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839 W Congress St Tucson AZ 85745-2819 | |
| (520) 670-3909 | |
| (520) 670-3792 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 839 W Congress St, Tucson, Arizona |
| Authorized Official Name and Position | Nancy Johnson (CEO) |
| Authorized Official Contact | 5203092012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
839 W Congress St Tucson AZ 85745-2819 Ph: (520) 670-3909 | 839 W Congress St Tucson AZ 85745-2819 Ph: (520) 670-3909 |
| NPI Number | 1487602736 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 12/01/2022 |
| Medicare PECOS PAC ID | 6305739244 |
|---|---|
| Medicare Enrollment ID | O20040205000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487602736 | NPI | - | NPPES |
| 947887 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC0006 (Arizona) | Primary |
| Provider Name | Dina M Torres-millikin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457383531 PECOS PAC ID: 9739072836 Enrollment ID: I20040203000930 |
| Provider Name | Colleen K Cagno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245202720 PECOS PAC ID: 1658263017 Enrollment ID: I20040329001287 |
| Provider Name | Harvey J Maksvytis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770550220 PECOS PAC ID: 0547252512 Enrollment ID: I20040331000513 |
| Provider Name | Ana Maria Teresa Longoria |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174636005 PECOS PAC ID: 7315935111 Enrollment ID: I20040503000007 |
| Provider Name | Kim A Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417048356 PECOS PAC ID: 7113915703 Enrollment ID: I20040503001448 |
| Provider Name | George A Truckenmiller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821125618 PECOS PAC ID: 6507855962 Enrollment ID: I20040511000002 |
| Provider Name | Pedro Pacheco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538147186 PECOS PAC ID: 8921099177 Enrollment ID: I20040518001310 |
| Provider Name | Nancy E Brass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417944927 PECOS PAC ID: 9234113085 Enrollment ID: I20040617000949 |
| Provider Name | Jeffrey Thomas Maudlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811930423 PECOS PAC ID: 1052397130 Enrollment ID: I20040629000211 |
| Provider Name | Everett J Rogers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639283070 PECOS PAC ID: 7517938665 Enrollment ID: I20040803001119 |
| Provider Name | Karyn B Kolman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427098516 PECOS PAC ID: 4587636766 Enrollment ID: I20040809000812 |
| Provider Name | Lynn D Deyoung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689648313 PECOS PAC ID: 5698737997 Enrollment ID: I20041029000209 |
| Provider Name | Michelle M Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497731327 PECOS PAC ID: 8123083748 Enrollment ID: I20041123000599 |
| Provider Name | Joy R Mockbee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922025816 PECOS PAC ID: 5799724597 Enrollment ID: I20050502000271 |
| Provider Name | Michael Markowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033142922 PECOS PAC ID: 0840230934 Enrollment ID: I20050509000335 |
| Provider Name | Dynse G Crunkleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104856939 PECOS PAC ID: 1759321425 Enrollment ID: I20050512000183 |
| Provider Name | Milan Jansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598748428 PECOS PAC ID: 1850333055 Enrollment ID: I20050527000273 |
| Provider Name | Edward J Schwager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730168303 PECOS PAC ID: 8426942327 Enrollment ID: I20050621001282 |
| Provider Name | Jane E Lykins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932154556 PECOS PAC ID: 9234174988 Enrollment ID: I20050622001309 |
| Provider Name | Maria E Pina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518934074 PECOS PAC ID: 7618992298 Enrollment ID: I20051012000975 |
| Provider Name | Ziad Hemzawi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548242639 PECOS PAC ID: 0244257418 Enrollment ID: I20051027000138 |
| Provider Name | James F Fiastro |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962502153 PECOS PAC ID: 2961429949 Enrollment ID: I20051028000559 |
| Provider Name | Cheryl L Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891772083 PECOS PAC ID: 2264442227 Enrollment ID: I20060505000871 |
| Provider Name | Andres Ochoa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578531224 PECOS PAC ID: 5193737088 Enrollment ID: I20060614000060 |
| Provider Name | Deepali Rastogi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396775656 PECOS PAC ID: 0244299766 Enrollment ID: I20060810000559 |
| Provider Name | Ashlyn Joan Schaub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154421287 PECOS PAC ID: 5991800146 Enrollment ID: I20070417000047 |
| Provider Name | Rama S Dasari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295795714 PECOS PAC ID: 2668579566 Enrollment ID: I20070529000254 |
| Provider Name | Rodrigo G Villar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891737359 PECOS PAC ID: 4880793132 Enrollment ID: I20070627000232 |
| Provider Name | Tracy A Jeck |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124236054 PECOS PAC ID: 1153415260 Enrollment ID: I20070920000369 |
| Provider Name | Gabrieel M Gaoriye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760673180 PECOS PAC ID: 1850487935 Enrollment ID: I20071020000091 |
| Provider Name | Greta L Gill |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508920323 PECOS PAC ID: 5294790374 Enrollment ID: I20080226000380 |
| Provider Name | Jeffrey D Wortzel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952582876 PECOS PAC ID: 5092893057 Enrollment ID: I20080416000602 |
| Provider Name | Sangita Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730351883 PECOS PAC ID: 9032280813 Enrollment ID: I20080623000203 |
| Provider Name | Kelly R Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497958276 PECOS PAC ID: 0244306876 Enrollment ID: I20080905000339 |
| Provider Name | Ladawn R Burrous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316195340 PECOS PAC ID: 7416024161 Enrollment ID: I20080922000290 |
| Provider Name | Connie S Funk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083835557 PECOS PAC ID: 1658449210 Enrollment ID: I20081009000056 |
| Provider Name | Andrew W Arthur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962484048 PECOS PAC ID: 0547325326 Enrollment ID: I20090210000824 |
| Provider Name | Zeenat J Chowdhury Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053491050 PECOS PAC ID: 8224082433 Enrollment ID: I20090304000573 |
| Provider Name | Daryll Brosanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144258880 PECOS PAC ID: 2466418538 Enrollment ID: I20090305000711 |
| Provider Name | Melissa L Brosanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073541694 PECOS PAC ID: 0840256962 Enrollment ID: I20090313000135 |
| Provider Name | Tammy Nusbaum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033311485 PECOS PAC ID: 8921151879 Enrollment ID: I20090724000692 |
| Provider Name | Felipe R Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265690838 PECOS PAC ID: 3870647464 Enrollment ID: I20090817000415 |
| Provider Name | Christopher L Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457552705 PECOS PAC ID: 9032205778 Enrollment ID: I20090828000542 |
| Provider Name | Mark A Schildt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316908239 PECOS PAC ID: 0840346771 Enrollment ID: I20090918000068 |
| Provider Name | Pooneh Sam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952574303 PECOS PAC ID: 8628143211 Enrollment ID: I20091013000237 |
| Provider Name | Sandra J Macon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144550120 PECOS PAC ID: 7517092935 Enrollment ID: I20100323001000 |
| Provider Name | Teresa G Preciado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174655856 PECOS PAC ID: 8628012481 Enrollment ID: I20100324000788 |
| Provider Name | Stephanie A May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194850560 PECOS PAC ID: 5294818522 Enrollment ID: I20100506000515 |
| Provider Name | Tamsen L Bassford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265404933 PECOS PAC ID: 1759410954 Enrollment ID: I20100526000878 |
| Provider Name | Katherine E Aparicio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619155983 PECOS PAC ID: 5496888117 Enrollment ID: I20100802000846 |
| Provider Name | Susan K Hadley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437148533 PECOS PAC ID: 0840227211 Enrollment ID: I20100810001190 |
| Provider Name | Sadaf A Saleem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720118870 PECOS PAC ID: 8022107473 Enrollment ID: I20100903000459 |
| Provider Name | Adriana S Nicastro Twelker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366758948 PECOS PAC ID: 8224221114 Enrollment ID: I20101023000325 |
| Provider Name | Gregory J Raglow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831168665 PECOS PAC ID: 0941494983 Enrollment ID: I20101103000669 |
| Provider Name | Tammy Timmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811174493 PECOS PAC ID: 0143415182 Enrollment ID: I20101116000526 |
| Provider Name | Jed K Sadalla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629008867 PECOS PAC ID: 5294924403 Enrollment ID: I20110104000596 |
| Provider Name | Adrienne Ruth Parry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205838430 PECOS PAC ID: 6800085069 Enrollment ID: I20110115000105 |
| Provider Name | Jonny Sue Perkins-snyder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588618243 PECOS PAC ID: 4284823683 Enrollment ID: I20110118000312 |
| Provider Name | Gabrielle A Ochoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023096674 PECOS PAC ID: 2668651159 Enrollment ID: I20110131000389 |
| Provider Name | Annette M Hernandez-pakhurst |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477545788 PECOS PAC ID: 0042491441 Enrollment ID: I20110217000706 |
| Provider Name | Steven I Rosenfeld |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215915863 PECOS PAC ID: 5294916698 Enrollment ID: I20110217000747 |
| Provider Name | Douglas J Spegman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912979675 PECOS PAC ID: 5890889778 Enrollment ID: I20110217000784 |
| Provider Name | Scott W Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740374487 PECOS PAC ID: 3577744937 Enrollment ID: I20110218000416 |
| Provider Name | Lisa F Soltani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114999877 PECOS PAC ID: 1658409032 Enrollment ID: I20110218000766 |
| Provider Name | Maya Z Adams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639474372 PECOS PAC ID: 7113108333 Enrollment ID: I20110222000343 |
| Provider Name | Linda Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598859225 PECOS PAC ID: 5991986127 Enrollment ID: I20110222000523 |
| Provider Name | Jeffrey Rein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760460323 PECOS PAC ID: 0941483580 Enrollment ID: I20110321000140 |
| Provider Name | Jose A Rios |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124099940 PECOS PAC ID: 2860675394 Enrollment ID: I20110322000143 |
| Provider Name | Ruth M Garcia Carrasquillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477701175 PECOS PAC ID: 3173791589 Enrollment ID: I20110728000612 |
| Provider Name | Krista A Sunderman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871791830 PECOS PAC ID: 8325217284 Enrollment ID: I20110810000091 |
| Provider Name | Aleksandra Maric |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326356098 PECOS PAC ID: 8022280718 Enrollment ID: I20110929000784 |
| Provider Name | Danielle D Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588945661 PECOS PAC ID: 0941472245 Enrollment ID: I20111010000562 |
| Provider Name | Bernadette E Quihuis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073757993 PECOS PAC ID: 7618143942 Enrollment ID: I20120106000817 |
| Provider Name | Sonia L Reidy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598924813 PECOS PAC ID: 6406033976 Enrollment ID: I20120502000150 |
| Provider Name | Sandra G Hodges |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053385591 PECOS PAC ID: 1759562895 Enrollment ID: I20120804000133 |
| Provider Name | Jane M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770711178 PECOS PAC ID: 9739336967 Enrollment ID: I20120823000345 |
| Provider Name | Rachel Lm Camp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568604767 PECOS PAC ID: 1658520838 Enrollment ID: I20121003000350 |
| Provider Name | Shannon L Fennie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932458429 PECOS PAC ID: 9436300530 Enrollment ID: I20121120000332 |
| Provider Name | Jerome F Koleski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871763979 PECOS PAC ID: 8527132257 Enrollment ID: I20121205000104 |
| Provider Name | Marlene Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629178975 PECOS PAC ID: 3577731512 Enrollment ID: I20130204000381 |
| Provider Name | Elizabeth Dawn Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356695258 PECOS PAC ID: 3274787981 Enrollment ID: I20130205000455 |
| Provider Name | Lisa M Dasilva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932479151 PECOS PAC ID: 6800032699 Enrollment ID: I20130424000301 |
| Provider Name | Sarah Ml Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427390251 PECOS PAC ID: 3375780281 Enrollment ID: I20130514000352 |
| Provider Name | Jameela M Ameen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154664068 PECOS PAC ID: 9931347184 Enrollment ID: I20130529000440 |
| Provider Name | Jennifer M Eldred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437492212 PECOS PAC ID: 5799925947 Enrollment ID: I20130711000155 |
| Provider Name | Primarosa A Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659614386 PECOS PAC ID: 2264673946 Enrollment ID: I20130723000070 |
| Provider Name | Nikki L Nakovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841398559 PECOS PAC ID: 0749423820 Enrollment ID: I20130821001020 |
| Provider Name | Mariposa D Wolford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477870913 PECOS PAC ID: 9830332436 Enrollment ID: I20130829000694 |
| Provider Name | Mridula Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932193885 PECOS PAC ID: 5890972640 Enrollment ID: I20130917000392 |
| Provider Name | Monica E Kainz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992084461 PECOS PAC ID: 2567629348 Enrollment ID: I20130925000101 |
| Provider Name | Michelle L Aguilar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093026593 PECOS PAC ID: 3375778392 Enrollment ID: I20131029001729 |
| Provider Name | Alexandra S Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366874653 PECOS PAC ID: 1951538891 Enrollment ID: I20131220000785 |
| Provider Name | Elizabeth A Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497191761 PECOS PAC ID: 7315178555 Enrollment ID: I20140401000867 |
| Provider Name | Vicki T Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619027919 PECOS PAC ID: 8820221906 Enrollment ID: I20140424001750 |
| Provider Name | Jodi Ellyn Kaszubski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508160003 PECOS PAC ID: 3375725252 Enrollment ID: I20140611000628 |
| Provider Name | Sommer Aldulaimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194013813 PECOS PAC ID: 3577788108 Enrollment ID: I20140715001622 |
| Provider Name | Ravi P Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851589527 PECOS PAC ID: 8729112487 Enrollment ID: I20140902001487 |
| Provider Name | Palitha V Kalpage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386931483 PECOS PAC ID: 9133347271 Enrollment ID: I20140902001556 |
| Provider Name | Soliman Yaqub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699063016 PECOS PAC ID: 6507086493 Enrollment ID: I20140926001347 |
| Provider Name | Shawn Siqueiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114069440 PECOS PAC ID: 1759501554 Enrollment ID: I20140930000116 |
| Provider Name | Shelley B Mcgrew |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902218258 PECOS PAC ID: 3870713514 Enrollment ID: I20141001001763 |
| Provider Name | Jessica Hensel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417212382 PECOS PAC ID: 1759502651 Enrollment ID: I20141017001285 |
| Provider Name | Elizabeth K Meehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144535519 PECOS PAC ID: 5294976858 Enrollment ID: I20141024000615 |
| Provider Name | Mari A Ricker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477500049 PECOS PAC ID: 6608819313 Enrollment ID: I20141024000812 |
| Provider Name | William H Lowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295094381 PECOS PAC ID: 6507088481 Enrollment ID: I20141107002096 |
| Provider Name | Veronica Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881097467 PECOS PAC ID: 9638492770 Enrollment ID: I20141223000016 |
| Provider Name | Kelly J Rothermal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033515655 PECOS PAC ID: 8426373945 Enrollment ID: I20150204001121 |
| Provider Name | Diana Rachel Jolles |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427167600 PECOS PAC ID: 0648223149 Enrollment ID: I20150306000005 |
| Provider Name | Adrianne J Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154711695 PECOS PAC ID: 0446577563 Enrollment ID: I20150327002189 |
| Provider Name | Christina Arredondo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629377916 PECOS PAC ID: 2769702422 Enrollment ID: I20150708003300 |
| Provider Name | Sudha Nagalingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811126303 PECOS PAC ID: 0244454726 Enrollment ID: I20150714003310 |
| Provider Name | Tal Milchan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467842070 PECOS PAC ID: 6103132634 Enrollment ID: I20150828002347 |
| Provider Name | Christine N Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316201049 PECOS PAC ID: 0244549301 Enrollment ID: I20151013000530 |
| Provider Name | Karen M Davenport |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285607564 PECOS PAC ID: 6305156357 Enrollment ID: I20151104000775 |
| Provider Name | Sandra L Combs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538593165 PECOS PAC ID: 4981914397 Enrollment ID: I20151113000825 |
| Provider Name | Emily R Siemer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639557127 PECOS PAC ID: 9032411277 Enrollment ID: I20160105003034 |
| Provider Name | Rogelio S Samorano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235266461 PECOS PAC ID: 5294990305 Enrollment ID: I20160127001261 |
| Provider Name | Patricia D Nast |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770956435 PECOS PAC ID: 9335444264 Enrollment ID: I20160301001850 |
| Provider Name | Lindsay R Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972963510 PECOS PAC ID: 2860790409 Enrollment ID: I20160414000424 |
| Provider Name | Kerri E Tuttle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396046066 PECOS PAC ID: 7012162308 Enrollment ID: I20160607001222 |
| Provider Name | Susan R Dolence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689907560 PECOS PAC ID: 2163713132 Enrollment ID: I20160622000870 |
| Provider Name | Jose R Rodarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699031534 PECOS PAC ID: 2860786050 Enrollment ID: I20160810002881 |
| Provider Name | Daphne M Rosales Barragan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952740862 PECOS PAC ID: 3678860939 Enrollment ID: I20160929002465 |
| Provider Name | Marketa Jansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528514205 PECOS PAC ID: 5799073979 Enrollment ID: I20161004002789 |
| Provider Name | Carolyn A Quigley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376989038 PECOS PAC ID: 0446548713 Enrollment ID: I20161019002687 |
| Provider Name | Xuanhuy N Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487091161 PECOS PAC ID: 0042513343 Enrollment ID: I20161027001585 |
| Provider Name | Jennifer M Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831545961 PECOS PAC ID: 7416235254 Enrollment ID: I20161028000678 |
| Provider Name | Rajiv Modak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124002324 PECOS PAC ID: 5092093740 Enrollment ID: I20161031001817 |
| Provider Name | Alissa A Sadalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710965355 PECOS PAC ID: 5395024707 Enrollment ID: I20161107002594 |
| Provider Name | Eva Lorena Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639628456 PECOS PAC ID: 6406135565 Enrollment ID: I20161111001233 |
| Provider Name | Brittany L Pace |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417394594 PECOS PAC ID: 8921388364 Enrollment ID: I20161201000524 |
| Provider Name | Mariah C Blodgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063883064 PECOS PAC ID: 3173803152 Enrollment ID: I20161208001646 |
| Provider Name | Cecilia M Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861486474 PECOS PAC ID: 8224318134 Enrollment ID: I20161212001855 |
| Provider Name | Holly Bryant |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932646346 PECOS PAC ID: 7517240542 Enrollment ID: I20170216001764 |
| Provider Name | Celia L Lozano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083152631 PECOS PAC ID: 5496039356 Enrollment ID: I20170221002838 |
| Provider Name | Ann E Mathias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255394185 PECOS PAC ID: 5294775235 Enrollment ID: I20170306000854 |
| Provider Name | Pamela M Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205376860 PECOS PAC ID: 8820374671 Enrollment ID: I20170411001553 |
| Provider Name | Carmen L Calderon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396286589 PECOS PAC ID: 7315223997 Enrollment ID: I20170413002123 |
| Provider Name | Heidi Clouser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154861920 PECOS PAC ID: 7618244179 Enrollment ID: I20170605001336 |
| Provider Name | Joshua R Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265844179 PECOS PAC ID: 5092017178 Enrollment ID: I20170619002648 |
| Provider Name | Joy E Baynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447783493 PECOS PAC ID: 9739457565 Enrollment ID: I20170619002687 |
| Provider Name | Elya M Showalter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184153900 PECOS PAC ID: 3971873175 Enrollment ID: I20170720002423 |
| Provider Name | Tiffany D Karsten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881032951 PECOS PAC ID: 7517273865 Enrollment ID: I20170802001333 |
| Provider Name | Margaret S Horton-breshears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740700442 PECOS PAC ID: 0941571335 Enrollment ID: I20170803000763 |
| Provider Name | Johnnie R Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255879185 PECOS PAC ID: 9830461441 Enrollment ID: I20170816003771 |
| Provider Name | David R Rudolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255854543 PECOS PAC ID: 6608149075 Enrollment ID: I20170906002956 |
| Provider Name | Claudia A Patino Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689086639 PECOS PAC ID: 1557668373 Enrollment ID: I20170920001457 |
| Provider Name | Elsa I Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174049316 PECOS PAC ID: 5698031201 Enrollment ID: I20171115001896 |
| Provider Name | Jennifer E Barrabee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154691350 PECOS PAC ID: 5496011009 Enrollment ID: I20171115001964 |
| Provider Name | Amber N Robinette Ezonnaebi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821400565 PECOS PAC ID: 4486957289 Enrollment ID: I20180103001887 |
| Provider Name | Evelinda Dominique Gonzales-pryor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265875603 PECOS PAC ID: 1052544327 Enrollment ID: I20180227000109 |
| Provider Name | Jamie R Velo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053829713 PECOS PAC ID: 9032471313 Enrollment ID: I20180326002570 |
| Provider Name | Remington B Stickney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811408875 PECOS PAC ID: 8224392808 Enrollment ID: I20180507002509 |
| Provider Name | Krystal M Nakata |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710489885 PECOS PAC ID: 5395009864 Enrollment ID: I20180509000784 |
| Provider Name | Phoebe M Lithgow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255862066 PECOS PAC ID: 6103198940 Enrollment ID: I20180516001328 |
| Provider Name | Jocelyn R Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164919643 PECOS PAC ID: 7719242452 Enrollment ID: I20180529002705 |
| Provider Name | Melissa Jandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164796876 PECOS PAC ID: 7113282856 Enrollment ID: I20180529002787 |
| Provider Name | Janna L Stefanek |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962771501 PECOS PAC ID: 1951578509 Enrollment ID: I20180601002133 |
| Provider Name | Nelda F Akinbile |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023112745 PECOS PAC ID: 8426086265 Enrollment ID: I20180629000508 |
| Provider Name | Valerie C Foland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982891248 PECOS PAC ID: 6709973043 Enrollment ID: I20180702001631 |
| Provider Name | Paul L Sacamano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043669427 PECOS PAC ID: 4981983061 Enrollment ID: I20180718004171 |
| Provider Name | Crystalynn T Woodard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861804452 PECOS PAC ID: 6800014663 Enrollment ID: I20180727000770 |
| Provider Name | Nicole Helen Person-rennell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629480892 PECOS PAC ID: 7315228871 Enrollment ID: I20180802001857 |
| Provider Name | Imran Y Patel |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1780066282 PECOS PAC ID: 5597073882 Enrollment ID: I20180803000405 |
| Provider Name | Ashley A Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700807005 PECOS PAC ID: 9931331287 Enrollment ID: I20180912003651 |
| Provider Name | Nourhan F Mustafa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962813352 PECOS PAC ID: 7012269020 Enrollment ID: I20181002002558 |
| Provider Name | Derek E Eckert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275019937 PECOS PAC ID: 4082968003 Enrollment ID: I20181109002706 |
| Provider Name | Aliza D Kreisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679082705 PECOS PAC ID: 1153666581 Enrollment ID: I20181213000258 |
| Provider Name | Emily A Wilkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154768075 PECOS PAC ID: 9436452992 Enrollment ID: I20181213000691 |
| Provider Name | Mary J Hayward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407126592 PECOS PAC ID: 6406192624 Enrollment ID: I20190109001479 |
| Provider Name | Emily T Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629466842 PECOS PAC ID: 6608177522 Enrollment ID: I20190122002888 |
| Provider Name | Joel Timothy Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942781281 PECOS PAC ID: 8224375423 Enrollment ID: I20190125002159 |
| Provider Name | Lisa A Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164993002 PECOS PAC ID: 5496094997 Enrollment ID: I20190227003140 |
| Provider Name | Michael K Mayette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255803300 PECOS PAC ID: 3577803857 Enrollment ID: I20190323000050 |
| Provider Name | Jennifer D Garate |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598153405 PECOS PAC ID: 0941543151 Enrollment ID: I20190509002183 |
| Provider Name | Stacy M Peercy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356869432 PECOS PAC ID: 0749523975 Enrollment ID: I20190509002758 |
| Provider Name | Betty Jo Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437614476 PECOS PAC ID: 4587997606 Enrollment ID: I20190605000284 |
| Provider Name | Gabriela M Ganddini-wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942655162 PECOS PAC ID: 9335430123 Enrollment ID: I20190715000681 |
| Provider Name | Patty Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801244868 PECOS PAC ID: 8729379516 Enrollment ID: I20190722003235 |
| Provider Name | Jared Ryan Lunkenheimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922418979 PECOS PAC ID: 4789804329 Enrollment ID: I20190729001303 |
| Provider Name | Angelita Lynnette Poston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063984029 PECOS PAC ID: 8527395888 Enrollment ID: I20190808002205 |
| Provider Name | Eamon Collison Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629036934 PECOS PAC ID: 0749585511 Enrollment ID: I20190822000686 |
| Provider Name | Brianne Motzkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710543988 PECOS PAC ID: 4789913088 Enrollment ID: I20190911003886 |
| Provider Name | Shruti Bala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629464003 PECOS PAC ID: 1355632399 Enrollment ID: I20190916003497 |
| Provider Name | Veronica Fonseca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659735033 PECOS PAC ID: 7214224229 Enrollment ID: I20191007001630 |
| Provider Name | Cody D Patton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801258801 PECOS PAC ID: 4082909692 Enrollment ID: I20191014000349 |
| Provider Name | Kelly L Vollmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639220841 PECOS PAC ID: 0345332128 Enrollment ID: I20191105002368 |
| Provider Name | Kaitlin G Callaghan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194371955 PECOS PAC ID: 5193057420 Enrollment ID: I20191105002966 |
| Provider Name | Jenny A Ajl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366094609 PECOS PAC ID: 7113359662 Enrollment ID: I20191121000938 |
| Provider Name | Electine Nk Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104481282 PECOS PAC ID: 4587096078 Enrollment ID: I20191121002849 |
| Provider Name | Jessica L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689221509 PECOS PAC ID: 9830521236 Enrollment ID: I20191122000527 |
| Provider Name | Alysson L Striner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154978625 PECOS PAC ID: 4284067695 Enrollment ID: I20191125001953 |
| Provider Name | Mylena Avalos Dominguez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861970337 PECOS PAC ID: 1355695487 Enrollment ID: I20191205001152 |
| Provider Name | Martha P Burkholder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740260173 PECOS PAC ID: 3870744196 Enrollment ID: I20191206001309 |
| Provider Name | Luana Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194287391 PECOS PAC ID: 4082048038 Enrollment ID: I20191227000395 |
| Provider Name | Courtney Ann Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679126262 PECOS PAC ID: 5496180846 Enrollment ID: I20200114000760 |
| Provider Name | Michelle A Mistelske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962948968 PECOS PAC ID: 1759716921 Enrollment ID: I20200115003415 |
| Provider Name | Eric J Mccracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679115489 PECOS PAC ID: 3274968466 Enrollment ID: I20200116000652 |
| Provider Name | Amanda Elizabeth Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245798909 PECOS PAC ID: 9032549928 Enrollment ID: I20200416001547 |
| Provider Name | Thomas Z Emel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215264924 PECOS PAC ID: 9830454115 Enrollment ID: I20200506000891 |
| Provider Name | Camille R Derricotte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700015401 PECOS PAC ID: 1850600792 Enrollment ID: I20200526001571 |
| Provider Name | Jamie D Weinand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366972135 PECOS PAC ID: 7113348590 Enrollment ID: I20200611000918 |
| Provider Name | Michelle Ann O'brien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144601618 PECOS PAC ID: 1759682495 Enrollment ID: I20200806001853 |
| Provider Name | Michael E Lyland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891081675 PECOS PAC ID: 0244450427 Enrollment ID: I20200810001833 |
| Provider Name | Colette M Oesterle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245765031 PECOS PAC ID: 3476818592 Enrollment ID: I20200811004082 |
| Provider Name | Eva A Weintraub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457979957 PECOS PAC ID: 1658797378 Enrollment ID: I20200812001652 |
| Provider Name | Megan F Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306454426 PECOS PAC ID: 4486070711 Enrollment ID: I20200818001754 |
| Provider Name | Esmerelda Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760860183 PECOS PAC ID: 0042638587 Enrollment ID: I20200915001512 |
| Provider Name | Casey S Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508475773 PECOS PAC ID: 2466870902 Enrollment ID: I20200915001657 |
| Provider Name | Stevie Gabaldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740890524 PECOS PAC ID: 7517385081 Enrollment ID: I20200915002420 |
| Provider Name | Audrey Lyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821607813 PECOS PAC ID: 3072931534 Enrollment ID: I20200922001996 |
| Provider Name | Hardhipriya Sudarsanam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295801124 PECOS PAC ID: 0042241069 Enrollment ID: I20200923001129 |
| Provider Name | Sarah A Santa Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972120137 PECOS PAC ID: 7911326244 Enrollment ID: I20201006000427 |
| Provider Name | Daniel C Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205309580 PECOS PAC ID: 1456680586 Enrollment ID: I20201207001235 |
| Provider Name | Natalie R Krumdieck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467815100 PECOS PAC ID: 7719272467 Enrollment ID: I20210225002507 |
| Provider Name | Thomas S Bartuska |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801972245 PECOS PAC ID: 1052360039 Enrollment ID: I20210317002870 |
| Provider Name | Rubendario Valencia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548852007 PECOS PAC ID: 1557778024 Enrollment ID: I20210329002394 |
| Provider Name | Andrew J Terranella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467668145 PECOS PAC ID: 5193812451 Enrollment ID: I20210330001971 |
| Provider Name | Christina T Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306431457 PECOS PAC ID: 9638587173 Enrollment ID: I20210421002235 |
| Provider Name | Cynthia T Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205430337 PECOS PAC ID: 4385053271 Enrollment ID: I20210505001274 |
| Provider Name | Cristy G Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982286688 PECOS PAC ID: 0345640108 Enrollment ID: I20210615003707 |
| Provider Name | Alona S Sukhina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982193900 PECOS PAC ID: 2365844214 Enrollment ID: I20210714002319 |
| Provider Name | Casey M Carney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134654171 PECOS PAC ID: 1850794926 Enrollment ID: I20210727002438 |
| Provider Name | Zuma Speakman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639664519 PECOS PAC ID: 7911257076 Enrollment ID: I20210729001595 |
| Provider Name | Denise M Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548844087 PECOS PAC ID: 4688078298 Enrollment ID: I20210804001593 |
| Provider Name | Paola Michelle Casillas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689178691 PECOS PAC ID: 6608123195 Enrollment ID: I20210816003487 |
| Provider Name | Esther Quintero-marsteller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316442528 PECOS PAC ID: 4082019872 Enrollment ID: I20210817001272 |
| Provider Name | Jennifer Jean Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922453414 PECOS PAC ID: 0345582219 Enrollment ID: I20210831002979 |
| Provider Name | Catheryn J Salibay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477050425 PECOS PAC ID: 9436555323 Enrollment ID: I20210831003624 |
| Provider Name | Andrew T Petrak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144891037 PECOS PAC ID: 3870999766 Enrollment ID: I20210831003712 |
| Provider Name | Awungcha Sandra Nkemzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033782909 PECOS PAC ID: 8426469578 Enrollment ID: I20210901001251 |
| Provider Name | Tara J Schafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114691078 PECOS PAC ID: 1355747726 Enrollment ID: I20210909003229 |
| Provider Name | Justin M Shear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336815455 PECOS PAC ID: 7214333582 Enrollment ID: I20210913000287 |
| Provider Name | Yulemi Velazco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649761578 PECOS PAC ID: 3678824059 Enrollment ID: I20210915001592 |
| Provider Name | Amy C Butalla-rosene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548856438 PECOS PAC ID: 8325445273 Enrollment ID: I20210921000620 |
| Provider Name | Erika N Jaramillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730755257 PECOS PAC ID: 0547667388 Enrollment ID: I20210922000677 |
| Provider Name | Jay William Croswell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821767880 PECOS PAC ID: 3971991076 Enrollment ID: I20211021002962 |
| Provider Name | Charlotte M Mcintyre |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164029385 PECOS PAC ID: 5092103630 Enrollment ID: I20211101000647 |
| Provider Name | Morgan L Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912524760 PECOS PAC ID: 2860880416 Enrollment ID: I20211101001237 |
| Provider Name | Mallika Rao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255783726 PECOS PAC ID: 2062800568 Enrollment ID: I20211103000878 |
| Provider Name | Michael R Hubbard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376777268 PECOS PAC ID: 5193972024 Enrollment ID: I20211104001781 |
| Provider Name | Nicole Z Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518346253 PECOS PAC ID: 4183970924 Enrollment ID: I20220106001462 |
| Provider Name | Sean Patrick Mcevoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821651076 PECOS PAC ID: 6507192960 Enrollment ID: I20220106002136 |
| Provider Name | Erica Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326632563 PECOS PAC ID: 4789919689 Enrollment ID: I20220321001830 |
| Provider Name | Kristen B Rundell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912930850 PECOS PAC ID: 0446253934 Enrollment ID: I20220406000572 |
| Provider Name | Christine Alice Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053842526 PECOS PAC ID: 5496088023 Enrollment ID: I20220407002468 |
| Provider Name | Diane M Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932521614 PECOS PAC ID: 6002202447 Enrollment ID: I20220411002382 |
| Provider Name | Randall B Claxton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568650398 PECOS PAC ID: 0345637948 Enrollment ID: I20220429000914 |
| Provider Name | Sandra M Jacobson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336897263 PECOS PAC ID: 1557749777 Enrollment ID: I20220531002144 |
| Provider Name | Anna Alkozei |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396486023 PECOS PAC ID: 2163800715 Enrollment ID: I20220609002450 |
| Provider Name | Jasmine B Aflatooni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104583038 PECOS PAC ID: 0143609495 Enrollment ID: I20220616002915 |
| Provider Name | Sean Henley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366000424 PECOS PAC ID: 7214266816 Enrollment ID: I20220621000884 |
| Provider Name | Karissa Wasiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548823602 PECOS PAC ID: 0749515161 Enrollment ID: I20220706001752 |
| Provider Name | Acadia R Pechauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083277941 PECOS PAC ID: 7012242589 Enrollment ID: I20220718000420 |
| Provider Name | Nohemi Maciel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861860330 PECOS PAC ID: 8729462726 Enrollment ID: I20220824003073 |
| Provider Name | Natalie R Nyapete |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538839436 PECOS PAC ID: 0446634240 Enrollment ID: I20220829000214 |
| Provider Name | Melinda Marie Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720688369 PECOS PAC ID: 1052795242 Enrollment ID: I20220907003404 |
| Provider Name | Emma C Tyano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932792611 PECOS PAC ID: 9335558774 Enrollment ID: I20220920003138 |
| Provider Name | Jimmy S Franco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952968505 PECOS PAC ID: 4082099411 Enrollment ID: I20220920003695 |
| Provider Name | Prabhjyot Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427405836 PECOS PAC ID: 2961793807 Enrollment ID: I20220921003471 |
| Provider Name | Amparo Grigera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376271080 PECOS PAC ID: 4789069907 Enrollment ID: I20220923000784 |
| Provider Name | Kristen Michelle Molander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053755223 PECOS PAC ID: 8527463843 Enrollment ID: I20220928002892 |
| Provider Name | Annie Y Peng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073179917 PECOS PAC ID: 5799151684 Enrollment ID: I20221018001402 |
| Provider Name | Kayla Alyzabeth Christiansen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104564764 PECOS PAC ID: 8527434265 Enrollment ID: I20221020000598 |
| Provider Name | Katelyn T Tamaray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457079105 PECOS PAC ID: 1951778935 Enrollment ID: I20221103002159 |
| Provider Name | James H Austin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205398682 PECOS PAC ID: 9133596133 Enrollment ID: I20221103003243 |
| Provider Name | Raelynn D Currence |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720507791 PECOS PAC ID: 6800147117 Enrollment ID: I20221103003344 |
| Provider Name | Morgan J Sterling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730818212 PECOS PAC ID: 7517334543 Enrollment ID: I20221104000637 |
| Provider Name | Jeremey W Gneck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952965212 PECOS PAC ID: 8224363528 Enrollment ID: I20221104000786 |
| Provider Name | Eleni Gorla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043972755 PECOS PAC ID: 7315314358 Enrollment ID: I20221104001101 |
| Provider Name | Sayyar Khakimov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265994545 PECOS PAC ID: 0941677983 Enrollment ID: I20221104001164 |
| Provider Name | Janelle L Beazley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063149631 PECOS PAC ID: 2264809201 Enrollment ID: I20221104001334 |
| Provider Name | Nicole C Sircy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760119580 PECOS PAC ID: 1557738499 Enrollment ID: I20221104001722 |
| Provider Name | David E Dimcheff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093278434 PECOS PAC ID: 2365777356 Enrollment ID: I20221104002177 |
| Provider Name | Breana R Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861127763 PECOS PAC ID: 6002283967 Enrollment ID: I20221104002315 |
| Provider Name | Danielle Cc Joshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982067385 PECOS PAC ID: 3678865912 Enrollment ID: I20221116000610 |
| Provider Name | Michelle L Baas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164155487 PECOS PAC ID: 8628446044 Enrollment ID: I20221116000914 |
| Provider Name | Jennifer Lynn Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841939063 PECOS PAC ID: 8325429491 Enrollment ID: I20221208001169 |
| Provider Name | Swathy Puthalapattu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447443486 PECOS PAC ID: 0648649368 Enrollment ID: I20230307003107 |
| Provider Name | Paul M Montoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811901390 PECOS PAC ID: 7315048667 Enrollment ID: I20230308003018 |
| Provider Name | Eva Veronika Kiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376105346 PECOS PAC ID: 0446585483 Enrollment ID: I20230309002556 |
| Provider Name | Hayley F Garigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235807983 PECOS PAC ID: 5193199610 Enrollment ID: I20230324001366 |
| Provider Name | Adriann W Begay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801864590 PECOS PAC ID: 3779770367 Enrollment ID: I20230324002567 |
| Provider Name | Antonio D Rosales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508329988 PECOS PAC ID: 8123353976 Enrollment ID: I20230330002869 |
| Provider Name | Julia W Vermeulen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871192443 PECOS PAC ID: 3678986296 Enrollment ID: I20230331001222 |
| Provider Name | Sarah K Bligh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487368684 PECOS PAC ID: 0042685281 Enrollment ID: I20230331001375 |
| Provider Name | Holly C Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205505831 PECOS PAC ID: 1557728904 Enrollment ID: I20230531001240 |
| Provider Name | Lorena G Arvizu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023720950 PECOS PAC ID: 5698132058 Enrollment ID: I20230531001589 |
| Provider Name | Dana N Russo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477922995 PECOS PAC ID: 9335498781 Enrollment ID: I20230615002285 |
| Provider Name | Alaina N Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386271104 PECOS PAC ID: 4880076827 Enrollment ID: I20230627002115 |
| Provider Name | Max Silva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528682382 PECOS PAC ID: 1658730023 Enrollment ID: I20230703000562 |
| Provider Name | Joan T Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841810603 PECOS PAC ID: 5799107512 Enrollment ID: I20230706001698 |
| Provider Name | Selamawit Kebede Tesema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043876964 PECOS PAC ID: 9830423599 Enrollment ID: I20230712003954 |
| Provider Name | Kalissa M Sprigg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710611587 PECOS PAC ID: 8729464326 Enrollment ID: I20230719004207 |
| Provider Name | Jessica R Filon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659991503 PECOS PAC ID: 3971925850 Enrollment ID: I20230801003101 |
| Provider Name | Sofia Grigera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962186494 PECOS PAC ID: 1658733639 Enrollment ID: I20230809000585 |
| Provider Name | Ivan Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023673449 PECOS PAC ID: 1355795535 Enrollment ID: I20230921000990 |
| Provider Name | Jennifer Neczypor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366957912 PECOS PAC ID: 6002178886 Enrollment ID: I20230921001352 |
| Provider Name | Amanda J Carstens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356032288 PECOS PAC ID: 9234583295 Enrollment ID: I20230925001234 |
| Provider Name | Mary E Fogerty-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518696582 PECOS PAC ID: 5799132155 Enrollment ID: I20231107003551 |
| Provider Name | Marie R Andriopoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598378994 PECOS PAC ID: 2466809785 Enrollment ID: I20231108002005 |
| Provider Name | Danielle N Eng |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881355576 PECOS PAC ID: 6608224217 Enrollment ID: I20231120003611 |
| Provider Name | Joan A Maceachen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205865334 PECOS PAC ID: 7719891811 Enrollment ID: I20240102003229 |
| Provider Name | Reynaldo Carlos Cruz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922684026 PECOS PAC ID: 6406208313 Enrollment ID: I20240116004254 |
| Provider Name | Robin L Acereto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609373026 PECOS PAC ID: 3072965805 Enrollment ID: I20240117003781 |
| Provider Name | Katherine E Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902417751 PECOS PAC ID: 5698127439 Enrollment ID: I20240117003887 |
| Provider Name | Annika S Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396485520 PECOS PAC ID: 0042662884 Enrollment ID: I20240117003903 |
| Provider Name | Cynthia A Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326525734 PECOS PAC ID: 9739531476 Enrollment ID: I20240118002870 |
| Provider Name | Karla M Diaz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801263017 PECOS PAC ID: 8527410166 Enrollment ID: I20240118002985 |
| Provider Name | Renee L Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659500759 PECOS PAC ID: 4981056520 Enrollment ID: I20240118003005 |
| Provider Name | Kimberly A Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912459793 PECOS PAC ID: 1850743493 Enrollment ID: I20240118003140 |
| Provider Name | Colleen S Steinmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477542827 PECOS PAC ID: 1557713120 Enrollment ID: I20240118003952 |
| Provider Name | Stephanie Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518647999 PECOS PAC ID: 4082066543 Enrollment ID: I20240119002541 |
| Provider Name | Nancy J Plouffe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437616760 PECOS PAC ID: 9032561519 Enrollment ID: I20240119003141 |
| Provider Name | Lauren A Duffy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912561705 PECOS PAC ID: 3375995889 Enrollment ID: I20240121000000 |
| Provider Name | Jennifer A Fout |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578004123 PECOS PAC ID: 8729430236 Enrollment ID: I20240121000004 |
| Provider Name | Melissa Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972533560 PECOS PAC ID: 4789036096 Enrollment ID: I20240122003859 |
| Provider Name | Jade L Avery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295493534 PECOS PAC ID: 8628421351 Enrollment ID: I20240130001932 |
| Provider Name | Diana P Beltran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902536675 PECOS PAC ID: 4789037334 Enrollment ID: I20240130003015 |
| Provider Name | Ophelia L Zamora |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598894933 PECOS PAC ID: 9739522087 Enrollment ID: I20240204000119 |
| Provider Name | Christian R Ortiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013598614 PECOS PAC ID: 9830532951 Enrollment ID: I20240206001996 |
| Provider Name | Alanna B Boyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124206610 PECOS PAC ID: 1951744598 Enrollment ID: I20240209003516 |
| Provider Name | Sheryl Svoboda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457621575 PECOS PAC ID: 3274976642 Enrollment ID: I20240213002690 |
| Provider Name | Adan N Duarte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366052201 PECOS PAC ID: 6507200607 Enrollment ID: I20240216001652 |
| Provider Name | Cynthia V Tamashiro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790290310 PECOS PAC ID: 6305280355 Enrollment ID: I20240216003911 |
| Provider Name | Spencer J Menapace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063948396 PECOS PAC ID: 8325382708 Enrollment ID: I20240304001859 |
| Provider Name | Kyle Bohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457730855 PECOS PAC ID: 0648528208 Enrollment ID: I20240308002659 |
| Provider Name | Raquel M Bravo-clouzet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356909881 PECOS PAC ID: 4486092335 Enrollment ID: I20240410003712 |
| Provider Name | Amy J Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801659644 PECOS PAC ID: 8921447590 Enrollment ID: I20240416000074 |
| Provider Name | Jessica T Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548836992 PECOS PAC ID: 1850730300 Enrollment ID: I20240416003337 |
| Provider Name | Adilene Barrios-calivtro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962170191 PECOS PAC ID: 2668814302 Enrollment ID: I20240524003248 |
| Provider Name | Denisse Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205331428 PECOS PAC ID: 0749725893 Enrollment ID: I20240712001518 |
| Provider Name | Joseph P Shortall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639661325 PECOS PAC ID: 8426387838 Enrollment ID: I20240712001657 |
| Provider Name | Joseph B Chappell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083381842 PECOS PAC ID: 0547705576 Enrollment ID: I20240713000616 |
| Provider Name | Rachel C Morenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275977472 PECOS PAC ID: 3971744491 Enrollment ID: I20240731002553 |
| Provider Name | Ione L Locher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447830005 PECOS PAC ID: 5092119750 Enrollment ID: I20240814005002 |
| Provider Name | Maria Ruiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447871728 PECOS PAC ID: 4789006636 Enrollment ID: I20240815004233 |
| Provider Name | Greta H Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477152882 PECOS PAC ID: 0042758344 Enrollment ID: I20240819000419 |
| Provider Name | Megan N Garrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114509882 PECOS PAC ID: 6103229083 Enrollment ID: I20240905001343 |
| Provider Name | Laurel A Payne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568875193 PECOS PAC ID: 6608101571 Enrollment ID: I20241008004075 |
| Provider Name | Lina O Trujillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457105967 PECOS PAC ID: 6204367600 Enrollment ID: I20241009000129 |
| Provider Name | Samantha L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750126405 PECOS PAC ID: 2264963677 Enrollment ID: I20241009000281 |
| Provider Name | Holly Nkeshimarna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730936964 PECOS PAC ID: 4789115130 Enrollment ID: I20241009002218 |
| Provider Name | Hani Rizk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689645574 PECOS PAC ID: 7113996091 Enrollment ID: I20241009004273 |
| Provider Name | Jennifer L Giraudo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477929024 PECOS PAC ID: 7911439302 Enrollment ID: I20241009004433 |
| Provider Name | Moura A Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689395766 PECOS PAC ID: 9739611070 Enrollment ID: I20241011001997 |
| Provider Name | Dinajawan L Balderas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477384634 PECOS PAC ID: 6305378191 Enrollment ID: I20241017003248 |
| Provider Name | Natalie M Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922620921 PECOS PAC ID: 1951833516 Enrollment ID: I20241021002587 |
| Provider Name | Yasmeen Ya Abdulrahman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487322590 PECOS PAC ID: 4587059498 Enrollment ID: I20241021003779 |
| Provider Name | Sara H Kellogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821600875 PECOS PAC ID: 4789116385 Enrollment ID: I20241021004061 |
| Provider Name | Erin E Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104998061 PECOS PAC ID: 8224286794 Enrollment ID: I20241104001234 |
| Provider Name | Hannah M Shy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215510169 PECOS PAC ID: 6204209067 Enrollment ID: I20241104001602 |
Ironwood Gastroenterology Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 395 N Silverbell Rd Ste 265, Tucson, AZ 85745 Phone: 520-724-0559 Fax: 520-220-5115 | |
Total Care Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 N 11th Ave, Tucson, AZ 85705 Phone: 517-294-1835 | |
James R Boyed Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6548 E Carondelet Dr Bldg E, Tucson, AZ 85710 Phone: 520-298-2319 Fax: 520-298-7811 | |
Northwest Allied Physicians Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 W Hospital Dr, Suite 205, Tucson, AZ 85704 Phone: 520-229-2563 Fax: 520-229-2561 |