| Eskenazi Medical Group Inc | |
|
720 Eskenazi Ave Indianapolis IN 46202-5187 | |
| (317) 880-7666 | |
| Not Available |
| Full Name | Eskenazi Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 720 Eskenazi Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Curtis A Wright (CEO) |
| Authorized Official Contact | 3178808292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eskenazi Medical Group Inc 720 Eskenazi Ave Fifth Third Bank Building, 5th Floor Indianapolis IN 46202-5166 Ph: (317) 880-3818 | Eskenazi Medical Group Inc 720 Eskenazi Ave Indianapolis IN 46202-5187 Ph: (317) 880-7666 |
| NPI Number | 1730451063 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 4284546813 |
|---|---|
| Medicare Enrollment ID | O20031103000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730451063 | NPI | - | NPPES |
| Provider Name | Mary A Ott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386751881 PECOS PAC ID: 6507750452 Enrollment ID: I20040211000540 |
| Provider Name | Wayne M Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508848102 PECOS PAC ID: 8527953413 Enrollment ID: I20040219000199 |
| Provider Name | Mitchell Alan Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285741942 PECOS PAC ID: 6305738949 Enrollment ID: I20040327000211 |
| Provider Name | Ananda L Kannappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659307213 PECOS PAC ID: 1355233768 Enrollment ID: I20040329000967 |
| Provider Name | Cynthia K Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417905464 PECOS PAC ID: 9931193489 Enrollment ID: I20040408001217 |
| Provider Name | Mary T Salama |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164469623 PECOS PAC ID: 5698769313 Enrollment ID: I20040414000304 |
| Provider Name | David W Crabb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649234600 PECOS PAC ID: 9830092162 Enrollment ID: I20040510000918 |
| Provider Name | Blaine Y Takesue |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225046089 PECOS PAC ID: 2264414762 Enrollment ID: I20040607000767 |
| Provider Name | Kathryn A Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659383768 PECOS PAC ID: 3779566989 Enrollment ID: I20040609000984 |
| Provider Name | John William Stutsman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588693956 PECOS PAC ID: 6608859624 Enrollment ID: I20040610001184 |
| Provider Name | John Emerson Sidle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780632174 PECOS PAC ID: 5890778641 Enrollment ID: I20040611000442 |
| Provider Name | Malaz Boustani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891751079 PECOS PAC ID: 3274513932 Enrollment ID: I20040722001039 |
| Provider Name | Cristina L Ashworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811904790 PECOS PAC ID: 1254304041 Enrollment ID: I20040819000115 |
| Provider Name | Linn Susan Bess Laclave |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669426201 PECOS PAC ID: 3173597200 Enrollment ID: I20040824000466 |
| Provider Name | John M Kunzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265488290 PECOS PAC ID: 4789652181 Enrollment ID: I20040923000257 |
| Provider Name | Ira Kenneth Means |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558391664 PECOS PAC ID: 1153399373 Enrollment ID: I20040924000005 |
| Provider Name | Curtis A Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285685107 PECOS PAC ID: 7719956648 Enrollment ID: I20040928000836 |
| Provider Name | Brian T Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003864950 PECOS PAC ID: 4082683891 Enrollment ID: I20040929000081 |
| Provider Name | Erin J Phipps |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063460319 PECOS PAC ID: 6709846801 Enrollment ID: I20041013000770 |
| Provider Name | Kirk Holston |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760462089 PECOS PAC ID: 0446210009 Enrollment ID: I20041018000765 |
| Provider Name | Brian T Walborn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093870867 PECOS PAC ID: 8325009079 Enrollment ID: I20041026000068 |
| Provider Name | Kristi A Kerner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992787964 PECOS PAC ID: 7113993031 Enrollment ID: I20041028000815 |
| Provider Name | Gaylen M Kelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689651721 PECOS PAC ID: 0042276362 Enrollment ID: I20041208000081 |
| Provider Name | Peter H Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992754352 PECOS PAC ID: 0941259352 Enrollment ID: I20050112000888 |
| Provider Name | Cynthia O Misumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215995188 PECOS PAC ID: 5193775211 Enrollment ID: I20050126001046 |
| Provider Name | Toan R Vu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013966365 PECOS PAC ID: 6204886039 Enrollment ID: I20050128000440 |
| Provider Name | Thomas L. Klausmeier |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932151800 PECOS PAC ID: 7214987965 Enrollment ID: I20050131000259 |
| Provider Name | Rhonda G Justus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518910173 PECOS PAC ID: 7214981794 Enrollment ID: I20050308000660 |
| Provider Name | Delise A Webber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306890637 PECOS PAC ID: 1052359189 Enrollment ID: I20050420000234 |
| Provider Name | Theresa L Greco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356318240 PECOS PAC ID: 4789625146 Enrollment ID: I20050516000649 |
| Provider Name | Lisa A Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083665400 PECOS PAC ID: 2163465782 Enrollment ID: I20050606000322 |
| Provider Name | Katharina M Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487694113 PECOS PAC ID: 1850337304 Enrollment ID: I20050706000622 |
| Provider Name | Babar A Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194783944 PECOS PAC ID: 9739118902 Enrollment ID: I20050808000846 |
| Provider Name | Beth L Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679597165 PECOS PAC ID: 8820027626 Enrollment ID: I20050811000735 |
| Provider Name | David Michael Haas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992735567 PECOS PAC ID: 9739110552 Enrollment ID: I20050822000992 |
| Provider Name | Lisa L Smitha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205906492 PECOS PAC ID: 8729012794 Enrollment ID: I20050920001021 |
| Provider Name | Jill Victoria Helphinstine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073570495 PECOS PAC ID: 6305870288 Enrollment ID: I20050920001153 |
| Provider Name | Steven Raymond Counsell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932166832 PECOS PAC ID: 4587699335 Enrollment ID: I20050929000795 |
| Provider Name | Melanie Kay Johannessohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669430658 PECOS PAC ID: 3375560378 Enrollment ID: I20051028000709 |
| Provider Name | Sharon Ann Riesner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518948140 PECOS PAC ID: 5294754149 Enrollment ID: I20051121000319 |
| Provider Name | Teresa Jo Strout |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821068925 PECOS PAC ID: 1254351919 Enrollment ID: I20051128000418 |
| Provider Name | Carla Ann Kilgore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306870647 PECOS PAC ID: 8224043237 Enrollment ID: I20060213000492 |
| Provider Name | Cathy Ann Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306035878 PECOS PAC ID: 6800802026 Enrollment ID: I20060227000039 |
| Provider Name | Linda A Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851354062 PECOS PAC ID: 2567471014 Enrollment ID: I20060412000214 |
| Provider Name | Aaron Peter Kalinowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063467850 PECOS PAC ID: 6103837463 Enrollment ID: I20060526000104 |
| Provider Name | Eva W Muloma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457383408 PECOS PAC ID: 1951300524 Enrollment ID: I20061208000045 |
| Provider Name | Jon K Hathaway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033147590 PECOS PAC ID: 6305845314 Enrollment ID: I20061220000067 |
| Provider Name | Rana S Berry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245260819 PECOS PAC ID: 9931108941 Enrollment ID: I20061220000082 |
| Provider Name | Elizabeth Anne Ferries-rowe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922036110 PECOS PAC ID: 2961402920 Enrollment ID: I20061222000211 |
| Provider Name | Irina Sergeevna Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508852294 PECOS PAC ID: 9436187556 Enrollment ID: I20070102000349 |
| Provider Name | Robert C Cater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346275203 PECOS PAC ID: 7618979592 Enrollment ID: I20070206000174 |
| Provider Name | Alvaro Lapitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639116874 PECOS PAC ID: 6608978796 Enrollment ID: I20070220000418 |
| Provider Name | Marcia L Shew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386692598 PECOS PAC ID: 8820190655 Enrollment ID: I20070226000665 |
| Provider Name | James T Blackwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215023932 PECOS PAC ID: 3779686910 Enrollment ID: I20070308000575 |
| Provider Name | Ina L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730272089 PECOS PAC ID: 6406953066 Enrollment ID: I20070517000036 |
| Provider Name | Sunil Jayant Juthani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922058684 PECOS PAC ID: 2567560402 Enrollment ID: I20070531000216 |
| Provider Name | Heather M Fretwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053421313 PECOS PAC ID: 4183722044 Enrollment ID: I20070531000400 |
| Provider Name | Mary Jeanne O'gara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952453409 PECOS PAC ID: 3375641855 Enrollment ID: I20070606000632 |
| Provider Name | Lyle P Fettig |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528180494 PECOS PAC ID: 5395843346 Enrollment ID: I20070614000405 |
| Provider Name | Jeffrey J Nace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619984556 PECOS PAC ID: 6901905827 Enrollment ID: I20070619000066 |
| Provider Name | Angela M Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306920582 PECOS PAC ID: 4789784620 Enrollment ID: I20070707000027 |
| Provider Name | Alexia M Torke |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1215132865 PECOS PAC ID: 2961503107 Enrollment ID: I20070718000590 |
| Provider Name | Deborah L Hewitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821294190 PECOS PAC ID: 2466553409 Enrollment ID: I20070720000673 |
| Provider Name | Yolanda Y Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073548731 PECOS PAC ID: 0840391645 Enrollment ID: I20070724000242 |
| Provider Name | Cynthia J Countryman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528263076 PECOS PAC ID: 7012909922 Enrollment ID: I20070823000372 |
| Provider Name | Julie A Vannerson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598721953 PECOS PAC ID: 6608969266 Enrollment ID: I20070912000695 |
| Provider Name | Juan J Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093792103 PECOS PAC ID: 4183719727 Enrollment ID: I20070927000670 |
| Provider Name | Nicole M Nace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639242571 PECOS PAC ID: 5496764201 Enrollment ID: I20071004000268 |
| Provider Name | Amy S Mackey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245437607 PECOS PAC ID: 4183710403 Enrollment ID: I20071018000307 |
| Provider Name | Ellen Fan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871797134 PECOS PAC ID: 2062508260 Enrollment ID: I20071019000080 |
| Provider Name | Michael S Metrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922189836 PECOS PAC ID: 8628165537 Enrollment ID: I20071024000419 |
| Provider Name | Robert M Schweitzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700823002 PECOS PAC ID: 1951491091 Enrollment ID: I20071213000285 |
| Provider Name | Sarah A Schwen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225225931 PECOS PAC ID: 5597855965 Enrollment ID: I20071221000371 |
| Provider Name | Greg A Sachs |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508929019 PECOS PAC ID: 7012092570 Enrollment ID: I20080307000196 |
| Provider Name | Devonne A Elkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619913001 PECOS PAC ID: 1759385180 Enrollment ID: I20080318000402 |
| Provider Name | Karin E Comastri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245289685 PECOS PAC ID: 4688750128 Enrollment ID: I20080325000388 |
| Provider Name | John I Nurnberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255378220 PECOS PAC ID: 6103905013 Enrollment ID: I20080505000064 |
| Provider Name | Denise D Hamblen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437194743 PECOS PAC ID: 6305917469 Enrollment ID: I20080617000363 |
| Provider Name | William G Carlos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245403427 PECOS PAC ID: 6800962820 Enrollment ID: I20080827000422 |
| Provider Name | Michelle D Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861593055 PECOS PAC ID: 1951477124 Enrollment ID: I20080912000052 |
| Provider Name | Marianne Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780884833 PECOS PAC ID: 2961476817 Enrollment ID: I20080925000498 |
| Provider Name | Jean A Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134395841 PECOS PAC ID: 0840350914 Enrollment ID: I20081119000294 |
| Provider Name | Margaret E Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326200221 PECOS PAC ID: 0840351375 Enrollment ID: I20081203000027 |
| Provider Name | Glenda R Westmoreland |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720037906 PECOS PAC ID: 6002979887 Enrollment ID: I20090106000638 |
| Provider Name | Stacey L Shilts |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063684140 PECOS PAC ID: 1456417252 Enrollment ID: I20090303000417 |
| Provider Name | Syed K Hashmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265537104 PECOS PAC ID: 0840102570 Enrollment ID: I20090311000491 |
| Provider Name | Vanessa A Urban |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538236864 PECOS PAC ID: 0648288340 Enrollment ID: I20090327000260 |
| Provider Name | Hua Luo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659439149 PECOS PAC ID: 2062562283 Enrollment ID: I20090610000297 |
| Provider Name | Kevin A Tolliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700057411 PECOS PAC ID: 7012068075 Enrollment ID: I20090702000245 |
| Provider Name | Felipe P Perez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1497798987 PECOS PAC ID: 1951488394 Enrollment ID: I20090714000708 |
| Provider Name | Lisa A Mims |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629197041 PECOS PAC ID: 0941353460 Enrollment ID: I20090731000262 |
| Provider Name | Rebekah L Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356537351 PECOS PAC ID: 0941353395 Enrollment ID: I20090801000028 |
| Provider Name | Steven P Gerke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689658650 PECOS PAC ID: 1951454370 Enrollment ID: I20090803000577 |
| Provider Name | Seth D Rinderknecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154591220 PECOS PAC ID: 7618022435 Enrollment ID: I20090831000628 |
| Provider Name | Rafael D Rosario |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1144493370 PECOS PAC ID: 8628124666 Enrollment ID: I20090916000744 |
| Provider Name | Mark O Farber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972553782 PECOS PAC ID: 0648319228 Enrollment ID: I20091120000697 |
| Provider Name | Neeta Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396914719 PECOS PAC ID: 2264583566 Enrollment ID: I20091201000212 |
| Provider Name | Christopher A Steinmetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750333928 PECOS PAC ID: 8628111945 Enrollment ID: I20100208000613 |
| Provider Name | Dawn P Haut |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497712897 PECOS PAC ID: 9830234590 Enrollment ID: I20100305000099 |
| Provider Name | Deanna R Reinoso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700844552 PECOS PAC ID: 8820133598 Enrollment ID: I20100305000120 |
| Provider Name | Brian R Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356309587 PECOS PAC ID: 4688709702 Enrollment ID: I20100315000821 |
| Provider Name | Janine M Fogel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831156678 PECOS PAC ID: 8921134123 Enrollment ID: I20100326000600 |
| Provider Name | Lisa E Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285692301 PECOS PAC ID: 3678485216 Enrollment ID: I20100331001237 |
| Provider Name | Manish N Chheda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043278039 PECOS PAC ID: 3870629454 Enrollment ID: I20100407000725 |
| Provider Name | Christine A Balt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093773020 PECOS PAC ID: 3476680604 Enrollment ID: I20100420000962 |
| Provider Name | Fernando R Montoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992756035 PECOS PAC ID: 6305973355 Enrollment ID: I20100422000547 |
| Provider Name | Paul R Dexter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770540718 PECOS PAC ID: 4688701659 Enrollment ID: I20100422000796 |
| Provider Name | Mark Tiritilli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538119953 PECOS PAC ID: 0840327763 Enrollment ID: I20100426000418 |
| Provider Name | Robert Gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659338275 PECOS PAC ID: 7719013689 Enrollment ID: I20100429001236 |
| Provider Name | Michael John Nommensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831105808 PECOS PAC ID: 9638252109 Enrollment ID: I20100503000187 |
| Provider Name | David Vanreken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295783082 PECOS PAC ID: 1557279247 Enrollment ID: I20100513000977 |
| Provider Name | Mary R Ciccarelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538126057 PECOS PAC ID: 8729116546 Enrollment ID: I20100514000171 |
| Provider Name | Dana Lynn Hiller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205894011 PECOS PAC ID: 0042348864 Enrollment ID: I20100514000222 |
| Provider Name | Burke W Mamlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144288051 PECOS PAC ID: 3476681297 Enrollment ID: I20100514000259 |
| Provider Name | Rita M Bair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619933413 PECOS PAC ID: 1951430875 Enrollment ID: I20100602000202 |
| Provider Name | Robin A Beck |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1194781138 PECOS PAC ID: 3678603495 Enrollment ID: I20100604000709 |
| Provider Name | Christina P Ricks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114240678 PECOS PAC ID: 9234269879 Enrollment ID: I20100609000117 |
| Provider Name | Gareth H Gilkey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326090325 PECOS PAC ID: 4082744537 Enrollment ID: I20100610000580 |
| Provider Name | Timothy B Brady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942253208 PECOS PAC ID: 9234269358 Enrollment ID: I20100615000827 |
| Provider Name | Laurie A Goebel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417914441 PECOS PAC ID: 2062542004 Enrollment ID: I20100617000448 |
| Provider Name | Khurram S Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639127988 PECOS PAC ID: 5496886996 Enrollment ID: I20100628000384 |
| Provider Name | Sarah M Stelzner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811945678 PECOS PAC ID: 2062543507 Enrollment ID: I20100628000863 |
| Provider Name | Ann D Zerr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558304469 PECOS PAC ID: 3678604063 Enrollment ID: I20100629000382 |
| Provider Name | Dawn M Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467772053 PECOS PAC ID: 6901938729 Enrollment ID: I20100714000673 |
| Provider Name | Kofi K Quist |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932428836 PECOS PAC ID: 8325171192 Enrollment ID: I20100730000015 |
| Provider Name | Patricia A Treadwell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508892613 PECOS PAC ID: 3577696319 Enrollment ID: I20100730000856 |
| Provider Name | Broderick J Rhyant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083662134 PECOS PAC ID: 7517090160 Enrollment ID: I20100803000272 |
| Provider Name | Sibel O Cinbat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538486899 PECOS PAC ID: 8921132937 Enrollment ID: I20100812000675 |
| Provider Name | Valerie L Legacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376856278 PECOS PAC ID: 8921123878 Enrollment ID: I20100915000565 |
| Provider Name | Zahra R Tahir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851566715 PECOS PAC ID: 2163547738 Enrollment ID: I20100920000684 |
| Provider Name | Saura D Fortin Erazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427211820 PECOS PAC ID: 7618093121 Enrollment ID: I20100921001448 |
| Provider Name | Christopher M Callahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104867043 PECOS PAC ID: 9638140908 Enrollment ID: I20101015000714 |
| Provider Name | Elissa A Jones-hua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639351745 PECOS PAC ID: 5597958843 Enrollment ID: I20101020000067 |
| Provider Name | Noobar Israel Mardirosian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447450200 PECOS PAC ID: 8022103191 Enrollment ID: I20101119000587 |
| Provider Name | Kathryn E Kasyjanski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093910218 PECOS PAC ID: 3971799453 Enrollment ID: I20101123000477 |
| Provider Name | Azarias S Lonberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326099755 PECOS PAC ID: 5395931810 Enrollment ID: I20101123000902 |
| Provider Name | Leslie B Parent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700044963 PECOS PAC ID: 7416145081 Enrollment ID: I20101223000221 |
| Provider Name | Pragya Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649238544 PECOS PAC ID: 6507054988 Enrollment ID: I20101229000804 |
| Provider Name | Deborah J Leon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154632669 PECOS PAC ID: 1759570971 Enrollment ID: I20110104000708 |
| Provider Name | Adrienne Bedford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134398183 PECOS PAC ID: 1456531607 Enrollment ID: I20110207000057 |
| Provider Name | Syed J Sher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174694665 PECOS PAC ID: 4486617289 Enrollment ID: I20110208000452 |
| Provider Name | Palmer J Mackie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295793107 PECOS PAC ID: 7618157603 Enrollment ID: I20110208000829 |
| Provider Name | Karen E Ellis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871829218 PECOS PAC ID: 9537340195 Enrollment ID: I20110302000397 |
| Provider Name | Laurie O Shipchandler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972635704 PECOS PAC ID: 8527240183 Enrollment ID: I20110303000626 |
| Provider Name | Christa M Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649592882 PECOS PAC ID: 0042494577 Enrollment ID: I20110407000636 |
| Provider Name | Lori Ann Petrie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760781249 PECOS PAC ID: 7416131552 Enrollment ID: I20110413000928 |
| Provider Name | Tina Suzanne Wiesert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801011069 PECOS PAC ID: 0244414316 Enrollment ID: I20110414000225 |
| Provider Name | Hua Meng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942239298 PECOS PAC ID: 7719162668 Enrollment ID: I20110419000957 |
| Provider Name | Nicole P Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770724700 PECOS PAC ID: 5799961462 Enrollment ID: I20110513000061 |
| Provider Name | Stephanie Demaris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083945349 PECOS PAC ID: 3476721762 Enrollment ID: I20110712000170 |
| Provider Name | Brownsyne M Tucker Edmonds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285800227 PECOS PAC ID: 7416083068 Enrollment ID: I20110720000769 |
| Provider Name | Deborah A Stamper |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1437161387 PECOS PAC ID: 1456529049 Enrollment ID: I20110726000836 |
| Provider Name | Rebekah L Bricker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083911747 PECOS PAC ID: 2769650183 Enrollment ID: I20110729000144 |
| Provider Name | Melissa H Nulton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265732424 PECOS PAC ID: 2769650118 Enrollment ID: I20110729000393 |
| Provider Name | Maria P.s. Robles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467613463 PECOS PAC ID: 8527237312 Enrollment ID: I20110812000038 |
| Provider Name | Cynthia L Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811029358 PECOS PAC ID: 9739358342 Enrollment ID: I20110816000072 |
| Provider Name | Mary Kay Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750337622 PECOS PAC ID: 8729257225 Enrollment ID: I20110817000422 |
| Provider Name | Meagan B Oneill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841452216 PECOS PAC ID: 9133390529 Enrollment ID: I20110915000028 |
| Provider Name | Virginia Leigh Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790958130 PECOS PAC ID: 3971774324 Enrollment ID: I20110915000659 |
| Provider Name | Kathleen T Unroe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881852028 PECOS PAC ID: 1153592324 Enrollment ID: I20110920000069 |
| Provider Name | Cynthia Lynn Robbins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114122017 PECOS PAC ID: 7911087549 Enrollment ID: I20110922000505 |
| Provider Name | Jennifer B Seele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649475658 PECOS PAC ID: 4183896889 Enrollment ID: I20110930000061 |
| Provider Name | Nicole H Richey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740448141 PECOS PAC ID: 3971776055 Enrollment ID: I20111107000106 |
| Provider Name | Robert D Patterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417092107 PECOS PAC ID: 0244369890 Enrollment ID: I20111116000332 |
| Provider Name | Debra K Litzelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467404830 PECOS PAC ID: 3173797487 Enrollment ID: I20111123000455 |
| Provider Name | Nydia L Nunez Estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497919989 PECOS PAC ID: 7214102599 Enrollment ID: I20111215000099 |
| Provider Name | Kenneth E Klotz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326052200 PECOS PAC ID: 3274715305 Enrollment ID: I20111221000494 |
| Provider Name | Laura M Walls |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336272426 PECOS PAC ID: 8224295894 Enrollment ID: I20120209000337 |
| Provider Name | Herbert White |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1578604567 PECOS PAC ID: 4789845975 Enrollment ID: I20120416000395 |
| Provider Name | Diane K Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245517663 PECOS PAC ID: 3274796487 Enrollment ID: I20120529000185 |
| Provider Name | Jason L Tricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154458412 PECOS PAC ID: 3375706484 Enrollment ID: I20120529000277 |
| Provider Name | Noaman F Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124294749 PECOS PAC ID: 7618157470 Enrollment ID: I20120530000010 |
| Provider Name | Radcliffe D Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679568240 PECOS PAC ID: 6608031224 Enrollment ID: I20120705000592 |
| Provider Name | Shelby A Cutlip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730449869 PECOS PAC ID: 2567627870 Enrollment ID: I20120711000152 |
| Provider Name | Jacqueline S Nti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033345822 PECOS PAC ID: 1153587167 Enrollment ID: I20120719000148 |
| Provider Name | Takashi Hato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043421209 PECOS PAC ID: 8325204985 Enrollment ID: I20120725000978 |
| Provider Name | Meghan L Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225271539 PECOS PAC ID: 8921264276 Enrollment ID: I20120731000808 |
| Provider Name | Heather M Hosfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013276997 PECOS PAC ID: 2062668171 Enrollment ID: I20120806000470 |
| Provider Name | Amy M Munchhof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497914071 PECOS PAC ID: 8123274248 Enrollment ID: I20120806000503 |
| Provider Name | Emily P Machogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447418926 PECOS PAC ID: 6901054709 Enrollment ID: I20120920000400 |
| Provider Name | Ely J Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871722165 PECOS PAC ID: 4082862628 Enrollment ID: I20120924000532 |
| Provider Name | April A P'pool |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568690055 PECOS PAC ID: 0143470195 Enrollment ID: I20121029000106 |
| Provider Name | Sarah J Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730437930 PECOS PAC ID: 6103077326 Enrollment ID: I20121117000081 |
| Provider Name | Jane E Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619237476 PECOS PAC ID: 7517118573 Enrollment ID: I20121121000551 |
| Provider Name | Brandon T Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215133186 PECOS PAC ID: 2567614225 Enrollment ID: I20121204000524 |
| Provider Name | Angelina K Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376888495 PECOS PAC ID: 0042463085 Enrollment ID: I20121227000072 |
| Provider Name | Megan S Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982969267 PECOS PAC ID: 7113163841 Enrollment ID: I20130424000819 |
| Provider Name | Diana M Morales Zelaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386965192 PECOS PAC ID: 8224274014 Enrollment ID: I20130705000237 |
| Provider Name | Nawar Al Nasrallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558674408 PECOS PAC ID: 3072755859 Enrollment ID: I20130808000907 |
| Provider Name | Marina Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124339262 PECOS PAC ID: 1355584574 Enrollment ID: I20130906000493 |
| Provider Name | Stephanie A Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447571955 PECOS PAC ID: 6406096643 Enrollment ID: I20130917000581 |
| Provider Name | Thelma Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003152596 PECOS PAC ID: 8022252774 Enrollment ID: I20130918000714 |
| Provider Name | Gina P Rivera Zelaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659692465 PECOS PAC ID: 9739326612 Enrollment ID: I20131003000238 |
| Provider Name | Adnan Arseven |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1871573550 PECOS PAC ID: 8527094952 Enrollment ID: I20131004000037 |
| Provider Name | Carrie A Leathers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215161187 PECOS PAC ID: 4880828698 Enrollment ID: I20131010001178 |
| Provider Name | Latifat A Oyekola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376756684 PECOS PAC ID: 2860557352 Enrollment ID: I20131125000947 |
| Provider Name | David M Schnee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538133079 PECOS PAC ID: 0547224859 Enrollment ID: I20131227000496 |
| Provider Name | Pamela Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235430810 PECOS PAC ID: 4981832003 Enrollment ID: I20140117001737 |
| Provider Name | Brittney Pauline Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467887240 PECOS PAC ID: 8820227713 Enrollment ID: I20140219001471 |
| Provider Name | Hilma L Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629754 PECOS PAC ID: 5496843443 Enrollment ID: I20140311001386 |
| Provider Name | Sibongile Nwokedi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801219530 PECOS PAC ID: 0648401018 Enrollment ID: I20140327001784 |
| Provider Name | Samuel D Kobba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811211154 PECOS PAC ID: 0941432918 Enrollment ID: I20140407001727 |
| Provider Name | Claire A Willard |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467747857 PECOS PAC ID: 3577703651 Enrollment ID: I20140409001856 |
| Provider Name | Jennifer Lee Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750688206 PECOS PAC ID: 5092991497 Enrollment ID: I20140416001917 |
| Provider Name | Abigail S.a. Scott |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538468004 PECOS PAC ID: 6709018161 Enrollment ID: I20140417000682 |
| Provider Name | Jordan C Huskins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902048325 PECOS PAC ID: 1658595897 Enrollment ID: I20140610001052 |
| Provider Name | Sheena K Tatem |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447534342 PECOS PAC ID: 1456575463 Enrollment ID: I20140613000853 |
| Provider Name | Stacey L Murrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154524536 PECOS PAC ID: 2365666245 Enrollment ID: I20140616001416 |
| Provider Name | Jennifer T Baenziger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528384914 PECOS PAC ID: 5193965275 Enrollment ID: I20140630000066 |
| Provider Name | Jason R Moor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639582364 PECOS PAC ID: 8729203955 Enrollment ID: I20140702001238 |
| Provider Name | Zahi A Batiha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477977387 PECOS PAC ID: 1850516923 Enrollment ID: I20140703000251 |
| Provider Name | Jennifer L Carnahan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1578706099 PECOS PAC ID: 0648401737 Enrollment ID: I20140724001265 |
| Provider Name | Daniel G Pino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457677403 PECOS PAC ID: 5395985477 Enrollment ID: I20140829000796 |
| Provider Name | Leslie M Pell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699176800 PECOS PAC ID: 1254551260 Enrollment ID: I20140925000551 |
| Provider Name | Dean A Stratman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851308183 PECOS PAC ID: 7012138712 Enrollment ID: I20141022000702 |
| Provider Name | Laura L Meiser |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609279785 PECOS PAC ID: 9234350505 Enrollment ID: I20141030000982 |
| Provider Name | Katherine A Back |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578964169 PECOS PAC ID: 4587886536 Enrollment ID: I20141107000426 |
| Provider Name | Natalie R Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780089888 PECOS PAC ID: 3476875238 Enrollment ID: I20141205000077 |
| Provider Name | Erin L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033516364 PECOS PAC ID: 8224352562 Enrollment ID: I20150115001066 |
| Provider Name | Jeanine Henigin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518207711 PECOS PAC ID: 8628217916 Enrollment ID: I20150128001812 |
| Provider Name | Michelle N Ansley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316220981 PECOS PAC ID: 9234301995 Enrollment ID: I20150205000132 |
| Provider Name | Caitlin Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316205370 PECOS PAC ID: 8729224613 Enrollment ID: I20150211001992 |
| Provider Name | Kristen L Bendinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386935344 PECOS PAC ID: 3779722426 Enrollment ID: I20150423002073 |
| Provider Name | Joseph A Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609208271 PECOS PAC ID: 6002135878 Enrollment ID: I20150428002089 |
| Provider Name | Andrew R Lane |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669466736 PECOS PAC ID: 3971823584 Enrollment ID: I20150522000119 |
| Provider Name | Abigail Anne Haste |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447519848 PECOS PAC ID: 4880831437 Enrollment ID: I20150605000443 |
| Provider Name | Sufyan Sial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316201833 PECOS PAC ID: 8022258037 Enrollment ID: I20150608001043 |
| Provider Name | Ashley M Overley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548581424 PECOS PAC ID: 4486890977 Enrollment ID: I20150619001688 |
| Provider Name | Sophia Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710145370 PECOS PAC ID: 9739493289 Enrollment ID: I20150729006820 |
| Provider Name | Carmen B Lanie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770961294 PECOS PAC ID: 4789998139 Enrollment ID: I20150730010608 |
| Provider Name | Raven L Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821470238 PECOS PAC ID: 0941515647 Enrollment ID: I20150810001919 |
| Provider Name | Veronica L Storm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467846204 PECOS PAC ID: 1658686092 Enrollment ID: I20150814012894 |
| Provider Name | Heather L Stout |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073999405 PECOS PAC ID: 9133436082 Enrollment ID: I20150910000159 |
| Provider Name | Poonam Paruchuri |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265729297 PECOS PAC ID: 3072752815 Enrollment ID: I20150918002595 |
| Provider Name | Sarah E Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902272883 PECOS PAC ID: 0446567416 Enrollment ID: I20150923003125 |
| Provider Name | Lindsay J Mulinaro |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528436177 PECOS PAC ID: 5799094587 Enrollment ID: I20151019000110 |
| Provider Name | Rachael L Trimbur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013346469 PECOS PAC ID: 9638470875 Enrollment ID: I20151214000992 |
| Provider Name | Kelly J Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720246010 PECOS PAC ID: 4486955028 Enrollment ID: I20151223001780 |
| Provider Name | Maribel Pastran |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033446711 PECOS PAC ID: 7012219785 Enrollment ID: I20160112002536 |
| Provider Name | Adnan Md Yousuf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538424734 PECOS PAC ID: 6204069552 Enrollment ID: I20160304001089 |
| Provider Name | Connie M Hunt-greer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659672723 PECOS PAC ID: 0749586261 Enrollment ID: I20160309002558 |
| Provider Name | Jenifer L Vohs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376823641 PECOS PAC ID: 6709183288 Enrollment ID: I20160329000210 |
| Provider Name | Brittany R Withrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215394507 PECOS PAC ID: 0042509168 Enrollment ID: I20160512002162 |
| Provider Name | Nicholas K Piotrowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134440803 PECOS PAC ID: 7618283722 Enrollment ID: I20160609000278 |
| Provider Name | Matthew T Miles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912261314 PECOS PAC ID: 0547401218 Enrollment ID: I20160613002258 |
| Provider Name | Jeffrey F Peipert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497771711 PECOS PAC ID: 6406863802 Enrollment ID: I20160620000490 |
| Provider Name | Zachary W Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063820637 PECOS PAC ID: 8123249067 Enrollment ID: I20160621000363 |
| Provider Name | Philip H Hanneman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356788202 PECOS PAC ID: 5395987846 Enrollment ID: I20160624000490 |
| Provider Name | Randall W Grout |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083051171 PECOS PAC ID: 1355575630 Enrollment ID: I20160624000528 |
| Provider Name | Ryan J Stegink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902148489 PECOS PAC ID: 6800020181 Enrollment ID: I20160624000663 |
| Provider Name | Alnee L Gadberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578925103 PECOS PAC ID: 3779874565 Enrollment ID: I20160627000499 |
| Provider Name | Sheila M Hiler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427496827 PECOS PAC ID: 4183866338 Enrollment ID: I20160705001679 |
| Provider Name | Evan S West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578805032 PECOS PAC ID: 7618100405 Enrollment ID: I20160706002585 |
| Provider Name | Maria Jose Herrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083050793 PECOS PAC ID: 9830330976 Enrollment ID: I20160713000557 |
| Provider Name | Aimee M Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427398197 PECOS PAC ID: 6507159860 Enrollment ID: I20160725000302 |
| Provider Name | Bethany L Leonhardt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174988596 PECOS PAC ID: 6002100617 Enrollment ID: I20160804001158 |
| Provider Name | Jessica Ann Furstenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699129114 PECOS PAC ID: 3274828959 Enrollment ID: I20160819000070 |
| Provider Name | Zahra Mustafa Kamal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780021386 PECOS PAC ID: 4688997414 Enrollment ID: I20160829002397 |
| Provider Name | Megan Ann Christman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396056016 PECOS PAC ID: 9537383351 Enrollment ID: I20160908000828 |
| Provider Name | Annaliesa B Worrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225491327 PECOS PAC ID: 4385931690 Enrollment ID: I20160929000942 |
| Provider Name | Shira R Dancy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578916128 PECOS PAC ID: 1052609732 Enrollment ID: I20161012001960 |
| Provider Name | Claire Marie Clouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649728338 PECOS PAC ID: 2264712439 Enrollment ID: I20161205000867 |
| Provider Name | Cassie Herr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295130573 PECOS PAC ID: 4789964867 Enrollment ID: I20161207000425 |
| Provider Name | Molly B Robinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962881433 PECOS PAC ID: 7416238191 Enrollment ID: I20170116000456 |
| Provider Name | Autumn M Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528161783 PECOS PAC ID: 0446256127 Enrollment ID: I20170119000589 |
| Provider Name | Allison M Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952847584 PECOS PAC ID: 5395027361 Enrollment ID: I20170126002708 |
| Provider Name | David B Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124563556 PECOS PAC ID: 8820370604 Enrollment ID: I20170201000097 |
| Provider Name | Julia D Loubeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578014809 PECOS PAC ID: 1052694593 Enrollment ID: I20170208000916 |
| Provider Name | Jennifer L Caruana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962803981 PECOS PAC ID: 1557645181 Enrollment ID: I20170228000411 |
| Provider Name | Kristine M Sullivan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033650924 PECOS PAC ID: 3971888330 Enrollment ID: I20170327001411 |
| Provider Name | Stephanie L Scherrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588104665 PECOS PAC ID: 1850677683 Enrollment ID: I20170411000480 |
| Provider Name | Kelly Bren Oshaughnessey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720531734 PECOS PAC ID: 6608152236 Enrollment ID: I20170417000395 |
| Provider Name | Susan M Pittman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437257060 PECOS PAC ID: 3173800620 Enrollment ID: I20170510001085 |
| Provider Name | Rachel Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780028134 PECOS PAC ID: 3779726757 Enrollment ID: I20170510001294 |
| Provider Name | Teela Dawn Crecelius |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902210263 PECOS PAC ID: 3678798998 Enrollment ID: I20170510001363 |
| Provider Name | Benjamin Steven Randel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699112854 PECOS PAC ID: 4486894441 Enrollment ID: I20170525000455 |
| Provider Name | Mindy J Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396120523 PECOS PAC ID: 4981973450 Enrollment ID: I20170627002870 |
| Provider Name | Amber L Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487183182 PECOS PAC ID: 4981973997 Enrollment ID: I20170707000804 |
| Provider Name | Philip Winternheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417483363 PECOS PAC ID: 9234408899 Enrollment ID: I20170713001192 |
| Provider Name | Aksana Waskosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205262052 PECOS PAC ID: 0749550309 Enrollment ID: I20170714001711 |
| Provider Name | Susan K Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811061484 PECOS PAC ID: 5193096725 Enrollment ID: I20170801000541 |
| Provider Name | Juan Carlos Venis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043623069 PECOS PAC ID: 8628295078 Enrollment ID: I20170807003704 |
| Provider Name | Carly D Buchwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316460959 PECOS PAC ID: 3870865538 Enrollment ID: I20170816001166 |
| Provider Name | Katherine J Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306360359 PECOS PAC ID: 5597037259 Enrollment ID: I20170816001227 |
| Provider Name | Priyanthie Ganenthiran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962818286 PECOS PAC ID: 0840519799 Enrollment ID: I20170818001301 |
| Provider Name | Jennifer E Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285157859 PECOS PAC ID: 5698048585 Enrollment ID: I20170828003744 |
| Provider Name | Lindsey M Welty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881121960 PECOS PAC ID: 1557634482 Enrollment ID: I20170829000729 |
| Provider Name | Rachel Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780956169 PECOS PAC ID: 6002189990 Enrollment ID: I20170829001338 |
| Provider Name | Caitlin Bernard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477871929 PECOS PAC ID: 7810208857 Enrollment ID: I20170830000570 |
| Provider Name | Jayme Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043659436 PECOS PAC ID: 0446560221 Enrollment ID: I20170905001384 |
| Provider Name | Sherry L Ruthig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164871414 PECOS PAC ID: 8224301445 Enrollment ID: I20170908002021 |
| Provider Name | Linsey M Bishop |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639697717 PECOS PAC ID: 9931473576 Enrollment ID: I20170921000595 |
| Provider Name | Justine R Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508389982 PECOS PAC ID: 9638443948 Enrollment ID: I20170926002450 |
| Provider Name | Kenneth Lee Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982041018 PECOS PAC ID: 6002059094 Enrollment ID: I20171004000606 |
| Provider Name | Palka R Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508184201 PECOS PAC ID: 4284874363 Enrollment ID: I20171108000846 |
| Provider Name | Kristine S Berryman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851801484 PECOS PAC ID: 3375809304 Enrollment ID: I20171108001156 |
| Provider Name | Nikole Brown-fortner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437698404 PECOS PAC ID: 3971860339 Enrollment ID: I20171121000204 |
| Provider Name | Jessica C Bright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952635377 PECOS PAC ID: 6507123650 Enrollment ID: I20171128003659 |
| Provider Name | Angela D Halbig |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922512490 PECOS PAC ID: 4486911070 Enrollment ID: I20171207000758 |
| Provider Name | Trina N Ransom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447761994 PECOS PAC ID: 4688932023 Enrollment ID: I20171213000564 |
| Provider Name | Eric Meininger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699754499 PECOS PAC ID: 6305802794 Enrollment ID: I20171226000943 |
| Provider Name | Keisha Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609383314 PECOS PAC ID: 1456611342 Enrollment ID: I20180215000057 |
| Provider Name | Amanda D Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629586714 PECOS PAC ID: 4880954635 Enrollment ID: I20180216000337 |
| Provider Name | Leila Mortazavi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336647346 PECOS PAC ID: 4082974845 Enrollment ID: I20180216000751 |
| Provider Name | Eric M Puster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174940340 PECOS PAC ID: 8426310871 Enrollment ID: I20180322001290 |
| Provider Name | Carley E Glaser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285135673 PECOS PAC ID: 0941562391 Enrollment ID: I20180322001369 |
| Provider Name | Erica L Starks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013412790 PECOS PAC ID: 3072877109 Enrollment ID: I20180426000133 |
| Provider Name | Matthew L Turissini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346583424 PECOS PAC ID: 2062776057 Enrollment ID: I20180426002878 |
| Provider Name | Neha R Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972949378 PECOS PAC ID: 5991939175 Enrollment ID: I20180514000940 |
| Provider Name | Vatsal Bajpai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013398353 PECOS PAC ID: 7810208238 Enrollment ID: I20180526000041 |
| Provider Name | Lindsay G Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730676131 PECOS PAC ID: 7113282906 Enrollment ID: I20180526000046 |
| Provider Name | Elizabeth A Lyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346730744 PECOS PAC ID: 1153676291 Enrollment ID: I20180614000298 |
| Provider Name | Olivia H Winn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699264572 PECOS PAC ID: 2365797206 Enrollment ID: I20180619000314 |
| Provider Name | Karrmann E Mchaffie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073924494 PECOS PAC ID: 1355565797 Enrollment ID: I20180619000925 |
| Provider Name | Caitlin D Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114414448 PECOS PAC ID: 2365790854 Enrollment ID: I20180731001038 |
| Provider Name | Ruth M Human |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891292686 PECOS PAC ID: 8921356619 Enrollment ID: I20180813003104 |
| Provider Name | Ofure Esangbedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467834291 PECOS PAC ID: 5799063780 Enrollment ID: I20180828000941 |
| Provider Name | Jacqueline F Abate |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861980781 PECOS PAC ID: 8729339643 Enrollment ID: I20180914002507 |
| Provider Name | Emeri C Kinnamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396230140 PECOS PAC ID: 1456602788 Enrollment ID: I20180925002716 |
| Provider Name | James D Pollom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669959359 PECOS PAC ID: 6305197328 Enrollment ID: I20181001001923 |
| Provider Name | Jennifer Lee Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598251951 PECOS PAC ID: 8527310325 Enrollment ID: I20181005000664 |
| Provider Name | Stephen R Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477028330 PECOS PAC ID: 3678827813 Enrollment ID: I20181107000538 |
| Provider Name | Heather Marie Green-schembra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922534791 PECOS PAC ID: 5496009383 Enrollment ID: I20181113000223 |
| Provider Name | Christina M Stuckey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841765237 PECOS PAC ID: 3678817996 Enrollment ID: I20181127002714 |
| Provider Name | Margaret Marie Spolnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134577851 PECOS PAC ID: 0547552127 Enrollment ID: I20181211002920 |
| Provider Name | Hannah M Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013487347 PECOS PAC ID: 8729323563 Enrollment ID: I20181221002007 |
| Provider Name | Natalie S Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760955942 PECOS PAC ID: 7416295159 Enrollment ID: I20190205002110 |
| Provider Name | Juan R Jaramillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568579670 PECOS PAC ID: 7315993888 Enrollment ID: I20190319003070 |
| Provider Name | Adeel Ansari |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1558681429 PECOS PAC ID: 5799027710 Enrollment ID: I20190423001898 |
| Provider Name | Suzanne C Vanderweele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427520394 PECOS PAC ID: 5294078184 Enrollment ID: I20190516000688 |
| Provider Name | Kristin N Abeel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376006312 PECOS PAC ID: 9739422593 Enrollment ID: I20190517000981 |
| Provider Name | Joseph D Hartstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801245857 PECOS PAC ID: 4284926858 Enrollment ID: I20190520000613 |
| Provider Name | Donald R Westerhausen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437491974 PECOS PAC ID: 4688977515 Enrollment ID: I20190522002386 |
| Provider Name | Lujia Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184002123 PECOS PAC ID: 0749591279 Enrollment ID: I20190529001553 |
| Provider Name | Sarah B Gopman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194798272 PECOS PAC ID: 3274432331 Enrollment ID: I20190614000888 |
| Provider Name | Erica T Rutledge Annen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174188791 PECOS PAC ID: 1951635374 Enrollment ID: I20190618003770 |
| Provider Name | Cynthia Wei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457700510 PECOS PAC ID: 0749574580 Enrollment ID: I20190619003633 |
| Provider Name | Jennifer Marie King |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093163347 PECOS PAC ID: 3577854488 Enrollment ID: I20190702003060 |
| Provider Name | Mitchell R Mcclean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356797948 PECOS PAC ID: 8527359454 Enrollment ID: I20190703002774 |
| Provider Name | Megan R Shrader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396170288 PECOS PAC ID: 7911232319 Enrollment ID: I20190708001175 |
| Provider Name | Regina A Ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811131667 PECOS PAC ID: 0446301154 Enrollment ID: I20190709000994 |
| Provider Name | Joanna J Campodonico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477973311 PECOS PAC ID: 8426328964 Enrollment ID: I20190723000673 |
| Provider Name | Matthew R Sall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700240983 PECOS PAC ID: 9537459045 Enrollment ID: I20190723003575 |
| Provider Name | Sukhwinder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164871174 PECOS PAC ID: 2769754332 Enrollment ID: I20190823002382 |
| Provider Name | Deana F Kirtley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871147314 PECOS PAC ID: 8820326762 Enrollment ID: I20190829003623 |
| Provider Name | Brooke N Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225684327 PECOS PAC ID: 6002144946 Enrollment ID: I20190829003639 |
| Provider Name | Erin Colleen Hollingshead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316338569 PECOS PAC ID: 1456672245 Enrollment ID: I20190829003644 |
| Provider Name | Brooke D Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043872625 PECOS PAC ID: 2264760107 Enrollment ID: I20190829003719 |
| Provider Name | Parisa Mansoori |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932554938 PECOS PAC ID: 1355632076 Enrollment ID: I20190916000184 |
| Provider Name | Madeline Frangi Haase |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497286942 PECOS PAC ID: 3577892629 Enrollment ID: I20190916000279 |
| Provider Name | Megan Kl Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104474923 PECOS PAC ID: 2163752403 Enrollment ID: I20190930000350 |
| Provider Name | Rakeisha N Robinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417503590 PECOS PAC ID: 5395076301 Enrollment ID: I20191004002932 |
| Provider Name | Stephanie L Walz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457906026 PECOS PAC ID: 7911238456 Enrollment ID: I20191014002779 |
| Provider Name | Shelby R Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750936142 PECOS PAC ID: 3779815071 Enrollment ID: I20191105001890 |
| Provider Name | Elly Jo Fennell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114245958 PECOS PAC ID: 6103013602 Enrollment ID: I20191113002644 |
| Provider Name | Paula M Mathewson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770534091 PECOS PAC ID: 3678901212 Enrollment ID: I20200315000087 |
| Provider Name | Brian T Edmonds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093340580 PECOS PAC ID: 7517396385 Enrollment ID: I20200330001427 |
| Provider Name | Sierra N Drees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184257909 PECOS PAC ID: 8921437799 Enrollment ID: I20200330001635 |
| Provider Name | Jennifer Pillow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962033324 PECOS PAC ID: 4789013301 Enrollment ID: I20200402002388 |
| Provider Name | Clare Colette Prohaska |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053705467 PECOS PAC ID: 9931415379 Enrollment ID: I20200406002215 |
| Provider Name | Roberto Carlos Swazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679953624 PECOS PAC ID: 7719290006 Enrollment ID: I20200406002490 |
| Provider Name | Nichole A Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265812804 PECOS PAC ID: 8325352065 Enrollment ID: I20200407001842 |
| Provider Name | David Chrobak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669836003 PECOS PAC ID: 9032409354 Enrollment ID: I20200528000096 |
| Provider Name | Torsten M. Schreiber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598119703 PECOS PAC ID: 0840580015 Enrollment ID: I20200528002588 |
| Provider Name | Kiran K Aravapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689102543 PECOS PAC ID: 7113296385 Enrollment ID: I20200609002949 |
| Provider Name | Danielle K Patterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831579861 PECOS PAC ID: 1951613066 Enrollment ID: I20200611000308 |
| Provider Name | Paul Michael Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013535582 PECOS PAC ID: 4183684780 Enrollment ID: I20200717003095 |
| Provider Name | Caitrin M Kelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255712667 PECOS PAC ID: 9638487242 Enrollment ID: I20200727002151 |
| Provider Name | Kami Ann Biggerstaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437761459 PECOS PAC ID: 5496172686 Enrollment ID: I20200902002252 |
| Provider Name | Mary Anjanette Romer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881207686 PECOS PAC ID: 8729405899 Enrollment ID: I20200903001872 |
| Provider Name | Colette Anne Despain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295345155 PECOS PAC ID: 1254758204 Enrollment ID: I20200904001442 |
| Provider Name | Eric Antoine Raynal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538694666 PECOS PAC ID: 2769750660 Enrollment ID: I20200925001901 |
| Provider Name | Katherine Theresa Hrynewycz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407267115 PECOS PAC ID: 3971728916 Enrollment ID: I20201109002354 |
| Provider Name | Tucker L Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568050136 PECOS PAC ID: 8224441282 Enrollment ID: I20210112001039 |
| Provider Name | Catherine Marie Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356942056 PECOS PAC ID: 3779990601 Enrollment ID: I20210322000698 |
| Provider Name | Samuel Patrick Brooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134626906 PECOS PAC ID: 3274888110 Enrollment ID: I20210507000948 |
| Provider Name | Sarah Anne Seyffert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871082941 PECOS PAC ID: 0941565444 Enrollment ID: I20210602000938 |
| Provider Name | Jennifer Geil Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881209294 PECOS PAC ID: 4789093055 Enrollment ID: I20210803000127 |
| Provider Name | Emily M Kirschbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477229599 PECOS PAC ID: 4183020613 Enrollment ID: I20210909001432 |
| Provider Name | Daniel Wagoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952070799 PECOS PAC ID: 8426454745 Enrollment ID: I20210910001587 |
| Provider Name | Amanda M Townsend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295243947 PECOS PAC ID: 1759788268 Enrollment ID: I20210927001885 |
| Provider Name | Eric Whelchel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609364959 PECOS PAC ID: 1658626460 Enrollment ID: I20211004001297 |
| Provider Name | Ashley M Ricciardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386159028 PECOS PAC ID: 5799044095 Enrollment ID: I20211013003293 |
| Provider Name | Kiam Mychelle Germani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275089559 PECOS PAC ID: 0749678241 Enrollment ID: I20211103001124 |
| Provider Name | Kimberly Breck Vining |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194329003 PECOS PAC ID: 4789073446 Enrollment ID: I20211118000710 |
| Provider Name | Lillian Mwamba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942964127 PECOS PAC ID: 8729479308 Enrollment ID: I20211216000731 |
| Provider Name | Benjamin Jay Byriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609367101 PECOS PAC ID: 9638424443 Enrollment ID: I20211221001989 |
| Provider Name | Robert F Louden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033378062 PECOS PAC ID: 0345632543 Enrollment ID: I20220120001969 |
| Provider Name | Kimberly S Mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730848854 PECOS PAC ID: 2961895339 Enrollment ID: I20220207001934 |
| Provider Name | Kristin M Millen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831859354 PECOS PAC ID: 3274926373 Enrollment ID: I20220214002029 |
| Provider Name | Kathryn Leah Penn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184379208 PECOS PAC ID: 2668866245 Enrollment ID: I20220224001118 |
| Provider Name | Elizabeth E Nagel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447747662 PECOS PAC ID: 0244588010 Enrollment ID: I20220607001167 |
| Provider Name | Craig Bullington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952863508 PECOS PAC ID: 1456684828 Enrollment ID: I20220616001497 |
| Provider Name | Susanne Bentley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063905495 PECOS PAC ID: 1557611027 Enrollment ID: I20220628001762 |
| Provider Name | Katie Sue Carson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346703840 PECOS PAC ID: 7517291503 Enrollment ID: I20220714002780 |
| Provider Name | Carlin Szalay Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891214706 PECOS PAC ID: 5092114256 Enrollment ID: I20220721002368 |
| Provider Name | Jasser Khairallah |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1396249561 PECOS PAC ID: 6103161971 Enrollment ID: I20220824002091 |
| Provider Name | Jeremy Sherer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295231173 PECOS PAC ID: 4486043106 Enrollment ID: I20220909000538 |
| Provider Name | Emilie Jean Marie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740917186 PECOS PAC ID: 8921483314 Enrollment ID: I20220921002540 |
| Provider Name | Simona L Wildman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700509338 PECOS PAC ID: 8022486315 Enrollment ID: I20221117000699 |
| Provider Name | Stacia L Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861853301 PECOS PAC ID: 4385013861 Enrollment ID: I20221205001904 |
| Provider Name | Rachel Ann Mankarios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013660117 PECOS PAC ID: 9335533256 Enrollment ID: I20230329001515 |
| Provider Name | Mackenzie Stice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629632799 PECOS PAC ID: 7810221496 Enrollment ID: I20230516000405 |
| Provider Name | Hailey Nicole Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750003034 PECOS PAC ID: 3971969841 Enrollment ID: I20230518002030 |
| Provider Name | Emma Dollhopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609581321 PECOS PAC ID: 5890153076 Enrollment ID: I20230620002937 |
| Provider Name | Katherine Therese Hemingway |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730609595 PECOS PAC ID: 6002187952 Enrollment ID: I20230623000939 |
| Provider Name | Ariel Marie Dryden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508486754 PECOS PAC ID: 3072935493 Enrollment ID: I20230701000342 |
| Provider Name | Martha Anna Cancilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013537067 PECOS PAC ID: 5395167647 Enrollment ID: I20230720003630 |
| Provider Name | Meredith L Greene |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1700014362 PECOS PAC ID: 9436343969 Enrollment ID: I20230724003388 |
| Provider Name | Melissa Diane Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356691471 PECOS PAC ID: 2567823958 Enrollment ID: I20230801004342 |
| Provider Name | Christina Jean Gullett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811664048 PECOS PAC ID: 7214398379 Enrollment ID: I20230804002781 |
| Provider Name | Audra Marie Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083492532 PECOS PAC ID: 9931553658 Enrollment ID: I20230929000902 |
| Provider Name | Kayla Taylor Pasquariello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730969577 PECOS PAC ID: 9335595297 Enrollment ID: I20231028000267 |
| Provider Name | Hussein I Magale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184244931 PECOS PAC ID: 0749608339 Enrollment ID: I20231101002178 |
| Provider Name | Nigel Arruda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972036556 PECOS PAC ID: 1456626936 Enrollment ID: I20231114003190 |
| Provider Name | Busayo Dorcas Akintayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215704408 PECOS PAC ID: 8729438254 Enrollment ID: I20231227000202 |
| Provider Name | Markeia S. Colter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154951226 PECOS PAC ID: 6103276597 Enrollment ID: I20231227002538 |
| Provider Name | Jenna S Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477272805 PECOS PAC ID: 3678910395 Enrollment ID: I20240318001474 |
| Provider Name | Ayana D Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235997768 PECOS PAC ID: 8022459296 Enrollment ID: I20240520000153 |
Moazzam Habib Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 | |
Shalom 56th Street-new Access Point Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5750 W 56th St, Indianapolis, IN 46254 Phone: 317-291-7422 Fax: 317-291-4912 | |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 | |
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Hello Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 | |
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