ID: 6800164567 Enrollment ID: I20230914001088 |
| Provider Name | Faysal Al-ghoula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477008670 PECOS PAC ID: 6608141940 Enrollment ID: I20230927001667 |
| Provider Name | Kareem Maher El-khodary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629607510 PECOS PAC ID: 0345694824 Enrollment ID: I20231003000703 |
| Provider Name | Thomas Cowles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285208231 PECOS PAC ID: 4183026024 Enrollment ID: I20231009003037 |
| Provider Name | Theodore J Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295231181 PECOS PAC ID: 9931456530 Enrollment ID: I20231013001904 |
| Provider Name | Lannette Trapp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235435827 PECOS PAC ID: 9234314956 Enrollment ID: I20231014000101 |
| Provider Name | Lillian Silva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083073035 PECOS PAC ID: 2961709324 Enrollment ID: I20231018002563 |
| Provider Name | Michael J Albring |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225424203 PECOS PAC ID: 7113223579 Enrollment ID: I20231030002006 |
| Provider Name | Alexis Sosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326822503 PECOS PAC ID: 4981053279 Enrollment ID: I20231212002608 |
| Provider Name | Christen A Baesel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497072078 PECOS PAC ID: 8628428364 Enrollment ID: I20231221001739 |
| Provider Name | Andrea M Infantino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508238916 PECOS PAC ID: 1850690637 Enrollment ID: I20240104001881 |
| Provider Name | Janet R Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427094879 PECOS PAC ID: 5597116327 Enrollment ID: I20240105002644 |
| Provider Name | Zachary Ian Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134178569 PECOS PAC ID: 0143273615 Enrollment ID: I20240125001032 |
| Provider Name | Katie E Sandefer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588289581 PECOS PAC ID: 8921422650 Enrollment ID: I20240129004018 |
| Provider Name | Anteneh Fisseha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154881175 PECOS PAC ID: 7012398845 Enrollment ID: I20240131001445 |
| Provider Name | Michael Nesmith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417934431 PECOS PAC ID: 3476536996 Enrollment ID: I20240206001136 |
| Provider Name | Adel Dimassi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538781935 PECOS PAC ID: 5294157590 Enrollment ID: I20240209001404 |
| Provider Name | Anuja Trivedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144847963 PECOS PAC ID: 6204285703 Enrollment ID: I20240314000846 |
| Provider Name | Harish Talla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588951339 PECOS PAC ID: 2567683881 Enrollment ID: I20240401001104 |
| Provider Name | Natasha N Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104971266 PECOS PAC ID: 4486602638 Enrollment ID: I20240402000716 |
| Provider Name | Brent E Bland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316708365 PECOS PAC ID: 6507204997 Enrollment ID: I20240404000909 |
| Provider Name | George Derefaka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386074474 PECOS PAC ID: 2769612274 Enrollment ID: I20240417003479 |
| Provider Name | Andrew Duncan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407391154 PECOS PAC ID: 9830473222 Enrollment ID: I20240418001404 |
| Provider Name | Mary E Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104172808 PECOS PAC ID: 8628373578 Enrollment ID: I20240419003184 |
| Provider Name | Ricci Robison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902051543 PECOS PAC ID: 4880933084 Enrollment ID: I20240425001156 |
| Provider Name | Laressa Bazzell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962641431 PECOS PAC ID: 5395892061 Enrollment ID: I20240427001848 |
| Provider Name | Bruce Weickel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093709545 PECOS PAC ID: 8527016997 Enrollment ID: I20240506000742 |
| Provider Name | Dereje H. Habitemichael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548780315 PECOS PAC ID: 8820368194 Enrollment ID: I20240521002115 |
| Provider Name | Margree D Spight |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215041710 PECOS PAC ID: 8527082262 Enrollment ID: I20240521002667 |
| Provider Name | Stanley Cobham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730724378 PECOS PAC ID: 4688001860 Enrollment ID: I20240521004329 |
| Provider Name | Syed Shabee Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174176226 PECOS PAC ID: 0749684090 Enrollment ID: I20240605000416 |
| Provider Name | Lisa Carwile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811775026 PECOS PAC ID: 8022468040 Enrollment ID: I20240607003354 |
| Provider Name | Dayna Mcdaniel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013202555 PECOS PAC ID: 3173793965 Enrollment ID: I20240611003955 |
| Provider Name | Jonathan Tyler Deboer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518492446 PECOS PAC ID: 3173896719 Enrollment ID: I20240612002124 |
| Provider Name | Cassidy Lynn Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588437230 PECOS PAC ID: 2961944467 Enrollment ID: I20240612002172 |
| Provider Name | Katelyn R Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619732633 PECOS PAC ID: 0143762542 Enrollment ID: I20240612002537 |
| Provider Name | Jennifer Pieper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477010874 PECOS PAC ID: 5294076873 Enrollment ID: I20240614001274 |
| Provider Name | Navid Behrooz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871889311 PECOS PAC ID: 8527332279 Enrollment ID: I20240614002701 |
Deaconess Clinic I Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4506 1st Ave, Evansville, IN 47710 Phone: 812-428-6161 Fax: 812-421-2883 | |
Deaconess Clinic - Memorial Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 Connie Robinson Way, Evansville, IN 47713 Phone: 812-450-8764 Fax: 124-012-1178 | |
Doris Ann Best Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 958 S Kenmore Dr, Suite B, Evansville, IN 47714 Phone: 812-471-8503 | |
Deaconess Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 N Kentucky Ave, Evansville, IN 47725 Phone: 812-426-9565 Fax: 812-426-9572 | |
Bellemeade Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 Bellemeade Ave, Suite 200-b, Evansville, IN 47714 Phone: 812-485-3737 | |
Rick Crawford Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 W Buena Vista Rd, Suite 100, Evansville, IN 47710 Phone: 812-480-6698 Fax: 812-437-0037 | |
Cleanslate Medical Group Of Indiana Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4411 Washington Ave Ste 105, Evansville, IN 47714 Phone: 812-213-0304 |