| Ecu Physicians | |
|
101 Heart Dr Greenville NC 27834-8982 | |
| (252) 744-4611 | |
| (252) 744-3201 |
| Full Name | Ecu Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Heart Dr, Greenville, North Carolina |
| Authorized Official Name and Position | Jason A Foltz (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2527441882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecu Physicians Po Box 751069 Charlotte NC 28275-1069 Ph: () - | Ecu Physicians 101 Heart Dr Greenville NC 27834-8982 Ph: (252) 744-4611 |
| NPI Number | 1972551919 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 11/04/2020 |
| Medicare PECOS PAC ID | 0244143246 |
|---|---|
| Medicare Enrollment ID | O20031106000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972551919 | NPI | - | NPPES |
| 8903015 | Medicaid | NC | |
| 03015 | Other | NC | BCBS NC GROUP PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey M Potter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831171222 PECOS PAC ID: 8022922095 Enrollment ID: I20031113000821 |
| Provider Name | Anthony Thaxton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407884695 PECOS PAC ID: 1759295132 Enrollment ID: I20031119000118 |
| Provider Name | Beth Hays Lindsay |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316033616 PECOS PAC ID: 9234034570 Enrollment ID: I20031201000486 |
| Provider Name | Willis E Martin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902042278 PECOS PAC ID: 3274432455 Enrollment ID: I20040107000360 |
| Provider Name | Daniel E Everhart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265485437 PECOS PAC ID: 8729988381 Enrollment ID: I20040110000014 |
| Provider Name | Thomas J Zuber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659325686 PECOS PAC ID: 1052204807 Enrollment ID: I20040206000763 |
| Provider Name | Richard W Kreeger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396737649 PECOS PAC ID: 8628965712 Enrollment ID: I20040303000283 |
| Provider Name | Mindy L Saenz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639141112 PECOS PAC ID: 0345138947 Enrollment ID: I20040305000855 |
| Provider Name | Nancy G Harris |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669438677 PECOS PAC ID: 4082502646 Enrollment ID: I20040306000090 |
| Provider Name | Sean C Pumphrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013072511 PECOS PAC ID: 7214825736 Enrollment ID: I20040308000205 |
| Provider Name | Deborah S Culbertson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407866072 PECOS PAC ID: 7618868233 Enrollment ID: I20040323001148 |
| Provider Name | William L Kozel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598710907 PECOS PAC ID: 7416949623 Enrollment ID: I20040330001368 |
| Provider Name | Benjamin J Copeland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811999139 PECOS PAC ID: 2365437977 Enrollment ID: I20040414001729 |
| Provider Name | William J Leland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780664060 PECOS PAC ID: 6103807557 Enrollment ID: I20040601000384 |
| Provider Name | Joseph L Miller |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1891724431 PECOS PAC ID: 4284618752 Enrollment ID: I20040614001528 |
| Provider Name | Teresa W Winslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083678866 PECOS PAC ID: 7012993363 Enrollment ID: I20040628000121 |
| Provider Name | Shyamal K Mitra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467437079 PECOS PAC ID: 2860478120 Enrollment ID: I20040628000190 |
| Provider Name | Christian Mann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174572564 PECOS PAC ID: 2668442039 Enrollment ID: I20040731000179 |
| Provider Name | Syed A Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639167067 PECOS PAC ID: 1557332806 Enrollment ID: I20040802001206 |
| Provider Name | Victoria Trapanotto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225010606 PECOS PAC ID: 3870564701 Enrollment ID: I20040804000764 |
| Provider Name | Hansen Su |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952372591 PECOS PAC ID: 2365415841 Enrollment ID: I20040813000371 |
| Provider Name | Scott S Macgilvray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568455459 PECOS PAC ID: 2163495110 Enrollment ID: I20040817001129 |
| Provider Name | Amy L Blumenthal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306843719 PECOS PAC ID: 8729053434 Enrollment ID: I20040826001268 |
| Provider Name | Gilbert K Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851397079 PECOS PAC ID: 3870562887 Enrollment ID: I20040927001082 |
| Provider Name | Diane A Semer |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1245234004 PECOS PAC ID: 8527027465 Enrollment ID: I20041006001377 |
| Provider Name | David N Collier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164422424 PECOS PAC ID: 9335109560 Enrollment ID: I20041013000145 |
| Provider Name | William A Dalzell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700887791 PECOS PAC ID: 6305807389 Enrollment ID: I20041022000685 |
| Provider Name | Sandeep R Pandit |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194743716 PECOS PAC ID: 2264493295 Enrollment ID: I20041026000777 |
| Provider Name | Charles S Powell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437144094 PECOS PAC ID: 0345203493 Enrollment ID: I20041109000936 |
| Provider Name | Reginald I Obi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841224490 PECOS PAC ID: 2769448414 Enrollment ID: I20041206000152 |
| Provider Name | Mark R Bowling |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710914098 PECOS PAC ID: 0446208086 Enrollment ID: I20050110001023 |
| Provider Name | Rajasekhar Nekkanti |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1568456366 PECOS PAC ID: 6800798778 Enrollment ID: I20050321000682 |
| Provider Name | Jeffrey K Byrd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699758557 PECOS PAC ID: 0547217036 Enrollment ID: I20050406001017 |
| Provider Name | Ira Neil Adler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699757120 PECOS PAC ID: 9335187061 Enrollment ID: I20050421001447 |
| Provider Name | Donald P Shackelford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174581284 PECOS PAC ID: 3375582539 Enrollment ID: I20050427000551 |
| Provider Name | Richard Frederick Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881678654 PECOS PAC ID: 3678512530 Enrollment ID: I20050429000270 |
| Provider Name | James R Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366479370 PECOS PAC ID: 0941249817 Enrollment ID: I20050429000381 |
| Provider Name | Heather M Seymour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780667055 PECOS PAC ID: 7113907593 Enrollment ID: I20050510001116 |
| Provider Name | Christopher C Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225010671 PECOS PAC ID: 2860436359 Enrollment ID: I20050615000723 |
| Provider Name | Dean Scott Miner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851475743 PECOS PAC ID: 6800830001 Enrollment ID: I20050618000033 |
| Provider Name | Bobby Clifton Walters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518949924 PECOS PAC ID: 0840235693 Enrollment ID: I20050622001252 |
| Provider Name | John Lawrence Gray |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215958715 PECOS PAC ID: 0941245518 Enrollment ID: I20050623000692 |
| Provider Name | Clinton E Faulk |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982688339 PECOS PAC ID: 9830125756 Enrollment ID: I20050712001080 |
| Provider Name | Michael Robert Coan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023091147 PECOS PAC ID: 6204888167 Enrollment ID: I20050728000498 |
| Provider Name | Rosemary Tulloh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649253899 PECOS PAC ID: 0042284499 Enrollment ID: I20050801000979 |
| Provider Name | James E Devente |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144204587 PECOS PAC ID: 7719917772 Enrollment ID: I20050818000883 |
| Provider Name | Lauryn Anne Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770643017 PECOS PAC ID: 0648200857 Enrollment ID: I20050819000078 |
| Provider Name | Ashton F Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043294382 PECOS PAC ID: 4688605785 Enrollment ID: I20050829000648 |
| Provider Name | David L Eldridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407830854 PECOS PAC ID: 6002855475 Enrollment ID: I20050831000906 |
| Provider Name | Karl S Chiang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598747446 PECOS PAC ID: 8527099720 Enrollment ID: I20050909000386 |
| Provider Name | Janet M Gooden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154457471 PECOS PAC ID: 4486634722 Enrollment ID: I20050916000320 |
| Provider Name | Francis E Buckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912983453 PECOS PAC ID: 7517991722 Enrollment ID: I20050926001179 |
| Provider Name | Leigh A Patterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811971476 PECOS PAC ID: 9931176492 Enrollment ID: I20050926001200 |
| Provider Name | Eric J Demaria |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518048586 PECOS PAC ID: 3577595826 Enrollment ID: I20051004000013 |
| Provider Name | Gregory M Knapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801888227 PECOS PAC ID: 4183641533 Enrollment ID: I20051026000100 |
| Provider Name | Nina J Verdino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619937760 PECOS PAC ID: 6800815432 Enrollment ID: I20051114000414 |
| Provider Name | Pamela A Lepera |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1053304212 PECOS PAC ID: 7012936339 Enrollment ID: I20051116000448 |
| Provider Name | Assadollah Movahed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497749683 PECOS PAC ID: 0547281610 Enrollment ID: I20051216000228 |
| Provider Name | Robert C Frere |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669567095 PECOS PAC ID: 1951368067 Enrollment ID: I20060117001164 |
| Provider Name | Gregory L Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750382388 PECOS PAC ID: 6406860402 Enrollment ID: I20060130000314 |
| Provider Name | Denise C Turnage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104869718 PECOS PAC ID: 3779598834 Enrollment ID: I20060209000676 |
| Provider Name | Jonathon M Firnhaber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821001165 PECOS PAC ID: 6800803636 Enrollment ID: I20060320000192 |
| Provider Name | Michael Brandon Berry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881612000 PECOS PAC ID: 4385653898 Enrollment ID: I20060411000676 |
| Provider Name | Thomas Graham West |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194747675 PECOS PAC ID: 7214946540 Enrollment ID: I20060414000099 |
| Provider Name | Wendy J Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467495176 PECOS PAC ID: 3779593629 Enrollment ID: I20060421000543 |
| Provider Name | Nikki Glovonne Tucker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1427099548 PECOS PAC ID: 8426068719 Enrollment ID: I20060502000160 |
| Provider Name | Peter B Wagner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598734196 PECOS PAC ID: 8325006521 Enrollment ID: I20060510000203 |
| Provider Name | Paul Bolin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376540724 PECOS PAC ID: 2668483124 Enrollment ID: I20060511000385 |
| Provider Name | Mariavittoria Pitzalis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134172554 PECOS PAC ID: 0446261804 Enrollment ID: I20060522000158 |
| Provider Name | Robert L Mclaurin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487694360 PECOS PAC ID: 3779595731 Enrollment ID: I20060613000104 |
| Provider Name | Moahad S Dar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083665392 PECOS PAC ID: 3971515636 Enrollment ID: I20060620000134 |
| Provider Name | Timothy B Guin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740237965 PECOS PAC ID: 2668475641 Enrollment ID: I20060811000182 |
| Provider Name | Christopher L Tharrington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114975273 PECOS PAC ID: 7810979366 Enrollment ID: I20060920000159 |
| Provider Name | Kimberly A Alford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538102496 PECOS PAC ID: 6901801935 Enrollment ID: I20060926000585 |
| Provider Name | Suzanne Lazorick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700845583 PECOS PAC ID: 3678578382 Enrollment ID: I20060930000022 |
| Provider Name | Tiffany B Langston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588607634 PECOS PAC ID: 1951306539 Enrollment ID: I20061004000069 |
| Provider Name | Kay Walker Craven |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568561223 PECOS PAC ID: 1254332539 Enrollment ID: I20070130000331 |
| Provider Name | Rosanne V Laurora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407919392 PECOS PAC ID: 0749174977 Enrollment ID: I20070220000841 |
| Provider Name | Keith G Begelman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942291554 PECOS PAC ID: 9436195807 Enrollment ID: I20070302000459 |
| Provider Name | Crystal A Manuel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366524720 PECOS PAC ID: 4789788829 Enrollment ID: I20070330000053 |
| Provider Name | Karen Tucci-herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477648780 PECOS PAC ID: 6406950245 Enrollment ID: I20070403000567 |
| Provider Name | Kristie A Hertel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083770911 PECOS PAC ID: 0941305320 Enrollment ID: I20070412000559 |
| Provider Name | Mark D Marilley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407852353 PECOS PAC ID: 9234031105 Enrollment ID: I20070606000085 |
| Provider Name | Andrew S Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558301135 PECOS PAC ID: 7810095130 Enrollment ID: I20070611000617 |
| Provider Name | Joseph Judge Robinette |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760400915 PECOS PAC ID: 2567405632 Enrollment ID: I20070615000518 |
| Provider Name | Michael C Lang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801094271 PECOS PAC ID: 2961593504 Enrollment ID: I20070810000289 |
| Provider Name | Kristina Leslie Simeonsson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861698698 PECOS PAC ID: 5193816742 Enrollment ID: I20070810000334 |
| Provider Name | Julie Erwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205034576 PECOS PAC ID: 5890887269 Enrollment ID: I20070815000822 |
| Provider Name | Beng R Fuh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134339369 PECOS PAC ID: 1658463963 Enrollment ID: I20070816000269 |
| Provider Name | Teresa M Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629287610 PECOS PAC ID: 4082706213 Enrollment ID: I20070817000403 |
| Provider Name | Ogugua N Obi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477685360 PECOS PAC ID: 3870688278 Enrollment ID: I20071001000205 |
| Provider Name | Emmanuel Emmanuel Zervos |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1154333284 PECOS PAC ID: 5092802405 Enrollment ID: I20071101000454 |
| Provider Name | Ann Lynette Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215094602 PECOS PAC ID: 1759479637 Enrollment ID: I20071109000285 |
| Provider Name | Lacy C Hobgood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609911270 PECOS PAC ID: 2961590021 Enrollment ID: I20071127000153 |
| Provider Name | Adam N Clark |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679571160 PECOS PAC ID: 5698712164 Enrollment ID: I20071207000318 |
| Provider Name | Thomson Cable Pancoast |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679532816 PECOS PAC ID: 3476447947 Enrollment ID: I20071214000537 |
| Provider Name | Thomas Irons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407848989 PECOS PAC ID: 1658461462 Enrollment ID: I20071217000811 |
| Provider Name | Timothy M Weiner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902999196 PECOS PAC ID: 3476633975 Enrollment ID: I20080109000889 |
| Provider Name | Brian Patrick Wall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740387406 PECOS PAC ID: 1456433028 Enrollment ID: I20080205000238 |
| Provider Name | Cynthia R Christiano |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912905043 PECOS PAC ID: 5193808640 Enrollment ID: I20080207000305 |
| Provider Name | Angelle Simon Harper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225065816 PECOS PAC ID: 7517851702 Enrollment ID: I20080213000290 |
| Provider Name | John Osborne Herlong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720022676 PECOS PAC ID: 9931283835 Enrollment ID: I20080303000291 |
| Provider Name | Tobin Andrew Finizio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194779132 PECOS PAC ID: 6305921032 Enrollment ID: I20080305000487 |
| Provider Name | Hyder Arastu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659377372 PECOS PAC ID: 6709961048 Enrollment ID: I20080311000120 |
| Provider Name | Palmer Edwards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578521787 PECOS PAC ID: 5294811808 Enrollment ID: I20080324000447 |
| Provider Name | Charles L Knupp |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154313575 PECOS PAC ID: 1557449261 Enrollment ID: I20080422000302 |
| Provider Name | Zia Rehman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457396632 PECOS PAC ID: 3678589769 Enrollment ID: I20080422000626 |
| Provider Name | Darla K Liles |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1528051729 PECOS PAC ID: 1456439090 Enrollment ID: I20080422000647 |
| Provider Name | Joseph C Parker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710178470 PECOS PAC ID: 9931288420 Enrollment ID: I20080508000740 |
| Provider Name | Leonard H Gibson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235145806 PECOS PAC ID: 2769432418 Enrollment ID: I20080717000401 |
| Provider Name | Christopher R Steinbaker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629295597 PECOS PAC ID: 6507939816 Enrollment ID: I20080721000203 |
| Provider Name | Lora C Joyner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689895831 PECOS PAC ID: 0648343889 Enrollment ID: I20080721000545 |
| Provider Name | Stacia D Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215019617 PECOS PAC ID: 1052484854 Enrollment ID: I20080725000533 |
| Provider Name | Andre Dean Frederick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932308384 PECOS PAC ID: 2264505080 Enrollment ID: I20080725000657 |
| Provider Name | Samuel Frazer Sears |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902811565 PECOS PAC ID: 8123193968 Enrollment ID: I20080813000751 |
| Provider Name | Amy Liverman Williford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962659201 PECOS PAC ID: 1759456296 Enrollment ID: I20080819000439 |
| Provider Name | Karen Goth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013117126 PECOS PAC ID: 5991871410 Enrollment ID: I20080908000382 |
| Provider Name | Todd H Duncan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447418579 PECOS PAC ID: 5092882894 Enrollment ID: I20080919000538 |
| Provider Name | Leanna F Thorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902802077 PECOS PAC ID: 6002984911 Enrollment ID: I20081006000237 |
| Provider Name | Beatriz Eugenia Ramirez Perez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376734970 PECOS PAC ID: 3779642160 Enrollment ID: I20081029000771 |
| Provider Name | Susan B Boutilier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558368936 PECOS PAC ID: 3274637269 Enrollment ID: I20081122000108 |
| Provider Name | Dawn B Kendrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669469441 PECOS PAC ID: 9234171174 Enrollment ID: I20081209000547 |
| Provider Name | Kenneth S Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619079571 PECOS PAC ID: 0840353082 Enrollment ID: I20090114000089 |
| Provider Name | Karen Lee Kelly |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134365653 PECOS PAC ID: 5496810566 Enrollment ID: I20090224000718 |
| Provider Name | Victoria M Respess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326284795 PECOS PAC ID: 5799832820 Enrollment ID: I20090407000496 |
| Provider Name | Paul P Cook |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760482970 PECOS PAC ID: 1850449828 Enrollment ID: I20090430000319 |
| Provider Name | Frederick D Weigel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992968069 PECOS PAC ID: 3678624913 Enrollment ID: I20090627000027 |
| Provider Name | Sherri J Winslow |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528215282 PECOS PAC ID: 9032261490 Enrollment ID: I20090715000492 |
| Provider Name | Justin R Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144429630 PECOS PAC ID: 6204988561 Enrollment ID: I20090716000666 |
| Provider Name | Patrick M Briley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083729628 PECOS PAC ID: 2961554233 Enrollment ID: I20090716000751 |
| Provider Name | Brian C Muzyka |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083863237 PECOS PAC ID: 8022160019 Enrollment ID: I20090722000651 |
| Provider Name | Angie E Mathai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629278981 PECOS PAC ID: 4183777030 Enrollment ID: I20090724000705 |
| Provider Name | Martha E Naylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982812616 PECOS PAC ID: 8527006485 Enrollment ID: I20090725000118 |
| Provider Name | Jennifer M Defazio |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508988742 PECOS PAC ID: 6002960002 Enrollment ID: I20090810000545 |
| Provider Name | Brian Singleton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134108426 PECOS PAC ID: 5092807370 Enrollment ID: I20090810000637 |
| Provider Name | Joseph P Pye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366594558 PECOS PAC ID: 4688728447 Enrollment ID: I20090813000688 |
| Provider Name | Conrad Quinton Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114161361 PECOS PAC ID: 6204980485 Enrollment ID: I20090822000118 |
| Provider Name | Andrew Zhuang Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306023460 PECOS PAC ID: 2466507330 Enrollment ID: I20090827000770 |
| Provider Name | Zsuzsanna Papp Therien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922031178 PECOS PAC ID: 0941279087 Enrollment ID: I20090925000147 |
| Provider Name | William J Meggs |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1447246954 PECOS PAC ID: 1153467337 Enrollment ID: I20090930000743 |
| Provider Name | Michael R Tumbarello |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588768600 PECOS PAC ID: 4688710445 Enrollment ID: I20091008000026 |
| Provider Name | Sohail Sarwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790933802 PECOS PAC ID: 6901974930 Enrollment ID: I20091013000738 |
| Provider Name | Hsiao L Lai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285841379 PECOS PAC ID: 3476691338 Enrollment ID: I20091112000650 |
| Provider Name | Christine R Lysaght |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548596133 PECOS PAC ID: 8325187925 Enrollment ID: I20091119000620 |
| Provider Name | Jennifer E Crotty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033319967 PECOS PAC ID: 3971642463 Enrollment ID: I20091123000007 |
| Provider Name | Lydia North Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891794558 PECOS PAC ID: 8224136569 Enrollment ID: I20091125000436 |
| Provider Name | George Tillman Bailey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497756084 PECOS PAC ID: 1153462775 Enrollment ID: I20100105000363 |
| Provider Name | Allen M Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548261142 PECOS PAC ID: 7416099833 Enrollment ID: I20100123000159 |
| Provider Name | Sharona Y Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831117373 PECOS PAC ID: 4183767932 Enrollment ID: I20100202000958 |
| Provider Name | Jennifer Auer Sutter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326249400 PECOS PAC ID: 8022187103 Enrollment ID: I20100206000006 |
| Provider Name | Janina A Dorriety |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730410416 PECOS PAC ID: 5991848376 Enrollment ID: I20100208000205 |
| Provider Name | Emily L Bray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013914407 PECOS PAC ID: 1355484684 Enrollment ID: I20100208000700 |
| Provider Name | Daniel P Moore |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134113335 PECOS PAC ID: 8921142472 Enrollment ID: I20100222000330 |
| Provider Name | Gary L Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548253693 PECOS PAC ID: 5698819860 Enrollment ID: I20100225000784 |
| Provider Name | Lars C Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710979026 PECOS PAC ID: 1759426687 Enrollment ID: I20100303000834 |
| Provider Name | Keith H Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235123787 PECOS PAC ID: 5496890287 Enrollment ID: I20100304000421 |
| Provider Name | Cynthia P Barker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659378156 PECOS PAC ID: 8921143645 Enrollment ID: I20100305000676 |
| Provider Name | Christy M Isler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841282415 PECOS PAC ID: 6901941566 Enrollment ID: I20100306000345 |
| Provider Name | Melanie I Hames |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992797716 PECOS PAC ID: 9335284744 Enrollment ID: I20100309000521 |
| Provider Name | Kelly W Philpot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194710038 PECOS PAC ID: 1658416995 Enrollment ID: I20100310001032 |
| Provider Name | Juan Alberto March |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356334015 PECOS PAC ID: 2769517077 Enrollment ID: I20100311000787 |
| Provider Name | William L Price |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912992512 PECOS PAC ID: 1355476433 Enrollment ID: I20100315000355 |
| Provider Name | Timothy J Reeder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235126111 PECOS PAC ID: 3779618855 Enrollment ID: I20100315000384 |
| Provider Name | Herbert G Garrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902898828 PECOS PAC ID: 2466587563 Enrollment ID: I20100315000566 |
| Provider Name | Almond J Drake |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114928736 PECOS PAC ID: 6204961246 Enrollment ID: I20100316001020 |
| Provider Name | Walter C Robey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629066931 PECOS PAC ID: 2567597503 Enrollment ID: I20100316001024 |
| Provider Name | Mark A Newell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174518666 PECOS PAC ID: 6800921420 Enrollment ID: I20100320000049 |
| Provider Name | Meagan A Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922330901 PECOS PAC ID: 5597890111 Enrollment ID: I20100320000082 |
| Provider Name | Sarah E Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104096676 PECOS PAC ID: 5294860813 Enrollment ID: I20100320000120 |
| Provider Name | Frank M Parker |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235124785 PECOS PAC ID: 2860527496 Enrollment ID: I20100320000213 |
| Provider Name | Richard Stair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245254010 PECOS PAC ID: 9537206909 Enrollment ID: I20100320000283 |
| Provider Name | Thomas A Sporn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548330376 PECOS PAC ID: 6507991114 Enrollment ID: I20100322000648 |
| Provider Name | Michael R Bard |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316944713 PECOS PAC ID: 5991831042 Enrollment ID: I20100329000743 |
| Provider Name | John M Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700869401 PECOS PAC ID: 0042346983 Enrollment ID: I20100330000543 |
| Provider Name | Charlie J Sang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295726131 PECOS PAC ID: 1951437474 Enrollment ID: I20100409000037 |
| Provider Name | Robert D Steed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366424731 PECOS PAC ID: 5395872717 Enrollment ID: I20100416000061 |
| Provider Name | Thomas H Clay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306846563 PECOS PAC ID: 9133256217 Enrollment ID: I20100421000606 |
| Provider Name | John M Diamond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124029921 PECOS PAC ID: 8820125917 Enrollment ID: I20100421000660 |
| Provider Name | Eric Meyer Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083696587 PECOS PAC ID: 6305920844 Enrollment ID: I20100427000646 |
| Provider Name | Eric James Finical |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386626828 PECOS PAC ID: 5698859130 Enrollment ID: I20100427000681 |
| Provider Name | Raymundo V Millan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053305425 PECOS PAC ID: 5193852853 Enrollment ID: I20100428000920 |
| Provider Name | Wendy W Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114137031 PECOS PAC ID: 7416084017 Enrollment ID: I20100429000546 |
| Provider Name | Melissa B Duncan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487636916 PECOS PAC ID: 7911081450 Enrollment ID: I20100429000628 |
| Provider Name | Roger Vithalani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639151095 PECOS PAC ID: 0840374385 Enrollment ID: I20100429000977 |
| Provider Name | Cynthia Powell Keel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548317233 PECOS PAC ID: 7911035274 Enrollment ID: I20100506000352 |
| Provider Name | Ericka C Griffin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871575258 PECOS PAC ID: 7012091556 Enrollment ID: I20100506000992 |
| Provider Name | Douglas J Shusterman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295717767 PECOS PAC ID: 8224112768 Enrollment ID: I20100507000250 |
| Provider Name | Douglas Picton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164404000 PECOS PAC ID: 6507940038 Enrollment ID: I20100513000602 |
| Provider Name | Michael G Mclaughlin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821091752 PECOS PAC ID: 1355391772 Enrollment ID: I20100514000364 |
| Provider Name | Dennis R Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306828405 PECOS PAC ID: 4789768219 Enrollment ID: I20100518000682 |
| Provider Name | Brian Kuszyk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508848037 PECOS PAC ID: 9133203672 Enrollment ID: I20100520000326 |
| Provider Name | Michael D Tripp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073595138 PECOS PAC ID: 1153405683 Enrollment ID: I20100520000751 |
| Provider Name | William E Novotny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922092428 PECOS PAC ID: 5890824304 Enrollment ID: I20100521000204 |
| Provider Name | Louise A Bradshaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831127877 PECOS PAC ID: 0749319283 Enrollment ID: I20100521000576 |
| Provider Name | Stephen C Engelke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376535450 PECOS PAC ID: 2466581764 Enrollment ID: I20100525000717 |
| Provider Name | Karin M Hillenbrand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598757288 PECOS PAC ID: 3870622988 Enrollment ID: I20100528000227 |
| Provider Name | Vanessa A Workman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962484402 PECOS PAC ID: 7113001652 Enrollment ID: I20100528000486 |
| Provider Name | Ronald M Perkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255326526 PECOS PAC ID: 7012046048 Enrollment ID: I20100528000635 |
| Provider Name | Angela G Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508894551 PECOS PAC ID: 9739218694 Enrollment ID: I20100602000591 |
| Provider Name | Mahesh A Varia |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275632382 PECOS PAC ID: 7517097140 Enrollment ID: I20100609000100 |
| Provider Name | Avinash Patil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720291024 PECOS PAC ID: 5496885915 Enrollment ID: I20100610000150 |
| Provider Name | Sanjay Mehra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629136205 PECOS PAC ID: 1153352117 Enrollment ID: I20100623000867 |
| Provider Name | Khanh P Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043204571 PECOS PAC ID: 5092846022 Enrollment ID: I20100708000195 |
| Provider Name | Eric A Toschlog |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467435503 PECOS PAC ID: 2668503699 Enrollment ID: I20100708000295 |
| Provider Name | Tana L Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639379654 PECOS PAC ID: 7810029105 Enrollment ID: I20100722000361 |
| Provider Name | Musharraf Navaid |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821061755 PECOS PAC ID: 5092819888 Enrollment ID: I20100730000267 |
| Provider Name | Richard Preston Hobbs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356561385 PECOS PAC ID: 7416080957 Enrollment ID: I20100804000150 |
| Provider Name | Jessica L Triche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386847309 PECOS PAC ID: 8729111034 Enrollment ID: I20100805001085 |
| Provider Name | Ronald Paul Mageau |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346440690 PECOS PAC ID: 2567596646 Enrollment ID: I20100811000208 |
| Provider Name | Nathan R Nehus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598955742 PECOS PAC ID: 3779617881 Enrollment ID: I20100811000593 |
| Provider Name | Jill M Sutton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558554733 PECOS PAC ID: 9133253990 Enrollment ID: I20100816000285 |
| Provider Name | Shauna M Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386970325 PECOS PAC ID: 1355465618 Enrollment ID: I20100824000743 |
| Provider Name | Billie J Threlkeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821011420 PECOS PAC ID: 8729102140 Enrollment ID: I20100907000820 |
| Provider Name | Clinton E Massey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700831914 PECOS PAC ID: 1951445634 Enrollment ID: I20100908000432 |
| Provider Name | Jan H Wong |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1538265236 PECOS PAC ID: 6507820362 Enrollment ID: I20100928001147 |
| Provider Name | Stephen W Stroud |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1457424574 PECOS PAC ID: 4082776661 Enrollment ID: I20101019000698 |
| Provider Name | Margaret R Mayo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164743522 PECOS PAC ID: 5193918092 Enrollment ID: I20101025000191 |
| Provider Name | Eric A Deigan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043209224 PECOS PAC ID: 1052506391 Enrollment ID: I20101111000876 |
| Provider Name | Alicia G Welborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184924698 PECOS PAC ID: 0547457350 Enrollment ID: I20101206001032 |
| Provider Name | Cecil A Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619287265 PECOS PAC ID: 7911194485 Enrollment ID: I20101209000472 |
| Provider Name | Jason A Foltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528014339 PECOS PAC ID: 1456540160 Enrollment ID: I20110112000198 |
| Provider Name | Tamrah J Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750684296 PECOS PAC ID: 2466633706 Enrollment ID: I20110221000405 |
| Provider Name | Anthony Andrew Mazzarulli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801090006 PECOS PAC ID: 8426124439 Enrollment ID: I20110309000681 |
| Provider Name | Joseph Dodson Elbeery |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265697080 PECOS PAC ID: 7517149222 Enrollment ID: I20110316000446 |
| Provider Name | Jennifer M Bennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609075357 PECOS PAC ID: 2062695851 Enrollment ID: I20110401000213 |
| Provider Name | Barry C Weed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568534485 PECOS PAC ID: 7113103680 Enrollment ID: I20110517000909 |
| Provider Name | Wanda Lynn Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750328910 PECOS PAC ID: 4789862947 Enrollment ID: I20110617000330 |
| Provider Name | David Hallmark Ryan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770784522 PECOS PAC ID: 3779761044 Enrollment ID: I20110711000355 |
| Provider Name | Johnna M Cowin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972580223 PECOS PAC ID: 5395913826 Enrollment ID: I20110727000437 |
| Provider Name | Matthew R Ledoux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649473299 PECOS PAC ID: 5193913465 Enrollment ID: I20110728000144 |
| Provider Name | Sarah B Leonard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518124007 PECOS PAC ID: 5395913883 Enrollment ID: I20110728000309 |
| Provider Name | Sally Suzanne Benton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902093479 PECOS PAC ID: 5092984401 Enrollment ID: I20110801000506 |
| Provider Name | Stacey E Applegate |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104974526 PECOS PAC ID: 3779753165 Enrollment ID: I20110822000336 |
| Provider Name | Richard Blackburn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801834767 PECOS PAC ID: 5597755926 Enrollment ID: I20110830000518 |
| Provider Name | Bryan K Dunn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972739811 PECOS PAC ID: 2769420579 Enrollment ID: I20110907000816 |
| Provider Name | Susan N Miller |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1114155447 PECOS PAC ID: 3779613690 Enrollment ID: I20110926000137 |
| Provider Name | Mary C Turner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336394014 PECOS PAC ID: 5193996072 Enrollment ID: I20110926000675 |
| Provider Name | Alexander N Durland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447538434 PECOS PAC ID: 8123290525 Enrollment ID: I20111006000812 |
| Provider Name | Brandon N Kyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154609931 PECOS PAC ID: 4688846967 Enrollment ID: I20111010000387 |
| Provider Name | Sarah E Volk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912125790 PECOS PAC ID: 4789856949 Enrollment ID: I20111012000074 |
| Provider Name | Hilal Azzam Kanaan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609073220 PECOS PAC ID: 0345412235 Enrollment ID: I20111019000625 |
| Provider Name | John Joseph Botti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003870189 PECOS PAC ID: 6204028178 Enrollment ID: I20111111000541 |
| Provider Name | Salma S Syed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427092352 PECOS PAC ID: 4183620545 Enrollment ID: I20111122000357 |
| Provider Name | Laura E Matarese |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750665493 PECOS PAC ID: 8921272055 Enrollment ID: I20111129000464 |
| Provider Name | Natalie A Taft |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043595200 PECOS PAC ID: 1951576826 Enrollment ID: I20111206000070 |
| Provider Name | Mark Thomas Mason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386751493 PECOS PAC ID: 6103923131 Enrollment ID: I20120109000025 |
| Provider Name | Cedric M Bright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588744858 PECOS PAC ID: 2466629548 Enrollment ID: I20120112000244 |
| Provider Name | Colleen Soles Bucher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063450922 PECOS PAC ID: 4486821808 Enrollment ID: I20120125000374 |
| Provider Name | Megan Mcmunigle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760751887 PECOS PAC ID: 2264699255 Enrollment ID: I20120202000361 |
| Provider Name | Tracy C Paterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043520802 PECOS PAC ID: 3779740261 Enrollment ID: I20120213000001 |
| Provider Name | Kiotta L Barnhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427332675 PECOS PAC ID: 0345408621 Enrollment ID: I20120215000581 |
| Provider Name | Claire Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750595542 PECOS PAC ID: 2062519143 Enrollment ID: I20120305000015 |
| Provider Name | Michael Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881670016 PECOS PAC ID: 3971408758 Enrollment ID: I20120507000760 |
| Provider Name | Mary Lisa Brantley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346516994 PECOS PAC ID: 5193988079 Enrollment ID: I20120514000520 |
| Provider Name | Rochelle C Asagbra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679707343 PECOS PAC ID: 8325201122 Enrollment ID: I20120515000008 |
| Provider Name | James Platania |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346524766 PECOS PAC ID: 9739342247 Enrollment ID: I20120521000400 |
| Provider Name | Jamie L Perry |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417229170 PECOS PAC ID: 9234392069 Enrollment ID: I20120531000338 |
| Provider Name | Alicia Nicole Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043521214 PECOS PAC ID: 0345404141 Enrollment ID: I20120607000003 |
| Provider Name | Emilie Pendley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720215981 PECOS PAC ID: 5698930030 Enrollment ID: I20120710000107 |
| Provider Name | Gail A Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396760666 PECOS PAC ID: 2567424468 Enrollment ID: I20120801000540 |
| Provider Name | Jason D Higginson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255317673 PECOS PAC ID: 3072769298 Enrollment ID: I20120803000311 |
| Provider Name | Vinay Paran Saranga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144428673 PECOS PAC ID: 9739361718 Enrollment ID: I20120816000826 |
| Provider Name | Natasha Bica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568693497 PECOS PAC ID: 7315194644 Enrollment ID: I20120822000001 |
| Provider Name | Celeste T Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043447410 PECOS PAC ID: 7719134667 Enrollment ID: I20120828000330 |
| Provider Name | William Wooten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295996213 PECOS PAC ID: 2062669641 Enrollment ID: I20120905000056 |
| Provider Name | Ashesh Buch |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114287117 PECOS PAC ID: 4183874860 Enrollment ID: I20121016000451 |
| Provider Name | Kathleen Sandra Sisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932457694 PECOS PAC ID: 5294985826 Enrollment ID: I20121017000288 |
| Provider Name | Iskra Magick Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659508802 PECOS PAC ID: 6406006733 Enrollment ID: I20121023000556 |
| Provider Name | Nasreen A Vohra |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1134308158 PECOS PAC ID: 5092972943 Enrollment ID: I20121029000633 |
| Provider Name | Corenthian Booker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740402007 PECOS PAC ID: 5597917609 Enrollment ID: I20121218000010 |
| Provider Name | Shellie H Zsoldos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952645715 PECOS PAC ID: 5193979961 Enrollment ID: I20130201000139 |
| Provider Name | Crystal L Shearin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396910386 PECOS PAC ID: 1153576038 Enrollment ID: I20130313000061 |
| Provider Name | Paula Pruden Bowen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073831624 PECOS PAC ID: 2860639648 Enrollment ID: I20130515000295 |
| Provider Name | Addisalem Taye Makuria |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093029886 PECOS PAC ID: 9638317506 Enrollment ID: I20130605000033 |
| Provider Name | Andrew Campbell Weil |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417121716 PECOS PAC ID: 5597904508 Enrollment ID: I20130625000088 |
| Provider Name | Bobby M Collins |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134117252 PECOS PAC ID: 4486693843 Enrollment ID: I20130729000856 |
| Provider Name | Stevan H Thompson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023088994 PECOS PAC ID: 3476794744 Enrollment ID: I20130729000880 |
| Provider Name | Raj Bharat Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578859716 PECOS PAC ID: 8729229943 Enrollment ID: I20130730000603 |
| Provider Name | Kimberly R Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225265366 PECOS PAC ID: 9133384464 Enrollment ID: I20130819000461 |
| Provider Name | Dean J Yamaguchi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316016397 PECOS PAC ID: 2567608250 Enrollment ID: I20130826000252 |
| Provider Name | Edgar C Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497074041 PECOS PAC ID: 8325172943 Enrollment ID: I20130903000293 |
| Provider Name | Hunter A Coore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225358237 PECOS PAC ID: 8628211901 Enrollment ID: I20130905000890 |
| Provider Name | Lin Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558597278 PECOS PAC ID: 7315180510 Enrollment ID: I20130906000230 |
| Provider Name | Brenna E Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750722823 PECOS PAC ID: 5698919728 Enrollment ID: I20130911000655 |
| Provider Name | Uduak S Woodward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497188189 PECOS PAC ID: 6002050960 Enrollment ID: I20130913000635 |
| Provider Name | Daniel Oh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821258765 PECOS PAC ID: 1153565932 Enrollment ID: I20130917000586 |
| Provider Name | Mahvish Muzaffar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1720244734 PECOS PAC ID: 2668616459 Enrollment ID: I20130917000653 |
| Provider Name | Andrew W Ju |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235394081 PECOS PAC ID: 9638313158 Enrollment ID: I20130923000509 |
| Provider Name | Trace I Fender |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396979993 PECOS PAC ID: 9830323690 Enrollment ID: I20131009002068 |
| Provider Name | Shannon W Longshore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043292386 PECOS PAC ID: 2961636766 Enrollment ID: I20131010000887 |
| Provider Name | Bryan B Kitch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063708287 PECOS PAC ID: 9335374677 Enrollment ID: I20131023000350 |
| Provider Name | James C Fletcher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043414865 PECOS PAC ID: 0446486930 Enrollment ID: I20131111000319 |
| Provider Name | Ellen C Poland |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407283476 PECOS PAC ID: 0648406314 Enrollment ID: I20131202001668 |
| Provider Name | Caroline Marie Houston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376748244 PECOS PAC ID: 2264563238 Enrollment ID: I20131217001104 |
| Provider Name | Christopher T Coltrain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275960999 PECOS PAC ID: 5395972251 Enrollment ID: I20131220001259 |
| Provider Name | Roberto Carlos Portela |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245215037 PECOS PAC ID: 6800817701 Enrollment ID: I20131226000190 |
| Provider Name | Jacqueline R Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003850405 PECOS PAC ID: 3375770118 Enrollment ID: I20131226000334 |
| Provider Name | Dana Nichols Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023446424 PECOS PAC ID: 7416185020 Enrollment ID: I20140105000002 |
| Provider Name | Lenwood P Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750348777 PECOS PAC ID: 4789605189 Enrollment ID: I20140106000925 |
| Provider Name | Jennifer L Stahl |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932420916 PECOS PAC ID: 2668601154 Enrollment ID: I20140203001146 |
| Provider Name | Cynthia R Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760811897 PECOS PAC ID: 4486883790 Enrollment ID: I20140207001675 |
| Provider Name | Joseph W Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851380430 PECOS PAC ID: 1153456918 Enrollment ID: I20140215000193 |
| Provider Name | Brian J O'connell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730494741 PECOS PAC ID: 3173753902 Enrollment ID: I20140224000397 |
| Provider Name | Jill D Jennings |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073944252 PECOS PAC ID: 3678703915 Enrollment ID: I20140305001790 |
| Provider Name | Erin L Wooten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043471063 PECOS PAC ID: 5799915989 Enrollment ID: I20140310001020 |
| Provider Name | Lindsay Fairfax |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952512980 PECOS PAC ID: 7113157124 Enrollment ID: I20140312001692 |
| Provider Name | Constantin Bogdan Marcu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528013885 PECOS PAC ID: 5395754782 Enrollment ID: I20140318001937 |
| Provider Name | Maria J Henwood-finley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437141611 PECOS PAC ID: 9234111337 Enrollment ID: I20140327001285 |
| Provider Name | Leonard Alexander Stallings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003102146 PECOS PAC ID: 1557592862 Enrollment ID: I20140331001718 |
| Provider Name | Andrew L Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982034856 PECOS PAC ID: 3577795160 Enrollment ID: I20140414001282 |
| Provider Name | Muna R Mian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881639953 PECOS PAC ID: 3274674106 Enrollment ID: I20140422000857 |
| Provider Name | Carlos J Anciano Granadillo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154563906 PECOS PAC ID: 5294968202 Enrollment ID: I20140428001619 |
| Provider Name | Kathleen K Bryant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912293457 PECOS PAC ID: 7012130347 Enrollment ID: I20140514000422 |
| Provider Name | Ariel Hidalgo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821368648 PECOS PAC ID: 5092938035 Enrollment ID: I20140521000591 |
| Provider Name | Cassandra K Bradby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093026767 PECOS PAC ID: 6002039401 Enrollment ID: I20140603000399 |
| Provider Name | Dean F Markham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871548032 PECOS PAC ID: 2466577614 Enrollment ID: I20140718001614 |
| Provider Name | Amanda Imen Higginson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275698359 PECOS PAC ID: 8123245891 Enrollment ID: I20140805000369 |
| Provider Name | Leonard Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609196203 PECOS PAC ID: 8628295680 Enrollment ID: I20140814001899 |
| Provider Name | Weili Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033371240 PECOS PAC ID: 5890913305 Enrollment ID: I20140826000112 |
| Provider Name | Rashmi A Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548556681 PECOS PAC ID: 9436378098 Enrollment ID: I20140912000630 |
| Provider Name | Shivajirao P Patil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023339173 PECOS PAC ID: 4183844152 Enrollment ID: I20140926000259 |
| Provider Name | Jacqueline M Muhammad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669690210 PECOS PAC ID: 2668527094 Enrollment ID: I20140926002028 |
| Provider Name | Jason P Hildebrand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124347349 PECOS PAC ID: 7113151390 Enrollment ID: I20141003001432 |
| Provider Name | Philip J Boyer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639138761 PECOS PAC ID: 2062511843 Enrollment ID: I20141007002943 |
| Provider Name | Chelley K Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760452486 PECOS PAC ID: 2567563562 Enrollment ID: I20141016001388 |
| Provider Name | Mark David Iannettoni |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164404976 PECOS PAC ID: 5698768075 Enrollment ID: I20141028002383 |
| Provider Name | Douglas Allen Fein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851317739 PECOS PAC ID: 3375538549 Enrollment ID: I20141107001610 |
| Provider Name | Robert S Carter |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336128123 PECOS PAC ID: 6305169095 Enrollment ID: I20150105001464 |
| Provider Name | Emily K Brewer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548665755 PECOS PAC ID: 3476877085 Enrollment ID: I20150129002521 |
| Provider Name | Leslie W Nifong |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366858086 PECOS PAC ID: 7719203363 Enrollment ID: I20150226001005 |
| Provider Name | Corissa E Peate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326436296 PECOS PAC ID: 2466778238 Enrollment ID: I20150313001807 |
| Provider Name | Thomas Ryan Gallaher |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235450453 PECOS PAC ID: 7012155971 Enrollment ID: I20150529002402 |
| Provider Name | Joseph John Ginski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033346390 PECOS PAC ID: 1153632351 Enrollment ID: I20150615001141 |
| Provider Name | Matthew J Chovaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821354796 PECOS PAC ID: 8921319005 Enrollment ID: I20150616001166 |
| Provider Name | Anuj James |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447356381 PECOS PAC ID: 9335460930 Enrollment ID: I20150714000253 |
| Provider Name | Bradley Swinson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1366684904 PECOS PAC ID: 3476771973 Enrollment ID: I20150716000033 |
| Provider Name | Ashley Lynn Kinkaid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891015178 PECOS PAC ID: 0547485658 Enrollment ID: I20150722004017 |
| Provider Name | Angela C Kallis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720375926 PECOS PAC ID: 4486967064 Enrollment ID: I20150727000352 |
| Provider Name | Alicia M Myers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972828341 PECOS PAC ID: 6103130703 Enrollment ID: I20150727001466 |
| Provider Name | Chia Cheng Lin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184018574 PECOS PAC ID: 4284948308 Enrollment ID: I20150804003333 |
| Provider Name | Joanna L Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083900062 PECOS PAC ID: 1254554827 Enrollment ID: I20150807014122 |
| Provider Name | Inga S Aikman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477819399 PECOS PAC ID: 2264747716 Enrollment ID: I20150813010010 |
| Provider Name | David R Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982929949 PECOS PAC ID: 8820237100 Enrollment ID: I20150910001671 |
| Provider Name | Ryan Thomas Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063493880 PECOS PAC ID: 1456668615 Enrollment ID: I20150921001313 |
| Provider Name | Kathryn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578968574 PECOS PAC ID: 0941517924 Enrollment ID: I20150923003353 |
| Provider Name | Charisse L Klug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144661521 PECOS PAC ID: 1456660026 Enrollment ID: I20151021002277 |
| Provider Name | Sowmya Nagaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720343098 PECOS PAC ID: 0446473433 Enrollment ID: I20151021002869 |
| Provider Name | Veeranna Maddipati |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700033164 PECOS PAC ID: 0941519367 Enrollment ID: I20151024000245 |
| Provider Name | Vijaya Marri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285916148 PECOS PAC ID: 6507176211 Enrollment ID: I20151110000387 |
| Provider Name | Greeshma Sheri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891041802 PECOS PAC ID: 7911150347 Enrollment ID: I20151125001234 |
| Provider Name | Marissa A E Carraway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669807095 PECOS PAC ID: 4789985581 Enrollment ID: I20151221002085 |
| Provider Name | James Edward Speicher |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831233410 PECOS PAC ID: 2860661766 Enrollment ID: I20160119002110 |
| Provider Name | Marissa F Kleffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144691528 PECOS PAC ID: 7911200811 Enrollment ID: I20160127001640 |
| Provider Name | Sharon Beth Larson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578768339 PECOS PAC ID: 6800199555 Enrollment ID: I20160129001338 |
| Provider Name | Abigail Morales |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770859803 PECOS PAC ID: 0547568826 Enrollment ID: I20160503001826 |
| Provider Name | William J Eblin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598990079 PECOS PAC ID: 8921151333 Enrollment ID: I20160517001673 |
| Provider Name | Douglas A Schiller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871852624 PECOS PAC ID: 2062638562 Enrollment ID: I20160707000285 |
| Provider Name | Allison M Schiller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881953636 PECOS PAC ID: 9335366624 Enrollment ID: I20160712001612 |
| Provider Name | Nathan R Harper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487974176 PECOS PAC ID: 4183916927 Enrollment ID: I20160714001154 |
| Provider Name | Steven D Stacy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801938139 PECOS PAC ID: 0648574038 Enrollment ID: I20160726000834 |
| Provider Name | Michael L Scholtz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609839166 PECOS PAC ID: 5597058776 Enrollment ID: I20160726001299 |
| Provider Name | Edward T Smith |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801921606 PECOS PAC ID: 3577856467 Enrollment ID: I20160729002078 |
| Provider Name | Carol F Anderson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104116565 PECOS PAC ID: 9133412919 Enrollment ID: I20160802000010 |
| Provider Name | Robert J Bencic |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801071774 PECOS PAC ID: 7618261413 Enrollment ID: I20160802000944 |
| Provider Name | Catherine B Evans |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063479830 PECOS PAC ID: 9739225004 Enrollment ID: I20160802001345 |
| Provider Name | Robert K Manga |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326140823 PECOS PAC ID: 4688968407 Enrollment ID: I20160802001705 |
| Provider Name | Susan B Jones |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1134154693 PECOS PAC ID: 2062706849 Enrollment ID: I20160803000010 |
| Provider Name | Nicole M Garcia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366766941 PECOS PAC ID: 6204079452 Enrollment ID: I20160810000000 |
| Provider Name | Ford T Grant |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912914136 PECOS PAC ID: 9234425091 Enrollment ID: I20160906000908 |
| Provider Name | John David Feerick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689837932 PECOS PAC ID: 8325116973 Enrollment ID: I20160912001972 |
| Provider Name | Craig E Slotke |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780089490 PECOS PAC ID: 5193012078 Enrollment ID: I20160920002349 |
| Provider Name | Matthew J Parker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447511555 PECOS PAC ID: 0143521088 Enrollment ID: I20160927000591 |
| Provider Name | Samantha K Brown Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073965349 PECOS PAC ID: 8820385065 Enrollment ID: I20161003000436 |
| Provider Name | Andrea R Whitfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497982540 PECOS PAC ID: 7911128574 Enrollment ID: I20161004001953 |
| Provider Name | Jennifer L Parker Cote |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1164710950 PECOS PAC ID: 0244550515 Enrollment ID: I20161011000290 |
| Provider Name | Robert John Timothy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811953276 PECOS PAC ID: 7517260383 Enrollment ID: I20161109002543 |
| Provider Name | Iquebal Hasan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255657441 PECOS PAC ID: 2264667781 Enrollment ID: I20161114000856 |
| Provider Name | Aundrea L Oliver |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942481353 PECOS PAC ID: 2769771286 Enrollment ID: I20161118001661 |
| Provider Name | Rabindra Ghimire |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629363361 PECOS PAC ID: 4880847441 Enrollment ID: I20161206000721 |
| Provider Name | Amna Hasan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1508314816 PECOS PAC ID: 4981984671 Enrollment ID: I20161215001926 |
| Provider Name | Shahab A Akhter |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1114998044 PECOS PAC ID: 1052408812 Enrollment ID: I20170119002362 |
| Provider Name | Dianne S Caprio |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740332022 PECOS PAC ID: 7315263969 Enrollment ID: I20170307002042 |
| Provider Name | Ellen Chalkey Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144431982 PECOS PAC ID: 2668616566 Enrollment ID: I20170308000254 |
| Provider Name | Cathleen M Cook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285838086 PECOS PAC ID: 9032357504 Enrollment ID: I20170316001681 |
| Provider Name | Stuart D Josell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083888028 PECOS PAC ID: 1759423734 Enrollment ID: I20170323001643 |
| Provider Name | Alison Y Yeung |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366695744 PECOS PAC ID: 9032270194 Enrollment ID: I20170323001960 |
| Provider Name | Rahimallah Burnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548515893 PECOS PAC ID: 1951687169 Enrollment ID: I20170424000567 |
| Provider Name | Chelsea Rivenbark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679967830 PECOS PAC ID: 2466739354 Enrollment ID: I20170502000990 |
| Provider Name | John E Wright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477549848 PECOS PAC ID: 5092874214 Enrollment ID: I20170508002087 |
| Provider Name | Lauren H Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396283024 PECOS PAC ID: 3274810858 Enrollment ID: I20170509000753 |
| Provider Name | Yin Chow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912264698 PECOS PAC ID: 6406161280 Enrollment ID: I20170623000052 |
| Provider Name | Daune C Humphrey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154308393 PECOS PAC ID: 8820224850 Enrollment ID: I20170623000853 |
| Provider Name | Jodi Marie Calamito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801289087 PECOS PAC ID: 7315215886 Enrollment ID: I20170626001009 |
| Provider Name | Ruben C Sloan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083093900 PECOS PAC ID: 5698064111 Enrollment ID: I20170713002405 |
| Provider Name | Kaylan Srinivas Muppavarapu |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1902048697 PECOS PAC ID: 9638478191 Enrollment ID: I20170807001364 |
| Provider Name | Timothy A Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699879924 PECOS PAC ID: 4880786953 Enrollment ID: I20170808000770 |
| Provider Name | Nitika Sharma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043631773 PECOS PAC ID: 9032417381 Enrollment ID: I20170816000372 |
| Provider Name | Megan N Lambeth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437417136 PECOS PAC ID: 8426282625 Enrollment ID: I20170824001665 |
| Provider Name | Erin Slatter Atwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619387859 PECOS PAC ID: 1557652757 Enrollment ID: I20170824001799 |
| Provider Name | Evan A Lutz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891133930 PECOS PAC ID: 3971892134 Enrollment ID: I20170825001203 |
| Provider Name | Audy G Whitman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962812156 PECOS PAC ID: 1658660774 Enrollment ID: I20170825001830 |
| Provider Name | Shachar Laks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558563205 PECOS PAC ID: 2365595444 Enrollment ID: I20170830001900 |
| Provider Name | Alex M Kordis |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124013032 PECOS PAC ID: 0143529958 Enrollment ID: I20170830002321 |
| Provider Name | Monica H Raynor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366776197 PECOS PAC ID: 6709159270 Enrollment ID: I20170905001566 |
| Provider Name | Alex Gillone |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1598178030 PECOS PAC ID: 9537439740 Enrollment ID: I20170906001352 |
| Provider Name | Acela A Martinez Luna |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1811309321 PECOS PAC ID: 0749553113 Enrollment ID: I20170906002699 |
| Provider Name | Kelly A Bear |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770627812 PECOS PAC ID: 0941520019 Enrollment ID: I20170912000938 |
| Provider Name | Audie C Florida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124145214 PECOS PAC ID: 3274600523 Enrollment ID: I20170921003330 |
| Provider Name | Robert E Delozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093235137 PECOS PAC ID: 5395019731 Enrollment ID: I20170922002012 |
| Provider Name | Jessica Lynn Danison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477874618 PECOS PAC ID: 2163640590 Enrollment ID: I20170925002385 |
| Provider Name | Hannah Hubahib Florida |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033325345 PECOS PAC ID: 8123127891 Enrollment ID: I20170926000090 |
| Provider Name | Dora A Lebron Figueroa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124370945 PECOS PAC ID: 5698060481 Enrollment ID: I20171003003841 |
| Provider Name | Kelley E Haven |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851739221 PECOS PAC ID: 6709175086 Enrollment ID: I20171004003261 |
| Provider Name | Kerry C Shum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396971776 PECOS PAC ID: 7214202605 Enrollment ID: I20171011001857 |
| Provider Name | Vijay Chaudhary |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134388051 PECOS PAC ID: 8022132182 Enrollment ID: I20171102001964 |
| Provider Name | Samuel K Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184044596 PECOS PAC ID: 2466742846 Enrollment ID: I20171104000006 |
| Provider Name | Mark Moss |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1073606430 PECOS PAC ID: 7416214549 Enrollment ID: I20171128002556 |
| Provider Name | Joseph William Turek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114193224 PECOS PAC ID: 2365620648 Enrollment ID: I20171207002904 |
| Provider Name | Nicole S Toney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679791560 PECOS PAC ID: 1850489758 Enrollment ID: I20171219000116 |
| Provider Name | Rhiannon M.s. Phillips |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861904526 PECOS PAC ID: 0648538678 Enrollment ID: I20171221001688 |
| Provider Name | Kathryn L Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366952376 PECOS PAC ID: 0840558623 Enrollment ID: I20171228000265 |
| Provider Name | Margaret C Reither |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235193293 PECOS PAC ID: 3678619418 Enrollment ID: I20180103001297 |
| Provider Name | Prashanthi Veludandi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417397100 PECOS PAC ID: 8022377613 Enrollment ID: I20180104000732 |
| Provider Name | Linc J Conn |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851481980 PECOS PAC ID: 6002119435 Enrollment ID: I20180117002210 |
| Provider Name | Michael E Garvin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457335184 PECOS PAC ID: 4486913134 Enrollment ID: I20180125002199 |
| Provider Name | Jessica Schmoyer Rispoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053779504 PECOS PAC ID: 1557666997 Enrollment ID: I20180126002511 |
| Provider Name | Alexandra T Stang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912293051 PECOS PAC ID: 7214226356 Enrollment ID: I20180129000149 |
| Provider Name | Cheryl L Serio |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972655793 PECOS PAC ID: 8325341621 Enrollment ID: I20180130002814 |
| Provider Name | Mahmoud M Serag |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558799916 PECOS PAC ID: 0244533511 Enrollment ID: I20180130003055 |
| Provider Name | Michael E Bradley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447240056 PECOS PAC ID: 6507126562 Enrollment ID: I20180212002931 |
| Provider Name | Dennis Lynn Morris |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215998083 PECOS PAC ID: 8123044278 Enrollment ID: I20180220001534 |
| Provider Name | Kathryn L Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326554163 PECOS PAC ID: 6305107491 Enrollment ID: I20180306002867 |
| Provider Name | Christina L Nussbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518387885 PECOS PAC ID: 5294026456 Enrollment ID: I20180312000701 |
| Provider Name | Sivakumar Ardhanari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093944787 PECOS PAC ID: 2163656729 Enrollment ID: I20180515001017 |
| Provider Name | Jay Uk Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699091512 PECOS PAC ID: 6901048230 Enrollment ID: I20180521000551 |
| Provider Name | David W Paquette |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1043374135 PECOS PAC ID: 5496045635 Enrollment ID: I20180529001089 |
| Provider Name | Liliana M Gomez Mendez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104184464 PECOS PAC ID: 0941596167 Enrollment ID: I20180606001859 |
| Provider Name | Thomas Powers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689933780 PECOS PAC ID: 0941503536 Enrollment ID: I20180613001557 |
| Provider Name | Sugaree G Ganzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245749126 PECOS PAC ID: 5193070787 Enrollment ID: I20180622001387 |
| Provider Name | Shaundreal Desere'e Jamison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245677111 PECOS PAC ID: 2961623152 Enrollment ID: I20180625001955 |
| Provider Name | Isabel C Gay |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518117548 PECOS PAC ID: 3870896152 Enrollment ID: I20180625002345 |
| Provider Name | Amy R Gilleland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124384920 PECOS PAC ID: 4082904313 Enrollment ID: I20180629001731 |
| Provider Name | Meredith Lynn Disharoon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104189745 PECOS PAC ID: 1052698743 Enrollment ID: I20180705002133 |
| Provider Name | Kenji L Leonard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134415359 PECOS PAC ID: 7113225632 Enrollment ID: I20180718001276 |
| Provider Name | Kimberly Y Gise |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407140502 PECOS PAC ID: 3678876950 Enrollment ID: I20180723001029 |
| Provider Name | Benjamin C Degner |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1497069546 PECOS PAC ID: 2062769672 Enrollment ID: I20180726003139 |
| Provider Name | Jason Buschman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891720728 PECOS PAC ID: 6901060763 Enrollment ID: I20180809004322 |
| Provider Name | Carmella Rochelle Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457651077 PECOS PAC ID: 3476802182 Enrollment ID: I20180814000851 |
| Provider Name | Mary Windham Lenfestey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154688455 PECOS PAC ID: 0749596930 Enrollment ID: I20180817002328 |
| Provider Name | John P Mcgee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194104091 PECOS PAC ID: 9638468135 Enrollment ID: I20180829000604 |
| Provider Name | Caroline T Brewster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356720296 PECOS PAC ID: 1052601317 Enrollment ID: I20180910002602 |
| Provider Name | Lauren A Sarno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811253891 PECOS PAC ID: 2264733807 Enrollment ID: I20180921000008 |
| Provider Name | Susan L Howell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629348578 PECOS PAC ID: 4385995729 Enrollment ID: I20180924001645 |
| Provider Name | Stoney L Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528554219 PECOS PAC ID: 9830440882 Enrollment ID: I20181001003053 |
| Provider Name | Thomas R Tempel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255497582 PECOS PAC ID: 4486906799 Enrollment ID: I20181016000766 |
| Provider Name | John W Hooker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891838207 PECOS PAC ID: 4688807290 Enrollment ID: I20181017002698 |
| Provider Name | Donald Scott Trower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831607837 PECOS PAC ID: 4385997725 Enrollment ID: I20181031003222 |
| Provider Name | Caroline Marie Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952897274 PECOS PAC ID: 7810240173 Enrollment ID: I20181102001474 |
| Provider Name | Edwin Connelly |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962482414 PECOS PAC ID: 6800131079 Enrollment ID: I20181215000224 |
| Provider Name | Juliana Ballestero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164537064 PECOS PAC ID: 5496747701 Enrollment ID: I20181217000731 |
| Provider Name | Bryan T Gerber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174902167 PECOS PAC ID: 4385933894 Enrollment ID: I20181217002662 |
| Provider Name | Samantha Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093280174 PECOS PAC ID: 5698010742 Enrollment ID: I20181219000046 |
| Provider Name | Selena Erin Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528555604 PECOS PAC ID: 1951646843 Enrollment ID: I20181220003395 |
| Provider Name | Charla M Neville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801216874 PECOS PAC ID: 4082959853 Enrollment ID: I20181226000017 |
| Provider Name | Andrea S Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497222087 PECOS PAC ID: 8224374178 Enrollment ID: I20190114001766 |
| Provider Name | Jennifer L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588728380 PECOS PAC ID: 3375544760 Enrollment ID: I20190116002853 |
| Provider Name | Katherine D Jowers |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821137688 PECOS PAC ID: 1052657723 Enrollment ID: I20190117000662 |
| Provider Name | Dara S Dockery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518446913 PECOS PAC ID: 9830435460 Enrollment ID: I20190117003219 |
| Provider Name | Katisha E Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922575091 PECOS PAC ID: 5395082002 Enrollment ID: I20190206002904 |
| Provider Name | Brittani Katlin French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780160184 PECOS PAC ID: 2466790845 Enrollment ID: I20190208002997 |
| Provider Name | Gretchen G Gorman-lyden |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1912122573 PECOS PAC ID: 5092053843 Enrollment ID: I20190220002996 |
| Provider Name | Douglas Alan Kellogg |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1922142249 PECOS PAC ID: 0042550436 Enrollment ID: I20190321001822 |
| Provider Name | Mahmoud Al-dajani |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902381205 PECOS PAC ID: 9739420639 Enrollment ID: I20190402001645 |
| Provider Name | Arlene T Merle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952800682 PECOS PAC ID: 3173865581 Enrollment ID: I20190506001967 |
| Provider Name | Andrew E Johansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255774014 PECOS PAC ID: 6608178595 Enrollment ID: I20190603002664 |
| Provider Name | Aimee W Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265997076 PECOS PAC ID: 6103159264 Enrollment ID: I20190605002297 |
| Provider Name | Jason Chauncy Mccartt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811256902 PECOS PAC ID: 7113140237 Enrollment ID: I20190614000103 |
| Provider Name | Andrew J Bouland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548649858 PECOS PAC ID: 7719272822 Enrollment ID: I20190619000008 |
| Provider Name | Walter D Boyd |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689634503 PECOS PAC ID: 3375698145 Enrollment ID: I20190620000760 |
| Provider Name | Hannah M Nelson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124502356 PECOS PAC ID: 6406180397 Enrollment ID: I20190626003171 |
| Provider Name | Shehabaldin Alqalyoobi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245679141 PECOS PAC ID: 1153623145 Enrollment ID: I20190702003103 |
| Provider Name | Caitlin Rafter D'alonzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053976217 PECOS PAC ID: 5294061156 Enrollment ID: I20190730002940 |
| Provider Name | Juliana M Jaramillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467847434 PECOS PAC ID: 3375879026 Enrollment ID: I20190801002816 |
| Provider Name | Matthew A Rushing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588010268 PECOS PAC ID: 2365735222 Enrollment ID: I20190802000929 |
| Provider Name | Kev'ann Jarman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699334847 PECOS PAC ID: 4981931458 Enrollment ID: I20190806002392 |
| Provider Name | Joshua Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306259833 PECOS PAC ID: 8224259742 Enrollment ID: I20190812000098 |
| Provider Name | Hostensia M Beng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649618380 PECOS PAC ID: 4284925488 Enrollment ID: I20190812003466 |
| Provider Name | Randall K Falls |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558681221 PECOS PAC ID: 0840527925 Enrollment ID: I20190813000015 |
| Provider Name | Eric Charles Katz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336503242 PECOS PAC ID: 9032405709 Enrollment ID: I20190815003171 |
| Provider Name | William J Richbourg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598111270 PECOS PAC ID: 5698066108 Enrollment ID: I20190819002345 |
| Provider Name | Courtney L Robinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649838210 PECOS PAC ID: 2365770062 Enrollment ID: I20190819003674 |
| Provider Name | Andres David Flores Hidalgo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720455686 PECOS PAC ID: 4183952724 Enrollment ID: I20190821001389 |
| Provider Name | Ashley J Britton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205233426 PECOS PAC ID: 4486982691 Enrollment ID: I20190827000768 |
| Provider Name | Sruthipriya Sridhar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417303991 PECOS PAC ID: 6608168463 Enrollment ID: I20190827001222 |
| Provider Name | Maged Abdelaal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205177797 PECOS PAC ID: 0749543221 Enrollment ID: I20190830001499 |
| Provider Name | Vanessa Goff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215391552 PECOS PAC ID: 9830428606 Enrollment ID: I20190904003344 |
| Provider Name | Basma Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700165305 PECOS PAC ID: 3375760861 Enrollment ID: I20190905003350 |
| Provider Name | John D Townsend |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083674329 PECOS PAC ID: 9739471525 Enrollment ID: I20190910003200 |
| Provider Name | Hanan A Elgendy |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245668185 PECOS PAC ID: 9931464690 Enrollment ID: I20190918003643 |
| Provider Name | Timothy V Clifton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043666514 PECOS PAC ID: 1355632670 Enrollment ID: I20190920002892 |
| Provider Name | Saulo Geraldeli |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407950413 PECOS PAC ID: 9234438284 Enrollment ID: I20190924000279 |
| Provider Name | Richard R Barbaro |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144432584 PECOS PAC ID: 2668702234 Enrollment ID: I20190924003099 |
| Provider Name | Jeffrey Edward Aycock |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568693877 PECOS PAC ID: 6204103591 Enrollment ID: I20191001002655 |
| Provider Name | Katie M Keogh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1043446123 PECOS PAC ID: 0042540213 Enrollment ID: I20191001002931 |
| Provider Name | Owais Iqbal Bhatti |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770924631 PECOS PAC ID: 8325260045 Enrollment ID: I20191008000807 |
| Provider Name | Rajarajan Panneerselvan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528410255 PECOS PAC ID: 1850686577 Enrollment ID: I20191014002543 |
| Provider Name | Donna Gaines Clement |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497152722 PECOS PAC ID: 4981935319 Enrollment ID: I20191015003345 |
| Provider Name | Shadman Memarian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194171660 PECOS PAC ID: 2668763913 Enrollment ID: I20191016001819 |
| Provider Name | Ryan J Fouche |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730535303 PECOS PAC ID: 4688968019 Enrollment ID: I20191028001853 |
| Provider Name | Nicole Ann Stoneback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720646227 PECOS PAC ID: 9133451966 Enrollment ID: I20191029001215 |
| Provider Name | Dustin M Gertsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063868875 PECOS PAC ID: 1153614094 Enrollment ID: I20191030003571 |
| Provider Name | Jessica Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558700427 PECOS PAC ID: 1456610732 Enrollment ID: I20191106002499 |
| Provider Name | Tawfikul Alam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033473293 PECOS PAC ID: 1052627098 Enrollment ID: I20191108000515 |
| Provider Name | Michael Landreth |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104356625 PECOS PAC ID: 6709218910 Enrollment ID: I20191108001563 |
| Provider Name | Hannibal A Crisp |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841673613 PECOS PAC ID: 8022440239 Enrollment ID: I20191108001752 |
| Provider Name | Monica I Molini |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720250509 PECOS PAC ID: 4587096573 Enrollment ID: I20191113000509 |
| Provider Name | Eleanor T Kipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720318868 PECOS PAC ID: 4880720390 Enrollment ID: I20191118002136 |
| Provider Name | Lee W Boushell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932233434 PECOS PAC ID: 6103128863 Enrollment ID: I20191119002691 |
| Provider Name | Amy Michelle Wedge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780234187 PECOS PAC ID: 4183056690 Enrollment ID: I20191120003196 |
| Provider Name | Heather A Eads |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518518596 PECOS PAC ID: 7517390180 Enrollment ID: I20191212001541 |
| Provider Name | Michael J Bates |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932310604 PECOS PAC ID: 7911099825 Enrollment ID: I20191217001289 |
| Provider Name | Angela Mae Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750775607 PECOS PAC ID: 5395179766 Enrollment ID: I20191218002645 |
| Provider Name | Xiaoxi Cui |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124524145 PECOS PAC ID: 6608201983 Enrollment ID: I20200114002636 |
| Provider Name | Jorge E Gonzalez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679656821 PECOS PAC ID: 8325055205 Enrollment ID: I20200114003531 |
| Provider Name | Stephanie L Ledbetter |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740563600 PECOS PAC ID: 6406151000 Enrollment ID: I20200114003601 |
| Provider Name | Dana James Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952946592 PECOS PAC ID: 8921433913 Enrollment ID: I20200122000583 |
| Provider Name | Maurice D Richardson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700078342 PECOS PAC ID: 5698814002 Enrollment ID: I20200122002062 |
| Provider Name | Vanessa Pardi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508417403 PECOS PAC ID: 8527494244 Enrollment ID: I20200128002601 |
| Provider Name | Randy Gerrel Fussell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821049479 PECOS PAC ID: 8022329119 Enrollment ID: I20200128002935 |
| Provider Name | Donald Robert Whitley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023031804 PECOS PAC ID: 8628398658 Enrollment ID: I20200128003068 |
| Provider Name | Ryan Christopher Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144864885 PECOS PAC ID: 5496181869 Enrollment ID: I20200203001225 |
| Provider Name | John T Fallon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679573570 PECOS PAC ID: 2163422957 Enrollment ID: I20200203002170 |
| Provider Name | Rebekah Q Jewell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376907287 PECOS PAC ID: 4981990629 Enrollment ID: I20200205000363 |
| Provider Name | Jayne Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861037319 PECOS PAC ID: 8820424161 Enrollment ID: I20200205002644 |
| Provider Name | Daniel A Greenberg |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588764450 PECOS PAC ID: 7618303686 Enrollment ID: I20200211001520 |
| Provider Name | John Mcdaniel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245466259 PECOS PAC ID: 2365754819 Enrollment ID: I20200212000643 |
| Provider Name | Daniel M Raiford |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063522787 PECOS PAC ID: 0749584134 Enrollment ID: I20200212001672 |
| Provider Name | Joseph Gondrez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851436703 PECOS PAC ID: 5294161147 Enrollment ID: I20200212001936 |
| Provider Name | Larry Tabatchnick |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821085465 PECOS PAC ID: 7214093970 Enrollment ID: I20200218002038 |
| Provider Name | Thomas Francis Blair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073040218 PECOS PAC ID: 6305116799 Enrollment ID: I20200309000899 |
| Provider Name | Wanda G Wright |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396117990 PECOS PAC ID: 1355644634 Enrollment ID: I20200316002009 |
| Provider Name | Katherine Dowdy Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619397718 PECOS PAC ID: 2668761073 Enrollment ID: I20200319001574 |
| Provider Name | Janet C Hood |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730300781 PECOS PAC ID: 3375846645 Enrollment ID: I20200402002367 |
| Provider Name | Mia Davielle Gonzales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598292674 PECOS PAC ID: 2567732951 Enrollment ID: I20200406003298 |
| Provider Name | Michael P Garrison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437148913 PECOS PAC ID: 8729418595 Enrollment ID: I20200417001932 |
| Provider Name | James W Apgar |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164408480 PECOS PAC ID: 5698105401 Enrollment ID: I20200420000230 |
| Provider Name | William M Johnstone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326433046 PECOS PAC ID: 1951695758 Enrollment ID: I20200422003390 |
| Provider Name | Brendan Patrick Kelley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467794701 PECOS PAC ID: 0345472015 Enrollment ID: I20200507002309 |
| Provider Name | Michael Adam Lach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710304829 PECOS PAC ID: 5294025656 Enrollment ID: I20200507003196 |
| Provider Name | Moiz Sadia Vora |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437493566 PECOS PAC ID: 9335442177 Enrollment ID: I20200519001366 |
| Provider Name | Yamini Mandelia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558778498 PECOS PAC ID: 5395174072 Enrollment ID: I20200519002827 |
| Provider Name | Renita Deloatch Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093369977 PECOS PAC ID: 8628409968 Enrollment ID: I20200520002558 |
| Provider Name | Chetan Mandelia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457766123 PECOS PAC ID: 6901108067 Enrollment ID: I20200521000148 |
| Provider Name | Juan Guillen Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841695095 PECOS PAC ID: 7719259316 Enrollment ID: I20200526000868 |
| Provider Name | Jennifer Emberger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003254673 PECOS PAC ID: 5597054635 Enrollment ID: I20200527001361 |
| Provider Name | Brianna Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730616111 PECOS PAC ID: 2961772280 Enrollment ID: I20200605002188 |
| Provider Name | Courtney L Strickland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861848467 PECOS PAC ID: 3476845264 Enrollment ID: I20200624001050 |
| Provider Name | Aparna S Thombare |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831509017 PECOS PAC ID: 4284923277 Enrollment ID: I20200625001161 |
| Provider Name | Augustin Du Sablon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790212199 PECOS PAC ID: 7810261823 Enrollment ID: I20200626001619 |
| Provider Name | Ben Richard Goodgame |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891911277 PECOS PAC ID: 0941331961 Enrollment ID: I20200629003690 |
| Provider Name | John Frederick Eisses |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699937458 PECOS PAC ID: 9739302027 Enrollment ID: I20200630002745 |
| Provider Name | Duy An Tran Minior |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992125322 PECOS PAC ID: 9739479072 Enrollment ID: I20200707001228 |
| Provider Name | Wenjian Zhang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1679797997 PECOS PAC ID: 1254754815 Enrollment ID: I20200715000764 |
| Provider Name | Ghanshyam Palamaner Subash Shantha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1942563176 PECOS PAC ID: 5395059745 Enrollment ID: I20200715001178 |
| Provider Name | Belinda Chandra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619386497 PECOS PAC ID: 0840582870 Enrollment ID: I20200727002328 |
| Provider Name | Abigail P Josef |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588958797 PECOS PAC ID: 6709112378 Enrollment ID: I20200731002446 |
| Provider Name | Allison M Lemon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245619279 PECOS PAC ID: 9830488246 Enrollment ID: I20200803001819 |
| Provider Name | Margaret R Clifton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619323474 PECOS PAC ID: 4284925512 Enrollment ID: I20200803001970 |
| Provider Name | Kellner L Pruett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841727054 PECOS PAC ID: 6406125335 Enrollment ID: I20200805002861 |
| Provider Name | Brittany N Speed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912427576 PECOS PAC ID: 1658642640 Enrollment ID: I20200806002436 |
| Provider Name | Christopher Scott Evans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326571258 PECOS PAC ID: 1951631233 Enrollment ID: I20200806003744 |
| Provider Name | Elham Rahmani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023464195 PECOS PAC ID: 0547555781 Enrollment ID: I20200807000496 |
| Provider Name | Tricia Ann Carter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114114048 PECOS PAC ID: 4688099633 Enrollment ID: I20200807000740 |
| Provider Name | David Nathan Trisler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518377670 PECOS PAC ID: 2860787579 Enrollment ID: I20200812000705 |
| Provider Name | Kathryn Anne Best |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093157828 PECOS PAC ID: 8224454889 Enrollment ID: I20200813002585 |
| Provider Name | Rachel Ashlyn Williamson Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790136638 PECOS PAC ID: 3375969736 Enrollment ID: I20200814002480 |
| Provider Name | Kuldip Kainth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811306186 PECOS PAC ID: 3274876685 Enrollment ID: I20200818000007 |
| Provider Name | Colby B Dendy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336595909 PECOS PAC ID: 0941591291 Enrollment ID: I20200821000707 |
| Provider Name | Rachel E Gooding |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659750651 PECOS PAC ID: 6901195437 Enrollment ID: I20200825001922 |
| Provider Name | Charles W Holland |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740376680 PECOS PAC ID: 4587968243 Enrollment ID: I20200825003588 |
| Provider Name | Melissa Suzanne Babb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093084410 PECOS PAC ID: 4486071099 Enrollment ID: I20200827002407 |
| Provider Name | Leslie Ann Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548891039 PECOS PAC ID: 3476970013 Enrollment ID: I20200827003708 |
| Provider Name | Pooja Srikanth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023442126 PECOS PAC ID: 1557636487 Enrollment ID: I20200831001593 |
| Provider Name | Cheryl Fehr-banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316559610 PECOS PAC ID: 5496172611 Enrollment ID: I20200902000235 |
| Provider Name | Crystal Dianne Kellam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265084800 PECOS PAC ID: 2860810777 Enrollment ID: I20200909001927 |
| Provider Name | Yaolin Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760772651 PECOS PAC ID: 6901042621 Enrollment ID: I20200917002968 |
| Provider Name | Ashna Pokhrel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205184231 PECOS PAC ID: 7719238476 Enrollment ID: I20200930003005 |
| Provider Name | Lois Dene Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972015691 PECOS PAC ID: 9830518273 Enrollment ID: I20201002002800 |
| Provider Name | Maryna Chumakova-orin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225422363 PECOS PAC ID: 2365861671 Enrollment ID: I20201006000021 |
| Provider Name | Kendall R Maready |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922613215 PECOS PAC ID: 7618397639 Enrollment ID: I20201013002552 |
| Provider Name | Richard E Howell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790802346 PECOS PAC ID: 2466872130 Enrollment ID: I20201019001263 |
| Provider Name | Lauren Brooke Kostok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750903969 PECOS PAC ID: 3274943311 Enrollment ID: I20201102000685 |
| Provider Name | Bhushan R Thakkar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1881046597 PECOS PAC ID: 3678869112 Enrollment ID: I20201110000425 |
| Provider Name | Jason Benjamin Hack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053303768 PECOS PAC ID: 9436224946 Enrollment ID: I20201111002118 |
| Provider Name | Moamen E Sheba |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104344241 PECOS PAC ID: 9436569977 Enrollment ID: I20201111002682 |
| Provider Name | William C Lee |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568415925 PECOS PAC ID: 7911200324 Enrollment ID: I20201112002561 |
| Provider Name | John R Royal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477551562 PECOS PAC ID: 5698083368 Enrollment ID: I20201116000349 |
| Provider Name | Ritu Modi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073920286 PECOS PAC ID: 1254742430 Enrollment ID: I20201118002679 |
| Provider Name | Nicole Elizabeth Beasley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447703426 PECOS PAC ID: 8022387471 Enrollment ID: I20201118002858 |
| Provider Name | Sarah H Kinsley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932550449 PECOS PAC ID: 0648681825 Enrollment ID: I20201118003071 |
| Provider Name | John C Sheaffer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1659492155 PECOS PAC ID: 2567755937 Enrollment ID: I20201120000206 |
| Provider Name | Lucia Angela Smith-martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467808964 PECOS PAC ID: 1254622566 Enrollment ID: I20210104001350 |
| Provider Name | Erica Proffitt Barwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598361065 PECOS PAC ID: 7810301504 Enrollment ID: I20210120001462 |
| Provider Name | David G Macpherson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326551656 PECOS PAC ID: 4789098146 Enrollment ID: I20210126000510 |
| Provider Name | Meagan Z Valenti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619480787 PECOS PAC ID: 1052747631 Enrollment ID: I20210209001041 |
| Provider Name | Matthew C Causey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1922100932 PECOS PAC ID: 8426355249 Enrollment ID: I20210224001552 |
| Provider Name | Maggie L Pafford |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801278353 PECOS PAC ID: 8527346378 Enrollment ID: I20210225000622 |
| Provider Name | Benjamin F Dyer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407065402 PECOS PAC ID: 6305149741 Enrollment ID: I20210226000867 |
| Provider Name | Troy Bunyon Sluder |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1770657322 PECOS PAC ID: 9335442615 Enrollment ID: I20210301000896 |
| Provider Name | Taneet Bds Ms Ghuman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477967917 PECOS PAC ID: 1850689670 Enrollment ID: I20210301001087 |
| Provider Name | Karina J Dick |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174594543 PECOS PAC ID: 7012323140 Enrollment ID: I20210315002016 |
| Provider Name | Luis G Sensi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1770862559 PECOS PAC ID: 0941503213 Enrollment ID: I20210316000338 |
| Provider Name | Roopwant Kaur |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992059240 PECOS PAC ID: 0547563801 Enrollment ID: I20210316002849 |
| Provider Name | Kushagra Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831503887 PECOS PAC ID: 0345513750 Enrollment ID: I20210317002279 |
| Provider Name | Anahita Shaya |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124401617 PECOS PAC ID: 3072921063 Enrollment ID: I20210412001101 |
| Provider Name | Simone Patalinghug Montoya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164711180 PECOS PAC ID: 8123371200 Enrollment ID: I20210415002054 |
| Provider Name | Christopher Randell Ball |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821483041 PECOS PAC ID: 0648580555 Enrollment ID: I20210419001293 |
| Provider Name | Chris S Ivanoff |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1437283728 PECOS PAC ID: 5395154272 Enrollment ID: I20210505001185 |
| Provider Name | Marcus B Ward |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831547082 PECOS PAC ID: 6800205717 Enrollment ID: I20210505002435 |
| Provider Name | Norberto Velazquez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407967607 PECOS PAC ID: 3577866920 Enrollment ID: I20210519000319 |
| Provider Name | Tushar P Bulsara |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1346884533 PECOS PAC ID: 0648679910 Enrollment ID: I20210519001694 |
| Provider Name | Melissa May Joy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1598032831 PECOS PAC ID: 2769773621 Enrollment ID: I20210519001712 |
| Provider Name | Krystal J Lineberger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386256386 PECOS PAC ID: 1951700897 Enrollment ID: I20210526002798 |
| Provider Name | David J Dubois |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063570091 PECOS PAC ID: 8224437934 Enrollment ID: I20210601000730 |
| Provider Name | Anna Hamanjian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407274335 PECOS PAC ID: 5698034379 Enrollment ID: I20210603000525 |
| Provider Name | Tiara Tikell Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316513435 PECOS PAC ID: 3971903618 Enrollment ID: I20210616003231 |
| Provider Name | Edith M Reyes Alvarado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790167666 PECOS PAC ID: 2466741871 Enrollment ID: I20210623001306 |
| Provider Name | Alexandra Davic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427552926 PECOS PAC ID: 1850723735 Enrollment ID: I20210624000298 |
| Provider Name | Maja Herco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568843530 PECOS PAC ID: 2769883933 Enrollment ID: I20210624003154 |
| Provider Name | Cameron Nichols |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699201855 PECOS PAC ID: 0042567422 Enrollment ID: I20210713003331 |
| Provider Name | Christelle Rodriguez Moreno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225576218 PECOS PAC ID: 8527488998 Enrollment ID: I20210714003266 |
| Provider Name | Chelcie Kurzontkowski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184290215 PECOS PAC ID: 1355743162 Enrollment ID: I20210715001148 |
| Provider Name | Natalie Kristine Safdar |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215503123 PECOS PAC ID: 0244633691 Enrollment ID: I20210723000165 |
| Provider Name | Darlene Jackson Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336784453 PECOS PAC ID: 6800299710 Enrollment ID: I20210729000010 |
| Provider Name | Michael J Apicella |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528038650 PECOS PAC ID: 4587068218 Enrollment ID: I20210803001856 |
| Provider Name | Kimberly Fender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437684362 PECOS PAC ID: 5799054805 Enrollment ID: I20210810001291 |
| Provider Name | Hassan Mahdi Al-khalisy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053727503 PECOS PAC ID: 7416175336 Enrollment ID: I20210812000502 |
| Provider Name | William Bell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528044609 PECOS PAC ID: 6709914807 Enrollment ID: I20210902000407 |
| Provider Name | Nasim Khattab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548629777 PECOS PAC ID: 8325345382 Enrollment ID: I20210902000732 |
| Provider Name | Britt A Causey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1811099443 PECOS PAC ID: 2365731080 Enrollment ID: I20210908000244 |
| Provider Name | Gargi Sharma Priamvada |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194107623 PECOS PAC ID: 9537498316 Enrollment ID: I20210908002612 |
| Provider Name | Mohammad Hammad Jaber Alhamaydeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760997530 PECOS PAC ID: 2567713654 Enrollment ID: I20210908003723 |
| Provider Name | Katherine Moravec |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508363235 PECOS PAC ID: 2567712508 Enrollment ID: I20210920001197 |
| Provider Name | Christina Regelsberger Alvarez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407234818 PECOS PAC ID: 2062724750 Enrollment ID: I20210925000214 |
| Provider Name | Rakesh Devendra Amin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023405164 PECOS PAC ID: 2860899374 Enrollment ID: I20210927001824 |
| Provider Name | Harold S Zald |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164591558 PECOS PAC ID: 9931506318 Enrollment ID: I20210928001480 |
| Provider Name | Jared Carter-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245705748 PECOS PAC ID: 6103161989 Enrollment ID: I20211004000972 |
| Provider Name | Chadwick Mills |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306824602 PECOS PAC ID: 6709874225 Enrollment ID: I20211008002026 |
| Provider Name | Robert S Maupin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1275558124 PECOS PAC ID: 4183022916 Enrollment ID: I20211008002334 |
| Provider Name | Thomas Nelson Hawken |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1417377102 PECOS PAC ID: 8628378189 Enrollment ID: I20211014002825 |
| Provider Name | Cierra Jackson Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841968849 PECOS PAC ID: 0446648463 Enrollment ID: I20211025002158 |
| Provider Name | Jazmin A Cromartie |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1659994309 PECOS PAC ID: 2062800410 Enrollment ID: I20211104000315 |
| Provider Name | Annie Knight |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548616139 PECOS PAC ID: 9133412042 Enrollment ID: I20211104002077 |
| Provider Name | Angela Coker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669866133 PECOS PAC ID: 4789939562 Enrollment ID: I20211104002164 |
| Provider Name | Sabrina R Officer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1811502453 PECOS PAC ID: 5092104406 Enrollment ID: I20211104002902 |
| Provider Name | Heriberto Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245900646 PECOS PAC ID: 0345639415 Enrollment ID: I20211110002229 |
| Provider Name | Jennifer Stanley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740636331 PECOS PAC ID: 2769774538 Enrollment ID: I20211111002027 |
| Provider Name | Lewis Richard Gergoudis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356839518 PECOS PAC ID: 5799032611 Enrollment ID: I20211116001522 |
| Provider Name | Brittany Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801559216 PECOS PAC ID: 8921497595 Enrollment ID: I20211119002258 |
| Provider Name | Stephens Taylor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508841966 PECOS PAC ID: 9234031550 Enrollment ID: I20211213000431 |
| Provider Name | Jessica Anne Barrett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164181459 PECOS PAC ID: 8921499898 Enrollment ID: I20220104000129 |
| Provider Name | Deneeka Whitaker Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679182851 PECOS PAC ID: 8426440686 Enrollment ID: I20220120000091 |
| Provider Name | James Leigh Whiteside |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912926395 PECOS PAC ID: 5698765972 Enrollment ID: I20220125000030 |
| Provider Name | Taylor Danielle Snodgrass |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386201218 PECOS PAC ID: 3173915998 Enrollment ID: I20220127001894 |
| Provider Name | Bridgett Mooring Minges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821757717 PECOS PAC ID: 3274925060 Enrollment ID: I20220128001945 |
| Provider Name | Patrick K Campbell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689151508 PECOS PAC ID: 6002209897 Enrollment ID: I20220129000248 |
| Provider Name | Kimberly M. Womack |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114107893 PECOS PAC ID: 5395139992 Enrollment ID: I20220224001665 |
| Provider Name | Kimberly Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275290231 PECOS PAC ID: 2062807894 Enrollment ID: I20220315000519 |
| Provider Name | Jennifer Ann Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124775747 PECOS PAC ID: 7719372200 Enrollment ID: I20220321000078 |
| Provider Name | Lauren Wicks Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225783038 PECOS PAC ID: 4688061781 Enrollment ID: I20220419002964 |
| Provider Name | Christie A Odom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477209369 PECOS PAC ID: 3274920202 Enrollment ID: I20220421002133 |
| Provider Name | Mohamed Hassan Gaber Khalaf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316694557 PECOS PAC ID: 1850778671 Enrollment ID: I20220517002750 |
| Provider Name | Evan Michael Leitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013177344 PECOS PAC ID: 7911143003 Enrollment ID: I20220526000069 |
| Provider Name | Matthew Adam Neill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790139152 PECOS PAC ID: 0547550204 Enrollment ID: I20220609001558 |
| Provider Name | Laura A Steinmeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114372323 PECOS PAC ID: 3173817400 Enrollment ID: I20220627000581 |
| Provider Name | Gerardo Gonzalez Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902399561 PECOS PAC ID: 8729488325 Enrollment ID: I20220627002727 |
| Provider Name | Alexandra Digenakis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114580263 PECOS PAC ID: 8527301373 Enrollment ID: I20220628002737 |
| Provider Name | Patricia Brooke Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346550993 PECOS PAC ID: 1456731066 Enrollment ID: I20220629000352 |
| Provider Name | Chad Thomas Andicochea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871885533 PECOS PAC ID: 4789064288 Enrollment ID: I20220630000069 |
| Provider Name | David James Masuck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164953097 PECOS PAC ID: 4789955790 Enrollment ID: I20220701002532 |
| Provider Name | Zachary P Schnoor |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528190923 PECOS PAC ID: 5193020998 Enrollment ID: I20220712000558 |
| Provider Name | Divij Pasrija |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841744554 PECOS PAC ID: 9931447679 Enrollment ID: I20220713003989 |
| Provider Name | Stephanny Acevedo Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508271560 PECOS PAC ID: 3971874058 Enrollment ID: I20220726000034 |
| Provider Name | Sravanthi Utpala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174050140 PECOS PAC ID: 1355611526 Enrollment ID: I20220728003083 |
| Provider Name | Ziv Beckerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346691458 PECOS PAC ID: 2961796743 Enrollment ID: I20220729000783 |
| Provider Name | Gregory Daniel House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851895023 PECOS PAC ID: 7113257023 Enrollment ID: I20220801001899 |
| Provider Name | Mireille Andree Liboiron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376998351 PECOS PAC ID: 3072802156 Enrollment ID: I20220801003345 |
| Provider Name | Anwar Abdul-hadi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710291992 PECOS PAC ID: 1456623586 Enrollment ID: I20220802003073 |
| Provider Name | Daniel Patrick Becak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275096836 PECOS PAC ID: 6901132711 Enrollment ID: I20220803002756 |
| Provider Name | John Cornelius O'donnell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679922751 PECOS PAC ID: 2668898743 Enrollment ID: I20220804000073 |
| Provider Name | David George Herman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528591484 PECOS PAC ID: 2163792573 Enrollment ID: I20220805001268 |
| Provider Name | Shahab Fareed Abdessalam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174697502 PECOS PAC ID: 5395807242 Enrollment ID: I20220805002696 |
| Provider Name | Jacob William Pierce |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962857730 PECOS PAC ID: 5991099137 Enrollment ID: I20220809000913 |
| Provider Name | Kelli Starr Oldham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013641430 PECOS PAC ID: 7618350513 Enrollment ID: I20220810000208 |
| Provider Name | Randall N Ball |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447237672 PECOS PAC ID: 2668740556 Enrollment ID: I20220812001911 |
| Provider Name | Ashley Lutrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942863782 PECOS PAC ID: 3971839234 Enrollment ID: I20220813000281 |
| Provider Name | Brandon Lawrence Burns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871098657 PECOS PAC ID: 8527441187 Enrollment ID: I20220815000197 |
| Provider Name | William Albert Rieck |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669992418 PECOS PAC ID: 1759764160 Enrollment ID: I20220818000106 |
| Provider Name | Caitlin E King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558757740 PECOS PAC ID: 2062794480 Enrollment ID: I20220818001314 |
| Provider Name | Joyce Mee Kyung Jhang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497134407 PECOS PAC ID: 3476852252 Enrollment ID: I20220819000928 |
| Provider Name | Elise Loraine Stephenson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649632712 PECOS PAC ID: 3375926397 Enrollment ID: I20220823003534 |
| Provider Name | Alvin Parker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184151151 PECOS PAC ID: 0547530966 Enrollment ID: I20220825002633 |
| Provider Name | Ann Gee Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205229697 PECOS PAC ID: 1951785815 Enrollment ID: I20220826002067 |
| Provider Name | Donald Lee Norris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720169576 PECOS PAC ID: 6608774229 Enrollment ID: I20220831000172 |
| Provider Name | Jessica Lee Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033772595 PECOS PAC ID: 1759616956 Enrollment ID: I20220831001664 |
| Provider Name | Austin Henry Weiss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609260520 PECOS PAC ID: 6901158724 Enrollment ID: I20220908000026 |
| Provider Name | Rachel Drye Hanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609245224 PECOS PAC ID: 5890179923 Enrollment ID: I20220908001622 |
| Provider Name | Taylor F Townsend |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326150962 PECOS PAC ID: 4789830639 Enrollment ID: I20220912002560 |
| Provider Name | Peter J Adams |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992788186 PECOS PAC ID: 6709109556 Enrollment ID: I20220912003604 |
| Provider Name | Leonna Sylvitrice Ameduite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063000164 PECOS PAC ID: 5698150662 Enrollment ID: I20220913000699 |
| Provider Name | Brian Yuyang Zhao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699161372 PECOS PAC ID: 4284057530 Enrollment ID: I20220915000965 |
| Provider Name | Joseph M Ferrara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942450002 PECOS PAC ID: 6901968114 Enrollment ID: I20220923002186 |
| Provider Name | Diane T Dawley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730685801 PECOS PAC ID: 0749530772 Enrollment ID: I20220923002809 |
| Provider Name | David Jeffrey Faro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467957753 PECOS PAC ID: 9032460241 Enrollment ID: I20220927003822 |
| Provider Name | Frances Chinenye Okolo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043655285 PECOS PAC ID: 4587088299 Enrollment ID: I20221006002264 |
| Provider Name | Mandi Kristina Pierce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114418522 PECOS PAC ID: 2163758681 Enrollment ID: I20221006003301 |
| Provider Name | Dianne M Forbes |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356549026 PECOS PAC ID: 7810297652 Enrollment ID: I20221006003346 |
| Provider Name | Ashley Danielle Atkinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275020208 PECOS PAC ID: 0143577049 Enrollment ID: I20221006003392 |
| Provider Name | Albert George Rossner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831823566 PECOS PAC ID: 2769868165 Enrollment ID: I20221010000682 |
| Provider Name | Lakshmi Senkumar |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154058030 PECOS PAC ID: 0143606442 Enrollment ID: I20221010001094 |
| Provider Name | Paul A Lindauer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568435311 PECOS PAC ID: 7113220427 Enrollment ID: I20221011002918 |
| Provider Name | Jamie Lynette Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477117315 PECOS PAC ID: 9032444229 Enrollment ID: I20221013000265 |
| Provider Name | Francis Lejau Parker Barnwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962066092 PECOS PAC ID: 1456681352 Enrollment ID: I20221013001017 |
| Provider Name | Susan Elizabeth Fawcett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376262261 PECOS PAC ID: 8820464845 Enrollment ID: I20221017001764 |
| Provider Name | Maham Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699117168 PECOS PAC ID: 8820420722 Enrollment ID: I20221017002072 |
| Provider Name | Lauren Patterson Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972803237 PECOS PAC ID: 0244606929 Enrollment ID: I20221020002463 |
| Provider Name | Lauren D Allan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700172871 PECOS PAC ID: 0941451173 Enrollment ID: I20221107000431 |
| Provider Name | Sukyung Moon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225766033 PECOS PAC ID: 0648647289 Enrollment ID: I20221110001199 |
| Provider Name | John Yancey Phelps |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629130950 PECOS PAC ID: 0244375947 Enrollment ID: I20221122000698 |
| Provider Name | Yosef Greenspon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942364690 PECOS PAC ID: 3577665090 Enrollment ID: I20221206001188 |
| Provider Name | Elizabeth Danielle Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952010357 PECOS PAC ID: 4587033436 Enrollment ID: I20221215001206 |
| Provider Name | John Emmanuel Markantonis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720527864 PECOS PAC ID: 8123415296 Enrollment ID: I20221221000211 |
| Provider Name | Kareem C Boles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366179095 PECOS PAC ID: 1759751399 Enrollment ID: I20221223000352 |
| Provider Name | Karen E Lanier |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528160959 PECOS PAC ID: 4082928676 Enrollment ID: I20221229002490 |
| Provider Name | Ann Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023141058 PECOS PAC ID: 4789901190 Enrollment ID: I20230111002573 |
| Provider Name | Shannon Paton Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346751898 PECOS PAC ID: 7012388754 Enrollment ID: I20230117002237 |
| Provider Name | Lindsey Nelson Gieselman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477946440 PECOS PAC ID: 8022489640 Enrollment ID: I20230118002441 |
| Provider Name | Autumn Joy Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598383077 PECOS PAC ID: 1456722867 Enrollment ID: I20230123002124 |
| Provider Name | Stephanie Dawn Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548886849 PECOS PAC ID: 4981075322 Enrollment ID: I20230124000312 |
| Provider Name | Euphemia Johnson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316915861 PECOS PAC ID: 4587035878 Enrollment ID: I20230124003092 |
| Provider Name | Pamela Meadors Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154472553 PECOS PAC ID: 0345611489 Enrollment ID: I20230127000271 |
| Provider Name | Brianna Nicole Fly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144839986 PECOS PAC ID: 0345611331 Enrollment ID: I20230131001184 |
| Provider Name | Emerson G Crawford |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427464460 PECOS PAC ID: 8628371911 Enrollment ID: I20230204000004 |
| Provider Name | Michael A Granet |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760492797 PECOS PAC ID: 0648595231 Enrollment ID: I20230208001204 |
| Provider Name | Richard Wilson Temple |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184687444 PECOS PAC ID: 9436250313 Enrollment ID: I20230208003016 |
| Provider Name | Terry Lynne Ransom-flint |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851523609 PECOS PAC ID: 1456407386 Enrollment ID: I20230209000925 |
| Provider Name | Jacqueline Davanzo Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144899964 PECOS PAC ID: 2264804558 Enrollment ID: I20230215000553 |
| Provider Name | Todd S Jordan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508081563 PECOS PAC ID: 5698079739 Enrollment ID: I20230220000999 |
| Provider Name | Charlotte L Capizzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811604358 PECOS PAC ID: 2668845553 Enrollment ID: I20230223001169 |
| Provider Name | Megumi Aita Williamson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205212792 PECOS PAC ID: 0345592275 Enrollment ID: I20230224001800 |
| Provider Name | Corey Scott Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104455385 PECOS PAC ID: 2860813797 Enrollment ID: I20230308001265 |
| Provider Name | Julie Anne Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760915276 PECOS PAC ID: 2163895236 Enrollment ID: I20230310002186 |
| Provider Name | Lisa Shari Felix |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770917171 PECOS PAC ID: 6709127186 Enrollment ID: I20230310002554 |
| Provider Name | William Josiah Sherman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730476813 PECOS PAC ID: 2062886187 Enrollment ID: I20230313001195 |
| Provider Name | John Charles Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780223545 PECOS PAC ID: 1355715434 Enrollment ID: I20230314000994 |
| Provider Name | Paul S Decarlo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013161736 PECOS PAC ID: 5294109914 Enrollment ID: I20230321001114 |
| Provider Name | Arthur W Knight |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699813691 PECOS PAC ID: 0749655322 Enrollment ID: I20230413000116 |
| Provider Name | Paola Andreina Matheus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952838567 PECOS PAC ID: 9133506702 Enrollment ID: I20230504000447 |
| Provider Name | Akeadra E Bell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871122143 PECOS PAC ID: 8729444583 Enrollment ID: I20230519002771 |
| Provider Name | Patricia Webb Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306547179 PECOS PAC ID: 1153787692 Enrollment ID: I20230525001448 |
| Provider Name | Jessica Brooke Eubanks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912494907 PECOS PAC ID: 5294081089 Enrollment ID: I20230530000119 |
| Provider Name | Memu-iye Kamara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154947141 PECOS PAC ID: 5496170425 Enrollment ID: I20230608000667 |
| Provider Name | Allison Therese Connelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912536129 PECOS PAC ID: 2961823422 Enrollment ID: I20230620002977 |
| Provider Name | Nicollette Arielle Baldwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295354512 PECOS PAC ID: 9931521648 Enrollment ID: I20230620003451 |
| Provider Name | Lauren Hemmingsen Gregg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821626151 PECOS PAC ID: 4183046980 Enrollment ID: I20230621001544 |
| Provider Name | Timothy David Cookson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508494675 PECOS PAC ID: 8224450630 Enrollment ID: I20230623002435 |
| Provider Name | Ikramuddin Aukhil |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1649220799 PECOS PAC ID: 1153627211 Enrollment ID: I20230627000131 |
| Provider Name | Jisoo Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154819878 PECOS PAC ID: 2769840529 Enrollment ID: I20230627000322 |
| Provider Name | Owen Scott Richardson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396178943 PECOS PAC ID: 6103196753 Enrollment ID: I20230627002999 |
| Provider Name | Aaron Michael Hudnall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639610074 PECOS PAC ID: 1052656956 Enrollment ID: I20230628000424 |
| Provider Name | Donald A Worm |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1861507295 PECOS PAC ID: 3072971761 Enrollment ID: I20230628002093 |
| Provider Name | Jacob Ryan Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831719947 PECOS PAC ID: 3870915689 Enrollment ID: I20230629002809 |
| Provider Name | Ahmed Ibrahim Elsayed Ibrahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639693674 PECOS PAC ID: 9234465170 Enrollment ID: I20230629003529 |
| Provider Name | Jamison Cole Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104350438 PECOS PAC ID: 5799062451 Enrollment ID: I20230706003776 |
| Provider Name | Brandon Lee Tedder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326669201 PECOS PAC ID: 9032531736 Enrollment ID: I20230707002906 |
| Provider Name | Matthew Thomas Drake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477182707 PECOS PAC ID: 5597186429 Enrollment ID: I20230711000337 |
| Provider Name | David Walker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124548391 PECOS PAC ID: 9436420940 Enrollment ID: I20230712000043 |
| Provider Name | Brandon Wright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366061509 PECOS PAC ID: 9436570033 Enrollment ID: I20230714002511 |
| Provider Name | Gary K Zhang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487185799 PECOS PAC ID: 0345513032 Enrollment ID: I20230720001000 |
| Provider Name | Robert Thomas Lombard |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063975852 PECOS PAC ID: 8325374051 Enrollment ID: I20230721000328 |
| Provider Name | Threvia West |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255330353 PECOS PAC ID: 6709801350 Enrollment ID: I20230801000812 |
| Provider Name | Eonsoo Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215225701 PECOS PAC ID: 6002277027 Enrollment ID: I20230807001573 |
| Provider Name | Christopher Luke Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629697990 PECOS PAC ID: 8820411358 Enrollment ID: I20230810002826 |
| Provider Name | Joshua Taylor Pathman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700374139 PECOS PAC ID: 0941603310 Enrollment ID: I20230814003055 |
| Provider Name | John Nicholas Catanzaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003077140 PECOS PAC ID: 3678728052 Enrollment ID: I20230815003276 |
| Provider Name | Ashley Nicole Paldino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013691328 PECOS PAC ID: 9638531163 Enrollment ID: I20230816001560 |
| Provider Name | Kathleen Salmond Kinderwater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659834539 PECOS PAC ID: 1456688266 Enrollment ID: I20230816004299 |
| Provider Name | Elizabeth Price Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114603537 PECOS PAC ID: 8628431533 Enrollment ID: I20230824003964 |
| Provider Name | Deirdre Helen Suzanne Larsen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518642289 PECOS PAC ID: 9133582844 Enrollment ID: I20230829001361 |
| Provider Name | Daniel D Phelps |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326190364 PECOS PAC ID: 5395059174 Enrollment ID: I20230829001946 |
| Provider Name | Michele L Simpson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871661710 PECOS PAC ID: 6406219062 Enrollment ID: I20230829004454 |
| Provider Name | Steven Michael Mouro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588127658 PECOS PAC ID: 7113254939 Enrollment ID: I20230830002341 |
| Provider Name | Mary Rachelle Stevens-carr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639786015 PECOS PAC ID: 7113380684 Enrollment ID: I20230830004145 |
| Provider Name | Mirza Beg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164085247 PECOS PAC ID: 6103153911 Enrollment ID: I20230901002858 |
| Provider Name | Matthew H Folan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962668897 PECOS PAC ID: 1658734876 Enrollment ID: I20230905003574 |
| Provider Name | Alexandra Mcclenahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922627991 PECOS PAC ID: 5092136911 Enrollment ID: I20230906000535 |
| Provider Name | Emily Jo Catalano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952833378 PECOS PAC ID: 5092087692 Enrollment ID: I20230912000089 |
| Provider Name | Scarlett J Walston |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639810609 PECOS PAC ID: 8022472711 Enrollment ID: I20230913003773 |
| Provider Name | Tina Marie Catanzaro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154560662 PECOS PAC ID: 0042438442 Enrollment ID: I20230915000202 |
| Provider Name | Neal Rasiklal Delvadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043830078 PECOS PAC ID: 5597188037 Enrollment ID: I20230919001964 |
| Provider Name | Mohammad Khalilullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023637444 PECOS PAC ID: 3173944733 Enrollment ID: I20230919003092 |
| Provider Name | Sejul Anjali Chaudhary |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548798127 PECOS PAC ID: 7618245887 Enrollment ID: I20230919003820 |
| Provider Name | Caitlin Anne Fitzgerald |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174942080 PECOS PAC ID: 6305140633 Enrollment ID: I20230920000062 |
| Provider Name | John Marion Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851779706 PECOS PAC ID: 9739491143 Enrollment ID: I20230921004164 |
| Provider Name | Riju Narayan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770045957 PECOS PAC ID: 1355677923 Enrollment ID: I20230927000253 |
| Provider Name | Robert Lydon Parry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649290321 PECOS PAC ID: 3072506708 Enrollment ID: I20231011000066 |
| Provider Name | Mary Noory |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891228771 PECOS PAC ID: 6608259940 Enrollment ID: I20231011002561 |
| Provider Name | Shanta Pandey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609290956 PECOS PAC ID: 3173893153 Enrollment ID: I20231024001120 |
| Provider Name | Mallory Claire Savidge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366054272 PECOS PAC ID: 5395191654 Enrollment ID: I20231024001353 |
| Provider Name | Albert Delton Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831974930 PECOS PAC ID: 8426404310 Enrollment ID: I20231030001027 |
| Provider Name | Yaobin Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073040598 PECOS PAC ID: 4284018540 Enrollment ID: I20231102001761 |
| Provider Name | Richard Joseph Medford |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154807311 PECOS PAC ID: 4385989417 Enrollment ID: I20231109000059 |
| Provider Name | Jessica Lauren Gancar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487004677 PECOS PAC ID: 2860849627 Enrollment ID: I20231115003952 |
| Provider Name | David George Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184183428 PECOS PAC ID: 1850748625 Enrollment ID: I20231116000010 |
| Provider Name | Leah N Anderson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356967467 PECOS PAC ID: 7810344504 Enrollment ID: I20231117001852 |
| Provider Name | Katherine Anne Mercer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235591819 PECOS PAC ID: 9537499181 Enrollment ID: I20231121000453 |
| Provider Name | Michelle Lynn Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063849198 PECOS PAC ID: 7214385764 Enrollment ID: I20231122001652 |
| Provider Name | Abigail Boyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679246243 PECOS PAC ID: 8628426087 Enrollment ID: I20231122002306 |
| Provider Name | Rose Marie Lawrence |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376185025 PECOS PAC ID: 1759739816 Enrollment ID: I20231129003610 |
| Provider Name | Lauren Shuler Turbeville |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811317134 PECOS PAC ID: 3274981386 Enrollment ID: I20231130001385 |
| Provider Name | Ayumi Ide Corn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053390260 PECOS PAC ID: 0749270130 Enrollment ID: I20231220000014 |
| Provider Name | Heidi Bertha Kenefick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013313527 PECOS PAC ID: 6800188939 Enrollment ID: I20231221002483 |
| Provider Name | Agatha Zofia Ambrozy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922637693 PECOS PAC ID: 3072935360 Enrollment ID: I20231227002845 |
| Provider Name | Patricia Lynn Huerta |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245612308 PECOS PAC ID: 9830540848 Enrollment ID: I20240103004264 |
| Provider Name | Asha Sude |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053833996 PECOS PAC ID: 0648621532 Enrollment ID: I20240104002476 |
| Provider Name | Cassandra Levelle Dixon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114051737 PECOS PAC ID: 9436500360 Enrollment ID: I20240104003818 |
| Provider Name | Andrew Wilson Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366782930 PECOS PAC ID: 7517348139 Enrollment ID: I20240108000255 |
| Provider Name | Bruce C Riddle |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306902382 PECOS PAC ID: 8527419159 Enrollment ID: I20240109000890 |
| Provider Name | Ashley Ours Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245007822 PECOS PAC ID: 2466803549 Enrollment ID: I20240112003526 |
| Provider Name | Natalia M Jolliff |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902090335 PECOS PAC ID: 4587740469 Enrollment ID: I20240117002055 |
| Provider Name | Abrar K Bakhsh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093594079 PECOS PAC ID: 7911359252 Enrollment ID: I20240123000161 |
| Provider Name | Ritvij Satodiya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992239669 PECOS PAC ID: 3870862956 Enrollment ID: I20240124000334 |
| Provider Name | Debargha Basuli |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447612585 PECOS PAC ID: 2163718636 Enrollment ID: I20240206004099 |
| Provider Name | Chloe Elizabeth Leyana Fedor-locklear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801556642 PECOS PAC ID: 9335583079 Enrollment ID: I20240221001020 |
| Provider Name | Erika Suzanne Taylor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215448774 PECOS PAC ID: 4284078866 Enrollment ID: I20240222001730 |
| Provider Name | Wendy Elizabeth Shouse |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902097116 PECOS PAC ID: 9335583921 Enrollment ID: I20240222001939 |
| Provider Name | Fabrizio Rodrigues Assis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851975601 PECOS PAC ID: 9032519343 Enrollment ID: I20240311000627 |
| Provider Name | Steven K Mark |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023340551 PECOS PAC ID: 6709223191 Enrollment ID: I20240320004064 |
| Provider Name | Shankar Venkat |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245716661 PECOS PAC ID: 4880031095 Enrollment ID: I20240325000256 |
| Provider Name | Imani Rachelle Gilbert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043080880 PECOS PAC ID: 4385081447 Enrollment ID: I20240325002312 |
| Provider Name | Merrill Odom Hines |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316586589 PECOS PAC ID: 6204274970 Enrollment ID: I20240401003437 |
| Provider Name | Chaney Todd Landgraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750005120 PECOS PAC ID: 4385083831 Enrollment ID: I20240416003418 |
| Provider Name | Anna S Liakh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730539651 PECOS PAC ID: 0143669531 Enrollment ID: I20240418000783 |
| Provider Name | Linda Marie Hedges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568800662 PECOS PAC ID: 6709027840 Enrollment ID: I20240513000361 |
| Provider Name | Randolph A Coffey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588632418 PECOS PAC ID: 0840631040 Enrollment ID: I20240517002129 |
| Provider Name | Amber Lanette Faircloth |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063198968 PECOS PAC ID: 4385086537 Enrollment ID: I20240520003831 |
Carolina Digestive Diseases, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 704 W H Smith Blvd, Greenville, NC 27834 Phone: 252-758-8181 Fax: 252-758-8182 | |
Ecu Physicians Med-peds Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-0766 Fax: 252-744-0392 | |
Hyster-yale - Admin Sullivan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Sullivan Dr, Greenville, NC 27834 Phone: 252-931-5686 | |
Ecu Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Family Medicine Center, Moye Blvd., Greenville, NC 27858 Phone: 252-744-4611 Fax: 252-744-2056 | |
Gastroenterology East Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Hemby Lane, Greenville, NC 27834 Phone: 252-551-3000 | |
Pitt County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Government Cir, Greenville, NC 27834 Phone: 252-902-2305 | |
Vecu Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-8461 |