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127 S Main St Woodsfield OH 43793-1022 | |
| (740) 472-1330 | |
| (740) 472-1336 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 127 S Main St, Woodsfield, Ohio |
| Authorized Official Name and Position | Paul G Westbrock (VP, LEGAL AFFAIRS) |
| Authorized Official Contact | 7403741581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
401 Matthew St Marietta OH 45750-1635 Ph: () - | 127 S Main St Woodsfield OH 43793-1022 Ph: (740) 472-1330 |
| NPI Number | 1962106328 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 04/10/2023 |
| Medicare PECOS PAC ID | 8224928965 |
|---|---|
| Medicare Enrollment ID | O20040317000973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962106328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Gary C Gelesh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730169822 PECOS PAC ID: 7416861893 Enrollment ID: I20031119000091 |
| Provider Name | Marvin D Almquist |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750384871 PECOS PAC ID: 9638073232 Enrollment ID: I20031125000419 |
| Provider Name | Nestor M Narcelles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508971961 PECOS PAC ID: 5193620896 Enrollment ID: I20031209000001 |
| Provider Name | Larry T Hawkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700881034 PECOS PAC ID: 9931094885 Enrollment ID: I20040218001153 |
| Provider Name | Kim Ellen Crum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811082589 PECOS PAC ID: 9931096559 Enrollment ID: I20040228000559 |
| Provider Name | Cynthia Diane Brock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508861899 PECOS PAC ID: 7719874650 Enrollment ID: I20040303001267 |
| Provider Name | Gayle A Galan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134133747 PECOS PAC ID: 3274526314 Enrollment ID: I20040406000089 |
| Provider Name | Seyed A Ghodsi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205803814 PECOS PAC ID: 9931191046 Enrollment ID: I20040406000633 |
| Provider Name | Sri Kanagalingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720032386 PECOS PAC ID: 6901893015 Enrollment ID: I20040429001088 |
| Provider Name | Jack M Ramey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407957996 PECOS PAC ID: 9537067970 Enrollment ID: I20040512000360 |
| Provider Name | Mona Imam |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1053351494 PECOS PAC ID: 8426047762 Enrollment ID: I20040513000961 |
| Provider Name | Jane A Niswonger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356425565 PECOS PAC ID: 8123018470 Enrollment ID: I20040517001549 |
| Provider Name | Siva R Murthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104890920 PECOS PAC ID: 7315920568 Enrollment ID: I20040609001314 |
| Provider Name | Lori L Lehman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154391373 PECOS PAC ID: 2961488259 Enrollment ID: I20040628000417 |
| Provider Name | Jon Boyd Poulson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801832506 PECOS PAC ID: 2567448863 Enrollment ID: I20040628000455 |
| Provider Name | Joseph A Mack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669581880 PECOS PAC ID: 0143218826 Enrollment ID: I20040713001663 |
| Provider Name | Howard C Larky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013906023 PECOS PAC ID: 8628048352 Enrollment ID: I20040729000340 |
| Provider Name | Charles Robert Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154326205 PECOS PAC ID: 3375516503 Enrollment ID: I20040817000159 |
| Provider Name | Srini Vasan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376541649 PECOS PAC ID: 6901877893 Enrollment ID: I20040818000248 |
| Provider Name | Patricia B Mickunas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992965370 PECOS PAC ID: 6901870252 Enrollment ID: I20040823000759 |
| Provider Name | Jess J Demaria |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154373009 PECOS PAC ID: 3870567837 Enrollment ID: I20040824001501 |
| Provider Name | Anthony Vaughn Goocey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114922440 PECOS PAC ID: 4981670650 Enrollment ID: I20040903000203 |
| Provider Name | Babak Khabiri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770548661 PECOS PAC ID: 8527034537 Enrollment ID: I20040909000900 |
| Provider Name | Laura Kenny Fortner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710973508 PECOS PAC ID: 8527037407 Enrollment ID: I20040928000414 |
| Provider Name | Anastasios Pantelidis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811984354 PECOS PAC ID: 6406822501 Enrollment ID: I20041026000000 |
| Provider Name | Munir Ahmad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427113083 PECOS PAC ID: 1759331192 Enrollment ID: I20050125000306 |
| Provider Name | Maninder Singh Bedi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003851213 PECOS PAC ID: 4082665567 Enrollment ID: I20050202000007 |
| Provider Name | Robert A Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346252855 PECOS PAC ID: 9133170624 Enrollment ID: I20050203000054 |
| Provider Name | Mark D Reno |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497788566 PECOS PAC ID: 1951362292 Enrollment ID: I20050214000444 |
| Provider Name | Carl Gregory Conrad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821044645 PECOS PAC ID: 8426005851 Enrollment ID: I20050407000084 |
| Provider Name | Robert A Holm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689638041 PECOS PAC ID: 8527007392 Enrollment ID: I20050502000093 |
| Provider Name | Imber C Coppinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932209871 PECOS PAC ID: 1254360753 Enrollment ID: I20050804001027 |
| Provider Name | Peter G Pantelidis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1770570186 PECOS PAC ID: 1759344815 Enrollment ID: I20050811000111 |
| Provider Name | Lisa Willey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275579971 PECOS PAC ID: 5395778963 Enrollment ID: I20050914000577 |
| Provider Name | Thomas A Brandes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265446454 PECOS PAC ID: 7517992639 Enrollment ID: I20050928000255 |
| Provider Name | Alexander D Minard |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750383337 PECOS PAC ID: 4688692007 Enrollment ID: I20051103001246 |
| Provider Name | William F Green |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174592232 PECOS PAC ID: 4981624616 Enrollment ID: I20051128000150 |
| Provider Name | Marcus L Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750350559 PECOS PAC ID: 2567482680 Enrollment ID: I20051202000648 |
| Provider Name | Teri Liane Cook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578563706 PECOS PAC ID: 8123098480 Enrollment ID: I20051207000039 |
| Provider Name | Eric L Newsom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598772881 PECOS PAC ID: 4486676830 Enrollment ID: I20051228000596 |
| Provider Name | Richard A Gunovich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538145263 PECOS PAC ID: 3072536127 Enrollment ID: I20060104000691 |
| Provider Name | Angela D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649273137 PECOS PAC ID: 4880643311 Enrollment ID: I20060105000359 |
| Provider Name | Peggy S West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720160773 PECOS PAC ID: 6507876679 Enrollment ID: I20060503000760 |
| Provider Name | Michael A Billow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295772978 PECOS PAC ID: 8325050875 Enrollment ID: I20060627000002 |
| Provider Name | Kimberly S Hendricks |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255345336 PECOS PAC ID: 0840293593 Enrollment ID: I20060817000639 |
| Provider Name | Bradley D Carman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295774040 PECOS PAC ID: 9739187139 Enrollment ID: I20061120000113 |
| Provider Name | David Drozek |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316031347 PECOS PAC ID: 8628077690 Enrollment ID: I20061221000004 |
| Provider Name | Stephen R Stanley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770571309 PECOS PAC ID: 5193746071 Enrollment ID: I20070129000480 |
| Provider Name | Vickie A Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528061322 PECOS PAC ID: 2163524166 Enrollment ID: I20070222000074 |
| Provider Name | David Spears |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861598849 PECOS PAC ID: 4385646397 Enrollment ID: I20070313000498 |
| Provider Name | Richard Grimshaw Morse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477694883 PECOS PAC ID: 7012012966 Enrollment ID: I20070420000388 |
| Provider Name | Noah Rosenthal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245351832 PECOS PAC ID: 4082710314 Enrollment ID: I20070503000347 |
| Provider Name | Janie M Zart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043273352 PECOS PAC ID: 4082713623 Enrollment ID: I20070622000569 |
| Provider Name | Kelli A Cawley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023113727 PECOS PAC ID: 2466552153 Enrollment ID: I20070710000902 |
| Provider Name | Reagan S Norgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487877999 PECOS PAC ID: 8325149503 Enrollment ID: I20070719000038 |
| Provider Name | Gregory Mickunas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225076458 PECOS PAC ID: 7517058886 Enrollment ID: I20070801000512 |
| Provider Name | Mildred M Harriman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164419230 PECOS PAC ID: 7517058019 Enrollment ID: I20070814000011 |
| Provider Name | Allison Jay Batchelor |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1487626925 PECOS PAC ID: 4486748647 Enrollment ID: I20070919000085 |
| Provider Name | Matthew W Treece |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780808394 PECOS PAC ID: 3072609965 Enrollment ID: I20071024000143 |
| Provider Name | Christina P Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679761480 PECOS PAC ID: 1052409398 Enrollment ID: I20071120000205 |
| Provider Name | Emily G Scott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902960131 PECOS PAC ID: 1355421447 Enrollment ID: I20080102000179 |
| Provider Name | Marcia E Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730376435 PECOS PAC ID: 1254412851 Enrollment ID: I20080122000345 |
| Provider Name | Arif M Rafi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760590640 PECOS PAC ID: 4587659842 Enrollment ID: I20080122000481 |
| Provider Name | Constance J Oates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013956945 PECOS PAC ID: 8729021985 Enrollment ID: I20080204000220 |
| Provider Name | Ryan K May |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134126139 PECOS PAC ID: 3072531011 Enrollment ID: I20080215000515 |
| Provider Name | John C Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730175019 PECOS PAC ID: 9537065859 Enrollment ID: I20080228000237 |
| Provider Name | Joseph D Cooper |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740277177 PECOS PAC ID: 3476630609 Enrollment ID: I20080411000295 |
| Provider Name | Michael K Brockett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366419343 PECOS PAC ID: 7416844139 Enrollment ID: I20080508000249 |
| Provider Name | Devaki Siva |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982823290 PECOS PAC ID: 4486726098 Enrollment ID: I20080715000335 |
| Provider Name | Daniel L Jarrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467599464 PECOS PAC ID: 9739133109 Enrollment ID: I20080715000440 |
| Provider Name | Eva K Giro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104821420 PECOS PAC ID: 7517032766 Enrollment ID: I20080822000101 |
| Provider Name | Kathleen Bertuna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770784613 PECOS PAC ID: 6305912551 Enrollment ID: I20080911000648 |
| Provider Name | Meisam Hosseinabadi Moghbelli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790827210 PECOS PAC ID: 1557438546 Enrollment ID: I20080917000101 |
| Provider Name | Anna K Wright |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1639326804 PECOS PAC ID: 0042378101 Enrollment ID: I20081020000169 |
| Provider Name | Mario G Estolano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881655546 PECOS PAC ID: 7012958721 Enrollment ID: I20081129000047 |
| Provider Name | Pamela A Farr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396732467 PECOS PAC ID: 6204936750 Enrollment ID: I20090202000114 |
| Provider Name | Jason Reed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821254095 PECOS PAC ID: 4284786930 Enrollment ID: I20090710000356 |
| Provider Name | Gerald L Curd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821202144 PECOS PAC ID: 7719039353 Enrollment ID: I20090714000000 |
| Provider Name | Alexander C Salazar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598931958 PECOS PAC ID: 6406909274 Enrollment ID: I20090728000229 |
| Provider Name | John W Crum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598873804 PECOS PAC ID: 1658424429 Enrollment ID: I20090728000253 |
| Provider Name | Clare Petty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366622185 PECOS PAC ID: 9133203219 Enrollment ID: I20091013000265 |
| Provider Name | Roxanne Cech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497830566 PECOS PAC ID: 6406889773 Enrollment ID: I20091023000022 |
| Provider Name | Jennifer M Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972528040 PECOS PAC ID: 3971522574 Enrollment ID: I20091028000666 |
| Provider Name | Julie Mcgary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740517168 PECOS PAC ID: 2668510207 Enrollment ID: I20091118000754 |
| Provider Name | Albeir Youhanna Mousa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902831779 PECOS PAC ID: 6305843061 Enrollment ID: I20091202000053 |
| Provider Name | Cynthia M Gaerke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538184437 PECOS PAC ID: 3779623814 Enrollment ID: I20091221000387 |
| Provider Name | Naresh Kumar Nayak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356309108 PECOS PAC ID: 4082500483 Enrollment ID: I20100104000549 |
| Provider Name | George Tokodi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215933700 PECOS PAC ID: 8123052875 Enrollment ID: I20100111000227 |
| Provider Name | Miranda L Coey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538498050 PECOS PAC ID: 5395888036 Enrollment ID: I20100203000822 |
| Provider Name | Dana Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497992077 PECOS PAC ID: 7810032711 Enrollment ID: I20100303000545 |
| Provider Name | Lloyd D Dennis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578531547 PECOS PAC ID: 5597652214 Enrollment ID: I20100324000706 |
| Provider Name | David Matthew Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992773501 PECOS PAC ID: 3779672605 Enrollment ID: I20100324000737 |
| Provider Name | Tamara Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114995602 PECOS PAC ID: 5597854422 Enrollment ID: I20100330000058 |
| Provider Name | John S Henry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427016211 PECOS PAC ID: 6901792308 Enrollment ID: I20100405000066 |
| Provider Name | Dianne Schubeck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174557862 PECOS PAC ID: 6901932524 Enrollment ID: I20100407000080 |
| Provider Name | Denay M May |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841528791 PECOS PAC ID: 8022145432 Enrollment ID: I20100416000035 |
| Provider Name | Craig H Dodrill |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003803388 PECOS PAC ID: 6800924457 Enrollment ID: I20100503000498 |
| Provider Name | Eric M Binder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467449645 PECOS PAC ID: 7517936917 Enrollment ID: I20100607000384 |
| Provider Name | Dan Charles Breece |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215916275 PECOS PAC ID: 6709943434 Enrollment ID: I20100708000655 |
| Provider Name | Shawn A Robinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780865865 PECOS PAC ID: 8729112065 Enrollment ID: I20100823000269 |
| Provider Name | Robert L Behnke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073710869 PECOS PAC ID: 4082739024 Enrollment ID: I20100915000354 |
| Provider Name | Abbie J Choleva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811200074 PECOS PAC ID: 5799977419 Enrollment ID: I20101012001377 |
| Provider Name | Kelly L Mclain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184894685 PECOS PAC ID: 2567656895 Enrollment ID: I20101101000904 |
| Provider Name | Brett A Luxmore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669569661 PECOS PAC ID: 2062607104 Enrollment ID: I20101115000457 |
| Provider Name | Douglas R Keyser |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902831688 PECOS PAC ID: 0345439568 Enrollment ID: I20110104000642 |
| Provider Name | Naa A Allotey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295953644 PECOS PAC ID: 8224214754 Enrollment ID: I20110518000628 |
| Provider Name | Rajendra S Bhati |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1164641759 PECOS PAC ID: 4587841952 Enrollment ID: I20110613000139 |
| Provider Name | Carson Wong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669440814 PECOS PAC ID: 8325035363 Enrollment ID: I20110623000186 |
| Provider Name | Joseph A Zacharias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881847572 PECOS PAC ID: 2860670551 Enrollment ID: I20110628000764 |
| Provider Name | Katherine J Kiger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790013720 PECOS PAC ID: 6305018797 Enrollment ID: I20111006000677 |
| Provider Name | Scott E Johnson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407946262 PECOS PAC ID: 9335243377 Enrollment ID: I20111202000536 |
| Provider Name | Anita Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447536073 PECOS PAC ID: 7719152974 Enrollment ID: I20111216000257 |
| Provider Name | Sarah M Limer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386932093 PECOS PAC ID: 1850565086 Enrollment ID: I20120113000260 |
| Provider Name | Gregory B Krivchenia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467410258 PECOS PAC ID: 0547156945 Enrollment ID: I20120213000383 |
| Provider Name | Kimberly S Ewing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528361417 PECOS PAC ID: 3678752920 Enrollment ID: I20120214000815 |
| Provider Name | Celenia R Tennant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689952046 PECOS PAC ID: 2365600350 Enrollment ID: I20120222000382 |
| Provider Name | Chad R Bigony |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811107691 PECOS PAC ID: 3971762444 Enrollment ID: I20120302000406 |
| Provider Name | Laura M Martinez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427342310 PECOS PAC ID: 0446419816 Enrollment ID: I20120306000153 |
| Provider Name | Gregory V D Eramo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649488032 PECOS PAC ID: 4789774993 Enrollment ID: I20120312000253 |
| Provider Name | Christopher Alexander Cockerham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821020918 PECOS PAC ID: 5496784159 Enrollment ID: I20120404000252 |
| Provider Name | Robyn M Knaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346438066 PECOS PAC ID: 2163595810 Enrollment ID: I20120418000348 |
| Provider Name | Jason L Gessel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861672669 PECOS PAC ID: 4688837834 Enrollment ID: I20120525000232 |
| Provider Name | Mark Andrew Stonehill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740267335 PECOS PAC ID: 1456385954 Enrollment ID: I20120529000127 |
| Provider Name | Glen R Miske |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1316197080 PECOS PAC ID: 1759438500 Enrollment ID: I20120619000439 |
| Provider Name | James M Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073711974 PECOS PAC ID: 3375709397 Enrollment ID: I20120719000208 |
| Provider Name | Amy Lynn Eddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548220486 PECOS PAC ID: 3072579044 Enrollment ID: I20120802000737 |
| Provider Name | Julian A Jakubowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043448608 PECOS PAC ID: 1355511163 Enrollment ID: I20120808000569 |
| Provider Name | Leann B Bennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477784486 PECOS PAC ID: 8123165289 Enrollment ID: I20120823000360 |
| Provider Name | John Biedenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174878979 PECOS PAC ID: 9335397520 Enrollment ID: I20120912000889 |
| Provider Name | Christopher H Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962757963 PECOS PAC ID: 9335397280 Enrollment ID: I20120918000509 |
| Provider Name | Gary E Oates |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518169986 PECOS PAC ID: 5294834800 Enrollment ID: I20120921000211 |
| Provider Name | Connie S Woodyard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740471796 PECOS PAC ID: 2264524263 Enrollment ID: I20120928000249 |
| Provider Name | Jeremy W Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043536261 PECOS PAC ID: 6002066552 Enrollment ID: I20121018000820 |
| Provider Name | Sara M Haverty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528313012 PECOS PAC ID: 2860642832 Enrollment ID: I20121029000395 |
| Provider Name | Jean W Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629322474 PECOS PAC ID: 8628221306 Enrollment ID: I20130104000519 |
| Provider Name | Robert A Mckinley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053425637 PECOS PAC ID: 5193719904 Enrollment ID: I20130108000114 |
| Provider Name | Sujeeth K Shetty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063627727 PECOS PAC ID: 4183762776 Enrollment ID: I20130212000273 |
| Provider Name | Tiffany L Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952658460 PECOS PAC ID: 7517111842 Enrollment ID: I20130213000512 |
| Provider Name | Kevin J Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407853047 PECOS PAC ID: 2860425824 Enrollment ID: I20130214000092 |
| Provider Name | Sarah Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033372123 PECOS PAC ID: 4284806944 Enrollment ID: I20130605000553 |
| Provider Name | Lori E Helgesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700154929 PECOS PAC ID: 6709047616 Enrollment ID: I20130613000038 |
| Provider Name | Steven D Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275581605 PECOS PAC ID: 6204918204 Enrollment ID: I20130703000057 |
| Provider Name | Simeon J Hain |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1548598469 PECOS PAC ID: 0840432696 Enrollment ID: I20130807001047 |
| Provider Name | Rosemari Kauser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740620459 PECOS PAC ID: 1153563671 Enrollment ID: I20130813000766 |
| Provider Name | Tuan C Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043464183 PECOS PAC ID: 3971660143 Enrollment ID: I20130814000231 |
| Provider Name | Tarek Hammad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912212135 PECOS PAC ID: 4587807433 Enrollment ID: I20130826000535 |
| Provider Name | Justin Fnp Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902247075 PECOS PAC ID: 2163657925 Enrollment ID: I20140205001209 |
| Provider Name | Emmanuel A Agaba |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851698633 PECOS PAC ID: 7012176860 Enrollment ID: I20140210001773 |
| Provider Name | Kimberly D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851640460 PECOS PAC ID: 2163671728 Enrollment ID: I20140214000301 |
| Provider Name | Stacy M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497185284 PECOS PAC ID: 1759518459 Enrollment ID: I20140407000863 |
| Provider Name | Stacy L Devol |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164865465 PECOS PAC ID: 9133352479 Enrollment ID: I20140512001675 |
| Provider Name | Holly Ann Bell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558451880 PECOS PAC ID: 2567368467 Enrollment ID: I20140520001719 |
| Provider Name | Christopher P Kolibash |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1043228414 PECOS PAC ID: 2062417447 Enrollment ID: I20140520002414 |
| Provider Name | Meredith Jo Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457663791 PECOS PAC ID: 3274772298 Enrollment ID: I20140522001528 |
| Provider Name | Young-mi Pruden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477783371 PECOS PAC ID: 6901029313 Enrollment ID: I20140603000477 |
| Provider Name | Joshua T S Clore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396009304 PECOS PAC ID: 0143444380 Enrollment ID: I20140610000934 |
| Provider Name | Megan M Mcelroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093131922 PECOS PAC ID: 9032333109 Enrollment ID: I20140610002407 |
| Provider Name | Richard E Hoyt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609064617 PECOS PAC ID: 5193949048 Enrollment ID: I20140616000478 |
| Provider Name | Jason Yax |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447291745 PECOS PAC ID: 8820001258 Enrollment ID: I20140714001810 |
| Provider Name | Shannon N Crow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225455041 PECOS PAC ID: 4183840390 Enrollment ID: I20140724001139 |
| Provider Name | Hayden Hung-tan Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124319272 PECOS PAC ID: 2961628698 Enrollment ID: I20140801000308 |
| Provider Name | Amandeep Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710273248 PECOS PAC ID: 7113144502 Enrollment ID: I20140807002600 |
| Provider Name | Nicholas H.e. Mezitis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265527295 PECOS PAC ID: 7618996174 Enrollment ID: I20140814001356 |
| Provider Name | Deana L Roush |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639598451 PECOS PAC ID: 6901023837 Enrollment ID: I20140815001830 |
| Provider Name | Rachel L March |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780086538 PECOS PAC ID: 0446471288 Enrollment ID: I20141021001416 |
| Provider Name | Tressa D Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124095740 PECOS PAC ID: 2466410196 Enrollment ID: I20141029001899 |
| Provider Name | Mallory A Palmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609278688 PECOS PAC ID: 9436371507 Enrollment ID: I20141105002559 |
| Provider Name | Andrea D Kostelac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699170282 PECOS PAC ID: 6103048566 Enrollment ID: I20141119001860 |
| Provider Name | Amanda Voldness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598163651 PECOS PAC ID: 9032433313 Enrollment ID: I20150114001528 |
| Provider Name | Jessica L Vinyard-davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841588456 PECOS PAC ID: 2466777081 Enrollment ID: I20150202001466 |
| Provider Name | Jessica Anne Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154384154 PECOS PAC ID: 4880633445 Enrollment ID: I20150311000143 |
| Provider Name | Patricia J Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851797377 PECOS PAC ID: 4082930912 Enrollment ID: I20150311001587 |
| Provider Name | Telemate Sokari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386871580 PECOS PAC ID: 1951628536 Enrollment ID: I20150318002539 |
| Provider Name | Eric Britain Miller |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1245551498 PECOS PAC ID: 1951628569 Enrollment ID: I20150319001104 |
| Provider Name | John L Darnell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144577172 PECOS PAC ID: 7416106570 Enrollment ID: I20150504001410 |
| Provider Name | Michael P Zacharias |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1932306073 PECOS PAC ID: 0749403400 Enrollment ID: I20150518001777 |
| Provider Name | Ravi Kumar Balireddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407146913 PECOS PAC ID: 2163650169 Enrollment ID: I20150521002808 |
| Provider Name | David Rand Kirtland |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1386878155 PECOS PAC ID: 6507187721 Enrollment ID: I20150530000118 |
| Provider Name | Joshua W Sheatsley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619260981 PECOS PAC ID: 6103147558 Enrollment ID: I20150610001474 |
| Provider Name | Megan M Weiss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669852604 PECOS PAC ID: 2264743244 Enrollment ID: I20150617001033 |
| Provider Name | Yonnael B De La Rosa Holguin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841546025 PECOS PAC ID: 8527379312 Enrollment ID: I20150619001926 |
| Provider Name | Amber M Aultman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336527985 PECOS PAC ID: 4789995408 Enrollment ID: I20150623000653 |
| Provider Name | Melinda C Dixson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356574214 PECOS PAC ID: 4880736479 Enrollment ID: I20150630000773 |
| Provider Name | David L Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609073204 PECOS PAC ID: 7012049075 Enrollment ID: I20150709000955 |
| Provider Name | Crystal Hopper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144603101 PECOS PAC ID: 5890009427 Enrollment ID: I20150727002359 |
| Provider Name | William P Caplinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508240292 PECOS PAC ID: 7911211941 Enrollment ID: I20150804004152 |
| Provider Name | Caitlyn L Santer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750644720 PECOS PAC ID: 0547575151 Enrollment ID: I20150811005464 |
| Provider Name | Rebecca A Schuster |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730492141 PECOS PAC ID: 1153636113 Enrollment ID: I20150819009161 |
| Provider Name | Kenneth A Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740543024 PECOS PAC ID: 9931414802 Enrollment ID: I20150820012317 |
| Provider Name | Brant Andrew Whited |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871883231 PECOS PAC ID: 8628386356 Enrollment ID: I20150930001120 |
| Provider Name | Adam D Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639547540 PECOS PAC ID: 4486963568 Enrollment ID: I20151013001185 |
| Provider Name | Rachel Bail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962874941 PECOS PAC ID: 9830499276 Enrollment ID: I20151209000365 |
| Provider Name | Jed Rivers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215035811 PECOS PAC ID: 3971500588 Enrollment ID: I20151210002609 |
| Provider Name | Chandler L Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982072054 PECOS PAC ID: 5799086914 Enrollment ID: I20151214000480 |
| Provider Name | Bryan E Kelley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477722999 PECOS PAC ID: 6901983154 Enrollment ID: I20151222002529 |
| Provider Name | Johanna L Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336575174 PECOS PAC ID: 3072816198 Enrollment ID: I20160125001107 |
| Provider Name | Michael C Sweeney |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396943114 PECOS PAC ID: 4082866579 Enrollment ID: I20160325000528 |
| Provider Name | Solomon Bagae |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104842061 PECOS PAC ID: 2163711888 Enrollment ID: I20160519001957 |
| Provider Name | Danielle L Ortman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912263575 PECOS PAC ID: 8921240730 Enrollment ID: I20160705001872 |
| Provider Name | James V Diaz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700248010 PECOS PAC ID: 2062705650 Enrollment ID: I20160719002323 |
| Provider Name | Scott G Wine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356785026 PECOS PAC ID: 6507176799 Enrollment ID: I20160719002910 |
| Provider Name | Matthew S Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235591116 PECOS PAC ID: 9234423526 Enrollment ID: I20160809002845 |
| Provider Name | Mohamedlatif Saiyad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619233061 PECOS PAC ID: 6002100955 Enrollment ID: I20160816000558 |
| Provider Name | Tara B Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487006912 PECOS PAC ID: 7911292693 Enrollment ID: I20160819000248 |
| Provider Name | Azam Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659535045 PECOS PAC ID: 5890942742 Enrollment ID: I20160919002061 |
| Provider Name | Moriah D Harrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396292926 PECOS PAC ID: 1850679762 Enrollment ID: I20161027002013 |
| Provider Name | Megan Barnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396294815 PECOS PAC ID: 3577842608 Enrollment ID: I20161114001317 |
| Provider Name | Tami L Linscott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255875548 PECOS PAC ID: 7012299118 Enrollment ID: I20170125002392 |
| Provider Name | Alisha L Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093267635 PECOS PAC ID: 7113200130 Enrollment ID: I20170216001397 |
| Provider Name | Adrienne C Clemens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578007381 PECOS PAC ID: 6406132687 Enrollment ID: I20170425000857 |
| Provider Name | Michail Vasilakis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356570287 PECOS PAC ID: 0547581498 Enrollment ID: I20170518001917 |
| Provider Name | Megan Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518300391 PECOS PAC ID: 8820307341 Enrollment ID: I20170601002902 |
| Provider Name | Emmett H Lotton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952695330 PECOS PAC ID: 5799902995 Enrollment ID: I20170602000056 |
| Provider Name | Kenia M Samuel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427465053 PECOS PAC ID: 2163790080 Enrollment ID: I20170619001776 |
| Provider Name | Holly J Freed |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962608125 PECOS PAC ID: 3476637760 Enrollment ID: I20170707001641 |
| Provider Name | Robyn N Betts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477083095 PECOS PAC ID: 9739459801 Enrollment ID: I20170721002157 |
| Provider Name | Juan S Tejada Almonte |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952646507 PECOS PAC ID: 4385877323 Enrollment ID: I20170721002318 |
| Provider Name | Kumudha Rajeswaran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437578929 PECOS PAC ID: 9739451436 Enrollment ID: I20170815003279 |
| Provider Name | Mallory S Hoff-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336677608 PECOS PAC ID: 1557633401 Enrollment ID: I20170828001410 |
| Provider Name | Sarah D Schartiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417471582 PECOS PAC ID: 2567735087 Enrollment ID: I20170906000227 |
| Provider Name | Tiffany Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659896363 PECOS PAC ID: 6002180650 Enrollment ID: I20170920001026 |
| Provider Name | John Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659894921 PECOS PAC ID: 1456625003 Enrollment ID: I20170920001043 |
| Provider Name | Emily L Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629030218 PECOS PAC ID: 2264466184 Enrollment ID: I20170921003385 |
| Provider Name | Leandrea Aileen Squires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730609942 PECOS PAC ID: 5193098424 Enrollment ID: I20171020001530 |
| Provider Name | Alaina J Phillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902315260 PECOS PAC ID: 4082980164 Enrollment ID: I20171103001767 |
| Provider Name | Tamara R Postlethwait |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003325150 PECOS PAC ID: 8628337227 Enrollment ID: I20180104000925 |
| Provider Name | Daniel J Howley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902885502 PECOS PAC ID: 0244334076 Enrollment ID: I20180108002290 |
| Provider Name | Colin C Brockett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548680721 PECOS PAC ID: 8628297132 Enrollment ID: I20180219001008 |
| Provider Name | Joshua Layne Grubb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821402934 PECOS PAC ID: 5799046355 Enrollment ID: I20180223000759 |
| Provider Name | William B Lynn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487162475 PECOS PAC ID: 0547521734 Enrollment ID: I20180305000755 |
| Provider Name | Molly S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669972410 PECOS PAC ID: 2769744697 Enrollment ID: I20180313000811 |
| Provider Name | Timothy M Graham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386055614 PECOS PAC ID: 5193087823 Enrollment ID: I20180316001943 |
| Provider Name | Ian L Aveytua |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215323084 PECOS PAC ID: 4688938111 Enrollment ID: I20180508002125 |
| Provider Name | Joseph B Agyepong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164817003 PECOS PAC ID: 7315247681 Enrollment ID: I20180515002057 |
| Provider Name | Angela M Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033585856 PECOS PAC ID: 3072823251 Enrollment ID: I20180606001098 |
| Provider Name | Basile M Njei |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336435965 PECOS PAC ID: 1456662030 Enrollment ID: I20180703001547 |
| Provider Name | Megan M Amos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801380084 PECOS PAC ID: 3274889266 Enrollment ID: I20180705001206 |
| Provider Name | Megan F Evers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033473657 PECOS PAC ID: 9931418019 Enrollment ID: I20180706001591 |
| Provider Name | Claudia M Brauer Ornelas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942678628 PECOS PAC ID: 8820349087 Enrollment ID: I20180926004246 |
| Provider Name | Shelley Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093298077 PECOS PAC ID: 2163773375 Enrollment ID: I20180927002082 |
| Provider Name | Obaeda M Harfoush |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386809184 PECOS PAC ID: 7214123397 Enrollment ID: I20181101001203 |
| Provider Name | Nicole Rae Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518432954 PECOS PAC ID: 4385998590 Enrollment ID: I20181106002914 |
| Provider Name | Marcela Cristina Rugel Aizprua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447567615 PECOS PAC ID: 7810149200 Enrollment ID: I20181108001075 |
| Provider Name | Casey Morehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881161743 PECOS PAC ID: 1254675051 Enrollment ID: I20181205002137 |
| Provider Name | Sarah Linn Coromandel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770976524 PECOS PAC ID: 8224339593 Enrollment ID: I20181205003410 |
| Provider Name | Lee Edward Weiss |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417927609 PECOS PAC ID: 9234326844 Enrollment ID: I20181217002458 |
| Provider Name | Sarah Beth Royer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073092607 PECOS PAC ID: 4284979113 Enrollment ID: I20181221001454 |
| Provider Name | Roselyne Murugu Knopf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033406715 PECOS PAC ID: 7618199480 Enrollment ID: I20190215002721 |
| Provider Name | Elyse A Blackston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083172324 PECOS PAC ID: 1254671894 Enrollment ID: I20190319001768 |
| Provider Name | Amy J Holdren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922561695 PECOS PAC ID: 6800138694 Enrollment ID: I20190426000676 |
| Provider Name | Sarah E Baillargeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584677 PECOS PAC ID: 3476895855 Enrollment ID: I20190506000604 |
| Provider Name | Teresa Michaelis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871957290 PECOS PAC ID: 3577897164 Enrollment ID: I20190702001688 |
| Provider Name | Casey J Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679066617 PECOS PAC ID: 4587999834 Enrollment ID: I20190710000307 |
| Provider Name | Nathanel David Mcleod |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902048499 PECOS PAC ID: 9133362494 Enrollment ID: I20190822000491 |
| Provider Name | Mark Karim Lane |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912941089 PECOS PAC ID: 8820029911 Enrollment ID: I20190913001915 |
| Provider Name | John F Prokop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396108676 PECOS PAC ID: 1254610819 Enrollment ID: I20190930002584 |
| Provider Name | Janelle Ann Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023040953 PECOS PAC ID: 4082517388 Enrollment ID: I20190930003091 |
| Provider Name | Sarah A Lavalette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811921125 PECOS PAC ID: 4789658469 Enrollment ID: I20191007003467 |
| Provider Name | Brittany R Marlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083265938 PECOS PAC ID: 0345572228 Enrollment ID: I20191025000704 |
| Provider Name | George Shokri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851677074 PECOS PAC ID: 6608184056 Enrollment ID: I20200106002164 |
| Provider Name | Brian E Scharfenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265963409 PECOS PAC ID: 7618302068 Enrollment ID: I20200114001012 |
| Provider Name | Kayla D Slattery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871139592 PECOS PAC ID: 5496180622 Enrollment ID: I20200116002181 |
| Provider Name | Valone Lynn Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134765878 PECOS PAC ID: 8921433863 Enrollment ID: I20200122002905 |
| Provider Name | Libu Varughese |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053750331 PECOS PAC ID: 3274881446 Enrollment ID: I20200306002295 |
| Provider Name | Wisler Saint-vil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568817633 PECOS PAC ID: 4789978099 Enrollment ID: I20200414002355 |
| Provider Name | Amber N Tebay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417588229 PECOS PAC ID: 2062842628 Enrollment ID: I20200422000950 |
| Provider Name | Ciprian Crismaru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043266190 PECOS PAC ID: 2567412687 Enrollment ID: I20200521001074 |
| Provider Name | Nicholas Dimassa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508391533 PECOS PAC ID: 1658640768 Enrollment ID: I20200618002451 |
| Provider Name | Jamie M Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326277468 PECOS PAC ID: 6709209737 Enrollment ID: I20200709002700 |
| Provider Name | Abby Marie Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881125680 PECOS PAC ID: 0143599878 Enrollment ID: I20200717002003 |
| Provider Name | Gabrielle M Prokop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851754139 PECOS PAC ID: 9335429000 Enrollment ID: I20200804001238 |
| Provider Name | Ryan P Mccafferty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063890630 PECOS PAC ID: 4981936325 Enrollment ID: I20200811001853 |
| Provider Name | Jonas Dean Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427666486 PECOS PAC ID: 4486070182 Enrollment ID: I20200812001201 |
| Provider Name | Clint Joseph Oommen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548588775 PECOS PAC ID: 5294027637 Enrollment ID: I20200903000506 |
| Provider Name | Billie Jane Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588207658 PECOS PAC ID: 9133552748 Enrollment ID: I20200904001224 |
| Provider Name | Christy A Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477794949 PECOS PAC ID: 3779756341 Enrollment ID: I20200918001008 |
| Provider Name | Melissa D Burris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780299560 PECOS PAC ID: 2769802180 Enrollment ID: I20201022004004 |
| Provider Name | Seshagiri Kalapala |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730267030 PECOS PAC ID: 5597803395 Enrollment ID: I20201104002652 |
| Provider Name | Ashley Nicole Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154925964 PECOS PAC ID: 4082026547 Enrollment ID: I20201208000797 |
| Provider Name | Ben Scheinfeld |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073565917 PECOS PAC ID: 6901850593 Enrollment ID: I20201208001445 |
| Provider Name | Mushtaq Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508822446 PECOS PAC ID: 1254302896 Enrollment ID: I20210401001020 |
| Provider Name | Michelle Dawn Caldwell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083897904 PECOS PAC ID: 6002931029 Enrollment ID: I20210513000277 |
| Provider Name | Ayla Gordon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780079236 PECOS PAC ID: 0345588935 Enrollment ID: I20210527000543 |
| Provider Name | Charles Penvose |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144853649 PECOS PAC ID: 6204267214 Enrollment ID: I20210618001393 |
| Provider Name | Mark Christiopher Plumby |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1518344092 PECOS PAC ID: 5395047187 Enrollment ID: I20210621003167 |
| Provider Name | Morgan Anne Zide |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255827168 PECOS PAC ID: 3072861491 Enrollment ID: I20210709000821 |
| Provider Name | Miriam F Clarke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932555430 PECOS PAC ID: 2365736709 Enrollment ID: I20210709001387 |
| Provider Name | David Trinco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144712977 PECOS PAC ID: 8325399868 Enrollment ID: I20210713002801 |
| Provider Name | Palak Jitendra Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124514039 PECOS PAC ID: 7012265440 Enrollment ID: I20210726002951 |
| Provider Name | Yogesh Jonnagadla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730535238 PECOS PAC ID: 4486947124 Enrollment ID: I20211007002244 |
| Provider Name | Swapna Thammishetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780170605 PECOS PAC ID: 5991054215 Enrollment ID: I20211008001446 |
| Provider Name | Yousuf Sohail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396240248 PECOS PAC ID: 4385994169 Enrollment ID: I20211018002693 |
| Provider Name | Erin E Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710658984 PECOS PAC ID: 1951799055 Enrollment ID: I20211021003061 |
| Provider Name | Erick Christian Meliher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790329910 PECOS PAC ID: 6608200753 Enrollment ID: I20211206000582 |
| Provider Name | Jeffrey Dean Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598352288 PECOS PAC ID: 4082005152 Enrollment ID: I20211228000606 |
| Provider Name | Jami Rae Seagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841950235 PECOS PAC ID: 5193117943 Enrollment ID: I20220127003104 |
| Provider Name | Danyelle R Brooker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962082602 PECOS PAC ID: 7719372549 Enrollment ID: I20220315000467 |
| Provider Name | Angela Faith Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386399863 PECOS PAC ID: 4385039742 Enrollment ID: I20220322000200 |
| Provider Name | Tammy R Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063168268 PECOS PAC ID: 4981099033 Enrollment ID: I20220328001362 |
| Provider Name | Dale Jeanne Lacroix |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922034479 PECOS PAC ID: 8921185554 Enrollment ID: I20220331002413 |
| Provider Name | Ashley E Wiggers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750039574 PECOS PAC ID: 9638566714 Enrollment ID: I20220419001991 |
| Provider Name | Clifton John Umstead |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427405497 PECOS PAC ID: 9032440649 Enrollment ID: I20220503001320 |
| Provider Name | William James Balshuweit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104323815 PECOS PAC ID: 0042697724 Enrollment ID: I20220518002423 |
| Provider Name | Jared A Carney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649739780 PECOS PAC ID: 9032521570 Enrollment ID: I20220531001772 |
| Provider Name | William G Timmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174086128 PECOS PAC ID: 1951789924 Enrollment ID: I20220602002396 |
| Provider Name | Jason P Schott |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1942628748 PECOS PAC ID: 6608198569 Enrollment ID: I20220616001166 |
| Provider Name | Daniel K Fisher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356874010 PECOS PAC ID: 8022418540 Enrollment ID: I20220620001343 |
| Provider Name | Peter Agaba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851952592 PECOS PAC ID: 9436561966 Enrollment ID: I20220621000748 |
| Provider Name | Matthew T Phillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538622584 PECOS PAC ID: 5890174403 Enrollment ID: I20220628000248 |
| Provider Name | Heaven M Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104589480 PECOS PAC ID: 4284026220 Enrollment ID: I20220628000642 |
| Provider Name | Andre Nixon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295477818 PECOS PAC ID: 2860872629 Enrollment ID: I20220711002011 |
| Provider Name | Mihailo Popovic |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467680421 PECOS PAC ID: 2365742764 Enrollment ID: I20220721001183 |
| Provider Name | Adam Christopher Domico |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366806481 PECOS PAC ID: 4385044155 Enrollment ID: I20220721001856 |
| Provider Name | Jagdesh Kandala |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265515662 PECOS PAC ID: 2062411929 Enrollment ID: I20220816001109 |
| Provider Name | Laura C Burkett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811456940 PECOS PAC ID: 4789096215 Enrollment ID: I20220913002316 |
| Provider Name | Devanshi Dharaiya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649655028 PECOS PAC ID: 5890082846 Enrollment ID: I20220914000385 |
| Provider Name | Kristen Kerns Hambrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265699482 PECOS PAC ID: 1355414020 Enrollment ID: I20221011001771 |
| Provider Name | Beth Ann Cureton |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245518653 PECOS PAC ID: 3577797026 Enrollment ID: I20221205001442 |
| Provider Name | Todd M Lambert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477876688 PECOS PAC ID: 7315076452 Enrollment ID: I20221207001743 |
| Provider Name | Nik M Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225022775 PECOS PAC ID: 7517934367 Enrollment ID: I20221222002190 |
| Provider Name | Makarem M Abulimon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699207381 PECOS PAC ID: 8325463979 Enrollment ID: I20221228001338 |
| Provider Name | Daniel E O'connell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558605618 PECOS PAC ID: 9032425400 Enrollment ID: I20230103000336 |
| Provider Name | Tyler Ray Newell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811504780 PECOS PAC ID: 7911378997 Enrollment ID: I20230131000380 |
| Provider Name | Hailey Newell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932716800 PECOS PAC ID: 3779955661 Enrollment ID: I20230201002719 |
| Provider Name | Lauren Michelle Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114551454 PECOS PAC ID: 1153750336 Enrollment ID: I20230215000634 |
| Provider Name | Jana D Beardmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912603416 PECOS PAC ID: 1658746847 Enrollment ID: I20230330002320 |
| Provider Name | Jessica E Phinney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528708971 PECOS PAC ID: 6103284401 Enrollment ID: I20230619001265 |
| Provider Name | Pamela Brearey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316576903 PECOS PAC ID: 2961860119 Enrollment ID: I20230620001773 |
| Provider Name | John D Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063040434 PECOS PAC ID: 5991117061 Enrollment ID: I20230627001685 |
| Provider Name | Traci Carol Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790450245 PECOS PAC ID: 9436422482 Enrollment ID: I20230628002669 |
| Provider Name | Raymond Dobson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528697505 PECOS PAC ID: 2567822380 Enrollment ID: I20230712001187 |
| Provider Name | Anil J Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568459949 PECOS PAC ID: 0042286122 Enrollment ID: I20230809001670 |
| Provider Name | Lara Adele Householder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053970509 PECOS PAC ID: 0244564284 Enrollment ID: I20230816002494 |
| Provider Name | Daniele Geras Fuhrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790313138 PECOS PAC ID: 6608288097 Enrollment ID: I20230821002270 |
| Provider Name | Lataya Dejesus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154071264 PECOS PAC ID: 5294103024 Enrollment ID: I20230911002228 |
| Provider Name | James E Pipes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316473721 PECOS PAC ID: 1951670512 Enrollment ID: I20230912002999 |
| Provider Name | Samantha Nichole Strahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659797132 PECOS PAC ID: 5395199715 Enrollment ID: I20231003002969 |
| Provider Name | Taylor Renea Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053197699 PECOS PAC ID: 6507212883 Enrollment ID: I20231023001678 |
| Provider Name | Jessica M Barnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396006649 PECOS PAC ID: 5799077418 Enrollment ID: I20231025001912 |
| Provider Name | Laura A Pollauf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891871232 PECOS PAC ID: 3779855481 Enrollment ID: I20231030002179 |
| Provider Name | Matthew R Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053041822 PECOS PAC ID: 6305227760 Enrollment ID: I20231108000959 |
| Provider Name | Peter P Filozof |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932175858 PECOS PAC ID: 5395775589 Enrollment ID: I20231129002476 |
| Provider Name | Gabrielle Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558819292 PECOS PAC ID: 1759739758 Enrollment ID: I20231201001307 |
| Provider Name | Geoffrey R Cousins |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750379376 PECOS PAC ID: 8820026289 Enrollment ID: I20240110000162 |
| Provider Name | Jamie R Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023882966 PECOS PAC ID: 7214388552 Enrollment ID: I20240110004686 |
| Provider Name | Marco G Cavagna |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1710144100 PECOS PAC ID: 4587851464 Enrollment ID: I20240226003798 |
| Provider Name | Ashley M Wood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962055806 PECOS PAC ID: 2264761832 Enrollment ID: I20240403002447 |
| Provider Name | Sarah B Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225247760 PECOS PAC ID: 5991857989 Enrollment ID: I20240507000280 |
| Provider Name | Nicole Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407503006 PECOS PAC ID: 0446607964 Enrollment ID: I20240514001803 |
| Provider Name | Caitlyn A Gragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730761610 PECOS PAC ID: 8022412428 Enrollment ID: I20240530001216 |
| Provider Name | Corey A Alley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366020968 PECOS PAC ID: 0345645354 Enrollment ID: I20240607000202 |
| Provider Name | Matthew S Holcomb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205416740 PECOS PAC ID: 8426452400 Enrollment ID: I20240627001920 |
| Provider Name | Clayton Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689252470 PECOS PAC ID: 1456895333 Enrollment ID: I20240702003484 |
| Provider Name | Aaron D Estep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841753936 PECOS PAC ID: 4981931805 Enrollment ID: I20240708000825 |
| Provider Name | Kevin Schulte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972066801 PECOS PAC ID: 3274078852 Enrollment ID: I20240709001001 |
| Provider Name | Ornella Oluwole |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487279220 PECOS PAC ID: 6608294350 Enrollment ID: I20240709004473 |
| Provider Name | Karina M Woodling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184201063 PECOS PAC ID: 6507267812 Enrollment ID: I20240710002847 |
| Provider Name | Terri-ann S Glispie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841592953 PECOS PAC ID: 1355523465 Enrollment ID: I20240712000083 |
| Provider Name | George Contos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376075770 PECOS PAC ID: 5698043974 Enrollment ID: I20240712001741 |
| Provider Name | Madelyn B Hernandez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740784255 PECOS PAC ID: 8729333091 Enrollment ID: I20240805002326 |
| Provider Name | Kendra Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295267649 PECOS PAC ID: 3375815913 Enrollment ID: I20240910003933 |
| Provider Name | Shehla Belgam Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588241475 PECOS PAC ID: 8123429420 Enrollment ID: I20240912000458 |
| Provider Name | Michaela Woomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922843101 PECOS PAC ID: 8022559186 Enrollment ID: I20240917003376 |
| Provider Name | Allison N Wix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871325837 PECOS PAC ID: 2769923093 Enrollment ID: I20240926000706 |
| Provider Name | Joshua A Leonard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427511476 PECOS PAC ID: 0244612703 Enrollment ID: I20241001000074 |
| Provider Name | Sherry L Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912908906 PECOS PAC ID: 1557356789 Enrollment ID: I20241007000619 |
| Provider Name | Austin Patterson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1972123222 PECOS PAC ID: 3274065636 Enrollment ID: I20241010002376 |
| Provider Name | Tijani Tunkara |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760111884 PECOS PAC ID: 3678006194 Enrollment ID: I20241023000481 |
| Provider Name | Daniel Woodyard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154318962 PECOS PAC ID: 5294703948 Enrollment ID: I20241104001822 |
Southeast Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 37990 Airport Rd, Woodsfield, OH 43793 Phone: 614-255-0990 Fax: 614-225-0991 | |
Wetzel County Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45325 State Route 78, Woodsfield, OH 43793 Phone: 740-472-1879 |