| Decatur Memorial Hospital | |
|
2300 N Edward St Gsbll Decatur IL 62526-4163 | |
| (217) 876-2868 | |
| (217) 876-2874 |
| Full Name | Decatur Memorial Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2300 N Edward St, Decatur, Illinois |
| Authorized Official Name and Position | Drew Early (CEO) |
| Authorized Official Contact | 2178762114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Memorial Hospital 2300 N Edward St Decatur IL 62526-4163 Ph: (217) 876-2857 | Decatur Memorial Hospital 2300 N Edward St Gsbll Decatur IL 62526-4163 Ph: (217) 876-2868 |
| NPI Number | 1164477725 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 12/31/2024 |
| Medicare PECOS PAC ID | 6204731144 |
|---|---|
| Medicare Enrollment ID | O20031203000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164477725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Primary |
| Provider Name | Akhtar Khursheed Siddiqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124097951 PECOS PAC ID: 4183519150 Enrollment ID: I20040218000757 |
| Provider Name | Maan Sami El Khadra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316946700 PECOS PAC ID: 4385536937 Enrollment ID: I20040327000290 |
| Provider Name | Julie A Maley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780650739 PECOS PAC ID: 4082608146 Enrollment ID: I20040412001154 |
| Provider Name | Edmund William Raycraft |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194725077 PECOS PAC ID: 0446244594 Enrollment ID: I20040412001200 |
| Provider Name | Thomas Zabiega |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386755916 PECOS PAC ID: 7719973601 Enrollment ID: I20040424000405 |
| Provider Name | David W Baumberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043277064 PECOS PAC ID: 8527057512 Enrollment ID: I20040506000659 |
| Provider Name | Oliver N R Dold |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508822701 PECOS PAC ID: 5799774667 Enrollment ID: I20040507000316 |
| Provider Name | Robert R Kraus |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962469734 PECOS PAC ID: 5991794760 Enrollment ID: I20040507000395 |
| Provider Name | William B Franklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407813389 PECOS PAC ID: 8729077508 Enrollment ID: I20040507000449 |
| Provider Name | Stephen R Goetter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003872219 PECOS PAC ID: 8123017902 Enrollment ID: I20040507000486 |
| Provider Name | Mohammad Hasnain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093772998 PECOS PAC ID: 8820087612 Enrollment ID: I20040507000514 |
| Provider Name | Venkat R Minnaganti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407812746 PECOS PAC ID: 9234129008 Enrollment ID: I20040513001275 |
| Provider Name | Anju Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952335671 PECOS PAC ID: 4789674458 Enrollment ID: I20040514000475 |
| Provider Name | Michael Murray Wall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093772311 PECOS PAC ID: 2668463449 Enrollment ID: I20040520000721 |
| Provider Name | John Waters |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033176656 PECOS PAC ID: 9537150321 Enrollment ID: I20040520000746 |
| Provider Name | Jordan S Youngerman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1992724553 PECOS PAC ID: 4880676733 Enrollment ID: I20040604000058 |
| Provider Name | Patricia L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639230360 PECOS PAC ID: 4688656325 Enrollment ID: I20040604000919 |
| Provider Name | Steven Mark Sobol |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598722712 PECOS PAC ID: 9032195425 Enrollment ID: I20040626000136 |
| Provider Name | Christopher H Gram |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528040219 PECOS PAC ID: 3375520844 Enrollment ID: I20040701001435 |
| Provider Name | Ajay Verma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285609321 PECOS PAC ID: 6901877455 Enrollment ID: I20040805001390 |
| Provider Name | Ismail A Bobat |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750310553 PECOS PAC ID: 7416942552 Enrollment ID: I20040817001035 |
| Provider Name | Sayed A Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255327425 PECOS PAC ID: 6204800725 Enrollment ID: I20040820001083 |
| Provider Name | Candace N Benner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932268919 PECOS PAC ID: 9335118181 Enrollment ID: I20040928001027 |
| Provider Name | Timothy S Bailey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053378976 PECOS PAC ID: 1456313964 Enrollment ID: I20041027001049 |
| Provider Name | Mohammed Dawood |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174589576 PECOS PAC ID: 8426011974 Enrollment ID: I20041105000860 |
| Provider Name | Nadal M Aker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083671911 PECOS PAC ID: 5193788347 Enrollment ID: I20041109000118 |
| Provider Name | Sajid Mehmood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467444950 PECOS PAC ID: 2860450095 Enrollment ID: I20041220001082 |
| Provider Name | Richard Dilorenzo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528090164 PECOS PAC ID: 4789633900 Enrollment ID: I20050114000328 |
| Provider Name | Albert F Gilman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225094436 PECOS PAC ID: 5597710004 Enrollment ID: I20050317000583 |
| Provider Name | Shih-wen Chang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629084579 PECOS PAC ID: 6608821921 Enrollment ID: I20050318000535 |
| Provider Name | Jeffrey D Trachtenberg |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821070517 PECOS PAC ID: 8921047325 Enrollment ID: I20050426000579 |
| Provider Name | Anand S Veerabahu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346235264 PECOS PAC ID: 8224061528 Enrollment ID: I20050916000483 |
| Provider Name | Vicki L Browder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497762959 PECOS PAC ID: 8123049111 Enrollment ID: I20051219000460 |
| Provider Name | Tyler N Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114927019 PECOS PAC ID: 3173591583 Enrollment ID: I20060106000776 |
| Provider Name | William E Kilpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689780496 PECOS PAC ID: 8628091071 Enrollment ID: I20060111000773 |
| Provider Name | Argyro Sylvia Hatseras |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194791871 PECOS PAC ID: 1850315045 Enrollment ID: I20060113000691 |
| Provider Name | Muhammad N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598767493 PECOS PAC ID: 8729004908 Enrollment ID: I20060407000058 |
| Provider Name | Muhammad Mustansar Qureshi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427042985 PECOS PAC ID: 5597775395 Enrollment ID: I20060424000534 |
| Provider Name | Debra K Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942253489 PECOS PAC ID: 5597776732 Enrollment ID: I20060601000043 |
| Provider Name | Bassam Al Joundi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144277534 PECOS PAC ID: 0648264606 Enrollment ID: I20060608000047 |
| Provider Name | Tansel Turgut |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104829886 PECOS PAC ID: 2365418829 Enrollment ID: I20060817000063 |
| Provider Name | Christina L Scheibler-ventress |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831148022 PECOS PAC ID: 1052316254 Enrollment ID: I20060921000456 |
| Provider Name | Russell F Kelly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841219789 PECOS PAC ID: 4789681321 Enrollment ID: I20061025000076 |
| Provider Name | Carol Schermer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114952520 PECOS PAC ID: 4183654148 Enrollment ID: I20061102000580 |
| Provider Name | Alan Auerbach |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902913759 PECOS PAC ID: 6507962917 Enrollment ID: I20070501000678 |
| Provider Name | John E Dybis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639299977 PECOS PAC ID: 6507958352 Enrollment ID: I20070823000939 |
| Provider Name | Anna Richie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275522666 PECOS PAC ID: 1254425796 Enrollment ID: I20070914000500 |
| Provider Name | Irfan M Ankolkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265558555 PECOS PAC ID: 6901992494 Enrollment ID: I20071015000070 |
| Provider Name | Terrence M Graham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972585990 PECOS PAC ID: 4284602699 Enrollment ID: I20080425000559 |
| Provider Name | Kristine L Herrman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710150719 PECOS PAC ID: 0446320717 Enrollment ID: I20080529000886 |
| Provider Name | Ji Li |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1558347310 PECOS PAC ID: 4789588682 Enrollment ID: I20080602000619 |
| Provider Name | Sahar Halabi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003937350 PECOS PAC ID: 9931271764 Enrollment ID: I20080710000424 |
| Provider Name | Asif Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134179450 PECOS PAC ID: 0244253714 Enrollment ID: I20080730000728 |
| Provider Name | Ahsan Usman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215016571 PECOS PAC ID: 6507864998 Enrollment ID: I20080823000101 |
| Provider Name | Edward J Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083792873 PECOS PAC ID: 6204994296 Enrollment ID: I20081020000548 |
| Provider Name | Nicole A Florence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811983851 PECOS PAC ID: 1052477239 Enrollment ID: I20090313000239 |
| Provider Name | Kim Schultheiss |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831227560 PECOS PAC ID: 4082792510 Enrollment ID: I20090709000264 |
| Provider Name | Bernard B Lim |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1548235856 PECOS PAC ID: 8224062278 Enrollment ID: I20090819000615 |
| Provider Name | Maryam Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639381817 PECOS PAC ID: 7911044730 Enrollment ID: I20091028000325 |
| Provider Name | Linda Wilson Klemm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912233602 PECOS PAC ID: 6800938226 Enrollment ID: I20100123000233 |
| Provider Name | Sharma Saith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225013683 PECOS PAC ID: 9335051077 Enrollment ID: I20100127000252 |
| Provider Name | Jon Steven Arnold |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851366967 PECOS PAC ID: 8628058971 Enrollment ID: I20100318000873 |
| Provider Name | Kia Sherise Boxley-gillespie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477655686 PECOS PAC ID: 8325174121 Enrollment ID: I20100331000725 |
| Provider Name | Rada Ivanov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790782613 PECOS PAC ID: 6709911480 Enrollment ID: I20100512000916 |
| Provider Name | Edward Elias Murphy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1518926112 PECOS PAC ID: 6204966088 Enrollment ID: I20100607000052 |
| Provider Name | Gustavo Mosquera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033395629 PECOS PAC ID: 2567592074 Enrollment ID: I20100610000044 |
| Provider Name | Gaurang P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871584946 PECOS PAC ID: 1850385709 Enrollment ID: I20100805000042 |
| Provider Name | Vikas Punjabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780874313 PECOS PAC ID: 3476677675 Enrollment ID: I20100825000108 |
| Provider Name | Regina M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659501955 PECOS PAC ID: 0143344390 Enrollment ID: I20100825000611 |
| Provider Name | Sarah M Alderman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912904822 PECOS PAC ID: 8628193141 Enrollment ID: I20100921000174 |
| Provider Name | Aiyub Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215153077 PECOS PAC ID: 3375737687 Enrollment ID: I20101101000614 |
| Provider Name | Samuel Ernest Potts |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326058447 PECOS PAC ID: 3173591484 Enrollment ID: I20101202000144 |
| Provider Name | George A Liu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528164951 PECOS PAC ID: 1254406606 Enrollment ID: I20101215000501 |
| Provider Name | Sudhakar R Konda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376737346 PECOS PAC ID: 2769670751 Enrollment ID: I20101216001002 |
| Provider Name | George Tzelepis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497769558 PECOS PAC ID: 9436156924 Enrollment ID: I20110210000290 |
| Provider Name | Saif U Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396914065 PECOS PAC ID: 0345422333 Enrollment ID: I20110311000803 |
| Provider Name | Husam I Ayash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487863049 PECOS PAC ID: 0547394298 Enrollment ID: I20110315000941 |
| Provider Name | Lisa C Juarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568625465 PECOS PAC ID: 0446428460 Enrollment ID: I20110720000571 |
| Provider Name | Jamaluddin F Amanullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184673147 PECOS PAC ID: 4385622323 Enrollment ID: I20110802000270 |
| Provider Name | Babatunde Alao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477714053 PECOS PAC ID: 1052581394 Enrollment ID: I20110824000613 |
| Provider Name | Roberto G Pabalate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528221504 PECOS PAC ID: 0446420517 Enrollment ID: I20110826000688 |
| Provider Name | Jeffrey M Ulis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568646842 PECOS PAC ID: 7911178991 Enrollment ID: I20110923000029 |
| Provider Name | Justin W Kierbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841579026 PECOS PAC ID: 1153593728 Enrollment ID: I20111004000791 |
| Provider Name | Sudhakar K Sheth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699707679 PECOS PAC ID: 0840223418 Enrollment ID: I20111026000642 |
| Provider Name | Christopher S Cadman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1639104615 PECOS PAC ID: 4082678826 Enrollment ID: I20120227000525 |
| Provider Name | Kimberly A Kish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023360419 PECOS PAC ID: 9436303724 Enrollment ID: I20130214000528 |
| Provider Name | Ahmad Jibawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346551892 PECOS PAC ID: 6608014717 Enrollment ID: I20130531000477 |
| Provider Name | Thomas C Isaacson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104884311 PECOS PAC ID: 9335156462 Enrollment ID: I20130816000537 |
| Provider Name | Travis R Jameson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730490616 PECOS PAC ID: 6608019377 Enrollment ID: I20130828000116 |
| Provider Name | Keith Cermak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609200971 PECOS PAC ID: 7315172038 Enrollment ID: I20131104001396 |
| Provider Name | Agustin Bello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538480017 PECOS PAC ID: 9133354889 Enrollment ID: I20131105000667 |
| Provider Name | Angela M Zora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821422098 PECOS PAC ID: 1456588805 Enrollment ID: I20131211000649 |
| Provider Name | Mohammed A Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396953485 PECOS PAC ID: 8123259561 Enrollment ID: I20140327000922 |
| Provider Name | Mubeen Khan Mohammed Abdul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275817991 PECOS PAC ID: 0446476733 Enrollment ID: I20140722002153 |
| Provider Name | Ranjodh Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013161538 PECOS PAC ID: 4183841646 Enrollment ID: I20140807001337 |
| Provider Name | Nathan Pyle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174821540 PECOS PAC ID: 3274752795 Enrollment ID: I20140916001522 |
| Provider Name | Arli M Bumatayo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639439177 PECOS PAC ID: 6305065830 Enrollment ID: I20140916001780 |
| Provider Name | Omar Al-heeti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083903645 PECOS PAC ID: 0244450245 Enrollment ID: I20140925000186 |
| Provider Name | Sai Rupa R Vangala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538454434 PECOS PAC ID: 5799905808 Enrollment ID: I20141013000037 |
| Provider Name | Dana Lynn Crosby |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144483900 PECOS PAC ID: 9234371907 Enrollment ID: I20141104001522 |
| Provider Name | Nicole M Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013319623 PECOS PAC ID: 7113242058 Enrollment ID: I20150217000945 |
| Provider Name | Amber M Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568752137 PECOS PAC ID: 2961728274 Enrollment ID: I20150304001590 |
| Provider Name | Audra L Trump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780076901 PECOS PAC ID: 7416274733 Enrollment ID: I20150326000440 |
| Provider Name | Kelly Ann Luciano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598020158 PECOS PAC ID: 5799901419 Enrollment ID: I20150407002373 |
| Provider Name | Celine Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184002867 PECOS PAC ID: 7012238652 Enrollment ID: I20150608001131 |
| Provider Name | Naga Sirikonda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396919544 PECOS PAC ID: 4082927413 Enrollment ID: I20150714002752 |
| Provider Name | Patrick M Elangwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114226958 PECOS PAC ID: 8325273055 Enrollment ID: I20150804004026 |
| Provider Name | Tony V Pallan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942512827 PECOS PAC ID: 8325286693 Enrollment ID: I20150805008684 |
| Provider Name | Rita Mukerji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023218807 PECOS PAC ID: 6305961673 Enrollment ID: I20150831002407 |
| Provider Name | Shanti P Subbarao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487910295 PECOS PAC ID: 9638484850 Enrollment ID: I20151130001274 |
| Provider Name | Jordan K Sheraden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902298318 PECOS PAC ID: 0244531424 Enrollment ID: I20151211001264 |
| Provider Name | Brittany C Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700262128 PECOS PAC ID: 0345542767 Enrollment ID: I20151231000885 |
| Provider Name | Shreepada Tripathy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306145099 PECOS PAC ID: 4981902665 Enrollment ID: I20160413000696 |
| Provider Name | Rujuta Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497891683 PECOS PAC ID: 4789736273 Enrollment ID: I20160707002224 |
| Provider Name | John Ifeanyi Ngene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457787855 PECOS PAC ID: 5395038830 Enrollment ID: I20160721001399 |
| Provider Name | Hasitha R Idangodage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114367356 PECOS PAC ID: 0547492688 Enrollment ID: I20161019002404 |
| Provider Name | Jasdeep Dalawari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20170130000865 |
| Provider Name | Subaila Zia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649479866 PECOS PAC ID: 3173795531 Enrollment ID: I20170210001455 |
| Provider Name | Kevin R Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134667793 PECOS PAC ID: 8426331604 Enrollment ID: I20170214000930 |
| Provider Name | Giuseppe Gioia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932188729 PECOS PAC ID: 6103894514 Enrollment ID: I20170306001974 |
| Provider Name | Jamie L Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427598903 PECOS PAC ID: 7517241607 Enrollment ID: I20170309001870 |
| Provider Name | Anas F Lababidi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932553583 PECOS PAC ID: 8628354990 Enrollment ID: I20170421000857 |
| Provider Name | Abdulmonam A Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396026506 PECOS PAC ID: 4082918263 Enrollment ID: I20170613000176 |
| Provider Name | Hasan Al Janabi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255530119 PECOS PAC ID: 8426228008 Enrollment ID: I20170705001400 |
| Provider Name | Hesham Allam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669784559 PECOS PAC ID: 6709156292 Enrollment ID: I20170717000361 |
| Provider Name | Zahi Nachef |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336427863 PECOS PAC ID: 6901177419 Enrollment ID: I20170802000416 |
| Provider Name | Baqer A Haider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881009637 PECOS PAC ID: 5395016703 Enrollment ID: I20170803001280 |
| Provider Name | David A Ibrahim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225443542 PECOS PAC ID: 0345465118 Enrollment ID: I20170809000149 |
| Provider Name | Munjum R Ashu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295153922 PECOS PAC ID: 0840592150 Enrollment ID: I20170816000514 |
| Provider Name | Anne E Schniepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306360383 PECOS PAC ID: 3274805205 Enrollment ID: I20170824003643 |
| Provider Name | Zachary J Shipp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275976094 PECOS PAC ID: 9537384300 Enrollment ID: I20170831002536 |
| Provider Name | Erin E Noblitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326562323 PECOS PAC ID: 6103199864 Enrollment ID: I20170831003269 |
| Provider Name | Omar M El-sheikh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760681225 PECOS PAC ID: 6901030097 Enrollment ID: I20171109000006 |
| Provider Name | Elisabeth J Fostino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700398898 PECOS PAC ID: 4082972161 Enrollment ID: I20171219000565 |
| Provider Name | Jessica M Ryder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225541469 PECOS PAC ID: 5890054498 Enrollment ID: I20180104001023 |
| Provider Name | Therese M Kistenfeger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922410851 PECOS PAC ID: 4284993445 Enrollment ID: I20180116000019 |
| Provider Name | Hannah S Gray |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831617224 PECOS PAC ID: 9638438807 Enrollment ID: I20180116000083 |
| Provider Name | Rebecca D Mccoy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659527828 PECOS PAC ID: 7113094558 Enrollment ID: I20180116001532 |
| Provider Name | Elizabeth D Mcgarry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508291584 PECOS PAC ID: 3173882917 Enrollment ID: I20180124000442 |
| Provider Name | Loretta L Hedges |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982123774 PECOS PAC ID: 3072873546 Enrollment ID: I20180131001657 |
| Provider Name | Kathleen A Pritchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629585237 PECOS PAC ID: 8820358229 Enrollment ID: I20180202001626 |
| Provider Name | Sarah R Nazarian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366942161 PECOS PAC ID: 5294098216 Enrollment ID: I20180404001185 |
| Provider Name | Angela S Birdsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306350780 PECOS PAC ID: 9739443375 Enrollment ID: I20180507000698 |
| Provider Name | Abraham Testa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528375078 PECOS PAC ID: 3870899230 Enrollment ID: I20180626001830 |
| Provider Name | Antonio Desean Lozada |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053677047 PECOS PAC ID: 6305143504 Enrollment ID: I20180809004229 |
| Provider Name | Mohammad A Moiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215316278 PECOS PAC ID: 5193014686 Enrollment ID: I20180906001003 |
| Provider Name | Nabeel Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154702116 PECOS PAC ID: 5496068371 Enrollment ID: I20180911000036 |
| Provider Name | Hector Robles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922493386 PECOS PAC ID: 3577869809 Enrollment ID: I20180913003399 |
| Provider Name | Umair Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831579945 PECOS PAC ID: 7618229477 Enrollment ID: I20181008000090 |
| Provider Name | Jenna N Stowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912476599 PECOS PAC ID: 2062757750 Enrollment ID: I20181228000644 |
| Provider Name | Susette J Litwiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508334582 PECOS PAC ID: 5193064491 Enrollment ID: I20190305000140 |
| Provider Name | Christel Gayle Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588133003 PECOS PAC ID: 3274874136 Enrollment ID: I20190403001529 |
| Provider Name | Zaw W Phyo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316491533 PECOS PAC ID: 4587918370 Enrollment ID: I20190703000694 |
| Provider Name | Prameeta Jha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033563820 PECOS PAC ID: 5496099319 Enrollment ID: I20190820000679 |
| Provider Name | Laura Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992276497 PECOS PAC ID: 0840528006 Enrollment ID: I20190826002790 |
| Provider Name | Meghan L Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831745041 PECOS PAC ID: 8527397959 Enrollment ID: I20190911000563 |
| Provider Name | Maggie K Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780239434 PECOS PAC ID: 5092045062 Enrollment ID: I20190918002250 |
| Provider Name | Jessica N Oranika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942857735 PECOS PAC ID: 0446581078 Enrollment ID: I20191014001899 |
| Provider Name | Peter Psihos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225392368 PECOS PAC ID: 0446558332 Enrollment ID: I20191028001474 |
| Provider Name | Marissa Nicole Ruebhausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962994483 PECOS PAC ID: 5597097030 Enrollment ID: I20191101000931 |
| Provider Name | Kristopher R Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174177562 PECOS PAC ID: 2668808775 Enrollment ID: I20200210001633 |
| Provider Name | Dean R Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700847191 PECOS PAC ID: 9830171321 Enrollment ID: I20200219001146 |
| Provider Name | Micah D Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871127019 PECOS PAC ID: 3476982117 Enrollment ID: I20200401002150 |
| Provider Name | Sandi Hartje |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215323571 PECOS PAC ID: 3971932575 Enrollment ID: I20200402001773 |
| Provider Name | Allison L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174161822 PECOS PAC ID: 4587094263 Enrollment ID: I20200421000288 |
| Provider Name | Margaret L Tate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215467154 PECOS PAC ID: 2163788043 Enrollment ID: I20200622002940 |
| Provider Name | Ahmed Muhammad S Ghadai |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447504402 PECOS PAC ID: 1254573884 Enrollment ID: I20200626000748 |
| Provider Name | Heather M Ohara |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1942525647 PECOS PAC ID: 7315113552 Enrollment ID: I20200806000990 |
| Provider Name | Whitney Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700412046 PECOS PAC ID: 4486070091 Enrollment ID: I20200813000993 |
| Provider Name | Mackenzie Marie Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629682596 PECOS PAC ID: 5395165179 Enrollment ID: I20201016000156 |
| Provider Name | Alison Haacke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588279731 PECOS PAC ID: 2769892181 Enrollment ID: I20201113000144 |
| Provider Name | Osama Nusrat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720433220 PECOS PAC ID: 5294168191 Enrollment ID: I20201117003494 |
| Provider Name | Ashley Wrigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477157410 PECOS PAC ID: 6305250077 Enrollment ID: I20210121001035 |
| Provider Name | Jordanna Wilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215538004 PECOS PAC ID: 8022422641 Enrollment ID: I20210122000035 |
| Provider Name | Junaid Sa Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598859852 PECOS PAC ID: 9032156922 Enrollment ID: I20210204002011 |
| Provider Name | Cassie Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194362392 PECOS PAC ID: 8527474428 Enrollment ID: I20210301001018 |
| Provider Name | Rafael E Coplin Reynoso |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427095702 PECOS PAC ID: 9133177637 Enrollment ID: I20210304002207 |
| Provider Name | Geoffrey A Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609462068 PECOS PAC ID: 0749697779 Enrollment ID: I20210318001214 |
| Provider Name | Rachel Elaine Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699366252 PECOS PAC ID: 5698182574 Enrollment ID: I20210319000804 |
| Provider Name | Courtney Criel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417207689 PECOS PAC ID: 2961810056 Enrollment ID: I20210408001570 |
| Provider Name | Arham Zavery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780116038 PECOS PAC ID: 4486925534 Enrollment ID: I20210419000200 |
| Provider Name | Pooja Sheth-dutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346735065 PECOS PAC ID: 1557619541 Enrollment ID: I20210608000211 |
| Provider Name | Hafeez Shaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588150221 PECOS PAC ID: 2264784917 Enrollment ID: I20210610000747 |
| Provider Name | Jennifer L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902471444 PECOS PAC ID: 6002210606 Enrollment ID: I20210804000935 |
| Provider Name | Anuj K Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598262875 PECOS PAC ID: 7911301825 Enrollment ID: I20210813001100 |
| Provider Name | Jagadeesh Batana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932691318 PECOS PAC ID: 4587062757 Enrollment ID: I20211004000293 |
| Provider Name | Sergiy Georgiyev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821324831 PECOS PAC ID: 2163670241 Enrollment ID: I20211007002171 |
| Provider Name | Ali Mahmood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780022905 PECOS PAC ID: 1052607892 Enrollment ID: I20211015001590 |
| Provider Name | Jessica Kraemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659041432 PECOS PAC ID: 5193115582 Enrollment ID: I20211129000684 |
| Provider Name | Rushabh A Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588169379 PECOS PAC ID: 7810244522 Enrollment ID: I20220118001631 |
| Provider Name | Hannah A Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003572322 PECOS PAC ID: 1951796556 Enrollment ID: I20220317001875 |
| Provider Name | Syed Ashfaq Hussain Najeed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972560662 PECOS PAC ID: 3779545694 Enrollment ID: I20220401000476 |
| Provider Name | Andrew S Karlin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598783177 PECOS PAC ID: 5193615912 Enrollment ID: I20220405000603 |
| Provider Name | Ha Young Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356803480 PECOS PAC ID: 9638401102 Enrollment ID: I20220414002052 |
| Provider Name | Aaron Todd Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013663186 PECOS PAC ID: 3971990755 Enrollment ID: I20220426000589 |
| Provider Name | Ali Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205321171 PECOS PAC ID: 7810246352 Enrollment ID: I20220524001534 |
| Provider Name | Mina Tawadros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427616267 PECOS PAC ID: 8921332768 Enrollment ID: I20220727001962 |
| Provider Name | Muhammad Asad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245882448 PECOS PAC ID: 2567894769 Enrollment ID: I20220824001183 |
| Provider Name | John Given |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588779748 PECOS PAC ID: 1456305614 Enrollment ID: I20220827000375 |
| Provider Name | Joseph Harbourn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912634916 PECOS PAC ID: 9537543046 Enrollment ID: I20220901002033 |
| Provider Name | Ekanga Sunday Petters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144751827 PECOS PAC ID: 8527331321 Enrollment ID: I20220907001693 |
| Provider Name | Matthew C. Becker |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598932550 PECOS PAC ID: 9032266747 Enrollment ID: I20220915001731 |
| Provider Name | Robin Riley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215390406 PECOS PAC ID: 1456646959 Enrollment ID: I20220915003742 |
| Provider Name | Olutola Akiode |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881843118 PECOS PAC ID: 7911214762 Enrollment ID: I20221006003295 |
| Provider Name | Mahmut Yucel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104453091 PECOS PAC ID: 9638564974 Enrollment ID: I20221201000567 |
| Provider Name | Rachael L Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275260499 PECOS PAC ID: 3577934298 Enrollment ID: I20230117001377 |
| Provider Name | Elizabeth Nielsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861842007 PECOS PAC ID: 7618262338 Enrollment ID: I20230119000734 |
| Provider Name | Daniel Okeefe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528324738 PECOS PAC ID: 0547532251 Enrollment ID: I20230206001405 |
| Provider Name | Ritika Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104370519 PECOS PAC ID: 9739416827 Enrollment ID: I20230223002953 |
| Provider Name | Mohitkumar Sunilkumar Ajmeri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679135735 PECOS PAC ID: 9830424779 Enrollment ID: I20230505000441 |
| Provider Name | Catalina West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659071868 PECOS PAC ID: 8325405491 Enrollment ID: I20230605002197 |
| Provider Name | Angelique Bautista Gabat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003514985 PECOS PAC ID: 2769849728 Enrollment ID: I20230606002999 |
| Provider Name | Samuel Capouch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326501750 PECOS PAC ID: 0143553842 Enrollment ID: I20230728002417 |
| Provider Name | Patrick Sylvester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366824724 PECOS PAC ID: 5698085512 Enrollment ID: I20230803003693 |
| Provider Name | Mohammad Ali Torabi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245769876 PECOS PAC ID: 0042671174 Enrollment ID: I20230804001653 |
| Provider Name | Roxanne J Bautista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881211605 PECOS PAC ID: 9830512664 Enrollment ID: I20230815003601 |
| Provider Name | Bharat Neelam Raju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942736053 PECOS PAC ID: 6103199427 Enrollment ID: I20230816001882 |
| Provider Name | Kasun C Vernon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104446053 PECOS PAC ID: 4385007236 Enrollment ID: I20230825001270 |
| Provider Name | Kewan Hamid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366896706 PECOS PAC ID: 6103112255 Enrollment ID: I20230905002073 |
| Provider Name | Samaj Adhikari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306459979 PECOS PAC ID: 8123472750 Enrollment ID: I20230929001878 |
| Provider Name | Kevin S Londe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235691809 PECOS PAC ID: 1355677857 Enrollment ID: I20231009001376 |
| Provider Name | Jeffrey Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003287079 PECOS PAC ID: 4981999893 Enrollment ID: I20231018000565 |
| Provider Name | Amorkor Sogbodjor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992238760 PECOS PAC ID: 4082948880 Enrollment ID: I20231026002655 |
| Provider Name | Neil Shachter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942336516 PECOS PAC ID: 2860576980 Enrollment ID: I20231107002060 |
| Provider Name | Ikenna Erinne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790170645 PECOS PAC ID: 3779881198 Enrollment ID: I20231208003027 |
| Provider Name | Ling Twohig |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750523684 PECOS PAC ID: 9133301898 Enrollment ID: I20240206001787 |
| Provider Name | Sara Stanielle Wallis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912760141 PECOS PAC ID: 4183060106 Enrollment ID: I20240313002058 |
| Provider Name | Seerat Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629645478 PECOS PAC ID: 3274078423 Enrollment ID: I20240711002285 |
| Provider Name | Sydney E Grohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336905736 PECOS PAC ID: 4880139757 Enrollment ID: I20240716000880 |
| Provider Name | Pratibha Singla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871168989 PECOS PAC ID: 4981092830 Enrollment ID: I20240719000328 |
| Provider Name | Adebola Orekoya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306372735 PECOS PAC ID: 3375880685 Enrollment ID: I20240719003405 |
| Provider Name | Megan Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073356887 PECOS PAC ID: 5294271268 Enrollment ID: I20240725004203 |
| Provider Name | Thomas Wilson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730503657 PECOS PAC ID: 3375836083 Enrollment ID: I20240812000515 |
| Provider Name | Jabari Munroe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538732888 PECOS PAC ID: 9931640026 Enrollment ID: I20240917000485 |
| Provider Name | Nakeya K Dewaswala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184115339 PECOS PAC ID: 5890022792 Enrollment ID: I20240923001404 |
| Provider Name | Christine M Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457105389 PECOS PAC ID: 2062943129 Enrollment ID: I20241001001801 |
| Provider Name | Akif Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871161430 PECOS PAC ID: 6608307533 Enrollment ID: I20241003000163 |
| Provider Name | Sameer Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699139972 PECOS PAC ID: 8224324132 Enrollment ID: I20241022000220 |
| Provider Name | Alison Fecher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952406910 PECOS PAC ID: 1951377829 Enrollment ID: I20241203004353 |
Heritage Behavioral Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 | |
Veteran's Administration Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3035 E Mound Rd, Decatur, IL 62526 Phone: 217-875-2670 Fax: 217-875-2689 | |
Vsr Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 W Imboden Dr, Decatur, IL 62521 Phone: 715-207-1134 | |
Heritage Behavioral Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 243 W Cerro Gordo St, Decatur, IL 62522 Phone: 217-422-3940 | |