| Dhha-physician Billing | |
|
777 Bannock St Denver CO 80204-4507 | |
| (303) 436-6000 | |
| Not Available |
| Full Name | Dhha-physician Billing |
|---|---|
| Speciality | General Practice |
| Location | 777 Bannock St, Denver, Colorado |
| Authorized Official Name and Position | Ansar Hassan (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3036027083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhha-physician Billing 777 Bannock St # Mc1923 Denver CO 80204-4507 Ph: (303) 436-6000 | Dhha-physician Billing 777 Bannock St Denver CO 80204-4507 Ph: (303) 436-6000 |
| NPI Number | 1477569838 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 10/03/2023 |
| Medicare PECOS PAC ID | 4688583578 |
|---|---|
| Medicare Enrollment ID | O20031105000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477569838 | NPI | - | NPPES |
| 92927246 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | 0900 (Colorado) | Secondary |
| Provider Name | Judith C Shlay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255448098 PECOS PAC ID: 7911810734 Enrollment ID: I20031107000542 |
| Provider Name | Richard C Dart |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1528082492 PECOS PAC ID: 4183529407 Enrollment ID: I20031201000346 |
| Provider Name | Mark D Getzoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871678516 PECOS PAC ID: 2769387570 Enrollment ID: I20031204000847 |
| Provider Name | Michael J Benavidez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548272693 PECOS PAC ID: 3476454083 Enrollment ID: I20040116000481 |
| Provider Name | Hannah M Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184727125 PECOS PAC ID: 4880595008 Enrollment ID: I20040120000221 |
| Provider Name | Daniel H Bessesen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447262506 PECOS PAC ID: 7214839042 Enrollment ID: I20040122000942 |
| Provider Name | Scott T Sutton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497865067 PECOS PAC ID: 9234031899 Enrollment ID: I20040123000409 |
| Provider Name | Stuart S Kassan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093706475 PECOS PAC ID: 7911890595 Enrollment ID: I20040206000218 |
| Provider Name | Michelle C Mang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881603710 PECOS PAC ID: 8022902261 Enrollment ID: I20040210000375 |
| Provider Name | Pamela N Peterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396851853 PECOS PAC ID: 6305732017 Enrollment ID: I20040227000330 |
| Provider Name | Bennie G Lindeque |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952498008 PECOS PAC ID: 4082501440 Enrollment ID: I20040301000834 |
| Provider Name | Kevin E Beato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740230325 PECOS PAC ID: 9133019995 Enrollment ID: I20040317000229 |
| Provider Name | Randall Rockne Reves |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144339755 PECOS PAC ID: 6709777188 Enrollment ID: I20040324000218 |
| Provider Name | David L Cohn |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487677217 PECOS PAC ID: 1557253523 Enrollment ID: I20040325001009 |
| Provider Name | Mark H Chandler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639112618 PECOS PAC ID: 4587556972 Enrollment ID: I20040329001486 |
| Provider Name | Cory K Hussain |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952368409 PECOS PAC ID: 8921991357 Enrollment ID: I20040405001169 |
| Provider Name | Thomas D Mackenzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821007741 PECOS PAC ID: 9234123589 Enrollment ID: I20040412000294 |
| Provider Name | Lisa H Scatena |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861529893 PECOS PAC ID: 8224022108 Enrollment ID: I20040413001123 |
| Provider Name | Granville L Lloyd |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063527646 PECOS PAC ID: 6709879117 Enrollment ID: I20040413001370 |
| Provider Name | William G Murchison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417146846 PECOS PAC ID: 6901891274 Enrollment ID: I20040416000406 |
| Provider Name | Jeffrey D Sankoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285743534 PECOS PAC ID: 4587659800 Enrollment ID: I20040416000825 |
| Provider Name | Martina M Schulte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538497433 PECOS PAC ID: 2062409493 Enrollment ID: I20040428000544 |
| Provider Name | Brian J Flynn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063433514 PECOS PAC ID: 8426046228 Enrollment ID: I20040501000474 |
| Provider Name | Richard A Bortz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215036447 PECOS PAC ID: 2264420546 Enrollment ID: I20040505000142 |
| Provider Name | Stephanie L Liska |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801877360 PECOS PAC ID: 8729077433 Enrollment ID: I20040508000052 |
| Provider Name | Clay C Burlew |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992818140 PECOS PAC ID: 1557350683 Enrollment ID: I20040512000355 |
| Provider Name | William J Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912090127 PECOS PAC ID: 4789675703 Enrollment ID: I20040519001057 |
| Provider Name | Robert W Belknap |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578573051 PECOS PAC ID: 3779574157 Enrollment ID: I20040524000589 |
| Provider Name | Kelly M O'brien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841300407 PECOS PAC ID: 0547241747 Enrollment ID: I20040525000745 |
| Provider Name | Scott D Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376514406 PECOS PAC ID: 5799676029 Enrollment ID: I20040527001084 |
| Provider Name | Daniela Eugenia Grayeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700852886 PECOS PAC ID: 9335121144 Enrollment ID: I20040604000622 |
| Provider Name | Jens Peter Witt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306863386 PECOS PAC ID: 6709869704 Enrollment ID: I20040610001100 |
| Provider Name | Elizabeth Cookson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508866831 PECOS PAC ID: 3072598929 Enrollment ID: I20040623001034 |
| Provider Name | Steven T Ebeling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609981976 PECOS PAC ID: 2062498819 Enrollment ID: I20040624000923 |
| Provider Name | Alan L Schocket |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1245230648 PECOS PAC ID: 1153307848 Enrollment ID: I20040624001215 |
| Provider Name | Steven G Ojemann |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497858294 PECOS PAC ID: 5890771711 Enrollment ID: I20040629001296 |
| Provider Name | Kian Behbakht |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1003919960 PECOS PAC ID: 3678560083 Enrollment ID: I20040630000510 |
| Provider Name | Dennis J Boyle |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326050493 PECOS PAC ID: 7911984620 Enrollment ID: I20040701000156 |
| Provider Name | Joseph T Crossno |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104916782 PECOS PAC ID: 5991782617 Enrollment ID: I20040701000273 |
| Provider Name | Michael Rex Dayton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639264054 PECOS PAC ID: 4587641006 Enrollment ID: I20040702000145 |
| Provider Name | Rebecca S Braverman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144339763 PECOS PAC ID: 8820075344 Enrollment ID: I20040702000164 |
| Provider Name | William Robinson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568552230 PECOS PAC ID: 8729065941 Enrollment ID: I20040706000556 |
| Provider Name | Kevin O Lillehei |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225131022 PECOS PAC ID: 2567440225 Enrollment ID: I20040709000342 |
| Provider Name | Michael J Taravella |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477631737 PECOS PAC ID: 5193703510 Enrollment ID: I20040712001275 |
| Provider Name | Margaret P Mclees |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811087497 PECOS PAC ID: 5395723555 Enrollment ID: I20040713000768 |
| Provider Name | Joshua D Blum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770526881 PECOS PAC ID: 9436138344 Enrollment ID: I20040715000194 |
| Provider Name | Michael L Blei |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083626147 PECOS PAC ID: 1850370537 Enrollment ID: I20040716000031 |
| Provider Name | Virginia D Sarapura |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356431035 PECOS PAC ID: 9133108574 Enrollment ID: I20040719000482 |
| Provider Name | Gary Alan Thieme |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518058155 PECOS PAC ID: 6305825571 Enrollment ID: I20040720000640 |
| Provider Name | Kenny H Chan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861595654 PECOS PAC ID: 9537143623 Enrollment ID: I20040721000084 |
| Provider Name | Guy L Upshaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154406882 PECOS PAC ID: 6204816267 Enrollment ID: I20040721001222 |
| Provider Name | Sterling West |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073603759 PECOS PAC ID: 2466432208 Enrollment ID: I20040722000863 |
| Provider Name | Lisa Kosmiski |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336239011 PECOS PAC ID: 9830179217 Enrollment ID: I20040726000211 |
| Provider Name | Deirdre Arnholz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780769414 PECOS PAC ID: 1951381235 Enrollment ID: I20040726000921 |
| Provider Name | Robert Swaney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003015207 PECOS PAC ID: 5496725798 Enrollment ID: I20040726001123 |
| Provider Name | Kevin Deane |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639269210 PECOS PAC ID: 0244200467 Enrollment ID: I20040727000589 |
| Provider Name | Kirsten J Lund |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992808836 PECOS PAC ID: 1658341763 Enrollment ID: I20040727001255 |
| Provider Name | David L Wyles |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548296775 PECOS PAC ID: 9133199078 Enrollment ID: I20040728001349 |
| Provider Name | John C Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306951389 PECOS PAC ID: 1153391859 Enrollment ID: I20040729000937 |
| Provider Name | Luz Maria Jimenez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104939123 PECOS PAC ID: 3476523184 Enrollment ID: I20040729000977 |
| Provider Name | David M Ginosar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215040340 PECOS PAC ID: 2961472584 Enrollment ID: I20040729001103 |
| Provider Name | Jill Kent Davies |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629171566 PECOS PAC ID: 6709856396 Enrollment ID: I20040730000014 |
| Provider Name | Kennon J Heard |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1922191378 PECOS PAC ID: 9638149164 Enrollment ID: I20040730000349 |
| Provider Name | Christopher C Striebich |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508956285 PECOS PAC ID: 4082684527 Enrollment ID: I20040730000447 |
| Provider Name | Alexis E Taber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962488775 PECOS PAC ID: 2961472592 Enrollment ID: I20040730000679 |
| Provider Name | Mark Richard Nehler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548354871 PECOS PAC ID: 0547230047 Enrollment ID: I20040730000861 |
| Provider Name | Susan Childress |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235229915 PECOS PAC ID: 3476524752 Enrollment ID: I20040802000706 |
| Provider Name | Karrie D Villavicencio |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851476501 PECOS PAC ID: 9931170297 Enrollment ID: I20040802001272 |
| Provider Name | Monica J Federico |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013092758 PECOS PAC ID: 7810968278 Enrollment ID: I20040804000085 |
| Provider Name | Susan E Ladley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497701668 PECOS PAC ID: 8527039239 Enrollment ID: I20040805000210 |
| Provider Name | Evelyn A Hutt |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1619933454 PECOS PAC ID: 9931171121 Enrollment ID: I20040809000869 |
| Provider Name | Richard I Kornfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588779565 PECOS PAC ID: 8921070848 Enrollment ID: I20040811000560 |
| Provider Name | Stephen P Cass |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568555910 PECOS PAC ID: 0446223507 Enrollment ID: I20040817000438 |
| Provider Name | Whitney A High |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366467136 PECOS PAC ID: 0244204915 Enrollment ID: I20040819001544 |
| Provider Name | Kara D Muma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346228046 PECOS PAC ID: 5698749802 Enrollment ID: I20040824000254 |
| Provider Name | Mona M Abaza |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043313844 PECOS PAC ID: 7719951706 Enrollment ID: I20040825000219 |
| Provider Name | Sasha M Gubser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508841271 PECOS PAC ID: 5193784338 Enrollment ID: I20041005000274 |
| Provider Name | Lauren Seeberger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053305656 PECOS PAC ID: 8224099742 Enrollment ID: I20041019000787 |
| Provider Name | Jason S Haukoos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740393834 PECOS PAC ID: 6709770746 Enrollment ID: I20041019001051 |
| Provider Name | James B Downey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184648305 PECOS PAC ID: 6103887146 Enrollment ID: I20041025000379 |
| Provider Name | Andrew J Shepard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972527216 PECOS PAC ID: 8325009632 Enrollment ID: I20041028000691 |
| Provider Name | Kathryn A Witzeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720198526 PECOS PAC ID: 0042274854 Enrollment ID: I20041111001132 |
| Provider Name | Robert P Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295795169 PECOS PAC ID: 6204732050 Enrollment ID: I20041124000197 |
| Provider Name | Alma N Juels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407969421 PECOS PAC ID: 4981660842 Enrollment ID: I20041202001040 |
| Provider Name | Elizabeth K Dee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386668580 PECOS PAC ID: 6709842677 Enrollment ID: I20041202001053 |
| Provider Name | Michael P Fallon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306854112 PECOS PAC ID: 2163487315 Enrollment ID: I20041203000100 |
| Provider Name | Cynthia K Crews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851315931 PECOS PAC ID: 7113983651 Enrollment ID: I20041206001095 |
| Provider Name | Gene E Bolles |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366461980 PECOS PAC ID: 3375509821 Enrollment ID: I20041206001200 |
| Provider Name | Laura P Hurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285747295 PECOS PAC ID: 6406812924 Enrollment ID: I20041207000446 |
| Provider Name | Kathryn M Beauchamp |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063441582 PECOS PAC ID: 5395701817 Enrollment ID: I20041207000465 |
| Provider Name | Katherine A Pehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114033651 PECOS PAC ID: 2769448042 Enrollment ID: I20041208000561 |
| Provider Name | Katherine P Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356360937 PECOS PAC ID: 5092771212 Enrollment ID: I20041208000940 |
| Provider Name | Katherine Mary Bakes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770593220 PECOS PAC ID: 9234195306 Enrollment ID: I20041209000781 |
| Provider Name | Lucy W Loomis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376552273 PECOS PAC ID: 1456317544 Enrollment ID: I20041209000999 |
| Provider Name | Joel M Hirsh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700800398 PECOS PAC ID: 3173580453 Enrollment ID: I20041217000846 |
| Provider Name | Barbara D Statland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154434397 PECOS PAC ID: 0941268007 Enrollment ID: I20041221000901 |
| Provider Name | Kevin E Mcvaney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457466047 PECOS PAC ID: 7315905361 Enrollment ID: I20041222000506 |
| Provider Name | Johanna J L Nardi-korver |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386759850 PECOS PAC ID: 0547228405 Enrollment ID: I20041222000723 |
| Provider Name | Rebecca L Hanratty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649294307 PECOS PAC ID: 2264490135 Enrollment ID: I20041222000741 |
| Provider Name | Raymond O Estacio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275556318 PECOS PAC ID: 9739147471 Enrollment ID: I20041228000357 |
| Provider Name | Connie S Price |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568567717 PECOS PAC ID: 1658339320 Enrollment ID: I20041228000498 |
| Provider Name | Steven G Federico |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700890977 PECOS PAC ID: 3577521251 Enrollment ID: I20041228000592 |
| Provider Name | Pedro Miranda Seijo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346355807 PECOS PAC ID: 0749248425 Enrollment ID: I20041228000606 |
| Provider Name | Kathryn A Love Osborne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063527653 PECOS PAC ID: 3173581857 Enrollment ID: I20041228000625 |
| Provider Name | Kurt W Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417010398 PECOS PAC ID: 7517925209 Enrollment ID: I20041228000702 |
| Provider Name | Ivor S Douglas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881617173 PECOS PAC ID: 4981662699 Enrollment ID: I20041228000867 |
| Provider Name | Sarah E Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750476560 PECOS PAC ID: 0345208054 Enrollment ID: I20041228000874 |
| Provider Name | Fraser J Leversedge |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1508805912 PECOS PAC ID: 7315905973 Enrollment ID: I20041229000356 |
| Provider Name | John In-taek Song |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093808446 PECOS PAC ID: 6608834221 Enrollment ID: I20041229000720 |
| Provider Name | Stephen J Wolf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699885277 PECOS PAC ID: 1456319078 Enrollment ID: I20041229000778 |
| Provider Name | Philippe Weintraub |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164459806 PECOS PAC ID: 5890753347 Enrollment ID: I20041229001021 |
| Provider Name | Jennifer L Harenberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073534582 PECOS PAC ID: 2163480617 Enrollment ID: I20041229001028 |
| Provider Name | Caroline W Corrigan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750301628 PECOS PAC ID: 4082672456 Enrollment ID: I20050103000059 |
| Provider Name | Ernest E Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053321893 PECOS PAC ID: 0840258224 Enrollment ID: I20050103000123 |
| Provider Name | Michael F Mestek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073628665 PECOS PAC ID: 0648238030 Enrollment ID: I20050103000225 |
| Provider Name | David L Symonds |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629003173 PECOS PAC ID: 7618935016 Enrollment ID: I20050103000254 |
| Provider Name | Stuart L Linas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992810576 PECOS PAC ID: 8224096623 Enrollment ID: I20050103000279 |
| Provider Name | William J Burman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962422246 PECOS PAC ID: 1355309675 Enrollment ID: I20050103000477 |
| Provider Name | Denis D Bensard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528011293 PECOS PAC ID: 7214995547 Enrollment ID: I20050103000605 |
| Provider Name | Theodore C Ning |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720172059 PECOS PAC ID: 8921066275 Enrollment ID: I20050103000727 |
| Provider Name | Steven J Morgan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427068287 PECOS PAC ID: 4981662236 Enrollment ID: I20050103000757 |
| Provider Name | Steven J Kolpak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841208907 PECOS PAC ID: 2062470313 Enrollment ID: I20050103000776 |
| Provider Name | Carol R Okada |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356456867 PECOS PAC ID: 2567420821 Enrollment ID: I20050103000820 |
| Provider Name | Simon J Hambidge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053335711 PECOS PAC ID: 9537127899 Enrollment ID: I20050103000849 |
| Provider Name | Jeanne M Rozwadowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760591382 PECOS PAC ID: 1658339924 Enrollment ID: I20050103000906 |
| Provider Name | Ricardo Padilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629188297 PECOS PAC ID: 5890743199 Enrollment ID: I20050104000147 |
| Provider Name | Greg P Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033123237 PECOS PAC ID: 9234187535 Enrollment ID: I20050104000164 |
| Provider Name | Catherine L Mcilhany |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912959354 PECOS PAC ID: 1052369352 Enrollment ID: I20050104000166 |
| Provider Name | Wade R Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790888691 PECOS PAC ID: 8921056243 Enrollment ID: I20050104000303 |
| Provider Name | Kathleen M Manning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003822370 PECOS PAC ID: 5597713826 Enrollment ID: I20050104000459 |
| Provider Name | Douglas E Warnecke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194738799 PECOS PAC ID: 0941250039 Enrollment ID: I20050126000862 |
| Provider Name | Kerryann Broderick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073526331 PECOS PAC ID: 8527018621 Enrollment ID: I20050126000900 |
| Provider Name | Michael L Wilson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013027804 PECOS PAC ID: 7517917610 Enrollment ID: I20050126000907 |
| Provider Name | Sunil Kumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194733261 PECOS PAC ID: 8921990912 Enrollment ID: I20050126000926 |
| Provider Name | Grace A Alfonsi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174533616 PECOS PAC ID: 7012967128 Enrollment ID: I20050126000955 |
| Provider Name | Michael E Russum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811006430 PECOS PAC ID: 7416907340 Enrollment ID: I20050127000729 |
| Provider Name | Alicia L Appel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164441754 PECOS PAC ID: 6002866944 Enrollment ID: I20050127000813 |
| Provider Name | Mori J Krantz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922016088 PECOS PAC ID: 6103876966 Enrollment ID: I20050128000646 |
| Provider Name | Mara Isser Sax |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194776898 PECOS PAC ID: 5294707899 Enrollment ID: I20050131000260 |
| Provider Name | Robin K Yasui |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962512764 PECOS PAC ID: 7012967631 Enrollment ID: I20050131000866 |
| Provider Name | Linda Miketic-fielding |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235244831 PECOS PAC ID: 4688624265 Enrollment ID: I20050201000173 |
| Provider Name | William W Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649283920 PECOS PAC ID: 9739130345 Enrollment ID: I20050201000439 |
| Provider Name | Ronald R Townsend |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356451116 PECOS PAC ID: 8224089842 Enrollment ID: I20050201000603 |
| Provider Name | Patrick J Bosque |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881606945 PECOS PAC ID: 0840241394 Enrollment ID: I20050202000533 |
| Provider Name | Mark Reid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487736781 PECOS PAC ID: 9638121403 Enrollment ID: I20050221000371 |
| Provider Name | Ronald E Wise |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386636843 PECOS PAC ID: 0648223271 Enrollment ID: I20050223000828 |
| Provider Name | Brenda S Quatrochi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366451981 PECOS PAC ID: 6103873120 Enrollment ID: I20050401000524 |
| Provider Name | Cheryl A Wakeman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578573366 PECOS PAC ID: 9032166897 Enrollment ID: I20050404000741 |
| Provider Name | Christian C Thurstone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265542013 PECOS PAC ID: 9436106200 Enrollment ID: I20050404000804 |
| Provider Name | Rocio I Pereira |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356457899 PECOS PAC ID: 9133176902 Enrollment ID: I20050404000835 |
| Provider Name | Michael J Mclaughlin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679534648 PECOS PAC ID: 1254378987 Enrollment ID: I20050413000935 |
| Provider Name | Cheryl A Armstrong |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194705863 PECOS PAC ID: 5890733190 Enrollment ID: I20050418001172 |
| Provider Name | Patricia M Hagan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154375558 PECOS PAC ID: 5395783922 Enrollment ID: I20050422000825 |
| Provider Name | Lizbeth K Mccarthy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104931799 PECOS PAC ID: 9931147444 Enrollment ID: I20050425000248 |
| Provider Name | John Stephen Thompson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972581502 PECOS PAC ID: 8527008846 Enrollment ID: I20050505001096 |
| Provider Name | Jean L Urquhart |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619023298 PECOS PAC ID: 6406896745 Enrollment ID: I20050505001197 |
| Provider Name | Marisa L Echaniz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164539060 PECOS PAC ID: 2860469194 Enrollment ID: I20050510000922 |
| Provider Name | Jeremy A Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427067321 PECOS PAC ID: 5092756643 Enrollment ID: I20050513000563 |
| Provider Name | Robert Pratt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710998000 PECOS PAC ID: 2163465873 Enrollment ID: I20050603000511 |
| Provider Name | Vincent D Eusterman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396768479 PECOS PAC ID: 6406890854 Enrollment ID: I20050616000100 |
| Provider Name | John G Massone |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1598738114 PECOS PAC ID: 7416999610 Enrollment ID: I20050620000115 |
| Provider Name | Brian L Stauffer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912017757 PECOS PAC ID: 5799720066 Enrollment ID: I20050627001153 |
| Provider Name | Mary C Thomsic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598753766 PECOS PAC ID: 2466488721 Enrollment ID: I20050709000060 |
| Provider Name | Maria E Moreira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073523825 PECOS PAC ID: 9234166232 Enrollment ID: I20050721000309 |
| Provider Name | Mona B Krull |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629003298 PECOS PAC ID: 0941237952 Enrollment ID: I20050721000337 |
| Provider Name | Mary J Hopman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043234560 PECOS PAC ID: 6305873928 Enrollment ID: I20050725001118 |
| Provider Name | Jennifer L Scanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558446203 PECOS PAC ID: 1254360407 Enrollment ID: I20050808000703 |
| Provider Name | Jennifer E Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386663946 PECOS PAC ID: 5597797928 Enrollment ID: I20050907000552 |
| Provider Name | Edward M Gardner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710991914 PECOS PAC ID: 3870526783 Enrollment ID: I20050912001171 |
| Provider Name | Shalini Chahal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033122247 PECOS PAC ID: 5395778120 Enrollment ID: I20050913000742 |
| Provider Name | William J Janssen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811905367 PECOS PAC ID: 6002849858 Enrollment ID: I20050913000966 |
| Provider Name | Karen A Wendel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730144767 PECOS PAC ID: 8729012687 Enrollment ID: I20050921000341 |
| Provider Name | Thanh T Vu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477586295 PECOS PAC ID: 8123052842 Enrollment ID: I20050922000368 |
| Provider Name | Lisa Sue Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528151941 PECOS PAC ID: 5597799767 Enrollment ID: I20050927000445 |
| Provider Name | Jennifer R Pula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023181807 PECOS PAC ID: 2466487293 Enrollment ID: I20050930000103 |
| Provider Name | Christopher A Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538177266 PECOS PAC ID: 3375578867 Enrollment ID: I20051004000394 |
| Provider Name | Robert D Keeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659395200 PECOS PAC ID: 6305871815 Enrollment ID: I20051004000540 |
| Provider Name | Mary Ellen Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811109515 PECOS PAC ID: 8921023953 Enrollment ID: I20051010000439 |
| Provider Name | Rita A Coonrod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275522526 PECOS PAC ID: 1456378207 Enrollment ID: I20051031000794 |
| Provider Name | Michael D Temple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942248810 PECOS PAC ID: 9436042595 Enrollment ID: I20051031000922 |
| Provider Name | Kenneth B Platnick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124065594 PECOS PAC ID: 7315832656 Enrollment ID: I20051102001171 |
| Provider Name | Liron Caplan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417922014 PECOS PAC ID: 7012937683 Enrollment ID: I20051128000554 |
| Provider Name | Cherie R Reichart |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457380263 PECOS PAC ID: 2466473137 Enrollment ID: I20051213000228 |
| Provider Name | David B Richards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063461473 PECOS PAC ID: 6507889847 Enrollment ID: I20060112000404 |
| Provider Name | Scott C Carlson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154348134 PECOS PAC ID: 5991729980 Enrollment ID: I20060117001015 |
| Provider Name | Alison M Lieberman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689680928 PECOS PAC ID: 2668486085 Enrollment ID: I20060206000396 |
| Provider Name | Jennifer B De Gortari |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790701589 PECOS PAC ID: 2769498187 Enrollment ID: I20060222000610 |
| Provider Name | Rachel E Gutmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154350015 PECOS PAC ID: 4981610995 Enrollment ID: I20060301000097 |
| Provider Name | Kevin T Merrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407897051 PECOS PAC ID: 8628084464 Enrollment ID: I20060302000391 |
| Provider Name | Pamela A Zachar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528103330 PECOS PAC ID: 0345256053 Enrollment ID: I20060303000292 |
| Provider Name | Geri M Walsh |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164411922 PECOS PAC ID: 6305852021 Enrollment ID: I20060303000394 |
| Provider Name | Gregory C Allen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770686560 PECOS PAC ID: 6305819327 Enrollment ID: I20060306000237 |
| Provider Name | Rebecca T Hurst |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760403208 PECOS PAC ID: 5395752695 Enrollment ID: I20060310000560 |
| Provider Name | Marie S Schnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710996608 PECOS PAC ID: 9739196031 Enrollment ID: I20060310000577 |
| Provider Name | Michael A Fleisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912911199 PECOS PAC ID: 5991712291 Enrollment ID: I20060310000594 |
| Provider Name | Cassidy A Delaney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164507810 PECOS PAC ID: 6507873528 Enrollment ID: I20060316000317 |
| Provider Name | Elizabeth H Burelle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871507517 PECOS PAC ID: 7214945658 Enrollment ID: I20060328000094 |
| Provider Name | Mark D Berman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1174524334 PECOS PAC ID: 4587672415 Enrollment ID: I20060404000047 |
| Provider Name | Morris M Askenazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033144670 PECOS PAC ID: 0143239715 Enrollment ID: I20060410000182 |
| Provider Name | Marisha A Burden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740233113 PECOS PAC ID: 7810908340 Enrollment ID: I20060519000008 |
| Provider Name | Richard L Byyny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578517082 PECOS PAC ID: 5799765426 Enrollment ID: I20060523000108 |
| Provider Name | Lorna Szczukowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124072640 PECOS PAC ID: 3870504269 Enrollment ID: I20060524000057 |
| Provider Name | Deborah Saint-phard |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235182379 PECOS PAC ID: 1557373537 Enrollment ID: I20060609000132 |
| Provider Name | Evalina L Burger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083673529 PECOS PAC ID: 3870505399 Enrollment ID: I20060628000137 |
| Provider Name | Gretchen A Heinrichs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871549485 PECOS PAC ID: 5991718348 Enrollment ID: I20060801000275 |
| Provider Name | Christopher D Gelston |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780611814 PECOS PAC ID: 0446263818 Enrollment ID: I20060801000458 |
| Provider Name | Nicole M Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669401485 PECOS PAC ID: 9830102169 Enrollment ID: I20060802000569 |
| Provider Name | Janelle Laughlin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689635609 PECOS PAC ID: 7719990084 Enrollment ID: I20060803000412 |
| Provider Name | Morteza Khodaee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538192299 PECOS PAC ID: 8325070741 Enrollment ID: I20060804000351 |
| Provider Name | Jennifer L Loucks |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023040011 PECOS PAC ID: 4981607116 Enrollment ID: I20060809000002 |
| Provider Name | Christopher Louis Ciarallo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710904479 PECOS PAC ID: 4183627912 Enrollment ID: I20060817000361 |
| Provider Name | Christopher C Fergus |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184647703 PECOS PAC ID: 4688677347 Enrollment ID: I20060818000068 |
| Provider Name | Lara M Penny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972591196 PECOS PAC ID: 4688677099 Enrollment ID: I20060824000049 |
| Provider Name | Trudy E Frederics |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902826795 PECOS PAC ID: 8123023348 Enrollment ID: I20060921000566 |
| Provider Name | Diana L Mancini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619990090 PECOS PAC ID: 0749285963 Enrollment ID: I20060921000585 |
| Provider Name | Bradley L Schuster |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649292178 PECOS PAC ID: 7517962731 Enrollment ID: I20060921000632 |
| Provider Name | I Marc Moss |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205858909 PECOS PAC ID: 0143223560 Enrollment ID: I20060925000220 |
| Provider Name | Julie Osborne Heller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346266483 PECOS PAC ID: 5991700957 Enrollment ID: I20060925000619 |
| Provider Name | Christopher C Winckler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942246657 PECOS PAC ID: 3375548936 Enrollment ID: I20061003000673 |
| Provider Name | Jason A Hoppe |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1265549067 PECOS PAC ID: 3375549942 Enrollment ID: I20061005000162 |
| Provider Name | Loretta F Riley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770694010 PECOS PAC ID: 3577569391 Enrollment ID: I20061018000180 |
| Provider Name | Jeralyn A Fokken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275557035 PECOS PAC ID: 8224034970 Enrollment ID: I20061020000067 |
| Provider Name | Lara Rappaport |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952408775 PECOS PAC ID: 6507863883 Enrollment ID: I20061030000278 |
| Provider Name | Ellen L Burnham |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689685745 PECOS PAC ID: 8628075488 Enrollment ID: I20061109000049 |
| Provider Name | Tracy L Gutierrez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336232800 PECOS PAC ID: 0941208235 Enrollment ID: I20061121000222 |
| Provider Name | John F Krotchko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689765448 PECOS PAC ID: 1456359744 Enrollment ID: I20061121000269 |
| Provider Name | Trina A Seefeldt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588750996 PECOS PAC ID: 9830198548 Enrollment ID: I20061206000507 |
| Provider Name | Norma J Stiglich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508847153 PECOS PAC ID: 8729028246 Enrollment ID: I20070108000108 |
| Provider Name | Danielle D Vice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760570956 PECOS PAC ID: 3971503475 Enrollment ID: I20070108000150 |
| Provider Name | Brady C Loomis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467498832 PECOS PAC ID: 1759382799 Enrollment ID: I20070118000222 |
| Provider Name | Joann L Zell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760415418 PECOS PAC ID: 5496759334 Enrollment ID: I20070214000391 |
| Provider Name | John C Bradley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437174752 PECOS PAC ID: 0143222463 Enrollment ID: I20070215000140 |
| Provider Name | Michael Scott Anger |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720079205 PECOS PAC ID: 9335138445 Enrollment ID: I20070215000487 |
| Provider Name | Stephen R Freeman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396835070 PECOS PAC ID: 2961504824 Enrollment ID: I20070222000749 |
| Provider Name | Timothy C Jenkins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114959467 PECOS PAC ID: 1951403815 Enrollment ID: I20070222000759 |
| Provider Name | Sheila A Lorentzen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336121391 PECOS PAC ID: 2769585462 Enrollment ID: I20070319000328 |
| Provider Name | Randy Mound |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932156064 PECOS PAC ID: 6204872179 Enrollment ID: I20070404000107 |
| Provider Name | Gretchen E Faughnan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528110293 PECOS PAC ID: 1557465168 Enrollment ID: I20070409000192 |
| Provider Name | Mariel M Maseberg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316072812 PECOS PAC ID: 2062516693 Enrollment ID: I20070409000337 |
| Provider Name | Sara M Brownlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740207778 PECOS PAC ID: 8628173044 Enrollment ID: I20070413000220 |
| Provider Name | Leah S Carpenter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255432555 PECOS PAC ID: 9638077589 Enrollment ID: I20070419000680 |
| Provider Name | Heather R Baer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003909219 PECOS PAC ID: 1052417524 Enrollment ID: I20070430000095 |
| Provider Name | Venu Akuthota |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346333796 PECOS PAC ID: 2860408846 Enrollment ID: I20070430000135 |
| Provider Name | Brad J Feldaverd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093764490 PECOS PAC ID: 8224048061 Enrollment ID: I20070504000082 |
| Provider Name | Brande Marie Ingrando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083781678 PECOS PAC ID: 6800993478 Enrollment ID: I20070515000480 |
| Provider Name | Meredith Johnson Alston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790831469 PECOS PAC ID: 3577661628 Enrollment ID: I20070613000298 |
| Provider Name | Tristan J Huie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164578787 PECOS PAC ID: 9739289570 Enrollment ID: I20070710000448 |
| Provider Name | Catherine J Buckland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336273754 PECOS PAC ID: 8426159864 Enrollment ID: I20070730000032 |
| Provider Name | Stephen J Bishop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346263860 PECOS PAC ID: 5991897175 Enrollment ID: I20070816000929 |
| Provider Name | Paul D Maroni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235199688 PECOS PAC ID: 0345250858 Enrollment ID: I20070817000372 |
| Provider Name | Gregory Austin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750503876 PECOS PAC ID: 4587578372 Enrollment ID: I20070822000972 |
| Provider Name | Elizabeth Yeung |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1922154517 PECOS PAC ID: 6002908886 Enrollment ID: I20070824000183 |
| Provider Name | Ellen E Sarcone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033265707 PECOS PAC ID: 8820181373 Enrollment ID: I20070829000780 |
| Provider Name | Rebecca L Allyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386790962 PECOS PAC ID: 5799878245 Enrollment ID: I20070829000822 |
| Provider Name | Jennifer S Hyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255487880 PECOS PAC ID: 6901999465 Enrollment ID: I20070829000896 |
| Provider Name | Kyros R Ipaktchi |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1063603454 PECOS PAC ID: 0446343610 Enrollment ID: I20070904000327 |
| Provider Name | Karen I Fedde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598811101 PECOS PAC ID: 3274626304 Enrollment ID: I20070906000355 |
| Provider Name | Aliya G Hasan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912053539 PECOS PAC ID: 0749373421 Enrollment ID: I20070911000861 |
| Provider Name | Jessica R Breese |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942208798 PECOS PAC ID: 7315030152 Enrollment ID: I20070912000074 |
| Provider Name | Jennie A Buchanan |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1245442474 PECOS PAC ID: 0749373314 Enrollment ID: I20070912000743 |
| Provider Name | Jennifer Bruny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801942495 PECOS PAC ID: 0446344089 Enrollment ID: I20070913000482 |
| Provider Name | Piper Lynn Rudel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922298900 PECOS PAC ID: 3678667185 Enrollment ID: I20070914000214 |
| Provider Name | Henry F Salzmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730198219 PECOS PAC ID: 7517052194 Enrollment ID: I20070927000139 |
| Provider Name | Franki U Behnke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255341020 PECOS PAC ID: 4183719768 Enrollment ID: I20070927000205 |
| Provider Name | Daniel A Searing |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1750437422 PECOS PAC ID: 7618062233 Enrollment ID: I20070927000517 |
| Provider Name | Martha B Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669502746 PECOS PAC ID: 8820183239 Enrollment ID: I20071001000275 |
| Provider Name | Heidi M Mccotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821005315 PECOS PAC ID: 3173621208 Enrollment ID: I20071009000963 |
| Provider Name | Iris Elron |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578552428 PECOS PAC ID: 0749376457 Enrollment ID: I20071010000781 |
| Provider Name | Susan Lynn Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578577292 PECOS PAC ID: 0244326619 Enrollment ID: I20071016000291 |
| Provider Name | Kristie M Ladegard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588864029 PECOS PAC ID: 4284720269 Enrollment ID: I20071023000035 |
| Provider Name | Vance J Bray |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568456127 PECOS PAC ID: 4486681913 Enrollment ID: I20071026000247 |
| Provider Name | Michael J Haley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912041237 PECOS PAC ID: 5193812584 Enrollment ID: I20071101000273 |
| Provider Name | Shalini Tayal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427247063 PECOS PAC ID: 5294822391 Enrollment ID: I20071107000082 |
| Provider Name | Russell K Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609874783 PECOS PAC ID: 2769579762 Enrollment ID: I20071107000148 |
| Provider Name | Martina A Paiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225227234 PECOS PAC ID: 5092803064 Enrollment ID: I20071109000122 |
| Provider Name | Judith E Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356368237 PECOS PAC ID: 0345348553 Enrollment ID: I20071112000462 |
| Provider Name | Jennifer R Baxter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326036229 PECOS PAC ID: 3072601822 Enrollment ID: I20071113000358 |
| Provider Name | Pamela B Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386656536 PECOS PAC ID: 8325136807 Enrollment ID: I20071116000298 |
| Provider Name | Adrienne L Crowe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104807775 PECOS PAC ID: 0143318535 Enrollment ID: I20071119000460 |
| Provider Name | Amy J Witte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033176284 PECOS PAC ID: 4385676055 Enrollment ID: I20071201000181 |
| Provider Name | Melody A Zwakenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356539779 PECOS PAC ID: 9830288331 Enrollment ID: I20071207000199 |
| Provider Name | Claire M Coughlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710176623 PECOS PAC ID: 6002906112 Enrollment ID: I20071213000080 |
| Provider Name | James G Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972512275 PECOS PAC ID: 9638259880 Enrollment ID: I20071231000345 |
| Provider Name | Michael S Thakor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629045364 PECOS PAC ID: 8921997305 Enrollment ID: I20080102000553 |
| Provider Name | Benjamin W Hatten |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1326250226 PECOS PAC ID: 0840370854 Enrollment ID: I20080103000358 |
| Provider Name | Michele A Lande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932113701 PECOS PAC ID: 8729168216 Enrollment ID: I20080109000820 |
| Provider Name | Eric Lavonas |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1710914007 PECOS PAC ID: 0648371229 Enrollment ID: I20080204000090 |
| Provider Name | Katherine Carley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003099888 PECOS PAC ID: 9234212606 Enrollment ID: I20080207000494 |
| Provider Name | Ann T Dickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598880254 PECOS PAC ID: 6305920067 Enrollment ID: I20080220000235 |
| Provider Name | Leighton M Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962687764 PECOS PAC ID: 5991889479 Enrollment ID: I20080221000456 |
| Provider Name | Molly G Ware |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700863545 PECOS PAC ID: 1355346461 Enrollment ID: I20080221000564 |
| Provider Name | David F Benson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194905950 PECOS PAC ID: 1355425224 Enrollment ID: I20080303000086 |
| Provider Name | Seth B Furgeson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821144437 PECOS PAC ID: 9830274000 Enrollment ID: I20080312000164 |
| Provider Name | Dulcy Ellen Wolverton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487640462 PECOS PAC ID: 0244261428 Enrollment ID: I20080312000426 |
| Provider Name | Colleen M Cansler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629247895 PECOS PAC ID: 1759450125 Enrollment ID: I20080527000617 |
| Provider Name | Colleen Donna Bauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245425362 PECOS PAC ID: 4789767054 Enrollment ID: I20080528000146 |
| Provider Name | Aaron M Eberhardt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871711036 PECOS PAC ID: 8729158837 Enrollment ID: I20080602000372 |
| Provider Name | Lydia M Stiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952573610 PECOS PAC ID: 6608946678 Enrollment ID: I20080603000102 |
| Provider Name | Eric Mark Hammerberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457455941 PECOS PAC ID: 6406830009 Enrollment ID: I20080604000078 |
| Provider Name | Irina M Pines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124134697 PECOS PAC ID: 2860563293 Enrollment ID: I20080612000527 |
| Provider Name | David E Brumbaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619063807 PECOS PAC ID: 0941283584 Enrollment ID: I20080721000748 |
| Provider Name | Eric M Hink |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891832143 PECOS PAC ID: 8426123241 Enrollment ID: I20080813000595 |
| Provider Name | Amy H Storfa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114073897 PECOS PAC ID: 7517058126 Enrollment ID: I20080815000276 |
| Provider Name | Kristine K Rodrigues |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013063791 PECOS PAC ID: 1658446158 Enrollment ID: I20080819000044 |
| Provider Name | Blaze Cook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437296704 PECOS PAC ID: 4385719640 Enrollment ID: I20080820000706 |
| Provider Name | Rachel Anne Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568518165 PECOS PAC ID: 1951476233 Enrollment ID: I20080821000116 |
| Provider Name | Roberto P Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952448219 PECOS PAC ID: 4880769827 Enrollment ID: I20080826000494 |
| Provider Name | Robert H Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659463453 PECOS PAC ID: 3375542764 Enrollment ID: I20080910000044 |
| Provider Name | Daniel G Severn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003962788 PECOS PAC ID: 6901974997 Enrollment ID: I20081003000355 |
| Provider Name | Renee A King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902813173 PECOS PAC ID: 4284633900 Enrollment ID: I20081007000420 |
| Provider Name | Alexander M Mason |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275758039 PECOS PAC ID: 6901998582 Enrollment ID: I20081007000492 |
| Provider Name | Kelly Mcmullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174655807 PECOS PAC ID: 3072671346 Enrollment ID: I20081015000695 |
| Provider Name | Andrew A Winkler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275621492 PECOS PAC ID: 5991801045 Enrollment ID: I20081016000629 |
| Provider Name | Todd M Wine |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881813194 PECOS PAC ID: 6709944945 Enrollment ID: I20081016000633 |
| Provider Name | Claudia L Kunrath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518013291 PECOS PAC ID: 3375601818 Enrollment ID: I20081027000887 |
| Provider Name | Chrystal Berg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023230802 PECOS PAC ID: 4284792722 Enrollment ID: I20081027000889 |
| Provider Name | Lilia Cervantes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598811184 PECOS PAC ID: 6800954264 Enrollment ID: I20081029000390 |
| Provider Name | Annemarie Preonas Whiddon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245312495 PECOS PAC ID: 5496814527 Enrollment ID: I20081104000798 |
| Provider Name | Karen M Lochhead |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275524761 PECOS PAC ID: 4284793183 Enrollment ID: I20081106000810 |
| Provider Name | Jarrod T King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669675260 PECOS PAC ID: 9830259928 Enrollment ID: I20081119000394 |
| Provider Name | Sheila Tsai |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1902855315 PECOS PAC ID: 6800791567 Enrollment ID: I20081119000894 |
| Provider Name | Norman R Friedman |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1861595662 PECOS PAC ID: 2860474889 Enrollment ID: I20081121000621 |
| Provider Name | Jonathan A M Boyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215074588 PECOS PAC ID: 0648331777 Enrollment ID: I20081209000136 |
| Provider Name | Joseph Albietz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669528246 PECOS PAC ID: 2365504586 Enrollment ID: I20081223000332 |
| Provider Name | Christopher D Baker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154468429 PECOS PAC ID: 3678635661 Enrollment ID: I20081230000124 |
| Provider Name | Jean C G Tsai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679638829 PECOS PAC ID: 9537222047 Enrollment ID: I20090109000386 |
| Provider Name | Jennifer S Kang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144376815 PECOS PAC ID: 8426111485 Enrollment ID: I20090116000502 |
| Provider Name | Deborah E Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669626354 PECOS PAC ID: 8325102049 Enrollment ID: I20090126000119 |
| Provider Name | Sarah A Stella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023155389 PECOS PAC ID: 9739243270 Enrollment ID: I20090129000083 |
| Provider Name | Pauline M Mcgann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679721070 PECOS PAC ID: 3678637303 Enrollment ID: I20090202000133 |
| Provider Name | Melissa D Beagle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376657932 PECOS PAC ID: 3072511856 Enrollment ID: I20090226000625 |
| Provider Name | Connie K Wolf |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861529869 PECOS PAC ID: 8921164740 Enrollment ID: I20090303000592 |
| Provider Name | Amy M Quinones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467606624 PECOS PAC ID: 8820154503 Enrollment ID: I20090304000485 |
| Provider Name | Molly E.w. Thiessen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487866570 PECOS PAC ID: 2668538158 Enrollment ID: I20090309000240 |
| Provider Name | Leonard B Seltz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417994781 PECOS PAC ID: 8426054883 Enrollment ID: I20090316000290 |
| Provider Name | Stuart M Weisman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326022930 PECOS PAC ID: 9436216215 Enrollment ID: I20090323000255 |
| Provider Name | Gerard M Salame |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851578488 PECOS PAC ID: 9830246990 Enrollment ID: I20090408000106 |
| Provider Name | Chad Utterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114163870 PECOS PAC ID: 2567519267 Enrollment ID: I20090415000641 |
| Provider Name | Kerri Lynn Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275567711 PECOS PAC ID: 6800866740 Enrollment ID: I20090416000512 |
| Provider Name | David L Sobel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811974736 PECOS PAC ID: 9335176031 Enrollment ID: I20090508000497 |
| Provider Name | Jeffrey A Zoucha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215121504 PECOS PAC ID: 1153479621 Enrollment ID: I20090512000060 |
| Provider Name | Behzad Molavi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306936885 PECOS PAC ID: 6709893753 Enrollment ID: I20090608000151 |
| Provider Name | Stephen J Murphy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700932316 PECOS PAC ID: 3779634464 Enrollment ID: I20090618000680 |
| Provider Name | Thomas Md Reece |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346387636 PECOS PAC ID: 2466503628 Enrollment ID: I20090629000216 |
| Provider Name | Paisley A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760621684 PECOS PAC ID: 0345391470 Enrollment ID: I20090630000359 |
| Provider Name | John L Perna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952442170 PECOS PAC ID: 5294887519 Enrollment ID: I20090717000351 |
| Provider Name | Elizabeth L Lowdermilk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548307812 PECOS PAC ID: 0345392767 Enrollment ID: I20090723000553 |
| Provider Name | Jason Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306056536 PECOS PAC ID: 6406908383 Enrollment ID: I20090723000757 |
| Provider Name | Mariah R Brown |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1154468445 PECOS PAC ID: 7315090230 Enrollment ID: I20090724000453 |
| Provider Name | Scott D Tomsick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780885665 PECOS PAC ID: 4284787763 Enrollment ID: I20090730000504 |
| Provider Name | Robert W Burman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003013830 PECOS PAC ID: 7810040391 Enrollment ID: I20090730000516 |
| Provider Name | Robert I Fish |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285707034 PECOS PAC ID: 9537212014 Enrollment ID: I20090730000525 |
| Provider Name | Philip H Fung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275795593 PECOS PAC ID: 8628121118 Enrollment ID: I20090730000599 |
| Provider Name | Eric Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104841006 PECOS PAC ID: 0244275691 Enrollment ID: I20090804000032 |
| Provider Name | Itziar Quinzanos-alonso |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700932324 PECOS PAC ID: 7810040151 Enrollment ID: I20090804000054 |
| Provider Name | Sarah J Cope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730316431 PECOS PAC ID: 0547313884 Enrollment ID: I20090805000439 |
| Provider Name | Andrew A Monte |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1619031705 PECOS PAC ID: 5597856690 Enrollment ID: I20090806000076 |
| Provider Name | Abraham Michael Nussbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457487605 PECOS PAC ID: 5597838979 Enrollment ID: I20090807000037 |
| Provider Name | Christopher O Hoyte |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1487883567 PECOS PAC ID: 0143373175 Enrollment ID: I20090807000600 |
| Provider Name | Frederic Deleyiannis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285606764 PECOS PAC ID: 4082528203 Enrollment ID: I20090810000236 |
| Provider Name | Clara L Restrepo |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1073640017 PECOS PAC ID: 9234283094 Enrollment ID: I20090813000684 |
| Provider Name | Jeffrey R Darst |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932255536 PECOS PAC ID: 7719031418 Enrollment ID: I20090814000267 |
| Provider Name | Ryan O Stephenson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790923449 PECOS PAC ID: 8426102120 Enrollment ID: I20090814000279 |
| Provider Name | Anna Lisa M Farmar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740336338 PECOS PAC ID: 3577617018 Enrollment ID: I20090818000211 |
| Provider Name | Mina Blagoeva Pantcheva |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467643106 PECOS PAC ID: 4385725829 Enrollment ID: I20090825000702 |
| Provider Name | Mitchell T Smith |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538215215 PECOS PAC ID: 5799830857 Enrollment ID: I20090826000443 |
| Provider Name | Mark J Glasgow |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609034156 PECOS PAC ID: 0042365074 Enrollment ID: I20090827000295 |
| Provider Name | Nicole L Restauri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932394335 PECOS PAC ID: 0840363461 Enrollment ID: I20090828000455 |
| Provider Name | Ryan Aleong |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1174589113 PECOS PAC ID: 7214007855 Enrollment ID: I20090915000255 |
| Provider Name | Erica M Wymore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104972793 PECOS PAC ID: 1850447970 Enrollment ID: I20090915000416 |
| Provider Name | Joshua Seinfeld |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386790061 PECOS PAC ID: 4587729058 Enrollment ID: I20090918000248 |
| Provider Name | Kathryn L Berman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558417154 PECOS PAC ID: 0749336493 Enrollment ID: I20090922000066 |
| Provider Name | Julie A Goddard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700014875 PECOS PAC ID: 9133275605 Enrollment ID: I20090924000527 |
| Provider Name | Marshall S Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669528279 PECOS PAC ID: 2668518812 Enrollment ID: I20091001000594 |
| Provider Name | Stig Somme |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861631244 PECOS PAC ID: 6103962253 Enrollment ID: I20091005000239 |
| Provider Name | Vipin Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669413860 PECOS PAC ID: 7416059829 Enrollment ID: I20091008000622 |
| Provider Name | Jonathan M Kusumi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427104108 PECOS PAC ID: 9537206982 Enrollment ID: I20091016000583 |
| Provider Name | Elena M Weinstein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962474882 PECOS PAC ID: 8729986682 Enrollment ID: I20091020000696 |
| Provider Name | Nicholas V Scaletta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588710255 PECOS PAC ID: 5496892226 Enrollment ID: I20091027000337 |
| Provider Name | Elizabeth J Gillespie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073669677 PECOS PAC ID: 6800933615 Enrollment ID: I20091028000225 |
| Provider Name | Amber Koch-laking |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922154608 PECOS PAC ID: 0648317362 Enrollment ID: I20091028000447 |
| Provider Name | Colleen Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568667087 PECOS PAC ID: 3173506367 Enrollment ID: I20091130000404 |
| Provider Name | David A Mintzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386809861 PECOS PAC ID: 0244370765 Enrollment ID: I20091215000013 |
| Provider Name | Patricia J Yoon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306949102 PECOS PAC ID: 7618952201 Enrollment ID: I20091221000097 |
| Provider Name | Ami Riggert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700092079 PECOS PAC ID: 6103919261 Enrollment ID: I20100105000256 |
| Provider Name | Henry H Fischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821189952 PECOS PAC ID: 4880736453 Enrollment ID: I20100120000126 |
| Provider Name | Julie A Taub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295781326 PECOS PAC ID: 9537132832 Enrollment ID: I20100120000134 |
| Provider Name | Matthew R Holland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043294762 PECOS PAC ID: 6709929094 Enrollment ID: I20100209000483 |
| Provider Name | Jess B Bartley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851447437 PECOS PAC ID: 1759425713 Enrollment ID: I20100215000725 |
| Provider Name | Robert M Reveille |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013949783 PECOS PAC ID: 6204821945 Enrollment ID: I20100304000954 |
| Provider Name | Amanda G Toney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932369998 PECOS PAC ID: 4183769789 Enrollment ID: I20100308000338 |
| Provider Name | Kindra L Warnecke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023189503 PECOS PAC ID: 1254466089 Enrollment ID: I20100318000806 |
| Provider Name | Mohamed S Said |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871696864 PECOS PAC ID: 3971638404 Enrollment ID: I20100322000952 |
| Provider Name | Teofilo L Lee Chiong |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1225115546 PECOS PAC ID: 4587790969 Enrollment ID: I20100325000400 |
| Provider Name | Archana Shrestha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912090366 PECOS PAC ID: 8628104965 Enrollment ID: I20100326000009 |
| Provider Name | Darren G Gregory |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144240094 PECOS PAC ID: 1557497633 Enrollment ID: I20100327000566 |
| Provider Name | Donald J Lefkowits |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487630380 PECOS PAC ID: 7517094246 Enrollment ID: I20100428000595 |
| Provider Name | Roger M Barkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609859321 PECOS PAC ID: 6002944246 Enrollment ID: I20100510000661 |
| Provider Name | Fredric M Pieracci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669652335 PECOS PAC ID: 7810025533 Enrollment ID: I20100517000342 |
| Provider Name | Lyssa N Chacko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629115993 PECOS PAC ID: 4587763289 Enrollment ID: I20100518000116 |
| Provider Name | Augustin R Attwell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275620304 PECOS PAC ID: 7810968625 Enrollment ID: I20100520000233 |
| Provider Name | Marilyn M Marr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568440808 PECOS PAC ID: 3577692839 Enrollment ID: I20100525000297 |
| Provider Name | Daniel U Kortsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205921327 PECOS PAC ID: 5698773612 Enrollment ID: I20100526000536 |
| Provider Name | Brian M Keech |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942485727 PECOS PAC ID: 5092844985 Enrollment ID: I20100602001003 |
| Provider Name | Todd F Vanderheiden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528114105 PECOS PAC ID: 3577694421 Enrollment ID: I20100622000199 |
| Provider Name | Maria G Frank |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851503858 PECOS PAC ID: 0042341893 Enrollment ID: I20100623000558 |
| Provider Name | Jason R Kolfenbach |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487791752 PECOS PAC ID: 9537290028 Enrollment ID: I20100628000334 |
| Provider Name | Jessica B Kendrick |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831245505 PECOS PAC ID: 8820129042 Enrollment ID: I20100701000290 |
| Provider Name | Karen L Honig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316913619 PECOS PAC ID: 4082746821 Enrollment ID: I20100714000960 |
| Provider Name | James Pulju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194757823 PECOS PAC ID: 6305831033 Enrollment ID: I20100715000397 |
| Provider Name | Aimee E Truesdale |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811034176 PECOS PAC ID: 9638202435 Enrollment ID: I20100730000356 |
| Provider Name | Margaret M Tomcho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528069457 PECOS PAC ID: 9234262635 Enrollment ID: I20100805000753 |
| Provider Name | Jennifer Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982863064 PECOS PAC ID: 9638202997 Enrollment ID: I20100806000433 |
| Provider Name | Mary K Wilkerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770652034 PECOS PAC ID: 3577662550 Enrollment ID: I20100809001069 |
| Provider Name | Sven Olrik Streubel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720271141 PECOS PAC ID: 0941252498 Enrollment ID: I20100811000377 |
| Provider Name | Vijay R Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619014909 PECOS PAC ID: 4486704574 Enrollment ID: I20100813000530 |
| Provider Name | Samuel E Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285662528 PECOS PAC ID: 2062300742 Enrollment ID: I20100817001282 |
| Provider Name | Duy Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952442915 PECOS PAC ID: 6901930379 Enrollment ID: I20100820000423 |
| Provider Name | John Lawrence Kendall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194739292 PECOS PAC ID: 8325162688 Enrollment ID: I20100824000667 |
| Provider Name | Michael E Hanley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366456576 PECOS PAC ID: 9739203902 Enrollment ID: I20100825000963 |
| Provider Name | Katherine M Hurlbut |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518971662 PECOS PAC ID: 7517081474 Enrollment ID: I20100830000024 |
| Provider Name | Edward P Havranek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326062092 PECOS PAC ID: 3375667231 Enrollment ID: I20100830000112 |
| Provider Name | Matthew J Roberts |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730272188 PECOS PAC ID: 9032233713 Enrollment ID: I20100901000859 |
| Provider Name | Lori K Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033295043 PECOS PAC ID: 7719979475 Enrollment ID: I20100915000199 |
| Provider Name | Andrew W Steele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831271147 PECOS PAC ID: 8123143849 Enrollment ID: I20100917000193 |
| Provider Name | Nida S Awadallah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972722957 PECOS PAC ID: 9335264944 Enrollment ID: I20100918000230 |
| Provider Name | Brent R O'neill |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245473511 PECOS PAC ID: 3375694433 Enrollment ID: I20100920001160 |
| Provider Name | Audrey P Dumas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083760680 PECOS PAC ID: 7315063716 Enrollment ID: I20100922001128 |
| Provider Name | Cassana M Littler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487851069 PECOS PAC ID: 4880710292 Enrollment ID: I20100922001265 |
| Provider Name | Tai Lockspeiser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669657458 PECOS PAC ID: 2567511603 Enrollment ID: I20100923000468 |
| Provider Name | Boyd J Tomasetti |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922063460 PECOS PAC ID: 0648161885 Enrollment ID: I20100927001351 |
| Provider Name | Katarzyna A Mastalerz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861514275 PECOS PAC ID: 5092831909 Enrollment ID: I20100929000180 |
| Provider Name | Lauren W Roth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417003047 PECOS PAC ID: 6305962184 Enrollment ID: I20100929001050 |
| Provider Name | Ann E Boyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730235326 PECOS PAC ID: 3779775903 Enrollment ID: I20101006001058 |
| Provider Name | Kristine M Hoffman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336396308 PECOS PAC ID: 0941492086 Enrollment ID: I20101007001342 |
| Provider Name | Timothy Stidham |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548460504 PECOS PAC ID: 7911190475 Enrollment ID: I20101018000530 |
| Provider Name | Jeremy David Prager |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457472623 PECOS PAC ID: 1355405002 Enrollment ID: I20101027001420 |
| Provider Name | Christian M Stob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407072861 PECOS PAC ID: 3173719697 Enrollment ID: I20101123000947 |
| Provider Name | Kim Nguyen Tyler |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275753717 PECOS PAC ID: 3375634611 Enrollment ID: I20101203000873 |
| Provider Name | Andrew M White |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881779528 PECOS PAC ID: 6901093632 Enrollment ID: I20101207001357 |
| Provider Name | Michael Finn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073701660 PECOS PAC ID: 7416006861 Enrollment ID: I20101209000407 |
| Provider Name | Melanie A Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538474267 PECOS PAC ID: 7214124718 Enrollment ID: I20101209000871 |
| Provider Name | Jonathon P Savage |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972566107 PECOS PAC ID: 5193912541 Enrollment ID: I20101210000202 |
| Provider Name | Jerusha P Lev |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730344144 PECOS PAC ID: 7719175645 Enrollment ID: I20101220000687 |
| Provider Name | Rachel Brake Holman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720191679 PECOS PAC ID: 3971791385 Enrollment ID: I20101229001078 |
| Provider Name | Bradley Torok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366526238 PECOS PAC ID: 3173564630 Enrollment ID: I20110104000210 |
| Provider Name | Kent Douglas Heyborne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265494660 PECOS PAC ID: 6406035781 Enrollment ID: I20110119001196 |
| Provider Name | Ali Zirakzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609846567 PECOS PAC ID: 0042287898 Enrollment ID: I20110121000708 |
| Provider Name | George Sam Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871649459 PECOS PAC ID: 3173702230 Enrollment ID: I20110121000871 |
| Provider Name | Cris A Bowman-harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356455026 PECOS PAC ID: 4981883485 Enrollment ID: I20110131000464 |
| Provider Name | Luz M Serrano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861567711 PECOS PAC ID: 1951362763 Enrollment ID: I20110131000994 |
| Provider Name | Julie A Venci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154584068 PECOS PAC ID: 0042491508 Enrollment ID: I20110217000042 |
| Provider Name | Darcy Selenke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477590339 PECOS PAC ID: 8022066281 Enrollment ID: I20110308000747 |
| Provider Name | Danelle M Habhab |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538232392 PECOS PAC ID: 4688857279 Enrollment ID: I20110318000586 |
| Provider Name | David Litoff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720165939 PECOS PAC ID: 2769665223 Enrollment ID: I20110322000504 |
| Provider Name | Samantha P Monson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215247002 PECOS PAC ID: 0446433213 Enrollment ID: I20110401000029 |
| Provider Name | Michael J. Breyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063490878 PECOS PAC ID: 7113998519 Enrollment ID: I20110405000815 |
| Provider Name | Jennifer Bellows |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841467867 PECOS PAC ID: 1850465774 Enrollment ID: I20110411000518 |
| Provider Name | Bridget Ann Bailey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730191263 PECOS PAC ID: 8729154125 Enrollment ID: I20110511000336 |
| Provider Name | Lindsay M Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043510365 PECOS PAC ID: 4284810698 Enrollment ID: I20110519000738 |
| Provider Name | Matthew A Monson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740294099 PECOS PAC ID: 4385727833 Enrollment ID: I20110615000301 |
| Provider Name | Matthew J Rustici |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619140167 PECOS PAC ID: 6204014244 Enrollment ID: I20110622000559 |
| Provider Name | Samuel D Richesin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336313196 PECOS PAC ID: 2062690829 Enrollment ID: I20110624000571 |
| Provider Name | Carrie A Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790957892 PECOS PAC ID: 0749468544 Enrollment ID: I20110627000348 |
| Provider Name | Nicholas Theodore Gagner |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306078019 PECOS PAC ID: 2769650076 Enrollment ID: I20110712000387 |
| Provider Name | Mary Mchenry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093958449 PECOS PAC ID: 8123296738 Enrollment ID: I20110727000070 |
| Provider Name | Cathy L Goetz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942590781 PECOS PAC ID: 4789853847 Enrollment ID: I20110805000153 |
| Provider Name | Jody Ann Vogel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508912189 PECOS PAC ID: 7012186190 Enrollment ID: I20110805000462 |
| Provider Name | Jamira Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104938422 PECOS PAC ID: 5193727196 Enrollment ID: I20110809000283 |
| Provider Name | J Matthew S Buchanan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720240211 PECOS PAC ID: 9032388053 Enrollment ID: I20110809000399 |
| Provider Name | Mark T Kearns |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770539116 PECOS PAC ID: 3476565938 Enrollment ID: I20110831000784 |
| Provider Name | Lisa A Davis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700923083 PECOS PAC ID: 9931379880 Enrollment ID: I20110831000799 |
| Provider Name | William R Krueger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881661783 PECOS PAC ID: 6406048636 Enrollment ID: I20110907001266 |
| Provider Name | Cynthia A Duff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578853396 PECOS PAC ID: 2668642273 Enrollment ID: I20110908001921 |
| Provider Name | Ana I Flores |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164694659 PECOS PAC ID: 5294906830 Enrollment ID: I20110912000592 |
| Provider Name | Eric P Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639179989 PECOS PAC ID: 7810013919 Enrollment ID: I20110913000885 |
| Provider Name | Sonia Okuyama Sasaki |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053520049 PECOS PAC ID: 2466623939 Enrollment ID: I20110914000577 |
| Provider Name | Leonard K Seibold |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689870164 PECOS PAC ID: 3173794583 Enrollment ID: I20110915000246 |
| Provider Name | William Colantoni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699980649 PECOS PAC ID: 1052582368 Enrollment ID: I20110919000135 |
| Provider Name | Amy Elizabeth Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215067061 PECOS PAC ID: 1658542832 Enrollment ID: I20110920000125 |
| Provider Name | Emily A Mccourt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336303585 PECOS PAC ID: 9931370004 Enrollment ID: I20110921000400 |
| Provider Name | Anna Bruckner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649354150 PECOS PAC ID: 1355315235 Enrollment ID: I20110921000708 |
| Provider Name | Robert K Rogers |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952506107 PECOS PAC ID: 2961673918 Enrollment ID: I20110922000496 |
| Provider Name | Rachel H Wright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295881886 PECOS PAC ID: 3173794179 Enrollment ID: I20110923000287 |
| Provider Name | Matthew John Mahlberg |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1285839928 PECOS PAC ID: 5496927113 Enrollment ID: I20110930000366 |
| Provider Name | Whitney L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225326408 PECOS PAC ID: 8123290640 Enrollment ID: I20111005000587 |
| Provider Name | Jason M Friedrich |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528140191 PECOS PAC ID: 8426220948 Enrollment ID: I20111005000678 |
| Provider Name | Sachin M Wani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235346685 PECOS PAC ID: 8921130543 Enrollment ID: I20111014000440 |
| Provider Name | Scott R Laker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831236108 PECOS PAC ID: 0244399111 Enrollment ID: I20111020000445 |
| Provider Name | Meryl S Livermore |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1487785408 PECOS PAC ID: 6406905421 Enrollment ID: I20111020000473 |
| Provider Name | Brooke M French |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386866838 PECOS PAC ID: 8628241353 Enrollment ID: I20111025000675 |
| Provider Name | Wendy S Tzou |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952493843 PECOS PAC ID: 8123033883 Enrollment ID: I20111101000619 |
| Provider Name | Carleen Z Schneiter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356558225 PECOS PAC ID: 0749453942 Enrollment ID: I20111103000710 |
| Provider Name | Karen L Peterson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376659839 PECOS PAC ID: 9739352931 Enrollment ID: I20111103000720 |
| Provider Name | Peter Daniel Torberntsson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720240955 PECOS PAC ID: 0749453611 Enrollment ID: I20111109000763 |
| Provider Name | Clyde Wright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417147919 PECOS PAC ID: 9133109622 Enrollment ID: I20111115000698 |
| Provider Name | Stacey A Pare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376828467 PECOS PAC ID: 2365616901 Enrollment ID: I20111117000353 |
| Provider Name | Thomas M Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386975449 PECOS PAC ID: 0941474233 Enrollment ID: I20111123000155 |
| Provider Name | Heather L Young |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780738104 PECOS PAC ID: 1052586260 Enrollment ID: I20111215000623 |
| Provider Name | Shawna M Urbanski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225153935 PECOS PAC ID: 2163697350 Enrollment ID: I20111216000684 |
| Provider Name | Kimberly C Lomonaco Haycraft |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518253111 PECOS PAC ID: 8325214117 Enrollment ID: I20111228000539 |
| Provider Name | Marshall Emig |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790831394 PECOS PAC ID: 0042363889 Enrollment ID: I20111230000454 |
| Provider Name | Kathryn A Walsh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417122912 PECOS PAC ID: 9638345127 Enrollment ID: I20120105000014 |
| Provider Name | Kshama Jaiswal |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1558565325 PECOS PAC ID: 9739356940 Enrollment ID: I20120111000302 |
| Provider Name | Sharon Y Kobak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346387024 PECOS PAC ID: 1355240086 Enrollment ID: I20120125000099 |
| Provider Name | Julianne E Timmerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912157876 PECOS PAC ID: 1456528850 Enrollment ID: I20120126000342 |
| Provider Name | Mary B Schulte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285643197 PECOS PAC ID: 9537119391 Enrollment ID: I20120206000874 |
| Provider Name | Michele G Bidegaray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407039134 PECOS PAC ID: 2264515469 Enrollment ID: I20120307000663 |
| Provider Name | Cyril Mauffrey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730482977 PECOS PAC ID: 6305008111 Enrollment ID: I20120424000196 |
| Provider Name | Barbara L Goldstein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1285885095 PECOS PAC ID: 5991969719 Enrollment ID: I20120607000219 |
| Provider Name | Richard D Zane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386600237 PECOS PAC ID: 5799973830 Enrollment ID: I20120612000085 |
| Provider Name | Oscar A Sanchez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255424677 PECOS PAC ID: 6608883715 Enrollment ID: I20120711000207 |
| Provider Name | Timothy Michael Rowland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265636211 PECOS PAC ID: 6204889041 Enrollment ID: I20120716000285 |
| Provider Name | Tobias John George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871865972 PECOS PAC ID: 3476719220 Enrollment ID: I20120723000553 |
| Provider Name | William Thomas Purcell |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1336187236 PECOS PAC ID: 7315902939 Enrollment ID: I20120723000887 |
| Provider Name | Read G Pierce |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225180201 PECOS PAC ID: 5991982381 Enrollment ID: I20120726000366 |
| Provider Name | Sarah E Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447496674 PECOS PAC ID: 6709042138 Enrollment ID: I20120730000260 |
| Provider Name | Cason S Pierce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558693275 PECOS PAC ID: 4880850239 Enrollment ID: I20120730000499 |
| Provider Name | Ryan T Borne |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588806483 PECOS PAC ID: 8022274489 Enrollment ID: I20120730000551 |
| Provider Name | Amber N Adkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356448831 PECOS PAC ID: 0547277584 Enrollment ID: I20120731000671 |
| Provider Name | Whitney Barrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174781199 PECOS PAC ID: 7810143195 Enrollment ID: I20120802000542 |
| Provider Name | Alvaro F Martinez Comacho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881836450 PECOS PAC ID: 9436305679 Enrollment ID: I20120803000535 |
| Provider Name | Nadia M Dearstyne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104053495 PECOS PAC ID: 4981850013 Enrollment ID: I20120806000707 |
| Provider Name | Marc T Mathias |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073774121 PECOS PAC ID: 1557517695 Enrollment ID: I20120806000801 |
| Provider Name | Elaine H Stickrath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487827366 PECOS PAC ID: 9234385055 Enrollment ID: I20120810000310 |
| Provider Name | Bethany J Benish |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962653006 PECOS PAC ID: 6204082944 Enrollment ID: I20120810000706 |
| Provider Name | Stacy A Trent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710145735 PECOS PAC ID: 0345496907 Enrollment ID: I20120814000426 |
| Provider Name | Ty T Higuchi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740400316 PECOS PAC ID: 5193819886 Enrollment ID: I20120815000151 |
| Provider Name | Jeffrey R Spence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710129366 PECOS PAC ID: 0941456545 Enrollment ID: I20120815000163 |
| Provider Name | Sonali Mehandru |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982867404 PECOS PAC ID: 8224284666 Enrollment ID: I20120817000275 |
| Provider Name | Ashley N Lock-smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811139223 PECOS PAC ID: 9335396746 Enrollment ID: I20120820000837 |
| Provider Name | Mark E Gerich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578549754 PECOS PAC ID: 4183871353 Enrollment ID: I20120822000582 |
| Provider Name | Adam Michael Terella |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720134307 PECOS PAC ID: 9234307448 Enrollment ID: I20120823000907 |
| Provider Name | Marcia E Eustaquio |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629117999 PECOS PAC ID: 3375790488 Enrollment ID: I20120824000361 |
| Provider Name | Danielle S Mcdermott |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1619139243 PECOS PAC ID: 1951558972 Enrollment ID: I20120827000799 |
| Provider Name | Stefka E Fabbri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821262510 PECOS PAC ID: 3577710599 Enrollment ID: I20120827000821 |
| Provider Name | Kristen Dalton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235371568 PECOS PAC ID: 6507013471 Enrollment ID: I20120828000656 |
| Provider Name | Aaron Timothy Murray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265600753 PECOS PAC ID: 7113174087 Enrollment ID: I20120828000684 |
| Provider Name | Bonnie L Kaplan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649438706 PECOS PAC ID: 1759538630 Enrollment ID: I20120828000697 |
| Provider Name | Morgan P Eutermoser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922265990 PECOS PAC ID: 4183871064 Enrollment ID: I20120828000735 |
| Provider Name | Blair P Fennimore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316093925 PECOS PAC ID: 8022265917 Enrollment ID: I20120828000795 |
| Provider Name | Melanie L Rylander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629261052 PECOS PAC ID: 1153578851 Enrollment ID: I20120831000502 |
| Provider Name | Elissa A Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053554683 PECOS PAC ID: 1355598905 Enrollment ID: I20120904000478 |
| Provider Name | Saketh Ram Guntupalli |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1922232172 PECOS PAC ID: 0244360253 Enrollment ID: I20120906000417 |
| Provider Name | Kimberly A Indovina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669602579 PECOS PAC ID: 6103073689 Enrollment ID: I20120906000424 |
| Provider Name | Craig Hogan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245377597 PECOS PAC ID: 7618154923 Enrollment ID: I20120906000523 |
| Provider Name | Michael Vincent Di Maria |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679794614 PECOS PAC ID: 8022266519 Enrollment ID: I20120906000659 |
| Provider Name | Patricia M Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326222969 PECOS PAC ID: 3678767936 Enrollment ID: I20120912000754 |
| Provider Name | Tyler M Muffly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689603763 PECOS PAC ID: 8022181395 Enrollment ID: I20120913000396 |
| Provider Name | Savita M Sharma |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639440266 PECOS PAC ID: 2163670308 Enrollment ID: I20120913000517 |
| Provider Name | Joyce Fu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598889099 PECOS PAC ID: 8123129798 Enrollment ID: I20120914000090 |
| Provider Name | Paul A Menard-katcher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104980291 PECOS PAC ID: 0042381204 Enrollment ID: I20120918000134 |
| Provider Name | Gretchen J Domek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356585079 PECOS PAC ID: 6002064938 Enrollment ID: I20120918000352 |
| Provider Name | Anna Y Hsu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689938110 PECOS PAC ID: 2769630581 Enrollment ID: I20120919000424 |
| Provider Name | Matthew S Clary |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033374053 PECOS PAC ID: 6406031574 Enrollment ID: I20120921000749 |
| Provider Name | Katherine G Payne |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316111909 PECOS PAC ID: 6800045212 Enrollment ID: I20120928000400 |
| Provider Name | John M Froelich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225241003 PECOS PAC ID: 3577731561 Enrollment ID: I20120928000438 |
| Provider Name | Michelle Cleeves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043590326 PECOS PAC ID: 5193974541 Enrollment ID: I20121001000098 |
| Provider Name | Hermione J Hurley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649407529 PECOS PAC ID: 8022267194 Enrollment ID: I20121004000568 |
| Provider Name | Stephanie R Augustine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730317447 PECOS PAC ID: 2668621749 Enrollment ID: I20121004000583 |
| Provider Name | Sarah E Rowan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861675050 PECOS PAC ID: 8022168582 Enrollment ID: I20121015000460 |
| Provider Name | Daniel S Schoenwald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942332838 PECOS PAC ID: 4688571441 Enrollment ID: I20121017000775 |
| Provider Name | Cristina Cabrera-muffly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811050743 PECOS PAC ID: 5193874816 Enrollment ID: I20121022000374 |
| Provider Name | Thomas J Staff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801833785 PECOS PAC ID: 9335036896 Enrollment ID: I20121023000713 |
| Provider Name | Maria B Albuja Cruz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487700068 PECOS PAC ID: 2769632520 Enrollment ID: I20121101000413 |
| Provider Name | Erika J Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245551035 PECOS PAC ID: 0446402820 Enrollment ID: I20121211000245 |
| Provider Name | John M Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629210638 PECOS PAC ID: 8820241714 Enrollment ID: I20121228000258 |
| Provider Name | Donald M Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447324413 PECOS PAC ID: 4789587775 Enrollment ID: I20130110000597 |
| Provider Name | Janetta L Iwanicki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649437393 PECOS PAC ID: 9830342930 Enrollment ID: I20130123000047 |
| Provider Name | Lindsey E Fish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245433564 PECOS PAC ID: 7012161532 Enrollment ID: I20130211000379 |
| Provider Name | Jason W Stoneback |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750428017 PECOS PAC ID: 1951570423 Enrollment ID: I20130219000332 |
| Provider Name | Alisa M Koval |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1679800494 PECOS PAC ID: 0840445482 Enrollment ID: I20130305000059 |
| Provider Name | Elisa D Fadum-montoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285910273 PECOS PAC ID: 2163667445 Enrollment ID: I20130315000173 |
| Provider Name | Monica K Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316020944 PECOS PAC ID: 1759526700 Enrollment ID: I20130323000077 |
| Provider Name | Lindsay A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992056238 PECOS PAC ID: 6800031774 Enrollment ID: I20130325000258 |
| Provider Name | Jennifer A. Pickering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770801466 PECOS PAC ID: 0749312155 Enrollment ID: I20130425000189 |
| Provider Name | Melissa Gorman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114066073 PECOS PAC ID: 2961556089 Enrollment ID: I20130523000450 |
| Provider Name | Christine C Welles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780864017 PECOS PAC ID: 9931355419 Enrollment ID: I20130530000472 |
| Provider Name | Alan Palestine |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992702708 PECOS PAC ID: 3274715941 Enrollment ID: I20130612000566 |
| Provider Name | Miranda C Cvitkovich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811230774 PECOS PAC ID: 8921247446 Enrollment ID: I20130613000313 |
| Provider Name | Jennifer R Stichman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093987323 PECOS PAC ID: 6305085796 Enrollment ID: I20130614000533 |
| Provider Name | Vishnu Kulasekaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972743029 PECOS PAC ID: 7911185194 Enrollment ID: I20130620000043 |
| Provider Name | Deidre A Dietz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245436625 PECOS PAC ID: 0244413516 Enrollment ID: I20130621000172 |
| Provider Name | Chi Zheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225354756 PECOS PAC ID: 8628217726 Enrollment ID: I20130621000280 |
| Provider Name | Anna Katherine Engeln |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952535031 PECOS PAC ID: 7113166109 Enrollment ID: I20130624000586 |
| Provider Name | Katherine V Sachs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205151131 PECOS PAC ID: 0042450439 Enrollment ID: I20130708000678 |
| Provider Name | Frank S Siringo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225171010 PECOS PAC ID: 2163471095 Enrollment ID: I20130711000352 |
| Provider Name | Maryam Tahmasbi Sohi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235392085 PECOS PAC ID: 5395985378 Enrollment ID: I20130716000434 |
| Provider Name | Alison Gilliland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710202197 PECOS PAC ID: 4082854906 Enrollment ID: I20130717000092 |
| Provider Name | Noelle M Northcutt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730321050 PECOS PAC ID: 8527209410 Enrollment ID: I20130718000094 |
| Provider Name | Jason N Mansoori |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598080434 PECOS PAC ID: 9335380237 Enrollment ID: I20130718000228 |
| Provider Name | Patrick P Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548586969 PECOS PAC ID: 2466693338 Enrollment ID: I20130719000280 |
| Provider Name | Nina L Healy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154356392 PECOS PAC ID: 7810138278 Enrollment ID: I20130726000483 |
| Provider Name | Qaisar Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952344301 PECOS PAC ID: 3577566454 Enrollment ID: I20130729000176 |
| Provider Name | Elizabeth J Kvach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376855692 PECOS PAC ID: 4284875436 Enrollment ID: I20130730000852 |
| Provider Name | Enrique Alvarez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790822054 PECOS PAC ID: 2062546955 Enrollment ID: I20130805000396 |
| Provider Name | Ann K Navarro-leahy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1205157997 PECOS PAC ID: 9830331701 Enrollment ID: I20130806000880 |
| Provider Name | Danette J Lee |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215268255 PECOS PAC ID: 8921134172 Enrollment ID: I20130807000598 |
| Provider Name | Daniel M Lindberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922066869 PECOS PAC ID: 9032161179 Enrollment ID: I20130812000314 |
| Provider Name | Sansrita Nepal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730491200 PECOS PAC ID: 7214179845 Enrollment ID: I20130812000496 |
| Provider Name | Anne G Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275761421 PECOS PAC ID: 1153563523 Enrollment ID: I20130814000572 |
| Provider Name | Michael Kenner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417912460 PECOS PAC ID: 4082632849 Enrollment ID: I20130815000870 |
| Provider Name | Haley B Ringwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477878353 PECOS PAC ID: 8426290628 Enrollment ID: I20130819000536 |
| Provider Name | Jeffrey R Soohoo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174752935 PECOS PAC ID: 2961644166 Enrollment ID: I20130819000553 |
| Provider Name | Anne Getz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124184148 PECOS PAC ID: 3274630306 Enrollment ID: I20130821000203 |
| Provider Name | Daniel E Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841296456 PECOS PAC ID: 8224005541 Enrollment ID: I20130823000467 |
| Provider Name | Elizabeth A Knight |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487896544 PECOS PAC ID: 3779726716 Enrollment ID: I20130823000617 |
| Provider Name | Peter J Lennarson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013966001 PECOS PAC ID: 4183669898 Enrollment ID: I20130904000291 |
| Provider Name | Rulon L Hardman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225219421 PECOS PAC ID: 7012071350 Enrollment ID: I20130909000357 |
| Provider Name | Carly E Aroneseno |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811336977 PECOS PAC ID: 8426292863 Enrollment ID: I20130925000049 |
| Provider Name | Jasleen Singh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194998096 PECOS PAC ID: 5991951030 Enrollment ID: I20130926000190 |
| Provider Name | Maria Bise |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053543462 PECOS PAC ID: 8729126180 Enrollment ID: I20130930000357 |
| Provider Name | Rachel M Mohr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750714051 PECOS PAC ID: 7719111830 Enrollment ID: I20131003000332 |
| Provider Name | Kimberly S Macdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003240359 PECOS PAC ID: 6204060338 Enrollment ID: I20131003000428 |
| Provider Name | Maureen Palazzolo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770821415 PECOS PAC ID: 9931333929 Enrollment ID: I20131007000255 |
| Provider Name | Barbara E Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003167610 PECOS PAC ID: 3375793581 Enrollment ID: I20131023000196 |
| Provider Name | Alexis H Harmon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457792780 PECOS PAC ID: 9032344387 Enrollment ID: I20131023000472 |
| Provider Name | Javier Valle |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164685665 PECOS PAC ID: 7719165257 Enrollment ID: I20131030000422 |
| Provider Name | Kimberly A Sylvester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104252865 PECOS PAC ID: 7719112580 Enrollment ID: I20131101001315 |
| Provider Name | Elizabeth S Clarke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801037726 PECOS PAC ID: 6002041738 Enrollment ID: I20131105000127 |
| Provider Name | Erin L Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003183260 PECOS PAC ID: 6709052418 Enrollment ID: I20131106001242 |
| Provider Name | Jessie Hazen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700213238 PECOS PAC ID: 2961638218 Enrollment ID: I20131115000878 |
| Provider Name | Leah H Grange |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912283177 PECOS PAC ID: 3072780436 Enrollment ID: I20131127000849 |
| Provider Name | Josina R O'connell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740501436 PECOS PAC ID: 5890922405 Enrollment ID: I20131205000671 |
| Provider Name | Amanda E Ingram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164775052 PECOS PAC ID: 5890922421 Enrollment ID: I20131205001368 |
| Provider Name | David M Ziegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508009929 PECOS PAC ID: 2365691607 Enrollment ID: I20131205001872 |
| Provider Name | John C Sheldon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508875444 PECOS PAC ID: 2668609181 Enrollment ID: I20131209000086 |
| Provider Name | Jonathan Thiele |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972893170 PECOS PAC ID: 8921238148 Enrollment ID: I20140307000504 |
| Provider Name | Megan D Leppke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659792000 PECOS PAC ID: 1254561459 Enrollment ID: I20140310001352 |
| Provider Name | Diana L Hersh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013346709 PECOS PAC ID: 2163652272 Enrollment ID: I20140310001885 |
| Provider Name | Melissa J Thompson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629339791 PECOS PAC ID: 0547490542 Enrollment ID: I20140312001413 |
| Provider Name | Erica B Pollack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497994255 PECOS PAC ID: 5496998973 Enrollment ID: I20140314000873 |
| Provider Name | Christine Tompkins |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922144500 PECOS PAC ID: 2961699186 Enrollment ID: I20140331000141 |
| Provider Name | Austin S Lock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942624002 PECOS PAC ID: 8022240068 Enrollment ID: I20140407000658 |
| Provider Name | Lori Montagna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487613360 PECOS PAC ID: 6800858614 Enrollment ID: I20140416001477 |
| Provider Name | Sarah E Sibbel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144341041 PECOS PAC ID: 0345473682 Enrollment ID: I20140512001562 |
| Provider Name | Sarah F Warsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689996670 PECOS PAC ID: 2163606724 Enrollment ID: I20140522002160 |
| Provider Name | Heather N Lane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649696410 PECOS PAC ID: 4688897085 Enrollment ID: I20140603000241 |
| Provider Name | Patrick J Septon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275869273 PECOS PAC ID: 2668696113 Enrollment ID: I20140624001064 |
| Provider Name | Ashraf S Youssef |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629249818 PECOS PAC ID: 0547337305 Enrollment ID: I20140626000648 |
| Provider Name | Grace E Marx |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144545799 PECOS PAC ID: 4981829348 Enrollment ID: I20140627001775 |
| Provider Name | Kristine A Kuhn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568652246 PECOS PAC ID: 7719010941 Enrollment ID: I20140701002386 |
| Provider Name | Benjamin M Feijoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457646788 PECOS PAC ID: 9931324936 Enrollment ID: I20140708000593 |
| Provider Name | David P Abts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598086118 PECOS PAC ID: 8921223942 Enrollment ID: I20140708001394 |
| Provider Name | Anna Maria Munoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942599345 PECOS PAC ID: 3375768047 Enrollment ID: I20140714001451 |
| Provider Name | Austin B Derosa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093976151 PECOS PAC ID: 7719127166 Enrollment ID: I20140722001866 |
| Provider Name | Stephanie L Bourque |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366731556 PECOS PAC ID: 6204052517 Enrollment ID: I20140723000165 |
| Provider Name | Kara K Leach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790074706 PECOS PAC ID: 8325296486 Enrollment ID: I20140729000643 |
| Provider Name | Allison K Nitsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831488790 PECOS PAC ID: 7113153370 Enrollment ID: I20140729000999 |
| Provider Name | John P Spittler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528383213 PECOS PAC ID: 4880810720 Enrollment ID: I20140729002003 |
| Provider Name | Matthew B Deliere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902119522 PECOS PAC ID: 2961628789 Enrollment ID: I20140730002166 |
| Provider Name | Jennifer L Jung |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437477718 PECOS PAC ID: 2961646559 Enrollment ID: I20140731002653 |
| Provider Name | Scott E Mann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871737742 PECOS PAC ID: 5799926788 Enrollment ID: I20140807002341 |
| Provider Name | Scott A Simpson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891939260 PECOS PAC ID: 5092953844 Enrollment ID: I20140808001031 |
| Provider Name | Carrie E Nedrud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740570910 PECOS PAC ID: 2264659176 Enrollment ID: I20140815001002 |
| Provider Name | Rochelle L Cason-wilkerson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235288713 PECOS PAC ID: 7012135718 Enrollment ID: I20140821001050 |
| Provider Name | Jeanne P Zenge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447280532 PECOS PAC ID: 0749420461 Enrollment ID: I20140827001660 |
| Provider Name | Rotem Laszlo Abraham Elgavish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437366473 PECOS PAC ID: 9830260074 Enrollment ID: I20140829000846 |
| Provider Name | Christopher S Henes |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255778205 PECOS PAC ID: 9133348956 Enrollment ID: I20140910000192 |
| Provider Name | Chelsie L Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104235761 PECOS PAC ID: 2961621628 Enrollment ID: I20140912000294 |
| Provider Name | Sarah Hemeida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073803813 PECOS PAC ID: 6608095989 Enrollment ID: I20140918001533 |
| Provider Name | Shea E Hogan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427175033 PECOS PAC ID: 6204070113 Enrollment ID: I20140918001807 |
| Provider Name | Erica W Mandell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407019748 PECOS PAC ID: 0941429138 Enrollment ID: I20140922000420 |
| Provider Name | Jessica M Bull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275823114 PECOS PAC ID: 6002035094 Enrollment ID: I20140924002385 |
| Provider Name | Kristin L Sterrett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427347186 PECOS PAC ID: 2668607599 Enrollment ID: I20140924002490 |
| Provider Name | Kenneth W Liechty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588752836 PECOS PAC ID: 4284635061 Enrollment ID: I20140926000949 |
| Provider Name | Melanie M Wong |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992090120 PECOS PAC ID: 7012137938 Enrollment ID: I20140927000024 |
| Provider Name | David R Ormond |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700159555 PECOS PAC ID: 0749445179 Enrollment ID: I20140927000116 |
| Provider Name | Jonathan P Roach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073650362 PECOS PAC ID: 7315167236 Enrollment ID: I20140927000253 |
| Provider Name | Stacy N Morsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497162127 PECOS PAC ID: 0244450039 Enrollment ID: I20140929002354 |
| Provider Name | Kim R Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124435953 PECOS PAC ID: 8022238880 Enrollment ID: I20140930002018 |
| Provider Name | Sarah A Flynn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023080595 PECOS PAC ID: 7012821036 Enrollment ID: I20141001001105 |
| Provider Name | Michael Mizenko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063536712 PECOS PAC ID: 4082681879 Enrollment ID: I20141001002044 |
| Provider Name | Rachel J Uslan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265789168 PECOS PAC ID: 6305066051 Enrollment ID: I20141001002266 |
| Provider Name | Ann Kulungowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609922384 PECOS PAC ID: 8325274343 Enrollment ID: I20141002001241 |
| Provider Name | Cynthia M Aspromonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841233376 PECOS PAC ID: 9234359845 Enrollment ID: I20141002001885 |
| Provider Name | Jeremy J Vogt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548660442 PECOS PAC ID: 7012137235 Enrollment ID: I20141009001822 |
| Provider Name | Julianne E Puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467571737 PECOS PAC ID: 2860615986 Enrollment ID: I20141009002015 |
| Provider Name | Sophie D Liao |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598965857 PECOS PAC ID: 3971776600 Enrollment ID: I20141009002106 |
| Provider Name | Patrick Ryan Wood |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114216926 PECOS PAC ID: 5799911293 Enrollment ID: I20141009002511 |
| Provider Name | Anne O Drabkin Schade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275844839 PECOS PAC ID: 3173758521 Enrollment ID: I20141013000759 |
| Provider Name | Leah Puckett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508156969 PECOS PAC ID: 4789804832 Enrollment ID: I20141013001736 |
| Provider Name | Erik Adler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699909739 PECOS PAC ID: 2769603885 Enrollment ID: I20141014002235 |
| Provider Name | Michael Louis Ruygrok |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487944344 PECOS PAC ID: 4183845118 Enrollment ID: I20141016001055 |
| Provider Name | Hilary S Sillik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487897856 PECOS PAC ID: 9335360270 Enrollment ID: I20141020000032 |
| Provider Name | Kimberly Jennifer Insel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124311071 PECOS PAC ID: 2860613684 Enrollment ID: I20141021000328 |
| Provider Name | Kaylin A Klie |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1700176708 PECOS PAC ID: 5193946911 Enrollment ID: I20141021000506 |
| Provider Name | Baxter Tharin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013177120 PECOS PAC ID: 4284867961 Enrollment ID: I20141024000861 |
| Provider Name | Kristin Louise Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265744262 PECOS PAC ID: 0446489835 Enrollment ID: I20141027002340 |
| Provider Name | Laura G Sherlock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417249806 PECOS PAC ID: 7618199852 Enrollment ID: I20141104000727 |
| Provider Name | Steven Steinberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225037062 PECOS PAC ID: 0345231023 Enrollment ID: I20141112000464 |
| Provider Name | L Candace Jennings |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1083768154 PECOS PAC ID: 1456598291 Enrollment ID: I20141112001822 |
| Provider Name | Amneet Sandhu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790914661 PECOS PAC ID: 0840412532 Enrollment ID: I20141113000516 |
| Provider Name | Shannon D Hester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962735902 PECOS PAC ID: 7214154756 Enrollment ID: I20141117001258 |
| Provider Name | Mark D Sawyer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952519308 PECOS PAC ID: 4284827403 Enrollment ID: I20141118000610 |
| Provider Name | Joseph M Longo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659773166 PECOS PAC ID: 1355563701 Enrollment ID: I20141119001512 |
| Provider Name | Jessica R Kudlock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003212200 PECOS PAC ID: 5991027856 Enrollment ID: I20141203001217 |
| Provider Name | Katherine T Washington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669671103 PECOS PAC ID: 1557683414 Enrollment ID: I20141203001477 |
| Provider Name | Cara A Chao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477952315 PECOS PAC ID: 0749502631 Enrollment ID: I20141203002191 |
| Provider Name | Anita M Chupp |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780941815 PECOS PAC ID: 7113182270 Enrollment ID: I20141205001616 |
| Provider Name | Terra Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831595552 PECOS PAC ID: 7618299082 Enrollment ID: I20141215001230 |
| Provider Name | Ahmed Marwan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366599185 PECOS PAC ID: 2062662422 Enrollment ID: I20141217000622 |
| Provider Name | Kimberly L Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326447897 PECOS PAC ID: 4981927290 Enrollment ID: I20141217001843 |
| Provider Name | Mary C Szafranowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740681485 PECOS PAC ID: 3173846490 Enrollment ID: I20141217002212 |
| Provider Name | Nader A Shourbaji |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1174782213 PECOS PAC ID: 1557505807 Enrollment ID: I20141224000483 |
| Provider Name | Sarah F Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215289293 PECOS PAC ID: 6204159213 Enrollment ID: I20141224000819 |
| Provider Name | Joseph C Onyiah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508032749 PECOS PAC ID: 9234317876 Enrollment ID: I20150102000554 |
| Provider Name | Myra Lynne Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063615599 PECOS PAC ID: 7719201920 Enrollment ID: I20150116001847 |
| Provider Name | Matthew Zuckerman |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1730382102 PECOS PAC ID: 1759559503 Enrollment ID: I20150122000347 |
| Provider Name | Mary Kathleen Hueske |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891015822 PECOS PAC ID: 5496070013 Enrollment ID: I20150202001710 |
| Provider Name | Susan Elizabeth Wilhoit |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285954701 PECOS PAC ID: 6800046673 Enrollment ID: I20150202002136 |
| Provider Name | Phoebe Lehr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033548599 PECOS PAC ID: 7113242777 Enrollment ID: I20150203000735 |
| Provider Name | Cayla Marie Gearity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508010430 PECOS PAC ID: 5597080069 Enrollment ID: I20150205000405 |
| Provider Name | Clinton M Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255512679 PECOS PAC ID: 5193882025 Enrollment ID: I20150206000766 |
| Provider Name | Katie P Rudofsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154710200 PECOS PAC ID: 0345565586 Enrollment ID: I20150211001069 |
| Provider Name | Clayton J Dobronyi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811391766 PECOS PAC ID: 5193040236 Enrollment ID: I20150211001729 |
| Provider Name | Michael J Raizen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1417951781 PECOS PAC ID: 9739404831 Enrollment ID: I20150212001445 |
| Provider Name | Eleanor Burton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629119862 PECOS PAC ID: 6204739840 Enrollment ID: I20150216000898 |
| Provider Name | Allison R Finkenbinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609017003 PECOS PAC ID: 9133444086 Enrollment ID: I20150217001339 |
| Provider Name | William Brian Somerset |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245425651 PECOS PAC ID: 3274798335 Enrollment ID: I20150218000882 |
| Provider Name | Nora L Pulford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710375647 PECOS PAC ID: 5496071185 Enrollment ID: I20150223001101 |
| Provider Name | Troy A Bybee |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306859509 PECOS PAC ID: 1557687068 Enrollment ID: I20150227000919 |
| Provider Name | Keisha M Deleon-paris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649660093 PECOS PAC ID: 6507182896 Enrollment ID: I20150304000789 |
| Provider Name | Carolyn S Burton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114171188 PECOS PAC ID: 3779809694 Enrollment ID: I20150311001303 |
| Provider Name | Mathew Adam Haager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932518586 PECOS PAC ID: 1456677228 Enrollment ID: I20150313001831 |
| Provider Name | Niccole R Brownfield |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750430294 PECOS PAC ID: 3072831759 Enrollment ID: I20150408002093 |
| Provider Name | Amanda K Strauss |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386970127 PECOS PAC ID: 0042539496 Enrollment ID: I20150506000949 |
| Provider Name | Laura M Cote Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972980233 PECOS PAC ID: 1355661612 Enrollment ID: I20150528000368 |
| Provider Name | Thomas B Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104219005 PECOS PAC ID: 9436470184 Enrollment ID: I20150605001346 |
| Provider Name | Haley E Medlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982081550 PECOS PAC ID: 0244551877 Enrollment ID: I20150608000710 |
| Provider Name | Matthew M Zipse |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861652794 PECOS PAC ID: 7113243437 Enrollment ID: I20150724009865 |
| Provider Name | William N Niehaus |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346539517 PECOS PAC ID: 6305089301 Enrollment ID: I20150729007088 |
| Provider Name | Mary C Okeefe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972828754 PECOS PAC ID: 5294049656 Enrollment ID: I20150730011072 |
| Provider Name | Kristina Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568738458 PECOS PAC ID: 9638304769 Enrollment ID: I20150730012817 |
| Provider Name | Kari D Mader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639437742 PECOS PAC ID: 6204140536 Enrollment ID: I20150730013747 |
| Provider Name | Sunah S Hwang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093975831 PECOS PAC ID: 6204007149 Enrollment ID: I20150731015166 |
| Provider Name | Anna Tagmo Neumeier |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104140623 PECOS PAC ID: 3678713104 Enrollment ID: I20150806012201 |
| Provider Name | Daniel J Kao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215170923 PECOS PAC ID: 7618111659 Enrollment ID: I20150812007101 |
| Provider Name | Prem Subramanian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093730673 PECOS PAC ID: 8022116474 Enrollment ID: I20150812007519 |
| Provider Name | Mithu M Tharayil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245531607 PECOS PAC ID: 2769617398 Enrollment ID: I20150813009791 |
| Provider Name | Mariah H Bellinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417246380 PECOS PAC ID: 4587979828 Enrollment ID: I20150817001170 |
| Provider Name | James G Kaferly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699902114 PECOS PAC ID: 7416262530 Enrollment ID: I20150819007501 |
| Provider Name | Rebecca Kornas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811255490 PECOS PAC ID: 5698080489 Enrollment ID: I20150824001307 |
| Provider Name | Mihir S Wagh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295789345 PECOS PAC ID: 8224035506 Enrollment ID: I20150825004114 |
| Provider Name | Hany M Khattab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326306275 PECOS PAC ID: 5294041901 Enrollment ID: I20150826000348 |
| Provider Name | Jon P Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851684120 PECOS PAC ID: 1254647829 Enrollment ID: I20150826002745 |
| Provider Name | Kirstin L Tawse |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386932671 PECOS PAC ID: 4789990136 Enrollment ID: I20150831000774 |
| Provider Name | Ryan D Laterza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003137845 PECOS PAC ID: 7911126859 Enrollment ID: I20150831002379 |
| Provider Name | Megan J Turner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760758239 PECOS PAC ID: 3072829100 Enrollment ID: I20150903000737 |
| Provider Name | Stephen Charles Stacey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033439740 PECOS PAC ID: 4880900893 Enrollment ID: I20150904000513 |
| Provider Name | Joseph W Keach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942576129 PECOS PAC ID: 3779899786 Enrollment ID: I20150904000621 |
| Provider Name | Angela E Downes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902056450 PECOS PAC ID: 1456667419 Enrollment ID: I20150904002236 |
| Provider Name | Eric M Campion |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396956686 PECOS PAC ID: 8325286024 Enrollment ID: I20150910002051 |
| Provider Name | Vanessa E Hoyos |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073852752 PECOS PAC ID: 6406163849 Enrollment ID: I20150916002757 |
| Provider Name | Laura G Albert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497076236 PECOS PAC ID: 7315161189 Enrollment ID: I20150917000624 |
| Provider Name | Drew S Kern |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962645697 PECOS PAC ID: 8628385028 Enrollment ID: I20150917001200 |
| Provider Name | Richard Wallis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336425982 PECOS PAC ID: 5799952230 Enrollment ID: I20150917002729 |
| Provider Name | Michelle S Barlow |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932425030 PECOS PAC ID: 3173763604 Enrollment ID: I20150923001806 |
| Provider Name | Stephanie B Gold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093072837 PECOS PAC ID: 4284942293 Enrollment ID: I20150924001166 |
| Provider Name | Morgan R Jerabek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104138478 PECOS PAC ID: 7618111279 Enrollment ID: I20150924001612 |
| Provider Name | Yosuke Nomura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053636266 PECOS PAC ID: 6507174430 Enrollment ID: I20150926000034 |
| Provider Name | Maryann Boucher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801958566 PECOS PAC ID: 9638487572 Enrollment ID: I20150926000308 |
| Provider Name | Benjamin A Rubin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124294731 PECOS PAC ID: 6305154279 Enrollment ID: I20150928000786 |
| Provider Name | Rachel A Harmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396099719 PECOS PAC ID: 0648588418 Enrollment ID: I20150928001447 |
| Provider Name | Nicole R Arboleda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154498731 PECOS PAC ID: 8224180120 Enrollment ID: I20150928001475 |
| Provider Name | Judith A Kralewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457327686 PECOS PAC ID: 9638487481 Enrollment ID: I20150929001325 |
| Provider Name | Laura L Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861770505 PECOS PAC ID: 9830407592 Enrollment ID: I20150929001986 |
| Provider Name | Melanie L Hebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861768012 PECOS PAC ID: 3072761212 Enrollment ID: I20151006000816 |
| Provider Name | Swati G Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265640296 PECOS PAC ID: 2567697378 Enrollment ID: I20151014001299 |
| Provider Name | Daniel J Holligan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548578388 PECOS PAC ID: 3971751058 Enrollment ID: I20151014001559 |
| Provider Name | Dan H Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639495617 PECOS PAC ID: 4587883723 Enrollment ID: I20151016000656 |
| Provider Name | Vikhyat S Bebarta |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1568416485 PECOS PAC ID: 4385709302 Enrollment ID: I20151016001220 |
| Provider Name | Maria G Velez |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467765560 PECOS PAC ID: 2062721632 Enrollment ID: I20151021002437 |
| Provider Name | Stephanie D Malliaris |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1689833709 PECOS PAC ID: 6901037233 Enrollment ID: I20151027001714 |
| Provider Name | Sunita Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497732838 PECOS PAC ID: 3173697653 Enrollment ID: I20151104000606 |
| Provider Name | Brook K Mcconnell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447576343 PECOS PAC ID: 6901121789 Enrollment ID: I20151104002668 |
| Provider Name | Travis M Birchem |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396003158 PECOS PAC ID: 9234380064 Enrollment ID: I20151105001260 |
| Provider Name | Samuel P Gubbels |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790854792 PECOS PAC ID: 4587739909 Enrollment ID: I20151106000086 |
| Provider Name | Brian M Jekich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548522402 PECOS PAC ID: 1951611292 Enrollment ID: I20151117001105 |
| Provider Name | Robin R Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417327594 PECOS PAC ID: 7810297108 Enrollment ID: I20151118000320 |
| Provider Name | Ananda D Wick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558557405 PECOS PAC ID: 3072813294 Enrollment ID: I20151119002043 |
| Provider Name | Teihl A Ratchinsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255695631 PECOS PAC ID: 6901120773 Enrollment ID: I20151124002509 |
| Provider Name | Brigitte B Mcclellan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669892675 PECOS PAC ID: 8820398787 Enrollment ID: I20151125000192 |
| Provider Name | Rodrigo Donalisio Da Silva |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457722589 PECOS PAC ID: 4486954070 Enrollment ID: I20151203003073 |
| Provider Name | Yasmin A Sacro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134381825 PECOS PAC ID: 0749333763 Enrollment ID: I20151209000664 |
| Provider Name | Yuko Blue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114390945 PECOS PAC ID: 8628379914 Enrollment ID: I20151210000114 |
| Provider Name | Jennifer R Peraza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811373525 PECOS PAC ID: 3779884622 Enrollment ID: I20151217001418 |
| Provider Name | Diana R Pencheva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023353265 PECOS PAC ID: 8820242712 Enrollment ID: I20151230002675 |
| Provider Name | Susan M Soto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942475280 PECOS PAC ID: 3274794557 Enrollment ID: I20160104002295 |
| Provider Name | Lizbeth Zerwas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326432816 PECOS PAC ID: 8426350281 Enrollment ID: I20160111001885 |
| Provider Name | Patricia C Wheatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255675435 PECOS PAC ID: 6204081326 Enrollment ID: I20160113000263 |
| Provider Name | Derek W Delmonte |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528225471 PECOS PAC ID: 8426242611 Enrollment ID: I20160113000459 |
| Provider Name | Ellen P Feighny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073947420 PECOS PAC ID: 1153624978 Enrollment ID: I20160127002497 |
| Provider Name | Nicholas J Gilman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184761462 PECOS PAC ID: 4385861582 Enrollment ID: I20160201001736 |
| Provider Name | Frank Irving Scott |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588822878 PECOS PAC ID: 6406096395 Enrollment ID: I20160209002742 |
| Provider Name | Esteban Jesus Sandoval |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245528207 PECOS PAC ID: 3678744976 Enrollment ID: I20160210001743 |
| Provider Name | Gretchen C Scott |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841656790 PECOS PAC ID: 6709180557 Enrollment ID: I20160215002270 |
| Provider Name | Kelley Leigh Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891069696 PECOS PAC ID: 2860657871 Enrollment ID: I20160217000830 |
| Provider Name | Ryan A Lawless |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285891762 PECOS PAC ID: 6800033705 Enrollment ID: I20160219000806 |
| Provider Name | Amber Suzanne Podoll |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1972520799 PECOS PAC ID: 0244233534 Enrollment ID: I20160224000872 |
| Provider Name | Christopher D Roark |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083768139 PECOS PAC ID: 8628246626 Enrollment ID: I20160310000486 |
| Provider Name | Teresa Trabert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013375856 PECOS PAC ID: 6608172010 Enrollment ID: I20160311000171 |
| Provider Name | Meghann D Kirk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386803245 PECOS PAC ID: 2769528025 Enrollment ID: I20160311000241 |
| Provider Name | Amy Nesbitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750740536 PECOS PAC ID: 7911203336 Enrollment ID: I20160311000320 |
| Provider Name | Oliver B Deshler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982062659 PECOS PAC ID: 9133425432 Enrollment ID: I20160314000503 |
| Provider Name | Ryan John Good |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124343108 PECOS PAC ID: 8921240318 Enrollment ID: I20160330000058 |
| Provider Name | Richard L North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083658611 PECOS PAC ID: 2961675525 Enrollment ID: I20160407000527 |
| Provider Name | Emilia B Ealom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588063978 PECOS PAC ID: 1658670740 Enrollment ID: I20160425000117 |
| Provider Name | Brendan R B Notestein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649637463 PECOS PAC ID: 8123327160 Enrollment ID: I20160426001717 |
| Provider Name | Alicia Crafa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225414105 PECOS PAC ID: 1355630310 Enrollment ID: I20160513000802 |
| Provider Name | Anuj B Mehta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114185022 PECOS PAC ID: 2961535802 Enrollment ID: I20160517000794 |
| Provider Name | Nicole J Stahel-ziegler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194183871 PECOS PAC ID: 4284923749 Enrollment ID: I20160523001935 |
| Provider Name | Sarah E Roark |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952583858 PECOS PAC ID: 8224181854 Enrollment ID: I20160607001735 |
| Provider Name | Meghann A Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174979553 PECOS PAC ID: 4981994779 Enrollment ID: I20160607001844 |
| Provider Name | Thresia Sebastian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619330040 PECOS PAC ID: 4688965635 Enrollment ID: I20160622000304 |
| Provider Name | Aaron Louis Strobel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689917163 PECOS PAC ID: 4385878040 Enrollment ID: I20160624000092 |
| Provider Name | Katherine Louise Greene |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356709992 PECOS PAC ID: 1254622061 Enrollment ID: I20160627001127 |
| Provider Name | Matthew P Mayer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366659286 PECOS PAC ID: 0345427886 Enrollment ID: I20160628002151 |
| Provider Name | Kristen E Zhelnin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407146327 PECOS PAC ID: 4183946155 Enrollment ID: I20160712000647 |
| Provider Name | Bridget A Graney |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487944997 PECOS PAC ID: 6103066121 Enrollment ID: I20160713001605 |
| Provider Name | Robert Michael Dietz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902117906 PECOS PAC ID: 9234421058 Enrollment ID: I20160714000567 |
| Provider Name | Larissa A Muething |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821331331 PECOS PAC ID: 7810131901 Enrollment ID: I20160714000568 |
| Provider Name | Charlene D Archuleta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760725022 PECOS PAC ID: 3375773211 Enrollment ID: I20160715000549 |
| Provider Name | Benjamin Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427341346 PECOS PAC ID: 0941515241 Enrollment ID: I20160718000547 |
| Provider Name | Manuel R Montano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134482094 PECOS PAC ID: 9931402450 Enrollment ID: I20160726000443 |
| Provider Name | Joseph Hippensteel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720344971 PECOS PAC ID: 1759674930 Enrollment ID: I20160726001028 |
| Provider Name | Laura Z Lockwood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548502743 PECOS PAC ID: 2860785953 Enrollment ID: I20160727000969 |
| Provider Name | Patricia Ann Bernal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295111300 PECOS PAC ID: 4385937184 Enrollment ID: I20160801000338 |
| Provider Name | Mariah R.c. Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417391475 PECOS PAC ID: 2062646821 Enrollment ID: I20160802000666 |
| Provider Name | Joshua T.b. Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447592688 PECOS PAC ID: 9537390943 Enrollment ID: I20160802002257 |
| Provider Name | Carla X Torres-zegarra |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346470143 PECOS PAC ID: 8325204977 Enrollment ID: I20160803003021 |
| Provider Name | Melisa S Tanverdi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942542261 PECOS PAC ID: 5991020471 Enrollment ID: I20160805000156 |
| Provider Name | Ashesh Thaker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720222565 PECOS PAC ID: 2668784323 Enrollment ID: I20160808000182 |
| Provider Name | William G Sungar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518225861 PECOS PAC ID: 6406140839 Enrollment ID: I20160809000198 |
| Provider Name | Julie M Knoeckel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205279973 PECOS PAC ID: 8325368996 Enrollment ID: I20160809001468 |
| Provider Name | Benjamin James Marshall |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861754848 PECOS PAC ID: 3375842214 Enrollment ID: I20160810000057 |
| Provider Name | Jill M Mannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861824781 PECOS PAC ID: 5991939423 Enrollment ID: I20160812000491 |
| Provider Name | Paula E Pecen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740505528 PECOS PAC ID: 6800010794 Enrollment ID: I20160822002494 |
| Provider Name | David Y Khechoyan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1447352414 PECOS PAC ID: 2365690914 Enrollment ID: I20160823002524 |
| Provider Name | Luis Arturo Verduzco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386961639 PECOS PAC ID: 9234372293 Enrollment ID: I20160827000064 |
| Provider Name | Dayan D Colon-sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851683387 PECOS PAC ID: 1456647403 Enrollment ID: I20160831001177 |
| Provider Name | Nicklaus P Brandehoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780942599 PECOS PAC ID: 7719280858 Enrollment ID: I20160831002564 |
| Provider Name | Daniel J White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770826000 PECOS PAC ID: 1254645021 Enrollment ID: I20160901002071 |
| Provider Name | Bryn A Gonzales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598007833 PECOS PAC ID: 3375839020 Enrollment ID: I20160907001634 |
| Provider Name | Geoffrey R Ferril |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538485701 PECOS PAC ID: 5597080366 Enrollment ID: I20160908000475 |
| Provider Name | Lauren J Rhoades |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669815080 PECOS PAC ID: 1850531120 Enrollment ID: I20160908001412 |
| Provider Name | Benjamin E Cassell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184885790 PECOS PAC ID: 0143407668 Enrollment ID: I20160908002166 |
| Provider Name | Meghan S Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285086231 PECOS PAC ID: 7719273242 Enrollment ID: I20160909001941 |
| Provider Name | Matthew Leroue |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235471715 PECOS PAC ID: 3072809425 Enrollment ID: I20160910000053 |
| Provider Name | Bryan R Crosby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265773063 PECOS PAC ID: 4183922412 Enrollment ID: I20160912002392 |
| Provider Name | Jennifer L Czwornog |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801112396 PECOS PAC ID: 5496999674 Enrollment ID: I20160912002432 |
| Provider Name | Mitchell J Cohen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487693248 PECOS PAC ID: 9830121847 Enrollment ID: I20160914002557 |
| Provider Name | Katherine Elizabeth Slone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013393040 PECOS PAC ID: 1850687914 Enrollment ID: I20160915002206 |
| Provider Name | Autumn Danielle Brockman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497018766 PECOS PAC ID: 6103113295 Enrollment ID: I20160916001091 |
| Provider Name | Phillip K Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336481761 PECOS PAC ID: 1951532936 Enrollment ID: I20160916001998 |
| Provider Name | Alison Elizabeth Freeman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235454091 PECOS PAC ID: 4981904018 Enrollment ID: I20160920002864 |
| Provider Name | David W Elwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649614991 PECOS PAC ID: 5799098422 Enrollment ID: I20160922001350 |
| Provider Name | Bradley R Corr |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1255566964 PECOS PAC ID: 8325282049 Enrollment ID: I20160928001375 |
| Provider Name | Michael A Rosenberg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346274081 PECOS PAC ID: 7517064108 Enrollment ID: I20160929000280 |
| Provider Name | Veronica I Alaniz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992021513 PECOS PAC ID: 9739305327 Enrollment ID: I20160929001192 |
| Provider Name | Joseph Malachy Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336468982 PECOS PAC ID: 1254628555 Enrollment ID: I20160930000749 |
| Provider Name | Ross L Shockley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972895845 PECOS PAC ID: 6800198920 Enrollment ID: I20161005000765 |
| Provider Name | Katherine K Green |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1760708135 PECOS PAC ID: 6305087370 Enrollment ID: I20161014001878 |
| Provider Name | Jennifer R Lyden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205099173 PECOS PAC ID: 8022287234 Enrollment ID: I20161015000130 |
| Provider Name | Shelby A Sullivan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851503999 PECOS PAC ID: 4688772478 Enrollment ID: I20161015000168 |
| Provider Name | Dennis G Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144455247 PECOS PAC ID: 5698944254 Enrollment ID: I20161017002562 |
| Provider Name | Florence J. Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013150002 PECOS PAC ID: 1052546827 Enrollment ID: I20161019000498 |
| Provider Name | Emily R Kritzler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871048504 PECOS PAC ID: 1153609482 Enrollment ID: I20161020001820 |
| Provider Name | Kristin N.h. Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033497268 PECOS PAC ID: 1355574039 Enrollment ID: I20161103000027 |
| Provider Name | Taylor N Mccormick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194950386 PECOS PAC ID: 5496909699 Enrollment ID: I20161105000001 |
| Provider Name | Jill N Chisolm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184020919 PECOS PAC ID: 1456630839 Enrollment ID: I20161108002353 |
| Provider Name | Jeffrey P Hollis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043655111 PECOS PAC ID: 6608155841 Enrollment ID: I20161111000387 |
| Provider Name | Courtney M Bhat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396975835 PECOS PAC ID: 5496997298 Enrollment ID: I20161111001070 |
| Provider Name | Elizabeth E Perkins-pride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003360652 PECOS PAC ID: 1850670928 Enrollment ID: I20161111001647 |
| Provider Name | Gina N Grove |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932547551 PECOS PAC ID: 8921387093 Enrollment ID: I20161111001732 |
| Provider Name | Bobbie J Dodson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053602458 PECOS PAC ID: 1951680081 Enrollment ID: I20161114001236 |
| Provider Name | Anthony A Beardmore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831168186 PECOS PAC ID: 1153570411 Enrollment ID: I20161116000346 |
| Provider Name | Martine Bernard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427211887 PECOS PAC ID: 3072748409 Enrollment ID: I20161121000385 |
| Provider Name | Elizabeth J Erickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497063606 PECOS PAC ID: 9032498654 Enrollment ID: I20161122000725 |
| Provider Name | Kimberly S Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528309234 PECOS PAC ID: 2264660109 Enrollment ID: I20161130000195 |
| Provider Name | Claire L Schultz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477829422 PECOS PAC ID: 8123308921 Enrollment ID: I20161214000607 |
| Provider Name | Jaime L Moo-young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639335821 PECOS PAC ID: 3779730486 Enrollment ID: I20161217000173 |
| Provider Name | Ashley Rachel Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992044150 PECOS PAC ID: 5597981803 Enrollment ID: I20161219000710 |
| Provider Name | Kara J Mould |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447494075 PECOS PAC ID: 3678738093 Enrollment ID: I20161219000880 |
| Provider Name | Carey A Couzelis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154874857 PECOS PAC ID: 6608157060 Enrollment ID: I20161227001522 |
| Provider Name | Rocio Delatorre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518251115 PECOS PAC ID: 9739303629 Enrollment ID: I20161228000822 |
| Provider Name | Jennifer K Lovallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275942690 PECOS PAC ID: 6507147584 Enrollment ID: I20170105002034 |
| Provider Name | Eman A Dahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518409994 PECOS PAC ID: 1254612161 Enrollment ID: I20170109002318 |
| Provider Name | Danielle P Simmance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972972487 PECOS PAC ID: 8123309937 Enrollment ID: I20170109002941 |
| Provider Name | Aaron David Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851372866 PECOS PAC ID: 5193945319 Enrollment ID: I20170119002472 |
| Provider Name | Emma M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972918381 PECOS PAC ID: 8921380858 Enrollment ID: I20170128000389 |
| Provider Name | Nguyet A Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669765202 PECOS PAC ID: 2769628999 Enrollment ID: I20170130001338 |
| Provider Name | Maria O Gore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336307776 PECOS PAC ID: 3577781749 Enrollment ID: I20170202001328 |
| Provider Name | Rehaan K Shaffie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538401617 PECOS PAC ID: 0547543274 Enrollment ID: I20170203000643 |
| Provider Name | Julie K Hubble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154663003 PECOS PAC ID: 9537487939 Enrollment ID: I20170206002420 |
| Provider Name | Melissa F M Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295285179 PECOS PAC ID: 3476836586 Enrollment ID: I20170216000543 |
| Provider Name | Thomas Inge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619946407 PECOS PAC ID: 9133011984 Enrollment ID: I20170216000666 |
| Provider Name | Carina Kugelmas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861631319 PECOS PAC ID: 4284917287 Enrollment ID: I20170217001728 |
| Provider Name | Jessica C Kingsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528372166 PECOS PAC ID: 1254570302 Enrollment ID: I20170222002333 |
| Provider Name | Laura M Ramzy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477683803 PECOS PAC ID: 8820372584 Enrollment ID: I20170227000105 |
| Provider Name | Jill Hersh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760868913 PECOS PAC ID: 0345522165 Enrollment ID: I20170227002122 |
| Provider Name | Stephen D Vogler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811007685 PECOS PAC ID: 1658655071 Enrollment ID: I20170303000635 |
| Provider Name | Daniel S Fink |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952563561 PECOS PAC ID: 1759541121 Enrollment ID: I20170307000616 |
| Provider Name | Teresa S Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316180532 PECOS PAC ID: 9436434800 Enrollment ID: I20170327001848 |
| Provider Name | Amanda C Dancler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306384334 PECOS PAC ID: 4688950785 Enrollment ID: I20170403002511 |
| Provider Name | Ranee M Shenoi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386719672 PECOS PAC ID: 4688950926 Enrollment ID: I20170420002395 |
| Provider Name | Sarah K Barker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114466133 PECOS PAC ID: 9739466194 Enrollment ID: I20170512000249 |
| Provider Name | Megan Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124555784 PECOS PAC ID: 8820365778 Enrollment ID: I20170524000739 |
| Provider Name | Rachel G Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255866299 PECOS PAC ID: 2668749581 Enrollment ID: I20170525000590 |
| Provider Name | Caitlin Bonney |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1164860854 PECOS PAC ID: 1153617360 Enrollment ID: I20170526000684 |
| Provider Name | Teal Flanigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154753358 PECOS PAC ID: 8921376294 Enrollment ID: I20170612000426 |
| Provider Name | Rachita Prakash |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619141017 PECOS PAC ID: 2365698289 Enrollment ID: I20170621000685 |
| Provider Name | Abigail L Nass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487951794 PECOS PAC ID: 5193093797 Enrollment ID: I20170623001037 |
| Provider Name | Bartholomew B Paull |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124360631 PECOS PAC ID: 3971871419 Enrollment ID: I20170624000244 |
| Provider Name | Charles A Tharp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891112066 PECOS PAC ID: 5698996908 Enrollment ID: I20170703000876 |
| Provider Name | Mariam S Ahmad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093158651 PECOS PAC ID: 7113158130 Enrollment ID: I20170712000897 |
| Provider Name | Gregory Kirk Barron |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871859801 PECOS PAC ID: 9931416294 Enrollment ID: I20170714002448 |
| Provider Name | Roxanne L Radi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982023032 PECOS PAC ID: 8820310717 Enrollment ID: I20170717000954 |
| Provider Name | Jay D Pal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396936548 PECOS PAC ID: 0042363947 Enrollment ID: I20170717002072 |
| Provider Name | Cara E Capitena Young |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831432053 PECOS PAC ID: 1658592852 Enrollment ID: I20170721002202 |
| Provider Name | Satya S Houin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558536292 PECOS PAC ID: 4183842503 Enrollment ID: I20170725001170 |
| Provider Name | Lee D Stein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801153739 PECOS PAC ID: 3577833490 Enrollment ID: I20170725002436 |
| Provider Name | Karen L Christopher |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669715876 PECOS PAC ID: 6103122445 Enrollment ID: I20170726001550 |
| Provider Name | Lindsay Brubaker |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1437595840 PECOS PAC ID: 8921376633 Enrollment ID: I20170728002876 |
| Provider Name | Jennifer Cranny |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942219746 PECOS PAC ID: 7012947641 Enrollment ID: I20170801001726 |
| Provider Name | Mauricio A Palau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841515764 PECOS PAC ID: 3870736994 Enrollment ID: I20170801002803 |
| Provider Name | Rostislav Medvid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235423021 PECOS PAC ID: 5991076432 Enrollment ID: I20170802001903 |
| Provider Name | Joan M Mankowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447295092 PECOS PAC ID: 6608829775 Enrollment ID: I20170804000168 |
| Provider Name | Martina C King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780003186 PECOS PAC ID: 4486875705 Enrollment ID: I20170807001414 |
| Provider Name | Anne Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447699087 PECOS PAC ID: 1153550371 Enrollment ID: I20170809001785 |
| Provider Name | Jessica L Jack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942627153 PECOS PAC ID: 8022232586 Enrollment ID: I20170814000148 |
| Provider Name | Samuel L Mcmurry |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1265722078 PECOS PAC ID: 3577889088 Enrollment ID: I20170814002844 |
| Provider Name | Lauren A Bruns Buchheit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306264197 PECOS PAC ID: 8426373309 Enrollment ID: I20170821000060 |
| Provider Name | Kellie L Hawkins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649561242 PECOS PAC ID: 8325342421 Enrollment ID: I20170821001390 |
| Provider Name | Ramnik S Dhaliwal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316238421 PECOS PAC ID: 7113153586 Enrollment ID: I20170822002053 |
| Provider Name | Daniel G Liebowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740608363 PECOS PAC ID: 5193023430 Enrollment ID: I20170822002930 |
| Provider Name | Rena H Yadlapati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548597784 PECOS PAC ID: 1052575461 Enrollment ID: I20170823001779 |
| Provider Name | Chang Huei Chen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023383585 PECOS PAC ID: 6709100399 Enrollment ID: I20170825001988 |
| Provider Name | Christine Allison Haynes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770825085 PECOS PAC ID: 1759697675 Enrollment ID: I20170828003152 |
| Provider Name | Jesse M Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407142151 PECOS PAC ID: 5193967735 Enrollment ID: I20170829000421 |
| Provider Name | Joseph Houkal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306132055 PECOS PAC ID: 4385917160 Enrollment ID: I20170829004111 |
| Provider Name | Janine L Oliver |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003137936 PECOS PAC ID: 9931337912 Enrollment ID: I20170901000646 |
| Provider Name | Jeremy M Hugh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427316348 PECOS PAC ID: 5698077436 Enrollment ID: I20170901002295 |
| Provider Name | Emily C Corcoran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952720575 PECOS PAC ID: 2961628417 Enrollment ID: I20170914002839 |
| Provider Name | Eric Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003236852 PECOS PAC ID: 1153624929 Enrollment ID: I20170918000138 |
| Provider Name | Sara A Foster Fabiano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083033419 PECOS PAC ID: 4981926870 Enrollment ID: I20170921003445 |
| Provider Name | Ashley Beth Curry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871937532 PECOS PAC ID: 6901112267 Enrollment ID: I20170925001186 |
| Provider Name | Holly M Frost |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104141514 PECOS PAC ID: 5395988117 Enrollment ID: I20170927000899 |
| Provider Name | Corrine J Wong |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861716540 PECOS PAC ID: 9638444722 Enrollment ID: I20170928002739 |
| Provider Name | Charity E Lehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306189881 PECOS PAC ID: 8325348253 Enrollment ID: I20170929001378 |
| Provider Name | Lindsey N Wendt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396260584 PECOS PAC ID: 3274808282 Enrollment ID: I20171002000384 |
| Provider Name | Cristos Md Ifantides |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821356676 PECOS PAC ID: 2860782687 Enrollment ID: I20171002002948 |
| Provider Name | Madoka Hayashi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255508503 PECOS PAC ID: 3274761895 Enrollment ID: I20171010001318 |
| Provider Name | Andrew M Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477996981 PECOS PAC ID: 0648410928 Enrollment ID: I20171010003599 |
| Provider Name | Sarah Dena Versackas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225414253 PECOS PAC ID: 3072821586 Enrollment ID: I20171013000115 |
| Provider Name | Philip R Andreoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003172446 PECOS PAC ID: 9931416518 Enrollment ID: I20171016001993 |
| Provider Name | Sai Anandi Ramaswami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942629373 PECOS PAC ID: 0143449470 Enrollment ID: I20171027001483 |
| Provider Name | Deborah P Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932544053 PECOS PAC ID: 5294032637 Enrollment ID: I20171030001585 |
| Provider Name | Jill J Liss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205179793 PECOS PAC ID: 6901048339 Enrollment ID: I20171031001918 |
| Provider Name | Heidi I Becker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821293523 PECOS PAC ID: 9931292851 Enrollment ID: I20171110000482 |
| Provider Name | Joedy E Hulings |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851719801 PECOS PAC ID: 0547486813 Enrollment ID: I20171113000718 |
| Provider Name | Tatiana Turo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255840260 PECOS PAC ID: 2163789553 Enrollment ID: I20171120000425 |
| Provider Name | June M Ashley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821515883 PECOS PAC ID: 8527325976 Enrollment ID: I20171120003551 |
| Provider Name | Margot R Nagan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528367281 PECOS PAC ID: 1254563265 Enrollment ID: I20171128003648 |
| Provider Name | Kalina Ehrenreich-piot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386056257 PECOS PAC ID: 5193082055 Enrollment ID: I20171130001785 |
| Provider Name | Leslie Anne Heguy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225542897 PECOS PAC ID: 3173880937 Enrollment ID: I20171204000001 |
| Provider Name | Jennifer A Ochse |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366871501 PECOS PAC ID: 1355608969 Enrollment ID: I20171206000598 |
| Provider Name | Catherine S Wolcott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326564428 PECOS PAC ID: 8224395835 Enrollment ID: I20171206000734 |
| Provider Name | Damara B Andreoli |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518388271 PECOS PAC ID: 4183943392 Enrollment ID: I20171206001741 |
| Provider Name | Jessica Lackey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841710209 PECOS PAC ID: 0446517023 Enrollment ID: I20171207000453 |
| Provider Name | Daniel Leal-diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073959250 PECOS PAC ID: 2365700754 Enrollment ID: I20171212001501 |
| Provider Name | Brinda D Prabhakar-gippert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609184720 PECOS PAC ID: 8729346184 Enrollment ID: I20171213001997 |
| Provider Name | Ashleigh Shiffler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144744921 PECOS PAC ID: 4082972872 Enrollment ID: I20171228000941 |
| Provider Name | James Francis Dylewski |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124314869 PECOS PAC ID: 3971808064 Enrollment ID: I20180109001616 |
| Provider Name | John Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023436730 PECOS PAC ID: 8820219231 Enrollment ID: I20180116002016 |
| Provider Name | Nathan E Odom |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376771030 PECOS PAC ID: 5597907782 Enrollment ID: I20180117000315 |
| Provider Name | Eugene Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063871176 PECOS PAC ID: 0244520633 Enrollment ID: I20180117002868 |
| Provider Name | Kristin J Viren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376578153 PECOS PAC ID: 0446295687 Enrollment ID: I20180124002332 |
| Provider Name | Cassie M Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952850869 PECOS PAC ID: 0042598120 Enrollment ID: I20180201002355 |
| Provider Name | Seth L Foldy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215988142 PECOS PAC ID: 3971737180 Enrollment ID: I20180205000105 |
| Provider Name | Lindsey A Andreoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821498023 PECOS PAC ID: 3870715584 Enrollment ID: I20180205002611 |
| Provider Name | Matthew L Iorio |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1760623417 PECOS PAC ID: 8224258488 Enrollment ID: I20180207000979 |
| Provider Name | Benjamin A Steinberg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1407065188 PECOS PAC ID: 6406149426 Enrollment ID: I20180216000331 |
| Provider Name | Rose Angel Bernal-barrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700321114 PECOS PAC ID: 7214298959 Enrollment ID: I20180221000605 |
| Provider Name | Sara J Shock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568978153 PECOS PAC ID: 7517228174 Enrollment ID: I20180223000743 |
| Provider Name | Shoshana S Ringel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710493465 PECOS PAC ID: 5799046066 Enrollment ID: I20180301000325 |
| Provider Name | Kenneth C Novoa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851534234 PECOS PAC ID: 9032334784 Enrollment ID: I20180308000638 |
| Provider Name | To Yong M Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104901388 PECOS PAC ID: 7113220971 Enrollment ID: I20180327000851 |
| Provider Name | Duane R Mata |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720100571 PECOS PAC ID: 2365723566 Enrollment ID: I20180327001269 |
| Provider Name | Amir A Jafari |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013207968 PECOS PAC ID: 9739465535 Enrollment ID: I20180328000245 |
| Provider Name | Susan M Somerset |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225320435 PECOS PAC ID: 7517250772 Enrollment ID: I20180328002685 |
| Provider Name | Kristin L Donahue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578831616 PECOS PAC ID: 8628238441 Enrollment ID: I20180329000678 |
| Provider Name | Patricio E Gonzalez-marin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1043433188 PECOS PAC ID: 9931417185 Enrollment ID: I20180412001023 |
| Provider Name | Vincent Labarca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568840544 PECOS PAC ID: 5193037273 Enrollment ID: I20180413000115 |
| Provider Name | Kyle T Reynolds |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1699061473 PECOS PAC ID: 8527284322 Enrollment ID: I20180420001385 |
| Provider Name | Nicole M Dams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902347040 PECOS PAC ID: 1759645260 Enrollment ID: I20180509002712 |
| Provider Name | Christopher Todd Yore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154719425 PECOS PAC ID: 8628396207 Enrollment ID: I20180511001402 |
| Provider Name | Lananh T Nguyen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730509415 PECOS PAC ID: 6608184957 Enrollment ID: I20180511002109 |
| Provider Name | Rebekka Zak |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427493600 PECOS PAC ID: 6507170396 Enrollment ID: I20180517000811 |
| Provider Name | Sara Vengrove |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619379823 PECOS PAC ID: 5799000451 Enrollment ID: I20180529002526 |
| Provider Name | Natalie P Held |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699160853 PECOS PAC ID: 8325353675 Enrollment ID: I20180612001757 |
| Provider Name | Kristin Mabel Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609009943 PECOS PAC ID: 2365663903 Enrollment ID: I20180612001830 |
| Provider Name | Edith Diane Wilson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972602969 PECOS PAC ID: 5294626008 Enrollment ID: I20180626000496 |
| Provider Name | Jacob Y Nacht |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023437944 PECOS PAC ID: 6709132079 Enrollment ID: I20180629000910 |
| Provider Name | Coral L Steffey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366654386 PECOS PAC ID: 6305982570 Enrollment ID: I20180629001385 |
| Provider Name | Regan Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316467897 PECOS PAC ID: 0042566275 Enrollment ID: I20180702000797 |
| Provider Name | Sarah Wachtel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952798647 PECOS PAC ID: 7012263270 Enrollment ID: I20180702002602 |
| Provider Name | Ryan V Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285045864 PECOS PAC ID: 5092015388 Enrollment ID: I20180703000160 |
| Provider Name | Lauren Beard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174817522 PECOS PAC ID: 1850542127 Enrollment ID: I20180713000296 |
| Provider Name | Melissa A Piskozub |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992048409 PECOS PAC ID: 7719120294 Enrollment ID: I20180716000250 |
| Provider Name | Andrew F Prouse |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912206780 PECOS PAC ID: 9335363571 Enrollment ID: I20180717000839 |
| Provider Name | Bethany A Graham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386062537 PECOS PAC ID: 5092005132 Enrollment ID: I20180717003085 |
| Provider Name | Matthew Armstrong Powers |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295152379 PECOS PAC ID: 7012264104 Enrollment ID: I20180720000019 |
| Provider Name | Michael T Wildes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396163929 PECOS PAC ID: 7618271487 Enrollment ID: I20180720000574 |
| Provider Name | Elizabeth L Echalier |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811316144 PECOS PAC ID: 7012138316 Enrollment ID: I20180723002077 |
| Provider Name | Katie Mcpherson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114365624 PECOS PAC ID: 3476796608 Enrollment ID: I20180724001986 |
| Provider Name | Shlesha Basnet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316349111 PECOS PAC ID: 4082929120 Enrollment ID: I20180725000390 |
| Provider Name | Audra L Leblanc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821244419 PECOS PAC ID: 9537416391 Enrollment ID: I20180725000577 |
| Provider Name | Lisa Deuel Baker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053730408 PECOS PAC ID: 9638426356 Enrollment ID: I20180725003142 |
| Provider Name | Jeanne S Feuerstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346667284 PECOS PAC ID: 9133345929 Enrollment ID: I20180725003215 |
| Provider Name | Arthur J Stanley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215348859 PECOS PAC ID: 3971884172 Enrollment ID: I20180730000247 |
| Provider Name | Edgar Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467900381 PECOS PAC ID: 1658629282 Enrollment ID: I20180730002191 |
| Provider Name | Matthew Tuffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609362219 PECOS PAC ID: 5193073740 Enrollment ID: I20180730003073 |
| Provider Name | David S Koslov |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043655525 PECOS PAC ID: 1153679428 Enrollment ID: I20180802000721 |
| Provider Name | Krzysztof Romanowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922418268 PECOS PAC ID: 3678798519 Enrollment ID: I20180802000728 |
| Provider Name | Lindsay M Stronz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457791675 PECOS PAC ID: 4385992411 Enrollment ID: I20180807001835 |
| Provider Name | Thomas Daniel Filardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548654817 PECOS PAC ID: 5597071944 Enrollment ID: I20180807002927 |
| Provider Name | Michael J Durst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720421613 PECOS PAC ID: 8426299496 Enrollment ID: I20180809002103 |
| Provider Name | Ruth K Foss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578980553 PECOS PAC ID: 3577781467 Enrollment ID: I20180809003976 |
| Provider Name | Kristi J Albright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801311931 PECOS PAC ID: 7911255781 Enrollment ID: I20180810000625 |
| Provider Name | Donald L Jacobs |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205930815 PECOS PAC ID: 5193799310 Enrollment ID: I20180813001871 |
| Provider Name | Lela M Ross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366861015 PECOS PAC ID: 5799075842 Enrollment ID: I20180820000200 |
| Provider Name | Maryann Ro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366708000 PECOS PAC ID: 3870867393 Enrollment ID: I20180820000905 |
| Provider Name | Benjamin G Lippert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134562135 PECOS PAC ID: 6305161043 Enrollment ID: I20180821001647 |
| Provider Name | Susana L Peralta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568843993 PECOS PAC ID: 9032423959 Enrollment ID: I20180822003233 |
| Provider Name | Brian Herrmann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548241375 PECOS PAC ID: 4981953007 Enrollment ID: I20180823000949 |
| Provider Name | Emily Cathryn Wellman Willner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730593351 PECOS PAC ID: 8527384916 Enrollment ID: I20180824000038 |
| Provider Name | Kimberly Ann North |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144707506 PECOS PAC ID: 2365791365 Enrollment ID: I20180824001317 |
| Provider Name | William T Tsai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568480796 PECOS PAC ID: 9931108321 Enrollment ID: I20180828002182 |
| Provider Name | Erin K Stenson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710273180 PECOS PAC ID: 4486904224 Enrollment ID: I20180829001072 |
| Provider Name | Nishant K Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952589202 PECOS PAC ID: 2567640378 Enrollment ID: I20180829002522 |
| Provider Name | Elizabeth Joy Beckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881037711 PECOS PAC ID: 3274777297 Enrollment ID: I20180829003828 |
| Provider Name | Andrew P Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811330905 PECOS PAC ID: 0749582393 Enrollment ID: I20180907001235 |
| Provider Name | Mariana Guerrero Gonzalez Aragon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639563539 PECOS PAC ID: 4082965934 Enrollment ID: I20180917001345 |
| Provider Name | Amy E Valesh Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881688489 PECOS PAC ID: 1355331380 Enrollment ID: I20180919003715 |
| Provider Name | Alexander P Morton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336414580 PECOS PAC ID: 5597086454 Enrollment ID: I20180920002540 |
| Provider Name | Steven B Bourland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083058648 PECOS PAC ID: 3779800396 Enrollment ID: I20180920002628 |
| Provider Name | Spencer Tomberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770825184 PECOS PAC ID: 7214206028 Enrollment ID: I20180925001753 |
| Provider Name | Natalie Neumann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053792051 PECOS PAC ID: 6002110772 Enrollment ID: I20180925003323 |
| Provider Name | Moon Y Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780079012 PECOS PAC ID: 2668786922 Enrollment ID: I20180928000375 |
| Provider Name | Adele J Meron |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710321120 PECOS PAC ID: 9032344577 Enrollment ID: I20180928000976 |
| Provider Name | Joshua A Parry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154684918 PECOS PAC ID: 7517103377 Enrollment ID: I20181002001205 |
| Provider Name | Max V Wohlauer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962692194 PECOS PAC ID: 5496057697 Enrollment ID: I20181003001032 |
| Provider Name | Jessica L Wongward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477930873 PECOS PAC ID: 7911215546 Enrollment ID: I20181009003033 |
| Provider Name | Michael R Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083001093 PECOS PAC ID: 5092021402 Enrollment ID: I20181009003274 |
| Provider Name | Chelsea T Wolf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174940183 PECOS PAC ID: 7113146010 Enrollment ID: I20181010000804 |
| Provider Name | Katherine H Ochoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821482027 PECOS PAC ID: 8123334950 Enrollment ID: I20181011001787 |
| Provider Name | Laura A Harmon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053607549 PECOS PAC ID: 0042505745 Enrollment ID: I20181012000511 |
| Provider Name | Elizabeth B Wallace |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730436031 PECOS PAC ID: 8123336328 Enrollment ID: I20181012001357 |
| Provider Name | Justin M Ryder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790102614 PECOS PAC ID: 2264723386 Enrollment ID: I20181015002134 |
| Provider Name | Kelly L. Cyr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053542530 PECOS PAC ID: 0941498273 Enrollment ID: I20181018002421 |
| Provider Name | Loren Keith French |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1952500498 PECOS PAC ID: 2860546637 Enrollment ID: I20181018002634 |
| Provider Name | Daniel Morris Beswick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831455328 PECOS PAC ID: 8123396397 Enrollment ID: I20181019001434 |
| Provider Name | Chandra Matadeen-ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811197619 PECOS PAC ID: 8628099090 Enrollment ID: I20181024000582 |
| Provider Name | Janet E Kukreja |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750605614 PECOS PAC ID: 8921397498 Enrollment ID: I20181024001560 |
| Provider Name | Enrique Caloca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245705235 PECOS PAC ID: 8628321387 Enrollment ID: I20181025001831 |
| Provider Name | Erin Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093109019 PECOS PAC ID: 4385938505 Enrollment ID: I20181030000879 |
| Provider Name | Gregory J Kennedy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164816542 PECOS PAC ID: 1456662782 Enrollment ID: I20181030001935 |
| Provider Name | Adam J Beitscher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073951760 PECOS PAC ID: 2961701180 Enrollment ID: I20181030002642 |
| Provider Name | Margaret A Flesher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316464720 PECOS PAC ID: 5597018929 Enrollment ID: I20181031002549 |
| Provider Name | Thomas Alexander Mcknight |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194067819 PECOS PAC ID: 6406109719 Enrollment ID: I20181101002939 |
| Provider Name | Nicholas J Breitnauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033538848 PECOS PAC ID: 0749503134 Enrollment ID: I20181101003166 |
| Provider Name | Angela R Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265850002 PECOS PAC ID: 4183978968 Enrollment ID: I20181114000736 |
| Provider Name | Jia Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063857969 PECOS PAC ID: 9133351786 Enrollment ID: I20181117000303 |
| Provider Name | Alyssa Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942776588 PECOS PAC ID: 8022362540 Enrollment ID: I20181119002038 |
| Provider Name | Nancy E Hammond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558391862 PECOS PAC ID: 6709889264 Enrollment ID: I20181128000889 |
| Provider Name | Nicole A Larrea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275809683 PECOS PAC ID: 1557653060 Enrollment ID: I20181128002995 |
| Provider Name | Henry D Colangelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043606072 PECOS PAC ID: 7618280546 Enrollment ID: I20181129002648 |
| Provider Name | Mia A Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043699465 PECOS PAC ID: 0244574341 Enrollment ID: I20181130000144 |
| Provider Name | Harriet L Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295121002 PECOS PAC ID: 9133432214 Enrollment ID: I20181205001735 |
| Provider Name | Anne R Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033699681 PECOS PAC ID: 8527302215 Enrollment ID: I20181206002662 |
| Provider Name | Laurie E Halmo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790170439 PECOS PAC ID: 7416268362 Enrollment ID: I20181214000963 |
| Provider Name | Nathanael J Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578049060 PECOS PAC ID: 9830434067 Enrollment ID: I20181217002069 |
| Provider Name | Lisa D Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487129763 PECOS PAC ID: 0345585311 Enrollment ID: I20181219001213 |
| Provider Name | Susanna Kovari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063679140 PECOS PAC ID: 5496801151 Enrollment ID: I20181220002105 |
| Provider Name | Melissa R Griffith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245674142 PECOS PAC ID: 8628211836 Enrollment ID: I20181226001388 |
| Provider Name | Abigail Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124555255 PECOS PAC ID: 6709144025 Enrollment ID: I20181227001417 |
| Provider Name | Raeanna Poplus Simcoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174917082 PECOS PAC ID: 6608111315 Enrollment ID: I20181228001106 |
| Provider Name | Alicen M Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063754463 PECOS PAC ID: 7911296280 Enrollment ID: I20190111001146 |
| Provider Name | Jeremy T Hua |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689060162 PECOS PAC ID: 7911213368 Enrollment ID: I20190208001139 |
| Provider Name | Catherine Allyse Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851723795 PECOS PAC ID: 7911245311 Enrollment ID: I20190211000458 |
| Provider Name | Melanie R Hoehn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306064076 PECOS PAC ID: 9638329857 Enrollment ID: I20190219001530 |
| Provider Name | John Rush Pierce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407888613 PECOS PAC ID: 8527098714 Enrollment ID: I20190228001586 |
| Provider Name | Jennifer Therese Merten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619447406 PECOS PAC ID: 6608115753 Enrollment ID: I20190307000148 |
| Provider Name | Simon P Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407972748 PECOS PAC ID: 5092831065 Enrollment ID: I20190318000845 |
| Provider Name | Robert Dean Chavez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194826784 PECOS PAC ID: 4688914187 Enrollment ID: I20190320001240 |
| Provider Name | Jeffrey O Young |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710952080 PECOS PAC ID: 9830430917 Enrollment ID: I20190418001664 |
| Provider Name | Bradley D Shy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932399037 PECOS PAC ID: 4880725985 Enrollment ID: I20190418001997 |
| Provider Name | Danielle Marie Shoreman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427335934 PECOS PAC ID: 8426299421 Enrollment ID: I20190422000030 |
| Provider Name | Natalya Starkle |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164957429 PECOS PAC ID: 8426390550 Enrollment ID: I20190422000426 |
| Provider Name | Nicole Coates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376068445 PECOS PAC ID: 6406198530 Enrollment ID: I20190422000573 |
| Provider Name | Erik A Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013403914 PECOS PAC ID: 3779825757 Enrollment ID: I20190423000158 |
| Provider Name | Sarah Daily-sheilds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962802728 PECOS PAC ID: 0648512541 Enrollment ID: I20190424002415 |
| Provider Name | Rachel Kohl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780134288 PECOS PAC ID: 3375885080 Enrollment ID: I20190430000314 |
| Provider Name | Emily A Malgor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184883340 PECOS PAC ID: 9830330547 Enrollment ID: I20190430002756 |
| Provider Name | Theresa L Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104015155 PECOS PAC ID: 2062680010 Enrollment ID: I20190501000062 |
| Provider Name | Rafael D Malgor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205078912 PECOS PAC ID: 2466671516 Enrollment ID: I20190503000345 |
| Provider Name | Brian Richard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477010577 PECOS PAC ID: 7416290515 Enrollment ID: I20190513000920 |
| Provider Name | Matthew A Gorski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891198727 PECOS PAC ID: 9436423563 Enrollment ID: I20190515000280 |
| Provider Name | Joan Marie Bedinghaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780635136 PECOS PAC ID: 9638201791 Enrollment ID: I20190515001327 |
| Provider Name | Vanessa Zimmerman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376791103 PECOS PAC ID: 5698018356 Enrollment ID: I20190521000175 |
| Provider Name | Vishnupriya Khatri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386026821 PECOS PAC ID: 6002197142 Enrollment ID: I20190524001928 |
| Provider Name | Anna R Loney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336474949 PECOS PAC ID: 0143401075 Enrollment ID: I20190528002672 |
| Provider Name | Heather Louise Jenkins |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104151141 PECOS PAC ID: 9931442258 Enrollment ID: I20190529002811 |
| Provider Name | Stephen Futterer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1649200973 PECOS PAC ID: 6608906896 Enrollment ID: I20190607000049 |
| Provider Name | Rachida Sabir |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215491790 PECOS PAC ID: 6406189364 Enrollment ID: I20190607000527 |
| Provider Name | Kojo Gyimah Danso |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184088296 PECOS PAC ID: 3375876253 Enrollment ID: I20190607001196 |
| Provider Name | Turner Courtney Lisle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477767168 PECOS PAC ID: 0446420020 Enrollment ID: I20190610000646 |
| Provider Name | Rachael Marie Eckert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598328536 PECOS PAC ID: 3971836701 Enrollment ID: I20190611002028 |
| Provider Name | Michael Andrew Spaulding Barclay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710059381 PECOS PAC ID: 2264525773 Enrollment ID: I20190611002212 |
| Provider Name | Matthew John Pesko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619396215 PECOS PAC ID: 6002192531 Enrollment ID: I20190614001212 |
| Provider Name | David M Naeger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841313178 PECOS PAC ID: 1254518608 Enrollment ID: I20190618000518 |
| Provider Name | Arnav Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598184822 PECOS PAC ID: 5698051142 Enrollment ID: I20190618001320 |
| Provider Name | Trevor Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336566470 PECOS PAC ID: 2062634785 Enrollment ID: I20190619001531 |
| Provider Name | Bryan Daeyoun Park |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568858066 PECOS PAC ID: 5092061937 Enrollment ID: I20190619001930 |
| Provider Name | Jennifer Katherine Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831501196 PECOS PAC ID: 0042510612 Enrollment ID: I20190620001496 |
| Provider Name | Kavitha Periyalwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558592287 PECOS PAC ID: 9234393711 Enrollment ID: I20190621000766 |
| Provider Name | Joseph C Cooley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568859528 PECOS PAC ID: 0345552477 Enrollment ID: I20190621000785 |
| Provider Name | Lydia Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093255416 PECOS PAC ID: 8426382649 Enrollment ID: I20190621002103 |
| Provider Name | Alexandra Cheetham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033572581 PECOS PAC ID: 5698069896 Enrollment ID: I20190702000690 |
| Provider Name | Diane States |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972909067 PECOS PAC ID: 7911231592 Enrollment ID: I20190702001317 |
| Provider Name | Sheaffer O Gilliam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962896324 PECOS PAC ID: 6103150610 Enrollment ID: I20190702002779 |
| Provider Name | Benjamin Li |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578958344 PECOS PAC ID: 3678807195 Enrollment ID: I20190702003118 |
| Provider Name | Sheridan Aleman Jost |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154783389 PECOS PAC ID: 5890080774 Enrollment ID: I20190703001006 |
| Provider Name | Daniel Paul Erhardt |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467870212 PECOS PAC ID: 0042513269 Enrollment ID: I20190705000107 |
| Provider Name | Matthew D Riscinti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093101909 PECOS PAC ID: 9739414913 Enrollment ID: I20190710001513 |
| Provider Name | Andrew E Levy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700140720 PECOS PAC ID: 3971728262 Enrollment ID: I20190710002428 |
| Provider Name | Natalie R Simpson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184760522 PECOS PAC ID: 3173828696 Enrollment ID: I20190716003526 |
| Provider Name | Michael A Puente |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558757153 PECOS PAC ID: 2567756513 Enrollment ID: I20190717000323 |
| Provider Name | Matthew Lee Hartman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063891216 PECOS PAC ID: 9436485919 Enrollment ID: I20190722000557 |
| Provider Name | Monica K Ertel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669869707 PECOS PAC ID: 3375880305 Enrollment ID: I20190722002900 |
| Provider Name | Elizabeth G Hanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891180840 PECOS PAC ID: 2163758525 Enrollment ID: I20190724000538 |
| Provider Name | Anna A Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487065637 PECOS PAC ID: 3476860800 Enrollment ID: I20190724001244 |
| Provider Name | Erin M Mcguinn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467895441 PECOS PAC ID: 1355644154 Enrollment ID: I20190725002143 |
| Provider Name | Jose Miguel Sanchez |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265731707 PECOS PAC ID: 2264724830 Enrollment ID: I20190808003204 |
| Provider Name | Marisa R Moroney |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1144619735 PECOS PAC ID: 8022374024 Enrollment ID: I20190813000388 |
| Provider Name | Kelli A Delay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922441138 PECOS PAC ID: 4789827353 Enrollment ID: I20190813001240 |
| Provider Name | Kelsey E Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205223385 PECOS PAC ID: 3971830993 Enrollment ID: I20190813002177 |
| Provider Name | Jane E Stremming |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194081935 PECOS PAC ID: 8325356561 Enrollment ID: I20190813003166 |
| Provider Name | Jessica R Spivey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205198918 PECOS PAC ID: 5193052991 Enrollment ID: I20190815002455 |
| Provider Name | Laura Marrs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184980526 PECOS PAC ID: 3678862893 Enrollment ID: I20190820000291 |
| Provider Name | Paul Adeeb Khalil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245589449 PECOS PAC ID: 5991050536 Enrollment ID: I20190824000058 |
| Provider Name | Jayne Banks Manush |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275195406 PECOS PAC ID: 4082942230 Enrollment ID: I20190826002030 |
| Provider Name | Whitney L Giamberardino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811382054 PECOS PAC ID: 1052622131 Enrollment ID: I20190827000670 |
| Provider Name | Jessica Cardi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467859926 PECOS PAC ID: 9133457252 Enrollment ID: I20190827001713 |
| Provider Name | Ebelechukwu L Chinweze |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114040904 PECOS PAC ID: 8820245194 Enrollment ID: I20190828003951 |
| Provider Name | Christopher Michael Piatz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689092819 PECOS PAC ID: 3072804095 Enrollment ID: I20190829000668 |
| Provider Name | Daniel Craig |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467710947 PECOS PAC ID: 8628334927 Enrollment ID: I20190829002894 |
| Provider Name | August Funk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245659069 PECOS PAC ID: 4587992409 Enrollment ID: I20190829002965 |
| Provider Name | Timothy M Scheel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619357472 PECOS PAC ID: 5496057176 Enrollment ID: I20190830001039 |
| Provider Name | Michelle Rose Shiffman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043644347 PECOS PAC ID: 0446545867 Enrollment ID: I20190830001670 |
| Provider Name | Yingying Song Rezmovits |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053730085 PECOS PAC ID: 3971832866 Enrollment ID: I20190830001830 |
| Provider Name | Raveesh Daniel Richard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376836437 PECOS PAC ID: 3870897382 Enrollment ID: I20190905001392 |
| Provider Name | Muhammad Riaz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417453176 PECOS PAC ID: 5890024442 Enrollment ID: I20190909000505 |
| Provider Name | Marcus Greatens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538570411 PECOS PAC ID: 6103043120 Enrollment ID: I20190909004038 |
| Provider Name | Nir M Goldstein |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1861588618 PECOS PAC ID: 6800089855 Enrollment ID: I20190911000035 |
| Provider Name | Rebekah Gaensbauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518256288 PECOS PAC ID: 5799014031 Enrollment ID: I20190911001517 |
| Provider Name | Emily Jane Chamberlain |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225683220 PECOS PAC ID: 9638408958 Enrollment ID: I20190912000961 |
| Provider Name | Tyler Deanda Deanda |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750887410 PECOS PAC ID: 2567791767 Enrollment ID: I20190913001101 |
| Provider Name | Nicole L Soiseth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386008621 PECOS PAC ID: 3678865391 Enrollment ID: I20190913002777 |
| Provider Name | Sarah A Gitomer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881030369 PECOS PAC ID: 4385973395 Enrollment ID: I20190916003438 |
| Provider Name | Alexander Schwed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548518962 PECOS PAC ID: 4587971510 Enrollment ID: I20190917000708 |
| Provider Name | Christian R Francom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093865594 PECOS PAC ID: 6608004668 Enrollment ID: I20190918000172 |
| Provider Name | Benjamin R Carron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154717981 PECOS PAC ID: 1153695788 Enrollment ID: I20190918000874 |
| Provider Name | Jasmine L Roth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881185593 PECOS PAC ID: 9638409691 Enrollment ID: I20190918001815 |
| Provider Name | Meghan J Furlong Frese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053639799 PECOS PAC ID: 4284854415 Enrollment ID: I20190920000281 |
| Provider Name | Owen A Darr |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649616012 PECOS PAC ID: 1557676442 Enrollment ID: I20190920000303 |
| Provider Name | Dora Judith Horovitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982011185 PECOS PAC ID: 7012236094 Enrollment ID: I20190925003159 |
| Provider Name | Arturo R Montano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992047898 PECOS PAC ID: 4082907100 Enrollment ID: I20191003002075 |
| Provider Name | David Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194188359 PECOS PAC ID: 2769774470 Enrollment ID: I20191011001030 |
| Provider Name | Dale J Terasaki |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1659766988 PECOS PAC ID: 2567778822 Enrollment ID: I20191015001518 |
| Provider Name | Tammy Jill Wang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164765954 PECOS PAC ID: 6507162898 Enrollment ID: I20191017000343 |
| Provider Name | Jeniann A Yi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639494750 PECOS PAC ID: 4082935077 Enrollment ID: I20191031002188 |
| Provider Name | L Jean Moody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326553298 PECOS PAC ID: 6901138429 Enrollment ID: I20191101000257 |
| Provider Name | Kelly Patricia Ferraro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275793226 PECOS PAC ID: 1951571603 Enrollment ID: I20191104001555 |
| Provider Name | Gregory Kuo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235659657 PECOS PAC ID: 5294167524 Enrollment ID: I20191107000831 |
| Provider Name | John Rague |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336535970 PECOS PAC ID: 2961834221 Enrollment ID: I20191107001967 |
| Provider Name | Russell A Poole |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821161902 PECOS PAC ID: 8022339449 Enrollment ID: I20191107002063 |
| Provider Name | Sara J Hills |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285113803 PECOS PAC ID: 7810329075 Enrollment ID: I20191111000442 |
| Provider Name | Kerry Gagnon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679056741 PECOS PAC ID: 6800228842 Enrollment ID: I20191113002876 |
| Provider Name | John Wesley Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427465483 PECOS PAC ID: 8527350248 Enrollment ID: I20191118002946 |
| Provider Name | Amy Gore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033409347 PECOS PAC ID: 7012349640 Enrollment ID: I20191119002848 |
| Provider Name | Jose L Diaz-miron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407167695 PECOS PAC ID: 7517236649 Enrollment ID: I20191120000496 |
| Provider Name | Alexander Lauder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942575139 PECOS PAC ID: 7214253343 Enrollment ID: I20191120000862 |
| Provider Name | Sandhya Sharma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245671700 PECOS PAC ID: 8022316413 Enrollment ID: I20191121000157 |
| Provider Name | Susan Creighton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114373990 PECOS PAC ID: 6901196823 Enrollment ID: I20191121001709 |
| Provider Name | Kevin M Miller |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407003247 PECOS PAC ID: 1254645427 Enrollment ID: I20191121002453 |
| Provider Name | Oluyomi Obafemi |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1003174384 PECOS PAC ID: 9133342140 Enrollment ID: I20191125000338 |
| Provider Name | Lauren C Bull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396109641 PECOS PAC ID: 4385922095 Enrollment ID: I20191125002536 |
| Provider Name | Andi C Hudler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447613872 PECOS PAC ID: 8022300722 Enrollment ID: I20191205002252 |
| Provider Name | Lukasz P Cerbin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1851780530 PECOS PAC ID: 6709140486 Enrollment ID: I20191206000094 |
| Provider Name | Leah Gwendolyn Brar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326243676 PECOS PAC ID: 4587097407 Enrollment ID: I20191209000037 |
| Provider Name | Collette Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215484654 PECOS PAC ID: 0941633713 Enrollment ID: I20191209002428 |
| Provider Name | Heather West |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932200193 PECOS PAC ID: 6002915782 Enrollment ID: I20191209002453 |
| Provider Name | Shannon N Acker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235454125 PECOS PAC ID: 3173759487 Enrollment ID: I20191210001896 |
| Provider Name | Whitney Oyster |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013553320 PECOS PAC ID: 3678907946 Enrollment ID: I20191218003025 |
| Provider Name | Jyes Annemarie Querubin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154688604 PECOS PAC ID: 6901179662 Enrollment ID: I20191221000237 |
| Provider Name | Ellen Brodrick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467433243 PECOS PAC ID: 6103813589 Enrollment ID: I20191223001751 |
| Provider Name | Carly Noel Calagias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124167044 PECOS PAC ID: 1254765399 Enrollment ID: I20191226001795 |
| Provider Name | John Curtin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528060639 PECOS PAC ID: 4688648215 Enrollment ID: I20191227000398 |
| Provider Name | Mark A Ross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164405080 PECOS PAC ID: 1052455904 Enrollment ID: I20191227001536 |
| Provider Name | Lileya Sobechko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952831661 PECOS PAC ID: 0648604629 Enrollment ID: I20191227001766 |
| Provider Name | Michael Renecle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902393721 PECOS PAC ID: 5890040877 Enrollment ID: I20191227002053 |
| Provider Name | Melanie Kaufman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750618807 PECOS PAC ID: 0143362699 Enrollment ID: I20191230001042 |
| Provider Name | Keelan Chattan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174902860 PECOS PAC ID: 3678907540 Enrollment ID: I20191231001205 |
| Provider Name | Girmachew D Seyoum |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205277019 PECOS PAC ID: 8224344619 Enrollment ID: I20191231001876 |
| Provider Name | Nina Cruchon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396280608 PECOS PAC ID: 5395820633 Enrollment ID: I20200107002853 |
| Provider Name | Ahmad Adi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235524000 PECOS PAC ID: 4082956453 Enrollment ID: I20200109002320 |
| Provider Name | Scott Hamilton |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144552845 PECOS PAC ID: 0244665735 Enrollment ID: I20200109002349 |
| Provider Name | Azra Van Hove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982249967 PECOS PAC ID: 9537594544 Enrollment ID: I20200122001483 |
| Provider Name | Samantha Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013429513 PECOS PAC ID: 8325300247 Enrollment ID: I20200123001122 |
| Provider Name | David M Cantu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881058618 PECOS PAC ID: 3971938655 Enrollment ID: I20200128000377 |
| Provider Name | Neelam Mistry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376906982 PECOS PAC ID: 5890080956 Enrollment ID: I20200131000751 |
| Provider Name | Alexa Camarena-michel |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1821482969 PECOS PAC ID: 4082040423 Enrollment ID: I20200204001166 |
| Provider Name | Saad A Naseer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356535306 PECOS PAC ID: 1658467725 Enrollment ID: I20200210001127 |
| Provider Name | Magdalene Brooke Sanchez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861750754 PECOS PAC ID: 9032407408 Enrollment ID: I20200210001987 |
| Provider Name | Jennifer Zurosky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245556745 PECOS PAC ID: 8921397936 Enrollment ID: I20200210002697 |
| Provider Name | Lisa S Bennett |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932423688 PECOS PAC ID: 6103121033 Enrollment ID: I20200224002553 |
| Provider Name | Robert Church |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447880141 PECOS PAC ID: 0941637847 Enrollment ID: I20200304002474 |
| Provider Name | Sarah Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053856740 PECOS PAC ID: 0143658872 Enrollment ID: I20200312000246 |
| Provider Name | Sarah E Sandhaus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194202622 PECOS PAC ID: 9739517319 Enrollment ID: I20200313000091 |
| Provider Name | Timothy Terry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841604303 PECOS PAC ID: 8729417738 Enrollment ID: I20200326000929 |
| Provider Name | Jesse D Hinckley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598151508 PECOS PAC ID: 7214227362 Enrollment ID: I20200329000503 |
| Provider Name | Anna M Duloy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174885347 PECOS PAC ID: 5395962328 Enrollment ID: I20200329000538 |
| Provider Name | Gina Signoracci |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720345846 PECOS PAC ID: 1658700430 Enrollment ID: I20200330002207 |
| Provider Name | Shannon Bateman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861772832 PECOS PAC ID: 3971932666 Enrollment ID: I20200331003805 |
| Provider Name | Daniel M Cavalcante |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356758692 PECOS PAC ID: 2062730559 Enrollment ID: I20200406001551 |
| Provider Name | Erin Knopf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134563588 PECOS PAC ID: 1052693769 Enrollment ID: I20200407001751 |
| Provider Name | John J West |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770663924 PECOS PAC ID: 3971503285 Enrollment ID: I20200408003238 |
| Provider Name | Hannah Vogtschaller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134753858 PECOS PAC ID: 5496185514 Enrollment ID: I20200413003646 |
| Provider Name | Steven L Cauble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801966437 PECOS PAC ID: 1355535048 Enrollment ID: I20200417002156 |
| Provider Name | Jessica L Parr |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962856781 PECOS PAC ID: 4183916802 Enrollment ID: I20200420001191 |
| Provider Name | Kimberly R Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124653548 PECOS PAC ID: 2062842792 Enrollment ID: I20200421002220 |
| Provider Name | Larry W Moreland |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720019334 PECOS PAC ID: 5799885018 Enrollment ID: I20200422002153 |
| Provider Name | Ramone Sean Eldemire |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669821724 PECOS PAC ID: 9931434487 Enrollment ID: I20200428000694 |
| Provider Name | Stephen D Matthews |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982099297 PECOS PAC ID: 4486917655 Enrollment ID: I20200429002181 |
| Provider Name | Stephen Dreyer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1457679391 PECOS PAC ID: 5991006447 Enrollment ID: I20200430000488 |
| Provider Name | Aaron Emmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275876922 PECOS PAC ID: 5799088449 Enrollment ID: I20200430001524 |
| Provider Name | Samuel Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245206515 PECOS PAC ID: 5991776114 Enrollment ID: I20200504001864 |
| Provider Name | Sierra Rose Houston-randall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538534730 PECOS PAC ID: 5496186504 Enrollment ID: I20200505001978 |
| Provider Name | Amy Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598183725 PECOS PAC ID: 8820216963 Enrollment ID: I20200508001945 |
| Provider Name | Elizabeth Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487174041 PECOS PAC ID: 2062843758 Enrollment ID: I20200513001576 |
| Provider Name | Stephanie Stewart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225384506 PECOS PAC ID: 9032540687 Enrollment ID: I20200514001284 |
| Provider Name | Meghan D Althoff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851754667 PECOS PAC ID: 7517259377 Enrollment ID: I20200514003211 |
| Provider Name | Lindsay M Forbes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366836256 PECOS PAC ID: 3375840499 Enrollment ID: I20200518002465 |
| Provider Name | Isaac T Harley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336568328 PECOS PAC ID: 5496974297 Enrollment ID: I20200521000192 |
| Provider Name | Rachel J Formantes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285287607 PECOS PAC ID: 4385065184 Enrollment ID: I20200603001713 |
| Provider Name | Candace Lartigue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932744828 PECOS PAC ID: 2365863164 Enrollment ID: I20200603001783 |
| Provider Name | Kaitlin S Forman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487088423 PECOS PAC ID: 3274954987 Enrollment ID: I20200605000232 |
| Provider Name | Emily Ambrose |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225457997 PECOS PAC ID: 5597080234 Enrollment ID: I20200617002237 |
| Provider Name | Jennifer Rose Evan |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1487018479 PECOS PAC ID: 1658662515 Enrollment ID: I20200618001203 |
| Provider Name | Ryan M Kammeyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073907457 PECOS PAC ID: 4486965209 Enrollment ID: I20200619000288 |
| Provider Name | Alexander J Baumgartner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821450032 PECOS PAC ID: 1456646397 Enrollment ID: I20200619001232 |
| Provider Name | Talisa Eiko Forest |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154783447 PECOS PAC ID: 4183993025 Enrollment ID: I20200622001166 |
| Provider Name | Megan E Ross |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831551837 PECOS PAC ID: 4284927989 Enrollment ID: I20200623000811 |
| Provider Name | Leah Warner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063648988 PECOS PAC ID: 6002072899 Enrollment ID: I20200624000606 |
| Provider Name | Helena R Winston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699160531 PECOS PAC ID: 6103117460 Enrollment ID: I20200625002258 |
| Provider Name | Austin S Meggitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487072237 PECOS PAC ID: 8426359118 Enrollment ID: I20200629000122 |
| Provider Name | Norianne Martinez Pimentel-piatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841646981 PECOS PAC ID: 6901149061 Enrollment ID: I20200630001152 |
| Provider Name | Alexandra Ellyse Levitt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558711499 PECOS PAC ID: 9133411440 Enrollment ID: I20200701000232 |
| Provider Name | Sarah H Vanarendonk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376907709 PECOS PAC ID: 0749571479 Enrollment ID: I20200701001511 |
| Provider Name | Lauren Carter Sayres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285088468 PECOS PAC ID: 9638461700 Enrollment ID: I20200713001688 |
| Provider Name | Lorel R Huber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487185294 PECOS PAC ID: 5698049690 Enrollment ID: I20200714002859 |
| Provider Name | Julia M Hudnut-tanabe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194256826 PECOS PAC ID: 9133494321 Enrollment ID: I20200714003424 |
| Provider Name | Michael J Korsmo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972967222 PECOS PAC ID: 9739502303 Enrollment ID: I20200715001005 |
| Provider Name | Brendan Mulhern |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851822605 PECOS PAC ID: 7113291717 Enrollment ID: I20200720001258 |
| Provider Name | Lanette A Stewart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073977161 PECOS PAC ID: 8325305824 Enrollment ID: I20200720003403 |
| Provider Name | Matthew Gangidine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639602956 PECOS PAC ID: 3870863533 Enrollment ID: I20200721001915 |
| Provider Name | Kaleigh Lindholm |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932527934 PECOS PAC ID: 5496067704 Enrollment ID: I20200803000841 |
| Provider Name | Jeffrey Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396726717 PECOS PAC ID: 1850496852 Enrollment ID: I20200804000539 |
| Provider Name | Aakriti Pandita |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134535768 PECOS PAC ID: 4789009994 Enrollment ID: I20200805001739 |
| Provider Name | Niranjan Manoharan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598182453 PECOS PAC ID: 2567766504 Enrollment ID: I20200806001250 |
| Provider Name | Lauren C Mehner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285020685 PECOS PAC ID: 7214239771 Enrollment ID: I20200806001692 |
| Provider Name | Jonathan P Meizoso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306112586 PECOS PAC ID: 5092049106 Enrollment ID: I20200807000422 |
| Provider Name | Ross Orpet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699208710 PECOS PAC ID: 7517382567 Enrollment ID: I20200807000610 |
| Provider Name | Benjamin T Trefilek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487187365 PECOS PAC ID: 3678845518 Enrollment ID: I20200807001816 |
| Provider Name | Eric Aaltonen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538340344 PECOS PAC ID: 3971741208 Enrollment ID: I20200810003187 |
| Provider Name | Cordelie Witt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386910669 PECOS PAC ID: 3870800527 Enrollment ID: I20200811001202 |
| Provider Name | Jeffrey Daves Mulvihill |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952782435 PECOS PAC ID: 8820366388 Enrollment ID: I20200811001254 |
| Provider Name | Matthew Alfano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659798643 PECOS PAC ID: 8224336862 Enrollment ID: I20200811001900 |
| Provider Name | Adam Schwertner |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891115002 PECOS PAC ID: 6800212614 Enrollment ID: I20200811002272 |
| Provider Name | John Mcmenamy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194929174 PECOS PAC ID: 6901956879 Enrollment ID: I20200813002810 |
| Provider Name | Meredith Mcdermott |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1033436217 PECOS PAC ID: 6901197607 Enrollment ID: I20200814001931 |
| Provider Name | Venkatesh Nagaraddi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447381728 PECOS PAC ID: 2163510355 Enrollment ID: I20200824000317 |
| Provider Name | Elizabeth A Fenstermacher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205254182 PECOS PAC ID: 1557589140 Enrollment ID: I20200824001557 |
| Provider Name | Elizabeth Pancoast |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699398412 PECOS PAC ID: 3577980473 Enrollment ID: I20200824001667 |
| Provider Name | George J Olsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053844415 PECOS PAC ID: 5890065049 Enrollment ID: I20200825000789 |
| Provider Name | Christopher M. James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730542085 PECOS PAC ID: 3971896523 Enrollment ID: I20200826001124 |
| Provider Name | Kevin H Depner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437683794 PECOS PAC ID: 0648543108 Enrollment ID: I20200826001783 |
| Provider Name | Austin Heare |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811253347 PECOS PAC ID: 9830331743 Enrollment ID: I20200827000014 |
| Provider Name | Ryan Peter Cotter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467879726 PECOS PAC ID: 1759507718 Enrollment ID: I20200827001615 |
| Provider Name | Patrick Y Joynt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326400383 PECOS PAC ID: 6800213281 Enrollment ID: I20200831001901 |
| Provider Name | Carolina P Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386007771 PECOS PAC ID: 3072804160 Enrollment ID: I20200901002057 |
| Provider Name | Laura Vanbrocklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740745926 PECOS PAC ID: 0648510172 Enrollment ID: I20200901003238 |
| Provider Name | Alicia A Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710410808 PECOS PAC ID: 8921377367 Enrollment ID: I20200908002561 |
| Provider Name | Shalvi Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467985366 PECOS PAC ID: 8729357942 Enrollment ID: I20200909002456 |
| Provider Name | Nathan C Grohmann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609119627 PECOS PAC ID: 5092016154 Enrollment ID: I20200909002704 |
| Provider Name | Jonah E Attebery |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598076366 PECOS PAC ID: 0749423655 Enrollment ID: I20200911000614 |
| Provider Name | Andrew Federer |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1780003954 PECOS PAC ID: 4587997226 Enrollment ID: I20200918001306 |
| Provider Name | Anna-marieta Moise |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083972046 PECOS PAC ID: 4385933589 Enrollment ID: I20200922001162 |
| Provider Name | Marcos Cruz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265556898 PECOS PAC ID: 3870652472 Enrollment ID: I20200922003286 |
| Provider Name | Daniel R Kramer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093129629 PECOS PAC ID: 7719282870 Enrollment ID: I20200924001760 |
| Provider Name | Katie E Raffel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447693734 PECOS PAC ID: 8325331846 Enrollment ID: I20200928001288 |
| Provider Name | Allison N Hoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407241003 PECOS PAC ID: 2769780915 Enrollment ID: I20200928001684 |
| Provider Name | Anna M Ruman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932639184 PECOS PAC ID: 8628342573 Enrollment ID: I20200929000867 |
| Provider Name | Lucia Walsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689235210 PECOS PAC ID: 0547689911 Enrollment ID: I20201005000641 |
| Provider Name | Michael Stanger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477746675 PECOS PAC ID: 0345402434 Enrollment ID: I20201014002354 |
| Provider Name | Diana L Whitney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982067369 PECOS PAC ID: 0648561738 Enrollment ID: I20201106000734 |
| Provider Name | Vanessa Noel Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821402520 PECOS PAC ID: 2264795012 Enrollment ID: I20201116001767 |
| Provider Name | Natalie Horn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124688460 PECOS PAC ID: 6901217348 Enrollment ID: I20201116002428 |
| Provider Name | Matthias Darricarrere |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750771515 PECOS PAC ID: 6507277944 Enrollment ID: I20201116002695 |
| Provider Name | Rachel Narr Ebersole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912557281 PECOS PAC ID: 2466863816 Enrollment ID: I20201116002935 |
| Provider Name | Catherine Grinnell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871134528 PECOS PAC ID: 6406285303 Enrollment ID: I20201124001992 |
| Provider Name | Laura Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326667981 PECOS PAC ID: 4284045188 Enrollment ID: I20201125001520 |
| Provider Name | Laura Hamirani |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255973004 PECOS PAC ID: 3779915335 Enrollment ID: I20201201001659 |
| Provider Name | Megan Jane Mack |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528550605 PECOS PAC ID: 0941554828 Enrollment ID: I20201201001664 |
| Provider Name | Nancy Lin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306264742 PECOS PAC ID: 8022394360 Enrollment ID: I20201204000967 |
| Provider Name | Brian Ahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144682253 PECOS PAC ID: 5991090573 Enrollment ID: I20201207000940 |
| Provider Name | Hillary Grady-speckhals |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417372087 PECOS PAC ID: 0143566877 Enrollment ID: I20201207001702 |
| Provider Name | Malinda K Paddock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831531284 PECOS PAC ID: 9436561958 Enrollment ID: I20201207001909 |
| Provider Name | Anthony James Guglielmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538549811 PECOS PAC ID: 4587978531 Enrollment ID: I20201208000074 |
| Provider Name | Christine S Walsh |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1083666721 PECOS PAC ID: 7810991288 Enrollment ID: I20201208000776 |
| Provider Name | Jennifer Firebaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528668381 PECOS PAC ID: 8820400393 Enrollment ID: I20201208001193 |
| Provider Name | Miranda Drew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659886943 PECOS PAC ID: 6002228475 Enrollment ID: I20201209002845 |
| Provider Name | Cydney T Parker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831161025 PECOS PAC ID: 2264400894 Enrollment ID: I20201216002303 |
| Provider Name | Mary Payne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316138324 PECOS PAC ID: 7315023223 Enrollment ID: I20201222000158 |
| Provider Name | John P Evanson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407215205 PECOS PAC ID: 8022420611 Enrollment ID: I20201228000355 |
| Provider Name | Karin Gallup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649805649 PECOS PAC ID: 8527471101 Enrollment ID: I20201229001924 |
| Provider Name | Megan Gottsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235747809 PECOS PAC ID: 6204249782 Enrollment ID: I20201229002606 |
| Provider Name | Jason S Zeller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538509484 PECOS PAC ID: 1052604543 Enrollment ID: I20210106002021 |
| Provider Name | Sarah E Cleary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205119443 PECOS PAC ID: 8527330786 Enrollment ID: I20210107002048 |
| Provider Name | Shani Kay Norberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134218258 PECOS PAC ID: 6608919824 Enrollment ID: I20210111002521 |
| Provider Name | Peter K Moore |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255673638 PECOS PAC ID: 2062767908 Enrollment ID: I20210111003092 |
| Provider Name | James Weber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588123160 PECOS PAC ID: 6305266776 Enrollment ID: I20210112002982 |
| Provider Name | Maryrose Bauschka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831313709 PECOS PAC ID: 9234440470 Enrollment ID: I20210112003204 |
| Provider Name | Marina Elyse Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881220648 PECOS PAC ID: 1153734025 Enrollment ID: I20210114000281 |
| Provider Name | Amanda L Horton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730131509 PECOS PAC ID: 4880606235 Enrollment ID: I20210126000410 |
| Provider Name | Jordan J Karlitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043266349 PECOS PAC ID: 5395740443 Enrollment ID: I20210212001131 |
| Provider Name | Yumuriel Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215530191 PECOS PAC ID: 4587079074 Enrollment ID: I20210216000199 |
| Provider Name | Julia Rosalie Sninchak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417549742 PECOS PAC ID: 9335554732 Enrollment ID: I20210217001519 |
| Provider Name | Richard Scott Rosenblum |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1306834270 PECOS PAC ID: 9931149531 Enrollment ID: I20210217001525 |
| Provider Name | Merrietta Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043800832 PECOS PAC ID: 0446665855 Enrollment ID: I20210217001901 |
| Provider Name | Kelly Hinds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629427786 PECOS PAC ID: 1355756776 Enrollment ID: I20210217002285 |
| Provider Name | Chanyoung Sean Chi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891877650 PECOS PAC ID: 1850652603 Enrollment ID: I20210223000825 |
| Provider Name | Faustina Abeana Mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407401896 PECOS PAC ID: 2961818844 Enrollment ID: I20210302000946 |
| Provider Name | Julianne M Randlemon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922409416 PECOS PAC ID: 2163642018 Enrollment ID: I20210308000487 |
| Provider Name | Elizabeth Puntenney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457589251 PECOS PAC ID: 1850510629 Enrollment ID: I20210309001736 |
| Provider Name | Britney Marie Tibbits |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073107827 PECOS PAC ID: 0143636530 Enrollment ID: I20210310000293 |
| Provider Name | Kaylin Falzetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336733658 PECOS PAC ID: 2567878804 Enrollment ID: I20210310002369 |
| Provider Name | Honora Burnett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295120343 PECOS PAC ID: 7113204983 Enrollment ID: I20210324000518 |
| Provider Name | Kerri L Thurmon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619102746 PECOS PAC ID: 5799911210 Enrollment ID: I20210327000034 |
| Provider Name | Anna Elizabeth Mannisio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851986673 PECOS PAC ID: 1850708298 Enrollment ID: I20210331000460 |
| Provider Name | Ashley S Character |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073127346 PECOS PAC ID: 6305253691 Enrollment ID: I20210405000242 |
| Provider Name | Jessica Elizabeth Ellerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730323999 PECOS PAC ID: 5496935942 Enrollment ID: I20210405000260 |
| Provider Name | Laura Roper Kuhne |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851745970 PECOS PAC ID: 9335556547 Enrollment ID: I20210405001431 |
| Provider Name | James Vandermeulen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528660487 PECOS PAC ID: 5799192969 Enrollment ID: I20210406001300 |
| Provider Name | Letitia Osei Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346833852 PECOS PAC ID: 1254749294 Enrollment ID: I20210413000460 |
| Provider Name | Cassandra Duarte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982108155 PECOS PAC ID: 9537415666 Enrollment ID: I20210414001915 |
| Provider Name | Gwy Suk Seo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346270667 PECOS PAC ID: 2668513789 Enrollment ID: I20210421001016 |
| Provider Name | Ashish Chawla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952457541 PECOS PAC ID: 6709294259 Enrollment ID: I20210421001864 |
| Provider Name | Asma Farooq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174973382 PECOS PAC ID: 1850688128 Enrollment ID: I20210426000916 |
| Provider Name | Mithun Diwakar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467836213 PECOS PAC ID: 7315355682 Enrollment ID: I20210427000086 |
| Provider Name | Cynthia K Wautlet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659336642 PECOS PAC ID: 6406947662 Enrollment ID: I20210427003166 |
| Provider Name | Victor Anaya Baez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275664096 PECOS PAC ID: 5395876791 Enrollment ID: I20210428001046 |
| Provider Name | Meredith Morcos |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386986123 PECOS PAC ID: 8729303656 Enrollment ID: I20210504000612 |
| Provider Name | Cailin Frank |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881037554 PECOS PAC ID: 1951541424 Enrollment ID: I20210504002021 |
| Provider Name | Joseph A Rosenthal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902021108 PECOS PAC ID: 0244362002 Enrollment ID: I20210505000441 |
| Provider Name | Jonathon H Loring |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760836357 PECOS PAC ID: 6103118286 Enrollment ID: I20210506001145 |
| Provider Name | William S Gange |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700313368 PECOS PAC ID: 9638588478 Enrollment ID: I20210507002394 |
| Provider Name | Jamie L Archambault |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720583420 PECOS PAC ID: 1658625942 Enrollment ID: I20210510001671 |
| Provider Name | Laura G Bricklin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164928149 PECOS PAC ID: 9537578240 Enrollment ID: I20210511000194 |
| Provider Name | Laurence J. Colletti |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1033300421 PECOS PAC ID: 4789093402 Enrollment ID: I20210511000335 |
| Provider Name | Andrew White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568886588 PECOS PAC ID: 7618386251 Enrollment ID: I20210511001449 |
| Provider Name | Rebecca L Shay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366861486 PECOS PAC ID: 1951674233 Enrollment ID: I20210512000358 |
| Provider Name | Lise Phan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487031100 PECOS PAC ID: 7911240015 Enrollment ID: I20210512001037 |
| Provider Name | Emma M Harding |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093210791 PECOS PAC ID: 0143578427 Enrollment ID: I20210514001392 |
| Provider Name | James Theodore Engeln |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124552633 PECOS PAC ID: 1759790124 Enrollment ID: I20210514001902 |
| Provider Name | Brian Scott Gurinsky |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336246214 PECOS PAC ID: 8426467788 Enrollment ID: I20210518000231 |
| Provider Name | Christopher Doyle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699155242 PECOS PAC ID: 3678868593 Enrollment ID: I20210520000710 |
| Provider Name | Nhu-nguyen Le |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497094148 PECOS PAC ID: 1557604725 Enrollment ID: I20210520001535 |
| Provider Name | Emily Warncke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679968119 PECOS PAC ID: 2163736653 Enrollment ID: I20210524002699 |
| Provider Name | Nhat Tuan Q Tran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083063135 PECOS PAC ID: 9931487055 Enrollment ID: I20210525000097 |
| Provider Name | Christopher H Schifeling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750744116 PECOS PAC ID: 9436441268 Enrollment ID: I20210527000190 |
| Provider Name | Chad K Bush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750743571 PECOS PAC ID: 1951693704 Enrollment ID: I20210527000438 |
| Provider Name | Ejaaz Attiya Abdulkabir |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710551783 PECOS PAC ID: 0648679399 Enrollment ID: I20210528001201 |
| Provider Name | Mary Margaret Berigan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003480948 PECOS PAC ID: 1850790502 Enrollment ID: I20210528001458 |
| Provider Name | Casey G Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235665746 PECOS PAC ID: 9931508553 Enrollment ID: I20210601001558 |
| Provider Name | Lohit Garg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1184065070 PECOS PAC ID: 7810128550 Enrollment ID: I20210601001974 |
| Provider Name | Erica M Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942730890 PECOS PAC ID: 6800165168 Enrollment ID: I20210602000784 |
| Provider Name | Andrew P Tyus |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154959088 PECOS PAC ID: 8325447931 Enrollment ID: I20210602002003 |
| Provider Name | Aimee Carswell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619156635 PECOS PAC ID: 4981755279 Enrollment ID: I20210603000230 |
| Provider Name | Maryam Ghiassi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346773934 PECOS PAC ID: 1850790395 Enrollment ID: I20210603000430 |
| Provider Name | Julia G Pitkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386149664 PECOS PAC ID: 9739444068 Enrollment ID: I20210604002374 |
| Provider Name | Nicholas Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164955183 PECOS PAC ID: 0143620468 Enrollment ID: I20210608002635 |
| Provider Name | Ryan Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124554571 PECOS PAC ID: 2769892355 Enrollment ID: I20210610000454 |
| Provider Name | Antonia N Pusso |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487182895 PECOS PAC ID: 4880966084 Enrollment ID: I20210614000006 |
| Provider Name | Kristina Foreman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831542604 PECOS PAC ID: 5294060968 Enrollment ID: I20210614000018 |
| Provider Name | Jessica Zha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740635416 PECOS PAC ID: 0648562090 Enrollment ID: I20210614001383 |
| Provider Name | Josiah Stephen Ziegler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144753161 PECOS PAC ID: 7214207547 Enrollment ID: I20210616002905 |
| Provider Name | Michael A Belmonte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265962039 PECOS PAC ID: 2466720271 Enrollment ID: I20210617000250 |
| Provider Name | Jennifer Brady |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194186247 PECOS PAC ID: 8224303433 Enrollment ID: I20210617001339 |
| Provider Name | Emma Lazaroff |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265027841 PECOS PAC ID: 2365842069 Enrollment ID: I20210617001613 |
| Provider Name | Allison L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285121368 PECOS PAC ID: 3476801010 Enrollment ID: I20210617001665 |
| Provider Name | Margaret M Higgins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811359250 PECOS PAC ID: 4284906066 Enrollment ID: I20210622000640 |
| Provider Name | Samantha I King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023514635 PECOS PAC ID: 5395091458 Enrollment ID: I20210623002977 |
| Provider Name | Daniel G Vanderploeg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881080380 PECOS PAC ID: 6305151671 Enrollment ID: I20210624000208 |
| Provider Name | Rajvi Prashant Bhagat |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1346835717 PECOS PAC ID: 7214338433 Enrollment ID: I20210625000815 |
| Provider Name | Daniella M Rocha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164704334 PECOS PAC ID: 8921409772 Enrollment ID: I20210630001731 |
| Provider Name | Eric T Basler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518328483 PECOS PAC ID: 8426303108 Enrollment ID: I20210701000780 |
| Provider Name | Morgan Sellers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649513318 PECOS PAC ID: 1951647577 Enrollment ID: I20210702001899 |
| Provider Name | Bryan Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285082248 PECOS PAC ID: 3678864378 Enrollment ID: I20210706001474 |
| Provider Name | John Brady Weeks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619401056 PECOS PAC ID: 2769751189 Enrollment ID: I20210707002657 |
| Provider Name | Kathleen E Hannan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265827141 PECOS PAC ID: 2668793159 Enrollment ID: I20210709002028 |
| Provider Name | Calen A Steiner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164800173 PECOS PAC ID: 0345543609 Enrollment ID: I20210712003410 |
| Provider Name | Joshua A Barocas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518282219 PECOS PAC ID: 8224262837 Enrollment ID: I20210715000768 |
| Provider Name | Heather Glenn Heiser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700314135 PECOS PAC ID: 8729358882 Enrollment ID: I20210715001093 |
| Provider Name | Mathew P Francis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821485962 PECOS PAC ID: 6709192255 Enrollment ID: I20210715003982 |
| Provider Name | Richard D Froude |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053816116 PECOS PAC ID: 7810245305 Enrollment ID: I20210715004356 |
| Provider Name | Mark A Greyson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316207970 PECOS PAC ID: 5193019958 Enrollment ID: I20210720000229 |
| Provider Name | Katherine Camfield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396275947 PECOS PAC ID: 4183034325 Enrollment ID: I20210720004017 |
| Provider Name | Jacob A Lebin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982099925 PECOS PAC ID: 3678885985 Enrollment ID: I20210722003292 |
| Provider Name | Karla Carranza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295308096 PECOS PAC ID: 2668875824 Enrollment ID: I20210726001648 |
| Provider Name | Amit K Reddy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457714081 PECOS PAC ID: 0749552339 Enrollment ID: I20210726001709 |
| Provider Name | Michael Anthony Benedict Heneghan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851743272 PECOS PAC ID: 6002102969 Enrollment ID: I20210727000674 |
| Provider Name | Evangelia Murray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871099713 PECOS PAC ID: 3274936265 Enrollment ID: I20210728003071 |
| Provider Name | Blake Anthony Jones |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386023679 PECOS PAC ID: 1759683642 Enrollment ID: I20210729001309 |
| Provider Name | Caitlin Greskovich Haydek |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255795860 PECOS PAC ID: 1153747050 Enrollment ID: I20210729002443 |
| Provider Name | Debbie F Cheng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730576018 PECOS PAC ID: 9133434079 Enrollment ID: I20210806002906 |
| Provider Name | Shannon L Son |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154668598 PECOS PAC ID: 3678838943 Enrollment ID: I20210809000010 |
| Provider Name | Robert M Humberstone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386099612 PECOS PAC ID: 1153613542 Enrollment ID: I20210809001374 |
| Provider Name | Fabio Grassia |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275141756 PECOS PAC ID: 4284050675 Enrollment ID: I20210809003439 |
| Provider Name | Katherine Elizabeth Redlinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487247953 PECOS PAC ID: 9931503091 Enrollment ID: I20210811002122 |
| Provider Name | Nancy Z Fang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861886848 PECOS PAC ID: 8224302740 Enrollment ID: I20210812002261 |
| Provider Name | Waseem Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497166573 PECOS PAC ID: 8527357169 Enrollment ID: I20210814000279 |
| Provider Name | Nikolaus Matsler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902338932 PECOS PAC ID: 9234534926 Enrollment ID: I20210818001873 |
| Provider Name | Sarkis C Derderian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831416387 PECOS PAC ID: 4284990938 Enrollment ID: I20210819000720 |
| Provider Name | William W White |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508397365 PECOS PAC ID: 9133521404 Enrollment ID: I20210819000999 |
| Provider Name | Lesley Pepin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124550843 PECOS PAC ID: 4385049980 Enrollment ID: I20210819002463 |
| Provider Name | Emily Marie Walker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922772979 PECOS PAC ID: 7517362080 Enrollment ID: I20210820002094 |
| Provider Name | Hannah Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962075036 PECOS PAC ID: 6002211596 Enrollment ID: I20210820002935 |
| Provider Name | Wei-san Mondie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013493220 PECOS PAC ID: 0749521235 Enrollment ID: I20210823000069 |
| Provider Name | Bethany Carvajal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144545997 PECOS PAC ID: 5597014654 Enrollment ID: I20210824001290 |
| Provider Name | Spencer Mcclelland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972864494 PECOS PAC ID: 1951706092 Enrollment ID: I20210826003794 |
| Provider Name | Michael Andrew Heffler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780171868 PECOS PAC ID: 4789089848 Enrollment ID: I20210827000830 |
| Provider Name | Jessica D Zimonick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639845290 PECOS PAC ID: 0749686665 Enrollment ID: I20210901000818 |
| Provider Name | Ravi Marfatia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811196405 PECOS PAC ID: 9830263888 Enrollment ID: I20210903001843 |
| Provider Name | Cristina Sarmiento |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891157152 PECOS PAC ID: 6800182007 Enrollment ID: I20210907001472 |
| Provider Name | Mikell Yuhasz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952713109 PECOS PAC ID: 6305274598 Enrollment ID: I20210908000208 |
| Provider Name | Matthew Folchert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275929960 PECOS PAC ID: 0547572299 Enrollment ID: I20210908002615 |
| Provider Name | Bhargavi Chekuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881187375 PECOS PAC ID: 6507117181 Enrollment ID: I20210909002698 |
| Provider Name | Matthew D Belton |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1457746323 PECOS PAC ID: 7810217379 Enrollment ID: I20210909003532 |
| Provider Name | Swathi Nemani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568824654 PECOS PAC ID: 8921305012 Enrollment ID: I20210910000955 |
| Provider Name | Eric Chau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598082786 PECOS PAC ID: 6709057268 Enrollment ID: I20210914003859 |
| Provider Name | Lindsay Boothby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518315795 PECOS PAC ID: 2163797903 Enrollment ID: I20210915003141 |
| Provider Name | Valerie Castanon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043741374 PECOS PAC ID: 4789081886 Enrollment ID: I20210915003664 |
| Provider Name | Giovanni Billings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043479686 PECOS PAC ID: 0749598977 Enrollment ID: I20210928002495 |
| Provider Name | Kyle C Stoffers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922456292 PECOS PAC ID: 7315219003 Enrollment ID: I20211005003036 |
| Provider Name | Katherine Hyzy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558734806 PECOS PAC ID: 5991103905 Enrollment ID: I20211005003668 |
| Provider Name | Lois Isaksen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730406455 PECOS PAC ID: 9638394125 Enrollment ID: I20211006000979 |
| Provider Name | Misty White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386113678 PECOS PAC ID: 6709284367 Enrollment ID: I20211012001918 |
| Provider Name | Heather N Farmer-bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235800814 PECOS PAC ID: 3173921772 Enrollment ID: I20211013000107 |
| Provider Name | Zachary J Spearman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801568951 PECOS PAC ID: 0042618530 Enrollment ID: I20211014000214 |
| Provider Name | Meredith Burke Hadley Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437539426 PECOS PAC ID: 6305244617 Enrollment ID: I20211018000022 |
| Provider Name | Joshua Bohoush Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194395574 PECOS PAC ID: 3779971080 Enrollment ID: I20211019001228 |
| Provider Name | Leigh M Kunkle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649641127 PECOS PAC ID: 0345638607 Enrollment ID: I20211019003458 |
| Provider Name | Rachel Marie Hiatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740942606 PECOS PAC ID: 9537557749 Enrollment ID: I20211020002175 |
| Provider Name | Karlee Mccoy Grace Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225458276 PECOS PAC ID: 2860880002 Enrollment ID: I20211021000120 |
| Provider Name | Madeleine Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730851478 PECOS PAC ID: 9234527359 Enrollment ID: I20211022000592 |
| Provider Name | Daniel Wood |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558932384 PECOS PAC ID: 8921496068 Enrollment ID: I20211022001201 |
| Provider Name | Devin Fields |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609281054 PECOS PAC ID: 8426446378 Enrollment ID: I20211026000234 |
| Provider Name | Larissa Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407453889 PECOS PAC ID: 6800201716 Enrollment ID: I20211111001715 |
| Provider Name | Silvia Rizkallah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245887082 PECOS PAC ID: 5496144339 Enrollment ID: I20211115000624 |
| Provider Name | Ellen R Mccormack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811423569 PECOS PAC ID: 7810267085 Enrollment ID: I20211115002333 |
| Provider Name | Grace A Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023770385 PECOS PAC ID: 3476942194 Enrollment ID: I20211117002494 |
| Provider Name | Gregory Blimling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366987075 PECOS PAC ID: 2264716968 Enrollment ID: I20211119001571 |
| Provider Name | Megan B Whitehouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982370615 PECOS PAC ID: 2466841051 Enrollment ID: I20211122000469 |
| Provider Name | Jessica Egusquiza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851769608 PECOS PAC ID: 3779972278 Enrollment ID: I20211122001173 |
| Provider Name | Sahar Taghvaei |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1881072015 PECOS PAC ID: 2961755194 Enrollment ID: I20211123000989 |
| Provider Name | Joshua Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528503885 PECOS PAC ID: 9638451412 Enrollment ID: I20211124001547 |
| Provider Name | Michael Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679731590 PECOS PAC ID: 9335302561 Enrollment ID: I20211130000853 |
| Provider Name | Nancy Taft |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366496028 PECOS PAC ID: 2567426273 Enrollment ID: I20211130001595 |
| Provider Name | Mary Manternach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942965462 PECOS PAC ID: 2567852890 Enrollment ID: I20211201000431 |
| Provider Name | Helen Sudkamp-walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831746395 PECOS PAC ID: 5294065926 Enrollment ID: I20211202000254 |
| Provider Name | Adia Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093384380 PECOS PAC ID: 6305236522 Enrollment ID: I20211202001212 |
| Provider Name | Maria Boero-legge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033876719 PECOS PAC ID: 0941690176 Enrollment ID: I20211202001614 |
| Provider Name | Farshid Azharian |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1366703001 PECOS PAC ID: 2860882800 Enrollment ID: I20211206000989 |
| Provider Name | Randy C Miles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336430586 PECOS PAC ID: 3971803131 Enrollment ID: I20211207000926 |
| Provider Name | Mark E Mikkelsen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831252360 PECOS PAC ID: 3375606288 Enrollment ID: I20211208002894 |
| Provider Name | William Garrett Pollock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386292126 PECOS PAC ID: 5698165413 Enrollment ID: I20211209000252 |
| Provider Name | Irina Rondel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083660237 PECOS PAC ID: 2163414442 Enrollment ID: I20211210001510 |
| Provider Name | Yvonne Sypher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740814748 PECOS PAC ID: 7315337052 Enrollment ID: I20211211000115 |
| Provider Name | Dustin R Ford |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619989670 PECOS PAC ID: 3476943069 Enrollment ID: I20211215000034 |
| Provider Name | Lucia Surraco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275295982 PECOS PAC ID: 1456742014 Enrollment ID: I20211216000005 |
| Provider Name | Brett D Leggett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265524375 PECOS PAC ID: 1951585686 Enrollment ID: I20211216001525 |
| Provider Name | Mark William Simon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649776584 PECOS PAC ID: 4284025149 Enrollment ID: I20220103001814 |
| Provider Name | Jessica Suhowatsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679096291 PECOS PAC ID: 6608135231 Enrollment ID: I20220104002091 |
| Provider Name | Stephen Parker Fulton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548209257 PECOS PAC ID: 5698773943 Enrollment ID: I20220104002605 |
| Provider Name | Kelsey R Hills-dunlap |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164804308 PECOS PAC ID: 8224346135 Enrollment ID: I20220107001068 |
| Provider Name | Lawrence Haber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558509422 PECOS PAC ID: 0345386694 Enrollment ID: I20220111002317 |
| Provider Name | Benjamin H Click |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144596826 PECOS PAC ID: 9638427545 Enrollment ID: I20220119003163 |
| Provider Name | Daniel O'donnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326358201 PECOS PAC ID: 5294142675 Enrollment ID: I20220120000969 |
| Provider Name | Jason D John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841795630 PECOS PAC ID: 8729334891 Enrollment ID: I20220120001136 |
| Provider Name | Amy M Beeson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154854974 PECOS PAC ID: 1658648688 Enrollment ID: I20220125002245 |
| Provider Name | Jessica Alpizar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346909009 PECOS PAC ID: 7810389772 Enrollment ID: I20220126002514 |
| Provider Name | Manuel Urra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255836102 PECOS PAC ID: 2567718687 Enrollment ID: I20220131002050 |
| Provider Name | Carla Amat Matus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184388167 PECOS PAC ID: 6901299783 Enrollment ID: I20220201000635 |
| Provider Name | Christopher D Barrett |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326432311 PECOS PAC ID: 6901160597 Enrollment ID: I20220203001966 |
| Provider Name | Matthew Harry Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104033281 PECOS PAC ID: 2365628831 Enrollment ID: I20220209001458 |
| Provider Name | Savannah Lynn Sprague |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215689914 PECOS PAC ID: 0648663757 Enrollment ID: I20220214002415 |
| Provider Name | Jennifer L Benjamin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255473310 PECOS PAC ID: 6305831264 Enrollment ID: I20220216000879 |
| Provider Name | Jeffrey Allen Kahl |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154488575 PECOS PAC ID: 5890188791 Enrollment ID: I20220216001329 |
| Provider Name | Melissa L Cirillo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952564015 PECOS PAC ID: 0648311308 Enrollment ID: I20220221002128 |
| Provider Name | Daniel J Ozzello |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073992731 PECOS PAC ID: 6507174208 Enrollment ID: I20220223000117 |
| Provider Name | Daniel Yeh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255532990 PECOS PAC ID: 5991830945 Enrollment ID: I20220228001441 |
| Provider Name | Brian P Cervenka |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710327358 PECOS PAC ID: 5092064931 Enrollment ID: I20220302002587 |
| Provider Name | Ashoke Khanwalkar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174917371 PECOS PAC ID: 3678877685 Enrollment ID: I20220304000869 |
| Provider Name | Amy E Schell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558625533 PECOS PAC ID: 0941559371 Enrollment ID: I20220307002671 |
| Provider Name | Anthony Esquivel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326714171 PECOS PAC ID: 9436544459 Enrollment ID: I20220309002234 |
| Provider Name | David A Valentine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093192486 PECOS PAC ID: 9335474683 Enrollment ID: I20220310000391 |
| Provider Name | Colleen J Riordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255872149 PECOS PAC ID: 7911392402 Enrollment ID: I20220321000040 |
| Provider Name | Emily Kate White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669127304 PECOS PAC ID: 4284029497 Enrollment ID: I20220324001019 |
| Provider Name | Matthew Daniel Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285159509 PECOS PAC ID: 5294121224 Enrollment ID: I20220331000368 |
| Provider Name | Lila Glotfelty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790102002 PECOS PAC ID: 0042511321 Enrollment ID: I20220404002339 |
| Provider Name | Ken Masui Fujimura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629426630 PECOS PAC ID: 6608299227 Enrollment ID: I20220405001700 |
| Provider Name | Brittany Elizabeth Viveiros |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881342731 PECOS PAC ID: 3072900182 Enrollment ID: I20220420000173 |
| Provider Name | Bryan Paul Savage |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1679558829 PECOS PAC ID: 1456748102 Enrollment ID: I20220427000689 |
| Provider Name | Glenn Burman Sturges |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1538349444 PECOS PAC ID: 8224425863 Enrollment ID: I20220428001401 |
| Provider Name | Soham Roy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649295494 PECOS PAC ID: 1557449550 Enrollment ID: I20220503002239 |
| Provider Name | David Seth Kauvar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144210626 PECOS PAC ID: 2365665528 Enrollment ID: I20220504001104 |
| Provider Name | Jill D Ogden |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720198229 PECOS PAC ID: 3274920665 Enrollment ID: I20220504001289 |
| Provider Name | Brandon Kentopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679176051 PECOS PAC ID: 8123435039 Enrollment ID: I20220505000451 |
| Provider Name | Carly Ann Judkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467100206 PECOS PAC ID: 4385031640 Enrollment ID: I20220505000622 |
| Provider Name | Hanna Pronko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235533803 PECOS PAC ID: 9436536653 Enrollment ID: I20220509002488 |
| Provider Name | Christina Glewen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598265670 PECOS PAC ID: 6002244100 Enrollment ID: I20220510001204 |
| Provider Name | Meredith Jameson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801546338 PECOS PAC ID: 9537546510 Enrollment ID: I20220512001028 |
| Provider Name | Michele M Keys |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942284278 PECOS PAC ID: 5890744957 Enrollment ID: I20220517000914 |
| Provider Name | Ashley Mariah Frachiseur |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851063242 PECOS PAC ID: 0941687727 Enrollment ID: I20220517001243 |
| Provider Name | Yvonne Deloache |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780807578 PECOS PAC ID: 9739492646 Enrollment ID: I20220519000522 |
| Provider Name | Hailey Stritzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447710918 PECOS PAC ID: 7911240494 Enrollment ID: I20220525001079 |
| Provider Name | Kathleen Joseph |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841759024 PECOS PAC ID: 7719365998 Enrollment ID: I20220531000577 |
| Provider Name | Anthony R Declusin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669977997 PECOS PAC ID: 6507112646 Enrollment ID: I20220601002150 |
| Provider Name | Stacey Barron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932466570 PECOS PAC ID: 0143534248 Enrollment ID: I20220602001455 |
| Provider Name | Jamie Shelbie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033705793 PECOS PAC ID: 8022422195 Enrollment ID: I20220603000021 |
| Provider Name | Bianca Monique Hoffman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1912265562 PECOS PAC ID: 7618355330 Enrollment ID: I20220608000204 |
| Provider Name | Stephanie Holmstrom |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922667922 PECOS PAC ID: 7719365444 Enrollment ID: I20220608000531 |
| Provider Name | Stephanie Holdener |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023472651 PECOS PAC ID: 8921486606 Enrollment ID: I20220608002490 |
| Provider Name | Kelsey E Smithart |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1780243519 PECOS PAC ID: 3072841006 Enrollment ID: I20220609000691 |
| Provider Name | Gary T Jodon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437503224 PECOS PAC ID: 7911299615 Enrollment ID: I20220609001636 |
| Provider Name | Daniel Lorang Spinosa |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1083110969 PECOS PAC ID: 1759769219 Enrollment ID: I20220613000688 |
| Provider Name | Brent Wolford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942567243 PECOS PAC ID: 6002184462 Enrollment ID: I20220614000805 |
| Provider Name | Justin David Whitley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821464066 PECOS PAC ID: 4880073337 Enrollment ID: I20220614001613 |
| Provider Name | Lauren P Oberle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831695014 PECOS PAC ID: 2062760606 Enrollment ID: I20220615001635 |
| Provider Name | Brooke E Heffernan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427553957 PECOS PAC ID: 2860748985 Enrollment ID: I20220615003207 |
| Provider Name | Michael Del Valle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417454323 PECOS PAC ID: 9931448065 Enrollment ID: I20220615003278 |
| Provider Name | Nathaniel D Coddington |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194259648 PECOS PAC ID: 5597144824 Enrollment ID: I20220616002100 |
| Provider Name | Ruth E Campbell |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790214401 PECOS PAC ID: 5294004156 Enrollment ID: I20220616002657 |
| Provider Name | Andrew Wolf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982100335 PECOS PAC ID: 8729335161 Enrollment ID: I20220617000208 |
| Provider Name | Lamia A Al Amri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053818765 PECOS PAC ID: 8123407392 Enrollment ID: I20220617001046 |
| Provider Name | Galia A Deitz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518459098 PECOS PAC ID: 4688920457 Enrollment ID: I20220620000078 |
| Provider Name | Jane Avery |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417453937 PECOS PAC ID: 1153700273 Enrollment ID: I20220621002030 |
| Provider Name | Paige D Kendall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356794457 PECOS PAC ID: 3476899642 Enrollment ID: I20220622001117 |
| Provider Name | Matthew James Woodward |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114423274 PECOS PAC ID: 1759629009 Enrollment ID: I20220622001186 |
| Provider Name | Theresa M Fisher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427541135 PECOS PAC ID: 7012264294 Enrollment ID: I20220622002701 |
| Provider Name | Jarratt D Pytell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134515380 PECOS PAC ID: 0749589315 Enrollment ID: I20220622003461 |
| Provider Name | Saagar Nilesh Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700376209 PECOS PAC ID: 3173902038 Enrollment ID: I20220623000571 |
| Provider Name | Paul M Hobbs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780034074 PECOS PAC ID: 2961778931 Enrollment ID: I20220623002965 |
| Provider Name | Caroline N Vloka |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477044998 PECOS PAC ID: 8426437229 Enrollment ID: I20220624002095 |
| Provider Name | Winnie Hsu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619177060 PECOS PAC ID: 6901193135 Enrollment ID: I20220627000993 |
| Provider Name | Michael Murri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649768532 PECOS PAC ID: 0042643991 Enrollment ID: I20220627001811 |
| Provider Name | Mario Camacho Murillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558750372 PECOS PAC ID: 3678802147 Enrollment ID: I20220628002061 |
| Provider Name | Grace Sumiyo Chandler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518322783 PECOS PAC ID: 1658609649 Enrollment ID: I20220628002438 |
| Provider Name | Megan Jo Townsend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679035968 PECOS PAC ID: 2163764473 Enrollment ID: I20220705000323 |
| Provider Name | Kellie Woodfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316443419 PECOS PAC ID: 1658704457 Enrollment ID: I20220705003162 |
| Provider Name | Nicole Lynn Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316585607 PECOS PAC ID: 9830579028 Enrollment ID: I20220706000988 |
| Provider Name | Daniel Charles Fuchs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629537584 PECOS PAC ID: 8729468947 Enrollment ID: I20220706002352 |
| Provider Name | Samuel Philips |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851020051 PECOS PAC ID: 1658751888 Enrollment ID: I20220706002684 |
| Provider Name | Vera M Staley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053849489 PECOS PAC ID: 7315217411 Enrollment ID: I20220707003894 |
| Provider Name | Samuel J Dunleavy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982108619 PECOS PAC ID: 0840549325 Enrollment ID: I20220708001193 |
| Provider Name | Danielle Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013379098 PECOS PAC ID: 6204166846 Enrollment ID: I20220711000817 |
| Provider Name | Christopher K. Cheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700175312 PECOS PAC ID: 8426320755 Enrollment ID: I20220711002146 |
| Provider Name | Sophie Pietrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932717014 PECOS PAC ID: 3173903879 Enrollment ID: I20220711003514 |
| Provider Name | Jill K Wagoner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619327251 PECOS PAC ID: 8022303163 Enrollment ID: I20220713000043 |
| Provider Name | Shane Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669906947 PECOS PAC ID: 6608144266 Enrollment ID: I20220713001332 |
| Provider Name | Raminder Dhillon-acosta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790749984 PECOS PAC ID: 9133019409 Enrollment ID: I20220714001381 |
| Provider Name | Martin Hinrichs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331432 PECOS PAC ID: 1355611427 Enrollment ID: I20220715000010 |
| Provider Name | John W Diehl |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982809273 PECOS PAC ID: 1658447800 Enrollment ID: I20220718000396 |
| Provider Name | Spyridon Mastroyannis |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1700272986 PECOS PAC ID: 4880990142 Enrollment ID: I20220718000723 |
| Provider Name | Jorge Clint De Leon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144753633 PECOS PAC ID: 3779850060 Enrollment ID: I20220718002522 |
| Provider Name | Richard O Broadhurst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790289767 PECOS PAC ID: 4486918943 Enrollment ID: I20220718003579 |
| Provider Name | Alisa Heronema |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033568985 PECOS PAC ID: 7911388236 Enrollment ID: I20220719000048 |
| Provider Name | Jennie Lynn Marinucci |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316556327 PECOS PAC ID: 7214318476 Enrollment ID: I20220719002077 |
| Provider Name | Lindsay Spencer Howe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811458599 PECOS PAC ID: 5092196287 Enrollment ID: I20220719003200 |
| Provider Name | John Matthew Guerrieri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063972867 PECOS PAC ID: 9739413147 Enrollment ID: I20220721000111 |
| Provider Name | Sarah Diane Janik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649739905 PECOS PAC ID: 8921489030 Enrollment ID: I20220721000376 |
| Provider Name | Catherine K Ard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780144832 PECOS PAC ID: 0648504365 Enrollment ID: I20220721003703 |
| Provider Name | Stacy M Jackson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1043530991 PECOS PAC ID: 7214363662 Enrollment ID: I20220725000465 |
| Provider Name | Jessica L Floyd |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1083101612 PECOS PAC ID: 9234511973 Enrollment ID: I20220728000350 |
| Provider Name | Alexandra Auger Sawyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457810228 PECOS PAC ID: 1951635168 Enrollment ID: I20220728002172 |
| Provider Name | Vanessa Stephanie Olivares |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609542026 PECOS PAC ID: 8820475999 Enrollment ID: I20220728002772 |
| Provider Name | James Kerchberger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396190278 PECOS PAC ID: 8123311842 Enrollment ID: I20220729002527 |
| Provider Name | Shawnecca D Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912469206 PECOS PAC ID: 2668715251 Enrollment ID: I20220801002310 |
| Provider Name | Marleigh Higgins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144688631 PECOS PAC ID: 2567844939 Enrollment ID: I20220802000133 |
| Provider Name | Nicolle F Dyess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336536416 PECOS PAC ID: 9638434400 Enrollment ID: I20220802000498 |
| Provider Name | Kylie And Steenbergh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093208530 PECOS PAC ID: 6204183429 Enrollment ID: I20220802003167 |
| Provider Name | Michael N Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215432653 PECOS PAC ID: 5890041826 Enrollment ID: I20220803000548 |
| Provider Name | Paul Joseph Pokrandt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083108203 PECOS PAC ID: 2062768427 Enrollment ID: I20220803002742 |
| Provider Name | Elise Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104573690 PECOS PAC ID: 9537541792 Enrollment ID: I20220804000464 |
| Provider Name | Rakel M Salamander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629574611 PECOS PAC ID: 8224386743 Enrollment ID: I20220804001693 |
| Provider Name | Jason C Chan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891229050 PECOS PAC ID: 5496137697 Enrollment ID: I20220804002173 |
| Provider Name | Brittany Dawn Layman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336878586 PECOS PAC ID: 8123400298 Enrollment ID: I20220805001494 |
| Provider Name | Bharat M Maraj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497119721 PECOS PAC ID: 6800278854 Enrollment ID: I20220808001137 |
| Provider Name | Chelsea Horwood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740676402 PECOS PAC ID: 3577864800 Enrollment ID: I20220808001363 |
| Provider Name | Katherine Stafford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033775218 PECOS PAC ID: 2062894025 Enrollment ID: I20220808001576 |
| Provider Name | Stephanie Christine Sahadeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164895298 PECOS PAC ID: 1759763667 Enrollment ID: I20220809000403 |
| Provider Name | Elijah J Mun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942662903 PECOS PAC ID: 3971893694 Enrollment ID: I20220811000359 |
| Provider Name | Roseanne J Mauch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861998890 PECOS PAC ID: 6406104991 Enrollment ID: I20220815000012 |
| Provider Name | Sarah Elizabeth Glatt Villasenor |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1598109613 PECOS PAC ID: 1658754205 Enrollment ID: I20220816000508 |
| Provider Name | Nipun B Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154524551 PECOS PAC ID: 0749426435 Enrollment ID: I20220816000512 |
| Provider Name | Franchesca Konig |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407274012 PECOS PAC ID: 8921392440 Enrollment ID: I20220819000642 |
| Provider Name | Ethan D Lowman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427585371 PECOS PAC ID: 1759651383 Enrollment ID: I20220819000903 |
| Provider Name | Hannan M Braun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780188185 PECOS PAC ID: 9638428782 Enrollment ID: I20220820000165 |
| Provider Name | Husayn Aslam Ladhani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851718902 PECOS PAC ID: 1850685900 Enrollment ID: I20220822000010 |
| Provider Name | Emily Parsons |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245768811 PECOS PAC ID: 0244613420 Enrollment ID: I20220822000914 |
| Provider Name | Sarah B Reingold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124522149 PECOS PAC ID: 6406110956 Enrollment ID: I20220823001541 |
| Provider Name | Betsy Dickson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386006773 PECOS PAC ID: 6507281540 Enrollment ID: I20220824002789 |
| Provider Name | Nicholas D Kortan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407052483 PECOS PAC ID: 0941483648 Enrollment ID: I20220825000859 |
| Provider Name | Renaldo Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124463393 PECOS PAC ID: 1850694332 Enrollment ID: I20220825001497 |
| Provider Name | Andrea Beth Fogel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083347231 PECOS PAC ID: 3274951181 Enrollment ID: I20220827000347 |
| Provider Name | Elle Sypek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073248639 PECOS PAC ID: 4587048343 Enrollment ID: I20220829002881 |
| Provider Name | Mary T Labowsky |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326570565 PECOS PAC ID: 0244576437 Enrollment ID: I20220829003482 |
| Provider Name | Benjamin M Hodges |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205564580 PECOS PAC ID: 9133503832 Enrollment ID: I20220830001630 |
| Provider Name | Emily K Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144782111 PECOS PAC ID: 9537493291 Enrollment ID: I20220831000413 |
| Provider Name | Lexis Byberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639828783 PECOS PAC ID: 4284018771 Enrollment ID: I20220901001145 |
| Provider Name | Brittany A Chapman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417119082 PECOS PAC ID: 9133359995 Enrollment ID: I20220902001594 |
| Provider Name | Lucy Burrage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871228775 PECOS PAC ID: 7315321734 Enrollment ID: I20220903000096 |
| Provider Name | Graham Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063499267 PECOS PAC ID: 7012200132 Enrollment ID: I20220906003401 |
| Provider Name | Jessica Yen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144684895 PECOS PAC ID: 3870993439 Enrollment ID: I20220908003176 |
| Provider Name | Miren Aboitiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568862282 PECOS PAC ID: 0143528919 Enrollment ID: I20220912002315 |
| Provider Name | Kathryn Doles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346858453 PECOS PAC ID: 0042695082 Enrollment ID: I20220912003226 |
| Provider Name | Nainita K Madurai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356803910 PECOS PAC ID: 9032594858 Enrollment ID: I20220915000260 |
| Provider Name | Kristine S Corkum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427492289 PECOS PAC ID: 5698070126 Enrollment ID: I20220915000900 |
| Provider Name | Pamela M Mcwhirter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003477233 PECOS PAC ID: 0840520599 Enrollment ID: I20220915001153 |
| Provider Name | Sharon Kwan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164604542 PECOS PAC ID: 6608045646 Enrollment ID: I20220919000109 |
| Provider Name | Daniel Robert Wells-prado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699237370 PECOS PAC ID: 4880936665 Enrollment ID: I20220919003139 |
| Provider Name | John Christian Wiersch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801022116 PECOS PAC ID: 1759324775 Enrollment ID: I20220927000949 |
| Provider Name | Abeer Al Hussein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184342347 PECOS PAC ID: 5799161808 Enrollment ID: I20220927002343 |
| Provider Name | Audrey Bristol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912513698 PECOS PAC ID: 1850777905 Enrollment ID: I20220927003904 |
| Provider Name | Lakshmi Karra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275095911 PECOS PAC ID: 6608118377 Enrollment ID: I20220929003546 |
| Provider Name | Hiu Fung Lam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477511947 PECOS PAC ID: 7416986732 Enrollment ID: I20220930001655 |
| Provider Name | Elizabeth Brzycki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417533340 PECOS PAC ID: 1052729688 Enrollment ID: I20221003001134 |
| Provider Name | Andrew S Maertens |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1013379049 PECOS PAC ID: 6507158730 Enrollment ID: I20221005000558 |
| Provider Name | Hoda Farajpourbakhtiari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710449301 PECOS PAC ID: 1557692530 Enrollment ID: I20221006001170 |
| Provider Name | Jenny Boyd Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902531908 PECOS PAC ID: 6800272196 Enrollment ID: I20221011001334 |
| Provider Name | Sean Hatch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376263590 PECOS PAC ID: 7315313608 Enrollment ID: I20221011001483 |
| Provider Name | Morgan M Busse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548893589 PECOS PAC ID: 3173942968 Enrollment ID: I20221011002964 |
| Provider Name | Cherriese Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316406689 PECOS PAC ID: 1557737376 Enrollment ID: I20221019003062 |
| Provider Name | Steve Anthony Livingston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366114605 PECOS PAC ID: 2365818028 Enrollment ID: I20221020001512 |
| Provider Name | Gabriela Bonilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861115941 PECOS PAC ID: 9830565472 Enrollment ID: I20221021002136 |
| Provider Name | Ashley M. Schinske |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588197685 PECOS PAC ID: 4981973054 Enrollment ID: I20221021002620 |
| Provider Name | Minh Vu H Nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154783645 PECOS PAC ID: 8224399589 Enrollment ID: I20221025000458 |
| Provider Name | Simonique Jessie-allean Grissom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710623012 PECOS PAC ID: 7113393513 Enrollment ID: I20221025003356 |
| Provider Name | Christina Marie Osborne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457778722 PECOS PAC ID: 6406141605 Enrollment ID: I20221028001374 |
| Provider Name | Robert Donachie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528090446 PECOS PAC ID: 6103867288 Enrollment ID: I20221028002433 |
| Provider Name | Sarah Tadlock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124606306 PECOS PAC ID: 6103293378 Enrollment ID: I20221031002514 |
| Provider Name | Christine Guimaraes Loureiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295457240 PECOS PAC ID: 0547637712 Enrollment ID: I20221031002579 |
| Provider Name | Samantha Rae Lee-hodges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841915972 PECOS PAC ID: 3870960057 Enrollment ID: I20221031002841 |
| Provider Name | Heather Rowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518230234 PECOS PAC ID: 0749441889 Enrollment ID: I20221031003079 |
| Provider Name | Sabrina Helene Kaplan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619369345 PECOS PAC ID: 4880061027 Enrollment ID: I20221101002497 |
| Provider Name | Michael Wright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184818585 PECOS PAC ID: 5890889885 Enrollment ID: I20221101002676 |
| Provider Name | Stefanie R Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477277739 PECOS PAC ID: 6204203334 Enrollment ID: I20221102003079 |
| Provider Name | Bill Jacobsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760893069 PECOS PAC ID: 8820419179 Enrollment ID: I20221102003180 |
| Provider Name | Samantha Forsythe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871059790 PECOS PAC ID: 6305187253 Enrollment ID: I20221103001033 |
| Provider Name | Janice Joo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639532187 PECOS PAC ID: 9537452685 Enrollment ID: I20221104000187 |
| Provider Name | Benjamin Recca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306378138 PECOS PAC ID: 3779827688 Enrollment ID: I20221104001518 |
| Provider Name | Ron Tintner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164458659 PECOS PAC ID: 3971522269 Enrollment ID: I20221104001997 |
| Provider Name | Viswamitra Ragoonanan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730552738 PECOS PAC ID: 3971970708 Enrollment ID: I20221107002844 |
| Provider Name | Maegan Elizabeth Olivos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952728560 PECOS PAC ID: 2163899824 Enrollment ID: I20221109001508 |
| Provider Name | Carly Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326647660 PECOS PAC ID: 0840667416 Enrollment ID: I20221110002546 |
| Provider Name | Rachel Anne Kovensky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972278463 PECOS PAC ID: 2264809730 Enrollment ID: I20221114001266 |
| Provider Name | Jacqueline Margaux Kantor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083132583 PECOS PAC ID: 8921476441 Enrollment ID: I20221115000071 |
| Provider Name | Eleanor Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073997458 PECOS PAC ID: 0749598431 Enrollment ID: I20221116003319 |
| Provider Name | Todd Raleigh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396061339 PECOS PAC ID: 5092027532 Enrollment ID: I20221122002393 |
| Provider Name | Joshua James Knight |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285084640 PECOS PAC ID: 4486022332 Enrollment ID: I20221125000315 |
| Provider Name | Kimi L Andaya |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639362163 PECOS PAC ID: 0345512570 Enrollment ID: I20221128000254 |
| Provider Name | Matthew S Minturn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528528353 PECOS PAC ID: 9234463928 Enrollment ID: I20221129002877 |
| Provider Name | Nicole Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063141224 PECOS PAC ID: 1254709876 Enrollment ID: I20221201001242 |
| Provider Name | Mark Landau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447366349 PECOS PAC ID: 8426280538 Enrollment ID: I20221201003409 |
| Provider Name | Erin Elaine Soares |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063092559 PECOS PAC ID: 4981073467 Enrollment ID: I20221205001675 |
| Provider Name | Jennifer R Gafford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821310582 PECOS PAC ID: 5597134049 Enrollment ID: I20221206001256 |
| Provider Name | Cara E Saxon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104387125 PECOS PAC ID: 7416281175 Enrollment ID: I20221206001284 |
| Provider Name | Mark Okonski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952393209 PECOS PAC ID: 5092751800 Enrollment ID: I20221206001523 |
| Provider Name | Sany Mary Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417375320 PECOS PAC ID: 0345550406 Enrollment ID: I20221208000011 |
| Provider Name | Lisa Marie Asbill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528352408 PECOS PAC ID: 0143699173 Enrollment ID: I20221213002073 |
| Provider Name | Tiffany Ann Lyon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982277752 PECOS PAC ID: 4082083951 Enrollment ID: I20221215002075 |
| Provider Name | Claribel Najera-torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972220408 PECOS PAC ID: 2567831472 Enrollment ID: I20221216000514 |
| Provider Name | Grant K Stucki |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184850315 PECOS PAC ID: 4284852112 Enrollment ID: I20221224000016 |
| Provider Name | Sandra Duwaik Cherabie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528446911 PECOS PAC ID: 1951678192 Enrollment ID: I20230105002543 |
| Provider Name | Ankush Gosain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104047083 PECOS PAC ID: 7416136320 Enrollment ID: I20230109001191 |
| Provider Name | Whitney Cowell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093249815 PECOS PAC ID: 9830569607 Enrollment ID: I20230112001547 |
| Provider Name | Robin Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336608306 PECOS PAC ID: 2163752965 Enrollment ID: I20230113001066 |
| Provider Name | Jennifer Kathryn Wardell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457061210 PECOS PAC ID: 4082085865 Enrollment ID: I20230116000686 |
| Provider Name | Karen Diane Foster |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528168713 PECOS PAC ID: 0143691709 Enrollment ID: I20230119000889 |
| Provider Name | Sierra Bandler Shaffer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104443290 PECOS PAC ID: 8123499613 Enrollment ID: I20230119003018 |
| Provider Name | Amber Kay Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245628429 PECOS PAC ID: 8729459185 Enrollment ID: I20230120002765 |
| Provider Name | Dante A Mesa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154880136 PECOS PAC ID: 9830423565 Enrollment ID: I20230121000212 |
| Provider Name | Alexis P Hoffkling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295239697 PECOS PAC ID: 4183035959 Enrollment ID: I20230123001521 |
| Provider Name | Aleis Pugia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801414339 PECOS PAC ID: 8325419625 Enrollment ID: I20230125000233 |
| Provider Name | Olivia Maria Perez -amick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649795840 PECOS PAC ID: 5890125777 Enrollment ID: I20230125001780 |
| Provider Name | Rosa Diprima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831801166 PECOS PAC ID: 9133590268 Enrollment ID: I20230126003567 |
| Provider Name | Sahibzada Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003807520 PECOS PAC ID: 1456320217 Enrollment ID: I20230131003215 |
| Provider Name | Sara Ashley Hinds |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1356725212 PECOS PAC ID: 4385959774 Enrollment ID: I20230220000731 |
| Provider Name | Clary Grace Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306503982 PECOS PAC ID: 2163895129 Enrollment ID: I20230222002930 |
| Provider Name | Charles Ashbrook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588703979 PECOS PAC ID: 4880748631 Enrollment ID: I20230228002937 |
| Provider Name | Daniel Glen Young |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407350093 PECOS PAC ID: 5991178469 Enrollment ID: I20230302002878 |
| Provider Name | Georgia Cate Capsalis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881310589 PECOS PAC ID: 4082088927 Enrollment ID: I20230316001315 |
| Provider Name | Joseph Y Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417968256 PECOS PAC ID: 9234134909 Enrollment ID: I20230320000228 |
| Provider Name | Benjamin Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740905926 PECOS PAC ID: 6608240817 Enrollment ID: I20230329001292 |
| Provider Name | Kasie Barger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932609062 PECOS PAC ID: 5496120669 Enrollment ID: I20230331002696 |
| Provider Name | Samantha Sinclair Ridgeway Fulton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962127803 PECOS PAC ID: 0547635484 Enrollment ID: I20230407000476 |
| Provider Name | Anna Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861032294 PECOS PAC ID: 4183046089 Enrollment ID: I20230413001828 |
| Provider Name | Kimberly Allin Meyers |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942707682 PECOS PAC ID: 7810362324 Enrollment ID: I20230417000254 |
| Provider Name | Faye F Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851772743 PECOS PAC ID: 1254645872 Enrollment ID: I20230417003099 |
| Provider Name | Evan Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164841185 PECOS PAC ID: 0547500373 Enrollment ID: I20230418000688 |
| Provider Name | Joanna Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194110395 PECOS PAC ID: 4981076197 Enrollment ID: I20230424002676 |
| Provider Name | Lisa Panzini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821132432 PECOS PAC ID: 5597813709 Enrollment ID: I20230425001827 |
| Provider Name | James Dmd Doll |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083943906 PECOS PAC ID: 7810352689 Enrollment ID: I20230501000261 |
| Provider Name | Mayuri Gothe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699000844 PECOS PAC ID: 2769778638 Enrollment ID: I20230504001243 |
| Provider Name | Madeline Sophia Scarborough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356083182 PECOS PAC ID: 8224493762 Enrollment ID: I20230505000220 |
| Provider Name | Moonkyung Schubert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235359050 PECOS PAC ID: 0446334858 Enrollment ID: I20230510001043 |
| Provider Name | Jennifer Lopez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285194761 PECOS PAC ID: 1658773957 Enrollment ID: I20230512001926 |
| Provider Name | Qing-min Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801038450 PECOS PAC ID: 7315171626 Enrollment ID: I20230519002735 |
| Provider Name | Bridget Ollesch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851854269 PECOS PAC ID: 8224456686 Enrollment ID: I20230522000076 |
| Provider Name | Anuradha Paranjape |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154338796 PECOS PAC ID: 3779580576 Enrollment ID: I20230524000817 |
| Provider Name | Heran Winta Gebreyesus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235692229 PECOS PAC ID: 1557728037 Enrollment ID: I20230530001330 |
| Provider Name | Christopher James Mowry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558818195 PECOS PAC ID: 3476976937 Enrollment ID: I20230602001244 |
| Provider Name | Ryan Frisbie |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437716883 PECOS PAC ID: 6901263136 Enrollment ID: I20230605000137 |
| Provider Name | Kelly Kaems |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760859904 PECOS PAC ID: 9234449554 Enrollment ID: I20230605002658 |
| Provider Name | Anna Jonsson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1992067177 PECOS PAC ID: 0143461897 Enrollment ID: I20230608001921 |
| Provider Name | Aria Bagheri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649769969 PECOS PAC ID: 1951768878 Enrollment ID: I20230608002058 |
| Provider Name | Apoorva Ram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164977062 PECOS PAC ID: 9638592181 Enrollment ID: I20230608003249 |
| Provider Name | Kathryn Emily Kalata |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922635788 PECOS PAC ID: 0648692343 Enrollment ID: I20230608003545 |
| Provider Name | Alyssa D Pensirikul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912133539 PECOS PAC ID: 4981844032 Enrollment ID: I20230613003252 |
| Provider Name | Aryeh Barris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356006258 PECOS PAC ID: 7113385766 Enrollment ID: I20230614001889 |
| Provider Name | Connor Katherine Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851007900 PECOS PAC ID: 6305204967 Enrollment ID: I20230614002385 |
| Provider Name | Kaitlyn Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992287908 PECOS PAC ID: 3274874797 Enrollment ID: I20230615002225 |
| Provider Name | Vy Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437788999 PECOS PAC ID: 5597188839 Enrollment ID: I20230621002410 |
| Provider Name | Zafar S Gill |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699236943 PECOS PAC ID: 4385978048 Enrollment ID: I20230621002777 |
| Provider Name | Rohan Bhalla |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316437593 PECOS PAC ID: 1951769025 Enrollment ID: I20230621003392 |
| Provider Name | Sean C Hostmeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104210673 PECOS PAC ID: 5395052807 Enrollment ID: I20230627001556 |
| Provider Name | Amanda Zuber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215493747 PECOS PAC ID: 5092054197 Enrollment ID: I20230628000546 |
| Provider Name | Brock Eugene Boehm |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700299773 PECOS PAC ID: 2466679766 Enrollment ID: I20230628001038 |
| Provider Name | Kevin Pettit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104351998 PECOS PAC ID: 2062782790 Enrollment ID: I20230628002216 |
| Provider Name | Courtney Alexandra Karol |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497383681 PECOS PAC ID: 5193148518 Enrollment ID: I20230628004179 |
| Provider Name | Ella Agnew Sorscher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902433782 PECOS PAC ID: 6709201932 Enrollment ID: I20230630002804 |
| Provider Name | Paul Christine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508394230 PECOS PAC ID: 1254600448 Enrollment ID: I20230703002401 |
| Provider Name | David Allen Wiegmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598256570 PECOS PAC ID: 0840545588 Enrollment ID: I20230707002917 |
| Provider Name | Jessica Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063019206 PECOS PAC ID: 4688033699 Enrollment ID: I20230710001270 |
| Provider Name | Julie Friedman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225590847 PECOS PAC ID: 1658605134 Enrollment ID: I20230711000696 |
| Provider Name | Bryan Z Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134567415 PECOS PAC ID: 6800165697 Enrollment ID: I20230711003075 |
| Provider Name | Melanie Inglefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174216568 PECOS PAC ID: 9234599044 Enrollment ID: I20230712000963 |
| Provider Name | Wesley Tsoek-jen Ng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619596574 PECOS PAC ID: 9537582747 Enrollment ID: I20230713003237 |
| Provider Name | Michael Alan Duerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669931804 PECOS PAC ID: 9032579636 Enrollment ID: I20230713004258 |
| Provider Name | Mark Greenwald |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720144975 PECOS PAC ID: 5799677530 Enrollment ID: I20230718001659 |
| Provider Name | Hilary Hesse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922539691 PECOS PAC ID: 0840569729 Enrollment ID: I20230719003787 |
| Provider Name | Lynne Michelle Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477013167 PECOS PAC ID: 8820322670 Enrollment ID: I20230720004072 |
| Provider Name | John W Robison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477055606 PECOS PAC ID: 7214397264 Enrollment ID: I20230721002272 |
| Provider Name | Natalie Simon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649776568 PECOS PAC ID: 0042566002 Enrollment ID: I20230721003336 |
| Provider Name | Claudia Alejandra Gomez Betancourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609508613 PECOS PAC ID: 6608236526 Enrollment ID: I20230724001732 |
| Provider Name | Lauren Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952959876 PECOS PAC ID: 2668833575 Enrollment ID: I20230725001988 |
| Provider Name | Sean Connor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588195218 PECOS PAC ID: 1951672633 Enrollment ID: I20230725002271 |
| Provider Name | Mollie Kristen Quip |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174148399 PECOS PAC ID: 5597189563 Enrollment ID: I20230726000418 |
| Provider Name | Amanda Roberts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366889792 PECOS PAC ID: 4082986047 Enrollment ID: I20230726004013 |
| Provider Name | Bethany Theresa Waites |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548729361 PECOS PAC ID: 6709247380 Enrollment ID: I20230728002197 |
| Provider Name | Adam Ferrone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669932042 PECOS PAC ID: 2365773215 Enrollment ID: I20230731001892 |
| Provider Name | Katharine Elizabeth Sumerfield |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1295348282 PECOS PAC ID: 6901267343 Enrollment ID: I20230801002436 |
| Provider Name | George Nune |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699099358 PECOS PAC ID: 1052536869 Enrollment ID: I20230801002646 |
| Provider Name | Emily Rose Harding-theobald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306290986 PECOS PAC ID: 3971985839 Enrollment ID: I20230801003181 |
| Provider Name | Jason Moss |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417243114 PECOS PAC ID: 2062671191 Enrollment ID: I20230801003974 |
| Provider Name | Robert Blank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568822476 PECOS PAC ID: 8729374723 Enrollment ID: I20230801004192 |
| Provider Name | Amy Mertens |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1235544966 PECOS PAC ID: 8820213820 Enrollment ID: I20230802002735 |
| Provider Name | Melissa King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770131310 PECOS PAC ID: 6800257189 Enrollment ID: I20230802003925 |
| Provider Name | Keyonnia L Shaw |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376290858 PECOS PAC ID: 3577924653 Enrollment ID: I20230804003711 |
| Provider Name | Ryan Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700103868 PECOS PAC ID: 4880907203 Enrollment ID: I20230807000008 |
| Provider Name | Mario J Lintz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104323716 PECOS PAC ID: 9133477656 Enrollment ID: I20230808000117 |
| Provider Name | Ondrea K Timmermann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285196220 PECOS PAC ID: 0648505891 Enrollment ID: I20230808003291 |
| Provider Name | Jack C Rusing |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720583206 PECOS PAC ID: 3779981659 Enrollment ID: I20230811002336 |
| Provider Name | Sydney Robin Archer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912469347 PECOS PAC ID: 0547596223 Enrollment ID: I20230814001703 |
| Provider Name | Jordan Needens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356906127 PECOS PAC ID: 2365804903 Enrollment ID: I20230815001592 |
| Provider Name | Megan Masten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730642463 PECOS PAC ID: 2365776341 Enrollment ID: I20230815002441 |
| Provider Name | Minami Yamamura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396372348 PECOS PAC ID: 3779908553 Enrollment ID: I20230815002726 |
| Provider Name | Colton Mccoy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407316995 PECOS PAC ID: 8325400609 Enrollment ID: I20230818000110 |
| Provider Name | Bjorn Sauerwein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457443251 PECOS PAC ID: 6608877733 Enrollment ID: I20230818001720 |
| Provider Name | Samantha Dickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386088862 PECOS PAC ID: 2365707650 Enrollment ID: I20230821000251 |
| Provider Name | Fermin Suarez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619439163 PECOS PAC ID: 6901268184 Enrollment ID: I20230821001448 |
| Provider Name | Victoria Augusta Cannon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124412085 PECOS PAC ID: 4284940578 Enrollment ID: I20230822000564 |
| Provider Name | Frederick N Milgrim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255996724 PECOS PAC ID: 1254663271 Enrollment ID: I20230822002223 |
| Provider Name | Chelseigh Newkerk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730867961 PECOS PAC ID: 0244693349 Enrollment ID: I20230822003097 |
| Provider Name | Helina Ayalew |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1366183287 PECOS PAC ID: 9830552918 Enrollment ID: I20230823002289 |
| Provider Name | Yuri Agrawal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588710446 PECOS PAC ID: 1850585241 Enrollment ID: I20230823002620 |
| Provider Name | Lucia Adams Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225718513 PECOS PAC ID: 7416310420 Enrollment ID: I20230823004019 |
| Provider Name | Ryan Constancio Alonzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184253445 PECOS PAC ID: 5698199370 Enrollment ID: I20230824000146 |
| Provider Name | Anangamanjari Pedapudi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962908913 PECOS PAC ID: 3375945132 Enrollment ID: I20230824004001 |
| Provider Name | Emily Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770276461 PECOS PAC ID: 8022471986 Enrollment ID: I20230825001722 |
| Provider Name | Tom Giles Pollard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619474434 PECOS PAC ID: 3779946538 Enrollment ID: I20230825002114 |
| Provider Name | Christopher M Discolo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184661340 PECOS PAC ID: 0749214674 Enrollment ID: I20230830000210 |
| Provider Name | Mariah Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902262611 PECOS PAC ID: 4385948884 Enrollment ID: I20230901001668 |
| Provider Name | Mackenzie Weldin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083150429 PECOS PAC ID: 9739462391 Enrollment ID: I20230901003216 |
| Provider Name | Jennifer A Christie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750312252 PECOS PAC ID: 7113010661 Enrollment ID: I20230918002585 |
| Provider Name | Timothy E Amass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215257126 PECOS PAC ID: 2365660594 Enrollment ID: I20230921003079 |
| Provider Name | Benjamin Drumright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790314953 PECOS PAC ID: 5597188680 Enrollment ID: I20230921004407 |
| Provider Name | Rebecca Edwards Mayhew |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194115469 PECOS PAC ID: 1557603172 Enrollment ID: I20230922001014 |
| Provider Name | Alia Rachel Broman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861806036 PECOS PAC ID: 4284907643 Enrollment ID: I20230925001260 |
| Provider Name | Allison Marie Dart |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1538835905 PECOS PAC ID: 1557715539 Enrollment ID: I20230925001961 |
| Provider Name | Carly Schimmel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982398137 PECOS PAC ID: 8820442783 Enrollment ID: I20230926002380 |
| Provider Name | Ariana Nestler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356960272 PECOS PAC ID: 1951724970 Enrollment ID: I20230926002607 |
| Provider Name | Robyn K Bronshtein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043773112 PECOS PAC ID: 6608100938 Enrollment ID: I20230927003461 |
| Provider Name | Helena Juditha Villalobos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073073672 PECOS PAC ID: 8628305505 Enrollment ID: I20230927004268 |
| Provider Name | Jennifer E Baker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265826101 PECOS PAC ID: 3375855414 Enrollment ID: I20231003000460 |
| Provider Name | Jonathan Hills-dunlap |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740692599 PECOS PAC ID: 9436471422 Enrollment ID: I20231004001667 |
| Provider Name | James Haug |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184944845 PECOS PAC ID: 4789845140 Enrollment ID: I20231004001829 |
| Provider Name | Marc J Heronemus |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821594433 PECOS PAC ID: 9234485202 Enrollment ID: I20231018000051 |
| Provider Name | Allison C Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154003432 PECOS PAC ID: 2769838135 Enrollment ID: I20231023000779 |
| Provider Name | Andrew Koo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831540772 PECOS PAC ID: 4688092109 Enrollment ID: I20231023001408 |
| Provider Name | Kelly Bogaert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679005425 PECOS PAC ID: 2769713593 Enrollment ID: I20231026000408 |
| Provider Name | Amanda S Deis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366931586 PECOS PAC ID: 1153677521 Enrollment ID: I20231026003791 |
| Provider Name | Sydney Cople |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205380839 PECOS PAC ID: 4688020654 Enrollment ID: I20231026003845 |
| Provider Name | Margaret Smith |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1831502145 PECOS PAC ID: 9436464864 Enrollment ID: I20231110002244 |
| Provider Name | Jared D Stephens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205491446 PECOS PAC ID: 8426384009 Enrollment ID: I20231111000710 |
| Provider Name | Steven Taylor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568824290 PECOS PAC ID: 1254623960 Enrollment ID: I20231113001923 |
| Provider Name | Hisae Tsurumi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205381589 PECOS PAC ID: 0941584452 Enrollment ID: I20231115001871 |
| Provider Name | Yi-jou Tsai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053674903 PECOS PAC ID: 5890018568 Enrollment ID: I20231121002870 |
| Provider Name | Kendra Boren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194415984 PECOS PAC ID: 7315395449 Enrollment ID: I20231129002204 |
| Provider Name | Emili Noel Pickenpaugh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609420249 PECOS PAC ID: 9436507399 Enrollment ID: I20231204000282 |
| Provider Name | Erin O'brien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659032266 PECOS PAC ID: 4082062963 Enrollment ID: I20231204001027 |
| Provider Name | David Yurka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639955818 PECOS PAC ID: 4688022585 Enrollment ID: I20231204001633 |
| Provider Name | Amanda Mcshane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396526554 PECOS PAC ID: 6103274931 Enrollment ID: I20231204003121 |
| Provider Name | Evan Paul Robertson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902312788 PECOS PAC ID: 3779932124 Enrollment ID: I20231211000607 |
| Provider Name | Sally Patterson Fallanca |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861103798 PECOS PAC ID: 8820447238 Enrollment ID: I20231211002868 |
| Provider Name | Meghan Hogan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194195065 PECOS PAC ID: 6709235120 Enrollment ID: I20231211003430 |
| Provider Name | Maria Jeane Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518648583 PECOS PAC ID: 6709235047 Enrollment ID: I20231212000537 |
| Provider Name | Nergis Akkaya |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982152468 PECOS PAC ID: 3971952094 Enrollment ID: I20231213003987 |
| Provider Name | Melis Sunay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760139372 PECOS PAC ID: 9537536958 Enrollment ID: I20231221000627 |
| Provider Name | Chloe Seline Graves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558022491 PECOS PAC ID: 8921458670 Enrollment ID: I20231221002043 |
| Provider Name | Katherine Grace Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427823996 PECOS PAC ID: 5092165589 Enrollment ID: I20231226000436 |
| Provider Name | Terra Wishon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225435191 PECOS PAC ID: 2062862170 Enrollment ID: I20240102000445 |
| Provider Name | Tamara T Tobey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124112669 PECOS PAC ID: 5193890689 Enrollment ID: I20240103002989 |
| Provider Name | Jordyn Bode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578229522 PECOS PAC ID: 1355792250 Enrollment ID: I20240104002562 |
| Provider Name | Eileen Chen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467107334 PECOS PAC ID: 8123479813 Enrollment ID: I20240106000929 |
| Provider Name | Ashley Haines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982111548 PECOS PAC ID: 2264883743 Enrollment ID: I20240109002778 |
| Provider Name | Christine Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356804371 PECOS PAC ID: 4284085671 Enrollment ID: I20240110002415 |
| Provider Name | William Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245620376 PECOS PAC ID: 5193176253 Enrollment ID: I20240112002804 |
| Provider Name | Karen Lee Dumars |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417059346 PECOS PAC ID: 7113938978 Enrollment ID: I20240115001942 |
| Provider Name | Allison Maynes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588149355 PECOS PAC ID: 5991157778 Enrollment ID: I20240117002030 |
| Provider Name | Brooke Delgaudio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487439113 PECOS PAC ID: 3476905134 Enrollment ID: I20240118000298 |
| Provider Name | Martine Gould |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164180493 PECOS PAC ID: 5193177459 Enrollment ID: I20240123000851 |
| Provider Name | Kelly Harris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851714471 PECOS PAC ID: 6800189408 Enrollment ID: I20240125001056 |
| Provider Name | Dora Bonilla |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962058875 PECOS PAC ID: 3678926680 Enrollment ID: I20240125004207 |
| Provider Name | Andrea A Girolmo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487078333 PECOS PAC ID: 3971956822 Enrollment ID: I20240127000411 |
| Provider Name | Justin Ross Upwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528571940 PECOS PAC ID: 1850744624 Enrollment ID: I20240129000646 |
| Provider Name | Cassandra Irene Hensarling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689443269 PECOS PAC ID: 8921451550 Enrollment ID: I20240130002272 |
| Provider Name | Justin D Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518621846 PECOS PAC ID: 7911350343 Enrollment ID: I20240201000578 |
| Provider Name | Abbey Gesing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669931309 PECOS PAC ID: 4981047289 Enrollment ID: I20240202002792 |
| Provider Name | Amelia Bunch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932656212 PECOS PAC ID: 7911340005 Enrollment ID: I20240206000861 |
| Provider Name | Stephanie K. Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306527189 PECOS PAC ID: 9234572280 Enrollment ID: I20240207001666 |
| Provider Name | Raquel Noemi Geraldino-fernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770067944 PECOS PAC ID: 4385087113 Enrollment ID: I20240208003770 |
| Provider Name | Brian Eugene Milton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245480110 PECOS PAC ID: 2365885035 Enrollment ID: I20240209000725 |
| Provider Name | Mallory Anne Schuckert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033669585 PECOS PAC ID: 2961845557 Enrollment ID: I20240212000301 |
| Provider Name | John Nielsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083031009 PECOS PAC ID: 1557704004 Enrollment ID: I20240212002546 |
| Provider Name | Stacy Forget |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841643046 PECOS PAC ID: 3779926225 Enrollment ID: I20240212002735 |
| Provider Name | Elliot Bryant Greive |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538702725 PECOS PAC ID: 9335582733 Enrollment ID: I20240213000061 |
| Provider Name | Audrey Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124680046 PECOS PAC ID: 3072956440 Enrollment ID: I20240213002768 |
| Provider Name | Lacey Gregory |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528459005 PECOS PAC ID: 5496199713 Enrollment ID: I20240214003766 |
| Provider Name | Mennatullah Lotfy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275192080 PECOS PAC ID: 4183068356 Enrollment ID: I20240215001335 |
| Provider Name | Leslie Ann Holmes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386962538 PECOS PAC ID: 9335583574 Enrollment ID: I20240215003784 |
| Provider Name | Bonnie Suzanne Taggart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043777634 PECOS PAC ID: 5991149148 Enrollment ID: I20240215004152 |
| Provider Name | Lindsey Kimball |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851826853 PECOS PAC ID: 9133563083 Enrollment ID: I20240219002177 |
| Provider Name | Jessica Churchill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366974131 PECOS PAC ID: 4082990726 Enrollment ID: I20240219002314 |
| Provider Name | Michael Roux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780089862 PECOS PAC ID: 7517301393 Enrollment ID: I20240220003489 |
| Provider Name | Danielle Alyce Cathey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851056584 PECOS PAC ID: 0345684148 Enrollment ID: I20240220004251 |
| Provider Name | Alexander Hadzagas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780150649 PECOS PAC ID: 0244674992 Enrollment ID: I20240221001362 |
| Provider Name | Jamela A Snow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669140067 PECOS PAC ID: 4587009907 Enrollment ID: I20240226001478 |
| Provider Name | Holly Patricia Lavin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801528328 PECOS PAC ID: 8921443367 Enrollment ID: I20240226001902 |
| Provider Name | Tewodros Haile Gebremariam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912770256 PECOS PAC ID: 4486099751 Enrollment ID: I20240226003508 |
| Provider Name | Courtney Renee Crotty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184000184 PECOS PAC ID: 9830534908 Enrollment ID: I20240228002523 |
| Provider Name | Taylor D Easley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285990754 PECOS PAC ID: 0042655128 Enrollment ID: I20240228002705 |
| Provider Name | Pamela Londres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891221917 PECOS PAC ID: 9830469956 Enrollment ID: I20240228003197 |
| Provider Name | Jennifer Ess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114919644 PECOS PAC ID: 6709881410 Enrollment ID: I20240228004774 |
| Provider Name | Kelsey Leigh Kuperman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407215940 PECOS PAC ID: 0941645733 Enrollment ID: I20240304000137 |
| Provider Name | Kailey Grimes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780462416 PECOS PAC ID: 2668817263 Enrollment ID: I20240305000672 |
| Provider Name | Danielle Ann Spratt Roman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285162065 PECOS PAC ID: 6305282864 Enrollment ID: I20240307000987 |
| Provider Name | Christopher Newton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174384713 PECOS PAC ID: 1850737982 Enrollment ID: I20240312002593 |
| Provider Name | Carol Marie Morrow |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639201098 PECOS PAC ID: 5890090013 Enrollment ID: I20240314003493 |
| Provider Name | Margaret Teresa Vieweg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689017527 PECOS PAC ID: 6305282195 Enrollment ID: I20240315000238 |
| Provider Name | Darin Weltsch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679149298 PECOS PAC ID: 2961849609 Enrollment ID: I20240318002132 |
| Provider Name | Angela Renee Oliver Piquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912428103 PECOS PAC ID: 6800160755 Enrollment ID: I20240319003867 |
| Provider Name | Kelly Shaffer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700228103 PECOS PAC ID: 5193172310 Enrollment ID: I20240320000630 |
| Provider Name | Rachel Elizabeth Haar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255472650 PECOS PAC ID: 0749627263 Enrollment ID: I20240320000927 |
| Provider Name | Wing C. Hsieh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891799672 PECOS PAC ID: 2769425875 Enrollment ID: I20240321000932 |
| Provider Name | Rebekah Phillipi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043651862 PECOS PAC ID: 0749627008 Enrollment ID: I20240321002979 |
| Provider Name | Tania Yazmin Molinar Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225596075 PECOS PAC ID: 3375980667 Enrollment ID: I20240321003945 |
| Provider Name | Natalie Ryder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063981108 PECOS PAC ID: 7618314857 Enrollment ID: I20240322002105 |
| Provider Name | Ellen Jo Dudley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982060968 PECOS PAC ID: 9931546108 Enrollment ID: I20240322003749 |
| Provider Name | Jennifer Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710407721 PECOS PAC ID: 5698016277 Enrollment ID: I20240322004131 |
| Provider Name | Cole Brandon Haskins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851910442 PECOS PAC ID: 7810319589 Enrollment ID: I20240325000403 |
| Provider Name | Bala Ramanan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811144025 PECOS PAC ID: 0345522678 Enrollment ID: I20240327002738 |
| Provider Name | Allison Forrest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649640947 PECOS PAC ID: 2567841224 Enrollment ID: I20240328002991 |
| Provider Name | Ashton Ann Dehahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821870726 PECOS PAC ID: 0547608325 Enrollment ID: I20240401000140 |
| Provider Name | Jeane Treelynn Tyler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962770347 PECOS PAC ID: 3678911336 Enrollment ID: I20240401002962 |
| Provider Name | Matthew Hoag |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619386257 PECOS PAC ID: 5395183685 Enrollment ID: I20240405000501 |
| Provider Name | Sean Rodriguez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659996833 PECOS PAC ID: 5092139576 Enrollment ID: I20240405001622 |
| Provider Name | Whitney Nicole Lutz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700363124 PECOS PAC ID: 9830537075 Enrollment ID: I20240405002973 |
| Provider Name | Edin Nevzati |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447773601 PECOS PAC ID: 3779857065 Enrollment ID: I20240409005088 |
| Provider Name | Stephane Paul Serrano-cocuelle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740845478 PECOS PAC ID: 2062850902 Enrollment ID: I20240410003509 |
| Provider Name | Lauren D Thaxton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760772859 PECOS PAC ID: 5294042966 Enrollment ID: I20240411001724 |
| Provider Name | John Gorham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164877031 PECOS PAC ID: 7012335888 Enrollment ID: I20240412003137 |
| Provider Name | Shaina Lisette Klackle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467585356 PECOS PAC ID: 4082053756 Enrollment ID: I20240414000025 |
| Provider Name | Chun Dai Diana Lin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851087134 PECOS PAC ID: 2668811076 Enrollment ID: I20240418001452 |
| Provider Name | Selin Odman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295410496 PECOS PAC ID: 1850730144 Enrollment ID: I20240419000446 |
| Provider Name | Griffin Sutherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750069662 PECOS PAC ID: 1850730029 Enrollment ID: I20240419003373 |
| Provider Name | Sarah Tey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497385421 PECOS PAC ID: 8527407725 Enrollment ID: I20240422000780 |
| Provider Name | Angel Diele Woods |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174115737 PECOS PAC ID: 7416396577 Enrollment ID: I20240422003372 |
| Provider Name | Nicole Doria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811481740 PECOS PAC ID: 0345598702 Enrollment ID: I20240430000642 |
| Provider Name | Andrew Tuan Quoc Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841878675 PECOS PAC ID: 2668873472 Enrollment ID: I20240504000427 |
| Provider Name | Sarah Abbott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326519042 PECOS PAC ID: 1153761283 Enrollment ID: I20240506003822 |
| Provider Name | Rebekah Anders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487159810 PECOS PAC ID: 7719233782 Enrollment ID: I20240514000445 |
| Provider Name | Jb Fenix |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922392877 PECOS PAC ID: 2769749803 Enrollment ID: I20240514002046 |
| Provider Name | Anthony R Cai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871099952 PECOS PAC ID: 0042542177 Enrollment ID: I20240520002619 |
| Provider Name | Yen N Nguyen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336573096 PECOS PAC ID: 4981046083 Enrollment ID: I20240521002012 |
| Provider Name | Terrence Salley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245601301 PECOS PAC ID: 9032551973 Enrollment ID: I20240523003112 |
| Provider Name | Gillian Chop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316567282 PECOS PAC ID: 9234571746 Enrollment ID: I20240530000139 |
| Provider Name | Emily Ann Kitzmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508615709 PECOS PAC ID: 4385086651 Enrollment ID: I20240531002584 |
| Provider Name | Shannon Marie Unger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639549231 PECOS PAC ID: 1254873581 Enrollment ID: I20240603000653 |
| Provider Name | Amanda Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154197671 PECOS PAC ID: 8729520945 Enrollment ID: I20240604000124 |
| Provider Name | Julia Xia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871015602 PECOS PAC ID: 5193140606 Enrollment ID: I20240604001858 |
| Provider Name | Neha Kamal Ali |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063040277 PECOS PAC ID: 3072055938 Enrollment ID: I20240606001623 |
| Provider Name | Cecilia Allain Hernandez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861019630 PECOS PAC ID: 0648699116 Enrollment ID: I20240607001010 |
| Provider Name | Adrian Coleoglou Centeno |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972096865 PECOS PAC ID: 0547516171 Enrollment ID: I20240607001504 |
| Provider Name | Hongan Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902435274 PECOS PAC ID: 0941623466 Enrollment ID: I20240613001518 |
Family Dentistry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7701 E 1st Pl Ste B, Denver, CO 80230 Phone: 303-399-4444 Fax: 303-355-6855 | |
Care Connections Of Illinois, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 Stout St Ste 2000, Denver, CO 80202 Phone: 980-443-4852 | |
Denver Occupational & Aviation Med. Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Havana St, Suite 200, Denver, CO 80239 Phone: 303-373-4456 Fax: 303-373-4501 | |
Dr. D. J. Strickland, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9669 Huron St Ste 202, Denver, CO 80260 Phone: 303-428-7509 Fax: 303-429-0032 | |
Dh Southwest Clinic Laboratory Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1339 S Federal Blvd, Denver, CO 80219 Phone: 303-602-0000 Fax: 303-602-0500 | |
Mile High Council On Alcoholism And Drug Abuse Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4242 Delaware St, Denver, CO 80216 Phone: 303-825-8113 | |
Direct Diabetes Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Bassett Apt 1603, Denver, CO 80202 Phone: 720-739-0734 |