| Fairview Clinics-hiawatha | |
|
3809 42nd Ave S Minneapolis MN 55406-3503 | |
| (612) 721-6261 | |
| (612) 721-1691 |
| Full Name | Fairview Clinics-hiawatha |
|---|---|
| Speciality | Clinic/Center |
| Location | 3809 42nd Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Daniel M Fromm (CFO) |
| Authorized Official Contact | 6126724976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Clinics-hiawatha Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | Fairview Clinics-hiawatha 3809 42nd Ave S Minneapolis MN 55406-3503 Ph: (612) 721-6261 |
| NPI Number | 1346432218 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 10/09/2012 |
| Medicare PECOS PAC ID | 7113830142 |
|---|---|
| Medicare Enrollment ID | O20031106000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346432218 | NPI | - | NPPES |
| 752820510 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mary C Homan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467419473 PECOS PAC ID: 5395658702 Enrollment ID: I20031111000706 |
| Provider Name | James B Gaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700834801 PECOS PAC ID: 0446164594 Enrollment ID: I20031113000698 |
| Provider Name | Molly A Mcnaughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699749796 PECOS PAC ID: 9032023510 Enrollment ID: I20031118000803 |
| Provider Name | Kara L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134195282 PECOS PAC ID: 8729992086 Enrollment ID: I20031119000564 |
| Provider Name | Nathan D Block |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871571125 PECOS PAC ID: 0648174334 Enrollment ID: I20031124000644 |
| Provider Name | Rita A Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710970090 PECOS PAC ID: 0547164238 Enrollment ID: I20031124000647 |
| Provider Name | Michael H Wittmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427029859 PECOS PAC ID: 1658275094 Enrollment ID: I20031126000227 |
| Provider Name | Shelley E Dotson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184608184 PECOS PAC ID: 1052216363 Enrollment ID: I20031201000322 |
| Provider Name | Tanya Eugena Melnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881770873 PECOS PAC ID: 8527963198 Enrollment ID: I20031205000454 |
| Provider Name | Lawrence G Mulhern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295737278 PECOS PAC ID: 7719883537 Enrollment ID: I20031211000160 |
| Provider Name | Franz-josef Reisdorf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942269154 PECOS PAC ID: 5496652067 Enrollment ID: I20031216000655 |
| Provider Name | John Palmer Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902850860 PECOS PAC ID: 2264344415 Enrollment ID: I20031217000477 |
| Provider Name | Carmelo J Panetta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528094711 PECOS PAC ID: 9032016837 Enrollment ID: I20031218000743 |
| Provider Name | Jill M Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891803995 PECOS PAC ID: 4688572316 Enrollment ID: I20031219000461 |
| Provider Name | Wojciech Zukowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841276045 PECOS PAC ID: 1850290503 Enrollment ID: I20040102000124 |
| Provider Name | Christopher L Balgobin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124085121 PECOS PAC ID: 6709785389 Enrollment ID: I20040102000348 |
| Provider Name | Greig H Glover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992755771 PECOS PAC ID: 4082513692 Enrollment ID: I20040102000526 |
| Provider Name | Thomas P Noonan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861409666 PECOS PAC ID: 1052210598 Enrollment ID: I20040105000386 |
| Provider Name | Rebecca R Kragh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851344345 PECOS PAC ID: 8123927142 Enrollment ID: I20040108000071 |
| Provider Name | Valerie J Overton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548218647 PECOS PAC ID: 5799684759 Enrollment ID: I20040108000264 |
| Provider Name | Scott R Saylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801863899 PECOS PAC ID: 2769381607 Enrollment ID: I20040108000717 |
| Provider Name | Michael E Long |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821071317 PECOS PAC ID: 3375443088 Enrollment ID: I20040109000822 |
| Provider Name | Kamiab Delfanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043229438 PECOS PAC ID: 2365343779 Enrollment ID: I20040119000386 |
| Provider Name | Eileen M Burchby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407808744 PECOS PAC ID: 3577465889 Enrollment ID: I20040126000466 |
| Provider Name | Jerry W Froelich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093744120 PECOS PAC ID: 5991608044 Enrollment ID: I20040128000346 |
| Provider Name | Frederick W Ott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366476848 PECOS PAC ID: 0547163131 Enrollment ID: I20040130000431 |
| Provider Name | Nikolay G Nikolov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558318980 PECOS PAC ID: 6507769023 Enrollment ID: I20040130000666 |
| Provider Name | Wilfred E Gould |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720025265 PECOS PAC ID: 9739072935 Enrollment ID: I20040203000337 |
| Provider Name | Reuben Nicholas Lubka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154350999 PECOS PAC ID: 6305739368 Enrollment ID: I20040204000178 |
| Provider Name | Robert E Glesne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427075472 PECOS PAC ID: 8921991621 Enrollment ID: I20040205001124 |
| Provider Name | Timothy Ramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053324418 PECOS PAC ID: 2860386216 Enrollment ID: I20040209000529 |
| Provider Name | Raymond Charles Hausch |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639114358 PECOS PAC ID: 6002700176 Enrollment ID: I20040210000657 |
| Provider Name | Ruth A Sohl-kreiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780637389 PECOS PAC ID: 6002700192 Enrollment ID: I20040210000726 |
| Provider Name | Vladimir Savcenko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861471658 PECOS PAC ID: 4183519119 Enrollment ID: I20040218000958 |
| Provider Name | Gregory A Granrud |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366416893 PECOS PAC ID: 6709783368 Enrollment ID: I20040223000680 |
| Provider Name | Michael David Garr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457325904 PECOS PAC ID: 9537066196 Enrollment ID: I20040224000029 |
| Provider Name | Thomas Hagge Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730148560 PECOS PAC ID: 1153228713 Enrollment ID: I20040224000093 |
| Provider Name | Patrick T Koller |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205895075 PECOS PAC ID: 1951208529 Enrollment ID: I20040224000129 |
| Provider Name | Brett Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497721765 PECOS PAC ID: 1456248145 Enrollment ID: I20040227000859 |
| Provider Name | Cynthia L Weisz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861422453 PECOS PAC ID: 7810885373 Enrollment ID: I20040306000157 |
| Provider Name | Michael L Tran |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568574630 PECOS PAC ID: 8123916699 Enrollment ID: I20040306000195 |
| Provider Name | Nicole L Hartung |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1255300885 PECOS PAC ID: 0648168138 Enrollment ID: I20040308000011 |
| Provider Name | Kara Pacala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174608079 PECOS PAC ID: 0547158990 Enrollment ID: I20040308000547 |
| Provider Name | Carolyn S Oeltjenbruns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215992771 PECOS PAC ID: 9830089762 Enrollment ID: I20040316000916 |
| Provider Name | Susan E Viergever |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851360416 PECOS PAC ID: 3072403427 Enrollment ID: I20040318000741 |
| Provider Name | Richard S Spong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689651093 PECOS PAC ID: 2769373745 Enrollment ID: I20040320000652 |
| Provider Name | Catherine Mckegney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205805777 PECOS PAC ID: 9638060262 Enrollment ID: I20040323001206 |
| Provider Name | Lori M Bethke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639193261 PECOS PAC ID: 6103717665 Enrollment ID: I20040323001398 |
| Provider Name | Peter T D'ascoli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245200807 PECOS PAC ID: 0547152787 Enrollment ID: I20040325000195 |
| Provider Name | Rahel Rothschild |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619942745 PECOS PAC ID: 6901899053 Enrollment ID: I20040406000187 |
| Provider Name | Joseph C Mcraith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528025418 PECOS PAC ID: 4688668585 Enrollment ID: I20040414000590 |
| Provider Name | Michael Thurmes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518944875 PECOS PAC ID: 2860487477 Enrollment ID: I20040414001751 |
| Provider Name | Susan E Girard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114996949 PECOS PAC ID: 2567457120 Enrollment ID: I20040415000064 |
| Provider Name | Tushar R Vora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437136397 PECOS PAC ID: 8224023270 Enrollment ID: I20040419000609 |
| Provider Name | Scott S Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902824238 PECOS PAC ID: 0143217034 Enrollment ID: I20040430000939 |
| Provider Name | Alexander M Mckinney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831124031 PECOS PAC ID: 0345238234 Enrollment ID: I20040430001009 |
| Provider Name | Kelle Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093708505 PECOS PAC ID: 4183612583 Enrollment ID: I20040504001238 |
| Provider Name | Christopher G Foss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437113602 PECOS PAC ID: 0749278042 Enrollment ID: I20040505000293 |
| Provider Name | Scott Sakaguchi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386727873 PECOS PAC ID: 4183612179 Enrollment ID: I20040506000630 |
| Provider Name | Suzanne C Moffit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487687406 PECOS PAC ID: 7214926120 Enrollment ID: I20040506001666 |
| Provider Name | Uma S Valeti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649239864 PECOS PAC ID: 9931198686 Enrollment ID: I20040508000359 |
| Provider Name | James Goddard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770562639 PECOS PAC ID: 0749279214 Enrollment ID: I20040510000914 |
| Provider Name | Ali Sajjad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619913621 PECOS PAC ID: 5294724787 Enrollment ID: I20040510001070 |
| Provider Name | Timothy S Yeh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912981887 PECOS PAC ID: 9335049279 Enrollment ID: I20040513000163 |
| Provider Name | Julie A Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962462085 PECOS PAC ID: 7416947288 Enrollment ID: I20040513001277 |
| Provider Name | Lora L Truckenbrod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205802477 PECOS PAC ID: 4587654181 Enrollment ID: I20040515000122 |
| Provider Name | Sonja S Short |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245288380 PECOS PAC ID: 4587654199 Enrollment ID: I20040515000213 |
| Provider Name | Amy M Medley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972563336 PECOS PAC ID: 1254322688 Enrollment ID: I20040524000240 |
| Provider Name | Janis D Keil-day |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942276787 PECOS PAC ID: 2466443718 Enrollment ID: I20040524001130 |
| Provider Name | Shaban Nazarian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831381854 PECOS PAC ID: 1254313778 Enrollment ID: I20040607000922 |
| Provider Name | Peter N Toensing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841258688 PECOS PAC ID: 9133101660 Enrollment ID: I20040607001011 |
| Provider Name | Michael E Pleasants |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952376311 PECOS PAC ID: 5890777353 Enrollment ID: I20040607001147 |
| Provider Name | Mohamed Abdirahman Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992739494 PECOS PAC ID: 9335122431 Enrollment ID: I20040610000256 |
| Provider Name | Karen R Marschel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629045604 PECOS PAC ID: 2466435573 Enrollment ID: I20040610000324 |
| Provider Name | Kristin R Lockhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114982170 PECOS PAC ID: 2860475993 Enrollment ID: I20040610000459 |
| Provider Name | Paul A Turcotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679519540 PECOS PAC ID: 2365425378 Enrollment ID: I20040610001158 |
| Provider Name | Todd M Kihne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902853187 PECOS PAC ID: 7012990633 Enrollment ID: I20040612000292 |
| Provider Name | Ranjit John |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720183171 PECOS PAC ID: 4385628759 Enrollment ID: I20040614001613 |
| Provider Name | Joel D Wegener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063519437 PECOS PAC ID: 2466436225 Enrollment ID: I20040617001004 |
| Provider Name | Robert F Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285720904 PECOS PAC ID: 1153305925 Enrollment ID: I20040617001113 |
| Provider Name | Sieglinde Iris Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417989567 PECOS PAC ID: 8628054129 Enrollment ID: I20040625000581 |
| Provider Name | Aliya Ahmad Shamsi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861588121 PECOS PAC ID: 1254318033 Enrollment ID: I20040630000281 |
| Provider Name | Rolf C Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992896906 PECOS PAC ID: 5597742957 Enrollment ID: I20040702000544 |
| Provider Name | Snigdhasmrithi S Pusalavidyasagar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033199955 PECOS PAC ID: 1850379751 Enrollment ID: I20040708000531 |
| Provider Name | Mark G Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124080791 PECOS PAC ID: 6305824129 Enrollment ID: I20040708001463 |
| Provider Name | Gary J Gronstedt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780688531 PECOS PAC ID: 2163400417 Enrollment ID: I20040712001539 |
| Provider Name | Scott P Loecken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275590200 PECOS PAC ID: 3870571144 Enrollment ID: I20040713000063 |
| Provider Name | Kevin T Wycoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598728644 PECOS PAC ID: 8729066006 Enrollment ID: I20040713000124 |
| Provider Name | Rahul M Tamhane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073625752 PECOS PAC ID: 6800874975 Enrollment ID: I20040713001578 |
| Provider Name | Sonia M Helmy Gercheva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295707792 PECOS PAC ID: 7911986914 Enrollment ID: I20040714000938 |
| Provider Name | Deborah K Mielke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184692279 PECOS PAC ID: 0648250779 Enrollment ID: I20040721000238 |
| Provider Name | Steven P Snow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831165158 PECOS PAC ID: 1254314271 Enrollment ID: I20040721000360 |
| Provider Name | Oleg Froymovich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417912015 PECOS PAC ID: 9436137155 Enrollment ID: I20040721000744 |
| Provider Name | Christine L Wesely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427023001 PECOS PAC ID: 3577543594 Enrollment ID: I20040721000931 |
| Provider Name | Pamela J Noll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043285406 PECOS PAC ID: 6406836287 Enrollment ID: I20040722000528 |
| Provider Name | Jun H Liang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780641209 PECOS PAC ID: 5193705937 Enrollment ID: I20040722000856 |
| Provider Name | Sarah Louise Lehnert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740238476 PECOS PAC ID: 3971573809 Enrollment ID: I20040728001238 |
| Provider Name | Kang Xiaaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942263488 PECOS PAC ID: 9436120664 Enrollment ID: I20040803000222 |
| Provider Name | David J Satin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003999582 PECOS PAC ID: 3971576810 Enrollment ID: I20040818000378 |
| Provider Name | Sara J Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699714923 PECOS PAC ID: 0042284291 Enrollment ID: I20040825001516 |
| Provider Name | Michael P Finch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588617500 PECOS PAC ID: 5092780734 Enrollment ID: I20040827000032 |
| Provider Name | Javad Keyhani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457369902 PECOS PAC ID: 2062487705 Enrollment ID: I20040827000057 |
| Provider Name | John R Lake |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740360619 PECOS PAC ID: 8224005285 Enrollment ID: I20040910000652 |
| Provider Name | Amy L Fair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245204346 PECOS PAC ID: 4486621158 Enrollment ID: I20040913000706 |
| Provider Name | Laura A France |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497732481 PECOS PAC ID: 3678540952 Enrollment ID: I20040915000813 |
| Provider Name | Arvin M Vocal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457330656 PECOS PAC ID: 0446228266 Enrollment ID: I20040920001061 |
| Provider Name | Sarah M Benish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053384701 PECOS PAC ID: 7113995739 Enrollment ID: I20040922000088 |
| Provider Name | Julie A Vaneck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013029263 PECOS PAC ID: 7618946013 Enrollment ID: I20041001000639 |
| Provider Name | James W Erdahl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801873294 PECOS PAC ID: 3779571328 Enrollment ID: I20041004000182 |
| Provider Name | Norman P Chapel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538146964 PECOS PAC ID: 4789672338 Enrollment ID: I20041004000261 |
| Provider Name | Karl W Foster-smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467439307 PECOS PAC ID: 9133117781 Enrollment ID: I20041004000608 |
| Provider Name | Gregory A Helmer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144207572 PECOS PAC ID: 6608864251 Enrollment ID: I20041004000933 |
| Provider Name | Steven M Heifetz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497732804 PECOS PAC ID: 2860480415 Enrollment ID: I20041005000032 |
| Provider Name | Alison C Romstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275502841 PECOS PAC ID: 8426017674 Enrollment ID: I20041005000385 |
| Provider Name | Gary A Moody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356310148 PECOS PAC ID: 6406741495 Enrollment ID: I20041006000881 |
| Provider Name | Charles L Truwit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689603276 PECOS PAC ID: 8527962109 Enrollment ID: I20041019000115 |
| Provider Name | Kathleen D Abrahamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942253505 PECOS PAC ID: 2264330570 Enrollment ID: I20041022000166 |
| Provider Name | David D Laxson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083691398 PECOS PAC ID: 3870581424 Enrollment ID: I20041022000995 |
| Provider Name | Sonia Lucille Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104804343 PECOS PAC ID: 1557323136 Enrollment ID: I20041027000760 |
| Provider Name | Eric R Ernst |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437136819 PECOS PAC ID: 4688662232 Enrollment ID: I20041027001050 |
| Provider Name | Brian H Ip |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619954070 PECOS PAC ID: 1153319702 Enrollment ID: I20041028000135 |
| Provider Name | Shams Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306889225 PECOS PAC ID: 7113989682 Enrollment ID: I20041028000221 |
| Provider Name | Stephen C Battista |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861479370 PECOS PAC ID: 2062400617 Enrollment ID: I20041028000442 |
| Provider Name | Linda M Baumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972534766 PECOS PAC ID: 7012979461 Enrollment ID: I20041028000870 |
| Provider Name | Tonya L Haase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447361472 PECOS PAC ID: 9133181118 Enrollment ID: I20041102000283 |
| Provider Name | Ross P Chambers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538107891 PECOS PAC ID: 9032171830 Enrollment ID: I20041103000714 |
| Provider Name | Daniel E Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598877045 PECOS PAC ID: 9638131352 Enrollment ID: I20041103000914 |
| Provider Name | Karen E Jankowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972539625 PECOS PAC ID: 6507829793 Enrollment ID: I20041109000519 |
| Provider Name | Mark E Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134161128 PECOS PAC ID: 2163485178 Enrollment ID: I20041110000943 |
| Provider Name | David Asinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205886819 PECOS PAC ID: 8426953142 Enrollment ID: I20041110000973 |
| Provider Name | Yohannes Gebre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720084783 PECOS PAC ID: 2365340676 Enrollment ID: I20041111000176 |
| Provider Name | Kristen M Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629083068 PECOS PAC ID: 6002879830 Enrollment ID: I20041111000613 |
| Provider Name | Syed W Askari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043288798 PECOS PAC ID: 7719941319 Enrollment ID: I20041115000012 |
| Provider Name | Robin K Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811941842 PECOS PAC ID: 1759345135 Enrollment ID: I20041116000301 |
| Provider Name | Kathleen M Heaney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871572040 PECOS PAC ID: 6507821485 Enrollment ID: I20041120000137 |
| Provider Name | Kent W Svee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164459905 PECOS PAC ID: 9032174842 Enrollment ID: I20041122000263 |
| Provider Name | Lourdes R Borges Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104885391 PECOS PAC ID: 6901861632 Enrollment ID: I20041122001189 |
| Provider Name | Peter G Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275567778 PECOS PAC ID: 3476518051 Enrollment ID: I20041123000365 |
| Provider Name | John H Kvasnicka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558325860 PECOS PAC ID: 4688570187 Enrollment ID: I20041124000631 |
| Provider Name | Karl R Parens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376501130 PECOS PAC ID: 3375508690 Enrollment ID: I20041129000791 |
| Provider Name | Vui V Mai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588631386 PECOS PAC ID: 2567427602 Enrollment ID: I20041130000804 |
| Provider Name | Haizal Z Hamza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831155928 PECOS PAC ID: 2860457918 Enrollment ID: I20041130000906 |
| Provider Name | Roxanne Vida Ricci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457312217 PECOS PAC ID: 7810952918 Enrollment ID: I20041201000111 |
| Provider Name | Edward W Greeno |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386670297 PECOS PAC ID: 3577528538 Enrollment ID: I20041201000606 |
| Provider Name | Nicole Chaisson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134156359 PECOS PAC ID: 0042276081 Enrollment ID: I20041202000056 |
| Provider Name | Angela S Wermerskirchen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780603431 PECOS PAC ID: 2062478043 Enrollment ID: I20041202000277 |
| Provider Name | Paul D Geary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477873008 PECOS PAC ID: 8527024280 Enrollment ID: I20041203000746 |
| Provider Name | Jeffrey R Brace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619905924 PECOS PAC ID: 7618933326 Enrollment ID: I20041204000145 |
| Provider Name | James T Katter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538107990 PECOS PAC ID: 1254397656 Enrollment ID: I20041207001207 |
| Provider Name | Rahel G Ghebre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548292352 PECOS PAC ID: 5698732550 Enrollment ID: I20041213000884 |
| Provider Name | Steven R Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619921517 PECOS PAC ID: 3274590070 Enrollment ID: I20041214000128 |
| Provider Name | Americo D Fraboni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023060795 PECOS PAC ID: 4789641580 Enrollment ID: I20041214000162 |
| Provider Name | Tori F Christiaansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831138205 PECOS PAC ID: 5597722397 Enrollment ID: I20041214000172 |
| Provider Name | Richard Kubicka |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1255369989 PECOS PAC ID: 1759348170 Enrollment ID: I20041216000623 |
| Provider Name | Timothy Deaconson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679559355 PECOS PAC ID: 6507759602 Enrollment ID: I20050105000595 |
| Provider Name | Nathan M Frink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003878760 PECOS PAC ID: 9133114010 Enrollment ID: I20050105000648 |
| Provider Name | Gretchen Cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942279575 PECOS PAC ID: 3971551953 Enrollment ID: I20050106000268 |
| Provider Name | Gregory G Schoen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780638668 PECOS PAC ID: 6305894387 Enrollment ID: I20050106000291 |
| Provider Name | Farha Ikramuddin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609977107 PECOS PAC ID: 4082663406 Enrollment ID: I20050112000919 |
| Provider Name | Suzanne C Sorensen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639144512 PECOS PAC ID: 5496703886 Enrollment ID: I20050113000882 |
| Provider Name | Amy J Wogen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316935760 PECOS PAC ID: 1850340076 Enrollment ID: I20050114000272 |
| Provider Name | Diana G Crintea-stoian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942223417 PECOS PAC ID: 2264481282 Enrollment ID: I20050118000250 |
| Provider Name | Leeann S Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710947809 PECOS PAC ID: 9830148618 Enrollment ID: I20050119000506 |
| Provider Name | Kathryn Mary Oberhauser Klingberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922065010 PECOS PAC ID: 9133179682 Enrollment ID: I20050124000341 |
| Provider Name | Jennifer M Bottem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972579464 PECOS PAC ID: 0648220558 Enrollment ID: I20050128000177 |
| Provider Name | Robert D Lehrer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710945209 PECOS PAC ID: 8527018431 Enrollment ID: I20050128000189 |
| Provider Name | Colleen J Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326135963 PECOS PAC ID: 0042260705 Enrollment ID: I20050131000330 |
| Provider Name | Kathleen Ann Beckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457338337 PECOS PAC ID: 5496706921 Enrollment ID: I20050202000367 |
| Provider Name | Sarah A Ndyajunwoha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700844214 PECOS PAC ID: 2961453428 Enrollment ID: I20050202000585 |
| Provider Name | Dominic F Frecentese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144209008 PECOS PAC ID: 8022922798 Enrollment ID: I20050208000057 |
| Provider Name | Jessica L Brunfelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609802453 PECOS PAC ID: 3375594088 Enrollment ID: I20050209000888 |
| Provider Name | Jo Anne H Young |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326149519 PECOS PAC ID: 7214989722 Enrollment ID: I20050214000090 |
| Provider Name | Kaye L Baum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558312686 PECOS PAC ID: 8022060383 Enrollment ID: I20050215000304 |
| Provider Name | Georgia E Panopoulos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578537692 PECOS PAC ID: 4183676968 Enrollment ID: I20050221000452 |
| Provider Name | Fady M Chamoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700842283 PECOS PAC ID: 0446203491 Enrollment ID: I20050302000176 |
| Provider Name | Sarah M Kesler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760423487 PECOS PAC ID: 5496709396 Enrollment ID: I20050303000372 |
| Provider Name | Lisa M Vollmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558324780 PECOS PAC ID: 1951355130 Enrollment ID: I20050310000321 |
| Provider Name | Jane K Oneil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750348751 PECOS PAC ID: 5496700304 Enrollment ID: I20050314000798 |
| Provider Name | Aaron Binstock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891744280 PECOS PAC ID: 4284689985 Enrollment ID: I20050315001076 |
| Provider Name | Boris M Beckert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528059375 PECOS PAC ID: 1951207398 Enrollment ID: I20050321000830 |
| Provider Name | Douglas F Bailey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780615666 PECOS PAC ID: 3678568854 Enrollment ID: I20050323000299 |
| Provider Name | Brian Alden Beard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861458846 PECOS PAC ID: 9234185224 Enrollment ID: I20050323000344 |
| Provider Name | Tara M Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063465458 PECOS PAC ID: 0749236768 Enrollment ID: I20050323000527 |
| Provider Name | Michelle R Brechon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316912447 PECOS PAC ID: 3870549892 Enrollment ID: I20050323000568 |
| Provider Name | Karl H Chun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831166743 PECOS PAC ID: 8628024692 Enrollment ID: I20050323000996 |
| Provider Name | Kimberly K Deroche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386611150 PECOS PAC ID: 0840246708 Enrollment ID: I20050324000216 |
| Provider Name | Angela I Dhruvan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972579670 PECOS PAC ID: 2163478926 Enrollment ID: I20050324000279 |
| Provider Name | Elizabeth A Eckhardt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992770036 PECOS PAC ID: 5991751778 Enrollment ID: I20050324000462 |
| Provider Name | Jason L Eggers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275581795 PECOS PAC ID: 0143276923 Enrollment ID: I20050324000504 |
| Provider Name | Brent A Elert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255394631 PECOS PAC ID: 5597678409 Enrollment ID: I20050324000595 |
| Provider Name | Christopher A Foley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609831205 PECOS PAC ID: 1254387004 Enrollment ID: I20050324000971 |
| Provider Name | Jutta M Ellermann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104854702 PECOS PAC ID: 2466408083 Enrollment ID: I20050328000364 |
| Provider Name | Peter A Argenta |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1316981541 PECOS PAC ID: 3971559253 Enrollment ID: I20050330000224 |
| Provider Name | David G Bue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053364752 PECOS PAC ID: 4284681941 Enrollment ID: I20050405000445 |
| Provider Name | Barbara A Benjamin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407833890 PECOS PAC ID: 3870404080 Enrollment ID: I20050406000666 |
| Provider Name | Daniel Y Parkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770574196 PECOS PAC ID: 0345297784 Enrollment ID: I20050407000174 |
| Provider Name | Andrew J Barnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285682971 PECOS PAC ID: 2062459373 Enrollment ID: I20050408000271 |
| Provider Name | Joseph P Schuster |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922015346 PECOS PAC ID: 0143267476 Enrollment ID: I20050408000482 |
| Provider Name | Dawn M Schreyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538125158 PECOS PAC ID: 3678510765 Enrollment ID: I20050411000624 |
| Provider Name | Libin Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932171188 PECOS PAC ID: 7214974336 Enrollment ID: I20050411000827 |
| Provider Name | Patrick P Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063491819 PECOS PAC ID: 6305750019 Enrollment ID: I20050412000595 |
| Provider Name | Edwin S Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871541920 PECOS PAC ID: 0446297139 Enrollment ID: I20050414000130 |
| Provider Name | Lynn J Koch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124084256 PECOS PAC ID: 8426095118 Enrollment ID: I20050414000150 |
| Provider Name | Terry W Kopp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184675431 PECOS PAC ID: 8820035520 Enrollment ID: I20050414000209 |
| Provider Name | Grant C Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790864395 PECOS PAC ID: 1557261781 Enrollment ID: I20050419000976 |
| Provider Name | James P Bergstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588626386 PECOS PAC ID: 1254379316 Enrollment ID: I20050419001284 |
| Provider Name | Jamison Robin Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689616336 PECOS PAC ID: 3274571393 Enrollment ID: I20050420000192 |
| Provider Name | Dominic A Plucinski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902856974 PECOS PAC ID: 8426957580 Enrollment ID: I20050504000103 |
| Provider Name | Christine Gove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992817142 PECOS PAC ID: 5597705079 Enrollment ID: I20050504000205 |
| Provider Name | Peter C Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285737106 PECOS PAC ID: 7911947494 Enrollment ID: I20050504000251 |
| Provider Name | Darin Ray Brink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376655050 PECOS PAC ID: 6608841978 Enrollment ID: I20050509000531 |
| Provider Name | Maria Teresa Chmielewski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1083772834 PECOS PAC ID: 6002856903 Enrollment ID: I20050510001049 |
| Provider Name | Leslie Bryan Forgosh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154305738 PECOS PAC ID: 0749279628 Enrollment ID: I20050512000045 |
| Provider Name | Kim Loria |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487638060 PECOS PAC ID: 9537158423 Enrollment ID: I20050512000089 |
| Provider Name | Zia A Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457396921 PECOS PAC ID: 2062453400 Enrollment ID: I20050517000170 |
| Provider Name | Cheryl L Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184668576 PECOS PAC ID: 1355382649 Enrollment ID: I20050517000725 |
| Provider Name | Sharon M Koep Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184618688 PECOS PAC ID: 3577505346 Enrollment ID: I20050523001092 |
| Provider Name | Patricia R Kubicka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588601231 PECOS PAC ID: 0446292965 Enrollment ID: I20050525000461 |
| Provider Name | Kenneth N Kephart |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1619066545 PECOS PAC ID: 5496797755 Enrollment ID: I20050526000176 |
| Provider Name | Karen M Karlinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154362903 PECOS PAC ID: 0941242143 Enrollment ID: I20050527000272 |
| Provider Name | Elizabeth A Wegner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346209780 PECOS PAC ID: 6507808631 Enrollment ID: I20050527000636 |
| Provider Name | Philip W Stoyke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699766279 PECOS PAC ID: 0840232971 Enrollment ID: I20050527000663 |
| Provider Name | Heather C Votava-bialczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447236252 PECOS PAC ID: 2466495254 Enrollment ID: I20050602000750 |
| Provider Name | David Warren Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609853621 PECOS PAC ID: 3779526587 Enrollment ID: I20050602000901 |
| Provider Name | Teresa C Mccarthy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922184035 PECOS PAC ID: 3678516341 Enrollment ID: I20050603000208 |
| Provider Name | Jonathan K Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932143583 PECOS PAC ID: 8022007392 Enrollment ID: I20050603000436 |
| Provider Name | Eric R Niendorf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780685404 PECOS PAC ID: 2567414121 Enrollment ID: I20050603000500 |
| Provider Name | Laura E Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720072234 PECOS PAC ID: 7214970946 Enrollment ID: I20050603000655 |
| Provider Name | Torrey Bergman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861442493 PECOS PAC ID: 5890762124 Enrollment ID: I20050606001011 |
| Provider Name | Mark Veldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538188511 PECOS PAC ID: 6305889478 Enrollment ID: I20050609000274 |
| Provider Name | Dung H Truong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518933977 PECOS PAC ID: 0244274116 Enrollment ID: I20050613000741 |
| Provider Name | Brian T Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780604835 PECOS PAC ID: 9436193802 Enrollment ID: I20050616000255 |
| Provider Name | Huagui Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477569895 PECOS PAC ID: 8628012028 Enrollment ID: I20050616000512 |
| Provider Name | Peter J Ganzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275599318 PECOS PAC ID: 6103860333 Enrollment ID: I20050617000455 |
| Provider Name | Jeffrey A Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245206192 PECOS PAC ID: 0840234969 Enrollment ID: I20050620000113 |
| Provider Name | Allan R Hartsough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265498331 PECOS PAC ID: 0840234985 Enrollment ID: I20050620000216 |
| Provider Name | Natalie A Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841246980 PECOS PAC ID: 2163466202 Enrollment ID: I20050620000258 |
| Provider Name | Eric J Hoggard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982725339 PECOS PAC ID: 8729022876 Enrollment ID: I20050620000333 |
| Provider Name | Judith S Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821055880 PECOS PAC ID: 0042254138 Enrollment ID: I20050620000671 |
| Provider Name | Mary Jo Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578550992 PECOS PAC ID: 1254376353 Enrollment ID: I20050620000844 |
| Provider Name | Scott F Jorgensen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447214069 PECOS PAC ID: 4486699584 Enrollment ID: I20050620000894 |
| Provider Name | John P Juola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851341523 PECOS PAC ID: 0547205650 Enrollment ID: I20050620000932 |
| Provider Name | Jonathan D Kirsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336184464 PECOS PAC ID: 3870538788 Enrollment ID: I20050622000161 |
| Provider Name | Troy P Kittleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801865084 PECOS PAC ID: 2567407489 Enrollment ID: I20050622000196 |
| Provider Name | Donald Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255307740 PECOS PAC ID: 8224073739 Enrollment ID: I20050624000802 |
| Provider Name | Cynthia D Loehlein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720032683 PECOS PAC ID: 0446295869 Enrollment ID: I20050624000942 |
| Provider Name | Joan M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831165927 PECOS PAC ID: 1254377294 Enrollment ID: I20050630000163 |
| Provider Name | Ann L Megas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891760906 PECOS PAC ID: 3870539828 Enrollment ID: I20050630000183 |
| Provider Name | Stella K Evans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396712022 PECOS PAC ID: 3072559830 Enrollment ID: I20050701000047 |
| Provider Name | Mark C Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467415208 PECOS PAC ID: 2567427784 Enrollment ID: I20050701000844 |
| Provider Name | Debra C Newell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508821414 PECOS PAC ID: 4183660822 Enrollment ID: I20050701000850 |
| Provider Name | Mark R Nielsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609830843 PECOS PAC ID: 1850337502 Enrollment ID: I20050701000901 |
| Provider Name | Krishnakumari G Pallegar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053377135 PECOS PAC ID: 5991741530 Enrollment ID: I20050705000655 |
| Provider Name | Heidi L Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588677132 PECOS PAC ID: 1557307105 Enrollment ID: I20050705000732 |
| Provider Name | James F Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225089576 PECOS PAC ID: 9335185982 Enrollment ID: I20050705000759 |
| Provider Name | Quan V Pham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932159894 PECOS PAC ID: 6204872856 Enrollment ID: I20050705000788 |
| Provider Name | Janine T Pingel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235197054 PECOS PAC ID: 2961448576 Enrollment ID: I20050706000128 |
| Provider Name | Matthew Alan Riethof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588627301 PECOS PAC ID: 1951337278 Enrollment ID: I20050708000684 |
| Provider Name | Annie L Burton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871548362 PECOS PAC ID: 9830125061 Enrollment ID: I20050711000541 |
| Provider Name | Troy A Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073561619 PECOS PAC ID: 5597678425 Enrollment ID: I20050711000631 |
| Provider Name | Albert Salazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841257326 PECOS PAC ID: 1658307632 Enrollment ID: I20050712000025 |
| Provider Name | Christofer A Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053375121 PECOS PAC ID: 8527094556 Enrollment ID: I20050712000322 |
| Provider Name | Carolyn D Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437230836 PECOS PAC ID: 6608802657 Enrollment ID: I20050712000435 |
| Provider Name | Jessica A Vanderscoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144278755 PECOS PAC ID: 5698701324 Enrollment ID: I20050713000728 |
| Provider Name | Erik J Veum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366405409 PECOS PAC ID: 3476589102 Enrollment ID: I20050713000770 |
| Provider Name | Julie D Marcus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497863609 PECOS PAC ID: 3072549724 Enrollment ID: I20050713000886 |
| Provider Name | Mary E Wahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194781278 PECOS PAC ID: 4284660812 Enrollment ID: I20050714000418 |
| Provider Name | Jennifer L Budd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083625057 PECOS PAC ID: 5092742981 Enrollment ID: I20050722000092 |
| Provider Name | James Christopher Shanks |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255393906 PECOS PAC ID: 1658308200 Enrollment ID: I20050726000030 |
| Provider Name | Kavita S Monteiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639133457 PECOS PAC ID: 0143257642 Enrollment ID: I20050726000511 |
| Provider Name | Paul D Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245285584 PECOS PAC ID: 7012944549 Enrollment ID: I20050726000734 |
| Provider Name | Jessica N Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477595536 PECOS PAC ID: 8224065750 Enrollment ID: I20050726000785 |
| Provider Name | Sarah C Fuerstenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013940014 PECOS PAC ID: 9830126374 Enrollment ID: I20050726000815 |
| Provider Name | Amer Azar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790851178 PECOS PAC ID: 7315975547 Enrollment ID: I20050729000374 |
| Provider Name | Peter J Halvorson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831152008 PECOS PAC ID: 3779550876 Enrollment ID: I20050802000908 |
| Provider Name | Kim M Tillemans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306935317 PECOS PAC ID: 6800824681 Enrollment ID: I20050802000943 |
| Provider Name | Alina G Jeffers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902870678 PECOS PAC ID: 5092743880 Enrollment ID: I20050802001034 |
| Provider Name | Melanie H Dixon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316962558 PECOS PAC ID: 4789612474 Enrollment ID: I20050803000365 |
| Provider Name | Cecil E Bassett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669433207 PECOS PAC ID: 9436188497 Enrollment ID: I20050810000199 |
| Provider Name | Karen M Weiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053379230 PECOS PAC ID: 4284664905 Enrollment ID: I20050816000220 |
| Provider Name | Ronald T Sih |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053382002 PECOS PAC ID: 2961432968 Enrollment ID: I20050819000027 |
| Provider Name | Jared M Frandson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902856404 PECOS PAC ID: 5496786279 Enrollment ID: I20050823000050 |
| Provider Name | William D Sypura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326054180 PECOS PAC ID: 0840221883 Enrollment ID: I20050830000045 |
| Provider Name | Sarah M Aldrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053389429 PECOS PAC ID: 0547292856 Enrollment ID: I20050908000069 |
| Provider Name | Tara Lee Holm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164567764 PECOS PAC ID: 8820021801 Enrollment ID: I20050912000822 |
| Provider Name | Teresa K Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043273204 PECOS PAC ID: 7315970225 Enrollment ID: I20050912001182 |
| Provider Name | Molly E Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538162128 PECOS PAC ID: 4183684608 Enrollment ID: I20050912001253 |
| Provider Name | Fareed A Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235236530 PECOS PAC ID: 8921031535 Enrollment ID: I20050914000881 |
| Provider Name | Jason T Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134214307 PECOS PAC ID: 7810920428 Enrollment ID: I20050914000901 |
| Provider Name | Mark W Berger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962481747 PECOS PAC ID: 0749194777 Enrollment ID: I20050920000198 |
| Provider Name | Sidney R Constantine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992767552 PECOS PAC ID: 7012941842 Enrollment ID: I20050921000872 |
| Provider Name | Christopher J Fallert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295790251 PECOS PAC ID: 3173557865 Enrollment ID: I20050922000113 |
| Provider Name | Kristina M Smith Mcdermott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841557618 PECOS PAC ID: 2062446628 Enrollment ID: I20050922000799 |
| Provider Name | Joseph T Moriarity |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154380467 PECOS PAC ID: 5799719365 Enrollment ID: I20050922000879 |
| Provider Name | Stuart Randall Pemberton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346200854 PECOS PAC ID: 6608800172 Enrollment ID: I20050923000395 |
| Provider Name | John P Scanlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396705323 PECOS PAC ID: 8123052636 Enrollment ID: I20050923000739 |
| Provider Name | Todd A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619936804 PECOS PAC ID: 4981638301 Enrollment ID: I20050923000881 |
| Provider Name | Craig A Svendsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427016229 PECOS PAC ID: 6103850516 Enrollment ID: I20050926000150 |
| Provider Name | Charlene K Ulstad-warkentien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568420701 PECOS PAC ID: 4082648399 Enrollment ID: I20050926000190 |
| Provider Name | Jason E Nowak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437107539 PECOS PAC ID: 1153355417 Enrollment ID: I20050926000703 |
| Provider Name | Annemarie M Mischel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306812698 PECOS PAC ID: 1456385616 Enrollment ID: I20050927000253 |
| Provider Name | Yasuko Yamamura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568483816 PECOS PAC ID: 9830124700 Enrollment ID: I20050929000091 |
| Provider Name | Maisa A Pebbles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336117480 PECOS PAC ID: 9335164631 Enrollment ID: I20051005001161 |
| Provider Name | Erin E Mccarville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194773291 PECOS PAC ID: 7214952407 Enrollment ID: I20051006000693 |
| Provider Name | Jeffrey S Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497734123 PECOS PAC ID: 1254245954 Enrollment ID: I20051007000143 |
| Provider Name | Lina K Swenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336114925 PECOS PAC ID: 1153346275 Enrollment ID: I20051007000667 |
| Provider Name | Jennifer L Percy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154397958 PECOS PAC ID: 9436174562 Enrollment ID: I20051007000728 |
| Provider Name | Nancy K Darling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548348055 PECOS PAC ID: 7810912953 Enrollment ID: I20051007000791 |
| Provider Name | Aaron J Trygstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598745994 PECOS PAC ID: 3173548948 Enrollment ID: I20051011000385 |
| Provider Name | Karen T Dorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710953443 PECOS PAC ID: 8224053053 Enrollment ID: I20051011000861 |
| Provider Name | Bernadette Clevenger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558473702 PECOS PAC ID: 7315908407 Enrollment ID: I20051012000045 |
| Provider Name | Shelly A Marette |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669579975 PECOS PAC ID: 8426074832 Enrollment ID: I20051014000613 |
| Provider Name | William F Schmalstieg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649244658 PECOS PAC ID: 5890711261 Enrollment ID: I20051017000028 |
| Provider Name | Jeffrey R Michell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033176615 PECOS PAC ID: 8527084862 Enrollment ID: I20051017000665 |
| Provider Name | Cynthia R Howard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164456620 PECOS PAC ID: 2567488828 Enrollment ID: I20051017000806 |
| Provider Name | David Gordon Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174515357 PECOS PAC ID: 3971415688 Enrollment ID: I20051026000087 |
| Provider Name | Patricia Adam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871537514 PECOS PAC ID: 1850318718 Enrollment ID: I20051031000023 |
| Provider Name | Jennifer L Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215045885 PECOS PAC ID: 8022036656 Enrollment ID: I20051102000854 |
| Provider Name | Mark E Rosenberg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588740740 PECOS PAC ID: 0345268827 Enrollment ID: I20051103000109 |
| Provider Name | Yeng M Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962434050 PECOS PAC ID: 9335167436 Enrollment ID: I20051108000067 |
| Provider Name | Rhonda M Welsch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902868342 PECOS PAC ID: 1153349261 Enrollment ID: I20051108000163 |
| Provider Name | Benjamin B Ranstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376565325 PECOS PAC ID: 3971522400 Enrollment ID: I20051115000068 |
| Provider Name | Alan Loder Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912957267 PECOS PAC ID: 6507885795 Enrollment ID: I20051116001005 |
| Provider Name | Hellina T Dessie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619904208 PECOS PAC ID: 7810917507 Enrollment ID: I20051123000503 |
| Provider Name | Orlando Charry-rodriguez |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1518931187 PECOS PAC ID: 5890715247 Enrollment ID: I20051130000114 |
| Provider Name | Salima A Mithani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093746000 PECOS PAC ID: 7416977806 Enrollment ID: I20051130000495 |
| Provider Name | Claes E M Oldenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811951098 PECOS PAC ID: 8820980766 Enrollment ID: I20051202000053 |
| Provider Name | John T Northwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063464329 PECOS PAC ID: 8325069065 Enrollment ID: I20051209000411 |
| Provider Name | Cephas M Agbeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407817091 PECOS PAC ID: 9335160431 Enrollment ID: I20051216000478 |
| Provider Name | David R Bachman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881656296 PECOS PAC ID: 1153235262 Enrollment ID: I20051216000520 |
| Provider Name | Jonathan J Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831151786 PECOS PAC ID: 1951322957 Enrollment ID: I20051216000586 |
| Provider Name | Elise M Binsfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154383404 PECOS PAC ID: 9436170446 Enrollment ID: I20051216000660 |
| Provider Name | Hana Bonefacic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578525697 PECOS PAC ID: 6507887510 Enrollment ID: I20051216000677 |
| Provider Name | Lawrence D Deal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952363749 PECOS PAC ID: 3375565203 Enrollment ID: I20051220000667 |
| Provider Name | Jay A Dirks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255394573 PECOS PAC ID: 9537181466 Enrollment ID: I20051220000686 |
| Provider Name | Stacy M Hockett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831152842 PECOS PAC ID: 5991727653 Enrollment ID: I20051221000680 |
| Provider Name | Sonia Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770548042 PECOS PAC ID: 3577585926 Enrollment ID: I20051228000594 |
| Provider Name | David B Lehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912962184 PECOS PAC ID: 8628090081 Enrollment ID: I20051228000654 |
| Provider Name | David M Lindgren |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609808674 PECOS PAC ID: 2365464740 Enrollment ID: I20051229000033 |
| Provider Name | Morgan E Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467485391 PECOS PAC ID: 2860414182 Enrollment ID: I20051229000395 |
| Provider Name | Laurie A Mcleod-lorence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215960174 PECOS PAC ID: 9537181862 Enrollment ID: I20051229000439 |
| Provider Name | James R Natwick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912916388 PECOS PAC ID: 0749202091 Enrollment ID: I20051229000587 |
| Provider Name | Amy M Putnam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750499307 PECOS PAC ID: 9931121175 Enrollment ID: I20051230000555 |
| Provider Name | Jeffrey L Raines |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366550923 PECOS PAC ID: 1658393806 Enrollment ID: I20051230000568 |
| Provider Name | Stephen W Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093823189 PECOS PAC ID: 7315851425 Enrollment ID: I20051230000589 |
| Provider Name | John B Rogers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275641383 PECOS PAC ID: 5890717045 Enrollment ID: I20051230000594 |
| Provider Name | Carol H Schoonover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699883587 PECOS PAC ID: 6901828177 Enrollment ID: I20060103000069 |
| Provider Name | Carla A Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649388547 PECOS PAC ID: 2365464534 Enrollment ID: I20060103000075 |
| Provider Name | Roman J Zownirowycz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306958376 PECOS PAC ID: 4981626181 Enrollment ID: I20060103000272 |
| Provider Name | Allison E Golnik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588623474 PECOS PAC ID: 9234151325 Enrollment ID: I20060104000157 |
| Provider Name | Jean M Kummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205843307 PECOS PAC ID: 2163446303 Enrollment ID: I20060116000072 |
| Provider Name | Marc R Pritzker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285673525 PECOS PAC ID: 8527082411 Enrollment ID: I20060118000700 |
| Provider Name | Michael T Schulenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962402834 PECOS PAC ID: 3375567274 Enrollment ID: I20060118000764 |
| Provider Name | Byron H Simmons |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225060346 PECOS PAC ID: 6709800402 Enrollment ID: I20060120000622 |
| Provider Name | Alfred L Clavel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841263696 PECOS PAC ID: 0345211264 Enrollment ID: I20060123000325 |
| Provider Name | Ayesha Ebrahim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831144609 PECOS PAC ID: 3678587862 Enrollment ID: I20060126000557 |
| Provider Name | Paula Johnson Rehder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518050103 PECOS PAC ID: 2567476484 Enrollment ID: I20060131000373 |
| Provider Name | Praveena M Kanth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437155678 PECOS PAC ID: 4183638638 Enrollment ID: I20060203000378 |
| Provider Name | Murali Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982656039 PECOS PAC ID: 7618981184 Enrollment ID: I20060203000553 |
| Provider Name | Aynsley D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972687234 PECOS PAC ID: 2264446657 Enrollment ID: I20060206000900 |
| Provider Name | Jessica E Kuehn-hajder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104833920 PECOS PAC ID: 5496760266 Enrollment ID: I20060215000472 |
| Provider Name | Reena P Lorntson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295837144 PECOS PAC ID: 6507871019 Enrollment ID: I20060220000296 |
| Provider Name | Bhavjot Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609850262 PECOS PAC ID: 6709891252 Enrollment ID: I20060220000598 |
| Provider Name | David E Adson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346203833 PECOS PAC ID: 8325053887 Enrollment ID: I20060221000100 |
| Provider Name | Abdullahi I Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972578334 PECOS PAC ID: 2961417431 Enrollment ID: I20060221000116 |
| Provider Name | Carol M Brunzell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689729659 PECOS PAC ID: 4880600188 Enrollment ID: I20060223000472 |
| Provider Name | Eric G Christianson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629044342 PECOS PAC ID: 9436165644 Enrollment ID: I20060224000694 |
| Provider Name | Amy B Dronen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942210422 PECOS PAC ID: 3870509748 Enrollment ID: I20060301000684 |
| Provider Name | John Eikens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104844604 PECOS PAC ID: 6103832944 Enrollment ID: I20060302000429 |
| Provider Name | Paul S Gotlieb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578569042 PECOS PAC ID: 1153375233 Enrollment ID: I20060307000340 |
| Provider Name | David L Gubbrud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225004740 PECOS PAC ID: 1456368083 Enrollment ID: I20060307000567 |
| Provider Name | William H Meller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053496216 PECOS PAC ID: 6305853961 Enrollment ID: I20060307000772 |
| Provider Name | Karen L Hulstrand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982622486 PECOS PAC ID: 2264449792 Enrollment ID: I20060308000636 |
| Provider Name | Ganesh Raveendran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265418420 PECOS PAC ID: 8123035664 Enrollment ID: I20060308000680 |
| Provider Name | Timothy J Kappel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295702652 PECOS PAC ID: 2163439563 Enrollment ID: I20060309000371 |
| Provider Name | David D Karrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144334673 PECOS PAC ID: 8820005234 Enrollment ID: I20060309000436 |
| Provider Name | Kellie M Kershisnik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629029566 PECOS PAC ID: 5890702203 Enrollment ID: I20060309000455 |
| Provider Name | Thomas A Leaf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811081516 PECOS PAC ID: 8325055619 Enrollment ID: I20060310000528 |
| Provider Name | Barbara L Lever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679534507 PECOS PAC ID: 1658388954 Enrollment ID: I20060310000571 |
| Provider Name | Elizabeth A Lindeke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790748069 PECOS PAC ID: 8628085958 Enrollment ID: I20060313000120 |
| Provider Name | Gregory T Loppnow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366418022 PECOS PAC ID: 4688681935 Enrollment ID: I20060313000242 |
| Provider Name | Richard E Mayerchak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568417806 PECOS PAC ID: 6901813195 Enrollment ID: I20060313000656 |
| Provider Name | David A Milbrandt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457463903 PECOS PAC ID: 5890702039 Enrollment ID: I20060314000312 |
| Provider Name | Patrick J Morris |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1023194016 PECOS PAC ID: 4183518657 Enrollment ID: I20060314000477 |
| Provider Name | Scott J Moses |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508817149 PECOS PAC ID: 3274540323 Enrollment ID: I20060314000491 |
| Provider Name | Dean R Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508810482 PECOS PAC ID: 7911914064 Enrollment ID: I20060314000573 |
| Provider Name | Barbara Jean Zillmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336183896 PECOS PAC ID: 3971510710 Enrollment ID: I20060320000281 |
| Provider Name | Daniel L Sebring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316903867 PECOS PAC ID: 9032127659 Enrollment ID: I20060323000480 |
| Provider Name | Ann M Shirek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205804937 PECOS PAC ID: 3274541800 Enrollment ID: I20060323000511 |
| Provider Name | Jennifer S Oberstar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073515466 PECOS PAC ID: 2567470990 Enrollment ID: I20060328000016 |
| Provider Name | Deborah K Strand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144246844 PECOS PAC ID: 0840208120 Enrollment ID: I20060328000634 |
| Provider Name | David J Tosteson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073539763 PECOS PAC ID: 1254349418 Enrollment ID: I20060329000510 |
| Provider Name | Bruce C Trautman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285601633 PECOS PAC ID: 6305854563 Enrollment ID: I20060329000538 |
| Provider Name | Loren M Wilkes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619929395 PECOS PAC ID: 2860400918 Enrollment ID: I20060330000585 |
| Provider Name | Dana L Metzger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154376135 PECOS PAC ID: 6507874575 Enrollment ID: I20060403000269 |
| Provider Name | Linnea A Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912973892 PECOS PAC ID: 8820056732 Enrollment ID: I20060410000255 |
| Provider Name | Kristen L Hanzel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619929882 PECOS PAC ID: 1951310572 Enrollment ID: I20060411000017 |
| Provider Name | Jennifer L Landers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952362071 PECOS PAC ID: 5597774133 Enrollment ID: I20060411000109 |
| Provider Name | Kozhuvattasseri P Madhusoodanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164505624 PECOS PAC ID: 7719996354 Enrollment ID: I20060411000140 |
| Provider Name | Peter B Wold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861471633 PECOS PAC ID: 0749260404 Enrollment ID: I20060424000306 |
| Provider Name | Timothy J Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932110079 PECOS PAC ID: 2163334285 Enrollment ID: I20060424000516 |
| Provider Name | Luis E Laguna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205874591 PECOS PAC ID: 1052323904 Enrollment ID: I20060615000172 |
| Provider Name | Joy M Smetanka |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881638054 PECOS PAC ID: 9830101500 Enrollment ID: I20060620000261 |
| Provider Name | Laurel M Ries |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043262785 PECOS PAC ID: 6709899982 Enrollment ID: I20060712000010 |
| Provider Name | Melissa J Klohn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770512212 PECOS PAC ID: 3577576594 Enrollment ID: I20060717000087 |
| Provider Name | Amy C Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881630549 PECOS PAC ID: 5991718736 Enrollment ID: I20060724000133 |
| Provider Name | Catherine L Kodama |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730123720 PECOS PAC ID: 7810900552 Enrollment ID: I20060724000203 |
| Provider Name | Gregory M Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427090133 PECOS PAC ID: 2860397510 Enrollment ID: I20060726000019 |
| Provider Name | Jennifer A Ramsey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881626414 PECOS PAC ID: 8123031531 Enrollment ID: I20060731000485 |
| Provider Name | Sanjiv Kumra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801836127 PECOS PAC ID: 9830192996 Enrollment ID: I20060810000550 |
| Provider Name | Yvonne H Datta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730102070 PECOS PAC ID: 0547234403 Enrollment ID: I20060810000569 |
| Provider Name | James L Wise |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982681334 PECOS PAC ID: 4981607850 Enrollment ID: I20060814000502 |
| Provider Name | James H Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154346237 PECOS PAC ID: 5496758302 Enrollment ID: I20060815000250 |
| Provider Name | Mousumi Kundu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710932504 PECOS PAC ID: 5799788626 Enrollment ID: I20060815000404 |
| Provider Name | Kendall D Price |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356373476 PECOS PAC ID: 4587667001 Enrollment ID: I20060822000467 |
| Provider Name | Bryan R Jarabek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265453369 PECOS PAC ID: 2466455993 Enrollment ID: I20060822000515 |
| Provider Name | Matthew J Loe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861419293 PECOS PAC ID: 2769486117 Enrollment ID: I20060828000166 |
| Provider Name | Don E Wiese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114908159 PECOS PAC ID: 7810971843 Enrollment ID: I20060830000035 |
| Provider Name | Charles Xavier Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639181746 PECOS PAC ID: 2163426164 Enrollment ID: I20060906000199 |
| Provider Name | Abdi A Jama |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659382422 PECOS PAC ID: 7214931229 Enrollment ID: I20060906000244 |
| Provider Name | Amy J Edman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881638344 PECOS PAC ID: 1355346255 Enrollment ID: I20060928000106 |
| Provider Name | Emily J Pike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780642462 PECOS PAC ID: 4385640606 Enrollment ID: I20061010000535 |
| Provider Name | Danielle C Bennett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871502575 PECOS PAC ID: 7911903174 Enrollment ID: I20061011000176 |
| Provider Name | Suzanne S Parrino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730113671 PECOS PAC ID: 1658341870 Enrollment ID: I20061012000098 |
| Provider Name | Kevin L Kampfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275628661 PECOS PAC ID: 2769489400 Enrollment ID: I20061023000219 |
| Provider Name | Victoria S Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942230628 PECOS PAC ID: 6204833809 Enrollment ID: I20061024000357 |
| Provider Name | Rhodessa F Burt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871502203 PECOS PAC ID: 0244237519 Enrollment ID: I20061030000175 |
| Provider Name | Ranjan Dahiya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942282074 PECOS PAC ID: 1052358603 Enrollment ID: I20061030000415 |
| Provider Name | Zhiyi Sha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124044334 PECOS PAC ID: 7416940085 Enrollment ID: I20061106000351 |
| Provider Name | Poonam K Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417051756 PECOS PAC ID: 3870590789 Enrollment ID: I20061106000435 |
| Provider Name | Jeanne M Goodspeed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396859468 PECOS PAC ID: 7012915812 Enrollment ID: I20061109000500 |
| Provider Name | Mary M Benbenek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487608642 PECOS PAC ID: 1850399510 Enrollment ID: I20061114000122 |
| Provider Name | James J Martineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205927084 PECOS PAC ID: 8921006487 Enrollment ID: I20061116000169 |
| Provider Name | John B Buren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023087814 PECOS PAC ID: 8426081738 Enrollment ID: I20061117000470 |
| Provider Name | Anna Schorer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164449989 PECOS PAC ID: 3779581996 Enrollment ID: I20061127000157 |
| Provider Name | Kathleen K Simo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518918010 PECOS PAC ID: 6103825880 Enrollment ID: I20061206000325 |
| Provider Name | Julie L Becker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023077625 PECOS PAC ID: 9335185784 Enrollment ID: I20061215000300 |
| Provider Name | Gervais P Moche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356458723 PECOS PAC ID: 4284633215 Enrollment ID: I20061220000215 |
| Provider Name | Louise E Ou-yang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528009032 PECOS PAC ID: 6901806660 Enrollment ID: I20070102000347 |
| Provider Name | Linda L Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346268539 PECOS PAC ID: 3577564665 Enrollment ID: I20070116000078 |
| Provider Name | Alan Berger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104861350 PECOS PAC ID: 6709887656 Enrollment ID: I20070122000049 |
| Provider Name | Emily C Borman-shoap |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043380926 PECOS PAC ID: 4789685405 Enrollment ID: I20070124000146 |
| Provider Name | Curtis D Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114087608 PECOS PAC ID: 3072514397 Enrollment ID: I20070129000441 |
| Provider Name | Tim H Emory |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841264397 PECOS PAC ID: 5991808818 Enrollment ID: I20070314000479 |
| Provider Name | Jeffrey Paul Lassig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558459032 PECOS PAC ID: 6507896578 Enrollment ID: I20070329000258 |
| Provider Name | Pamela S Kolacz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205852480 PECOS PAC ID: 9032213970 Enrollment ID: I20070402000512 |
| Provider Name | Sara F Hall |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275549339 PECOS PAC ID: 8921102658 Enrollment ID: I20070405000074 |
| Provider Name | Alakananda Nagaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265533913 PECOS PAC ID: 2163312828 Enrollment ID: I20070424000670 |
| Provider Name | Janelle M Dailey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982752614 PECOS PAC ID: 4789789421 Enrollment ID: I20070425000150 |
| Provider Name | Milena Elimelakh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679609689 PECOS PAC ID: 1052417706 Enrollment ID: I20070426000422 |
| Provider Name | Solveig A Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992753073 PECOS PAC ID: 0345346920 Enrollment ID: I20070427000071 |
| Provider Name | Michael H Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427116896 PECOS PAC ID: 3173626488 Enrollment ID: I20070611000399 |
| Provider Name | Joan M Kane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265471718 PECOS PAC ID: 9931207156 Enrollment ID: I20070611000695 |
| Provider Name | Nissrine A Nakib |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669516852 PECOS PAC ID: 3375641384 Enrollment ID: I20070614000111 |
| Provider Name | Suzanne Schleper Rusk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528152915 PECOS PAC ID: 2062512734 Enrollment ID: I20070710000762 |
| Provider Name | Michael A Reid |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528287414 PECOS PAC ID: 8123129970 Enrollment ID: I20070723000767 |
| Provider Name | Daniel W Yoon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346387529 PECOS PAC ID: 1951402437 Enrollment ID: I20070727000455 |
| Provider Name | Bethany L Templen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205981149 PECOS PAC ID: 8022119502 Enrollment ID: I20070727000472 |
| Provider Name | Sara S Frankwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700806833 PECOS PAC ID: 3476644360 Enrollment ID: I20070807000416 |
| Provider Name | Stephen James Huddleston |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104037621 PECOS PAC ID: 2668563271 Enrollment ID: I20070811000083 |
| Provider Name | Constance J Dankle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417006925 PECOS PAC ID: 7012008410 Enrollment ID: I20070814000145 |
| Provider Name | Gregory A Rathmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891990404 PECOS PAC ID: 9739270182 Enrollment ID: I20070814000512 |
| Provider Name | Bradford V Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992907364 PECOS PAC ID: 8123110426 Enrollment ID: I20070816000242 |
| Provider Name | John M Eads |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629044995 PECOS PAC ID: 7810089901 Enrollment ID: I20070821000254 |
| Provider Name | Christina J Manders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376663633 PECOS PAC ID: 7416049192 Enrollment ID: I20070827000208 |
| Provider Name | Allison J Mcvay-steer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386855104 PECOS PAC ID: 3173616851 Enrollment ID: I20070911000879 |
| Provider Name | Ramachandra P Tummala |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124078027 PECOS PAC ID: 2466464714 Enrollment ID: I20070919000265 |
| Provider Name | Mesfin E Abdissa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376579417 PECOS PAC ID: 1456363829 Enrollment ID: I20070919000305 |
| Provider Name | Sarulatha M Kuppa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093911083 PECOS PAC ID: 1153415245 Enrollment ID: I20070920000177 |
| Provider Name | Jessica M Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518182427 PECOS PAC ID: 7911091855 Enrollment ID: I20070921000653 |
| Provider Name | Timinder S Biring |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487621017 PECOS PAC ID: 8527095306 Enrollment ID: I20070926001151 |
| Provider Name | Steven I Riley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619161544 PECOS PAC ID: 3375638984 Enrollment ID: I20070927000397 |
| Provider Name | David A Yehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407837446 PECOS PAC ID: 7810946746 Enrollment ID: I20070927000550 |
| Provider Name | Tadashi L Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700925864 PECOS PAC ID: 9234224452 Enrollment ID: I20071003000463 |
| Provider Name | Steven M Bernstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275547309 PECOS PAC ID: 0749375715 Enrollment ID: I20071005000177 |
| Provider Name | Kathryn E Dusenbery |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578668174 PECOS PAC ID: 6002728227 Enrollment ID: I20071009000279 |
| Provider Name | Mona Parmar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720271356 PECOS PAC ID: 9638081615 Enrollment ID: I20071010000225 |
| Provider Name | Anthony A Killeen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811087323 PECOS PAC ID: 5092801787 Enrollment ID: I20071010000608 |
| Provider Name | Samuel V Hanson Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467644757 PECOS PAC ID: 6507952892 Enrollment ID: I20071018000086 |
| Provider Name | Maria R Evasovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326077611 PECOS PAC ID: 7416043716 Enrollment ID: I20071018000172 |
| Provider Name | Julia Steinberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851310213 PECOS PAC ID: 5799871992 Enrollment ID: I20071019000075 |
| Provider Name | Jonathan Peter Tolins |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194830463 PECOS PAC ID: 2860588076 Enrollment ID: I20071019000111 |
| Provider Name | Nicole D Zantek |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750476727 PECOS PAC ID: 1254333586 Enrollment ID: I20071019000131 |
| Provider Name | Nancy N Hoogenhous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912108341 PECOS PAC ID: 8426144643 Enrollment ID: I20071019000196 |
| Provider Name | Rebecca A Wieben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174717847 PECOS PAC ID: 7113014861 Enrollment ID: I20071029000260 |
| Provider Name | Louisa Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932328226 PECOS PAC ID: 1557458023 Enrollment ID: I20071030000607 |
| Provider Name | Carmen J Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528256062 PECOS PAC ID: 9638266976 Enrollment ID: I20071106000050 |
| Provider Name | Robyn A Drach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598965931 PECOS PAC ID: 4789771742 Enrollment ID: I20071107000709 |
| Provider Name | Patrick Morgan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790707537 PECOS PAC ID: 0547265837 Enrollment ID: I20071108000600 |
| Provider Name | Jacob C Liston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821210212 PECOS PAC ID: 7012005085 Enrollment ID: I20071109000113 |
| Provider Name | Shantel S Branch Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538216148 PECOS PAC ID: 4486743549 Enrollment ID: I20071128000130 |
| Provider Name | Daniel A Saltzman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295818789 PECOS PAC ID: 9335238831 Enrollment ID: I20071207000234 |
| Provider Name | Keith M Skubitz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215019203 PECOS PAC ID: 2062501570 Enrollment ID: I20071207000242 |
| Provider Name | James S Mallery |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851331441 PECOS PAC ID: 3678663895 Enrollment ID: I20071212000183 |
| Provider Name | Susan R Haase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669661583 PECOS PAC ID: 0042300204 Enrollment ID: I20071212000441 |
| Provider Name | Cameron Mcconnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649284910 PECOS PAC ID: 8022921634 Enrollment ID: I20071217000148 |
| Provider Name | Angela J Smithson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093721771 PECOS PAC ID: 6709799315 Enrollment ID: I20071217000351 |
| Provider Name | Abdul K Parpia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295955532 PECOS PAC ID: 1557451143 Enrollment ID: I20071219000731 |
| Provider Name | Milind Y Junghare |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205020294 PECOS PAC ID: 6901996438 Enrollment ID: I20071220000106 |
| Provider Name | Daniel L Mueller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821174814 PECOS PAC ID: 1951481977 Enrollment ID: I20080103000428 |
| Provider Name | David R Nascene |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548451073 PECOS PAC ID: 8820178734 Enrollment ID: I20080104000370 |
| Provider Name | Jeremy J Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043413214 PECOS PAC ID: 6800976713 Enrollment ID: I20080104000386 |
| Provider Name | Jerry A Molitor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235147331 PECOS PAC ID: 2365405396 Enrollment ID: I20080109000825 |
| Provider Name | Kristen A Lindblom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972589034 PECOS PAC ID: 2860573987 Enrollment ID: I20080115000489 |
| Provider Name | Judith K Eckerle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609063346 PECOS PAC ID: 4284715947 Enrollment ID: I20080118000527 |
| Provider Name | Ashok K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528001575 PECOS PAC ID: 6103908371 Enrollment ID: I20080126000066 |
| Provider Name | Michael Thomas Madison |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1821077876 PECOS PAC ID: 5890609580 Enrollment ID: I20080130000624 |
| Provider Name | Anne M Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659340180 PECOS PAC ID: 9335040633 Enrollment ID: I20080208000464 |
| Provider Name | Thomas P Gustafson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225253693 PECOS PAC ID: 4082797360 Enrollment ID: I20080208000514 |
| Provider Name | Stacey A Dehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437367885 PECOS PAC ID: 6406939552 Enrollment ID: I20080212000555 |
| Provider Name | Sharon M Wolters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336182955 PECOS PAC ID: 4385618602 Enrollment ID: I20080214000614 |
| Provider Name | Dina M Andreotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437134541 PECOS PAC ID: 9931283397 Enrollment ID: I20080222000537 |
| Provider Name | Gregory M Amer |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1033111018 PECOS PAC ID: 4082798491 Enrollment ID: I20080225000216 |
| Provider Name | Cindy M Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649468497 PECOS PAC ID: 2860576295 Enrollment ID: I20080225000357 |
| Provider Name | David Walk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679674501 PECOS PAC ID: 5698859882 Enrollment ID: I20080227000097 |
| Provider Name | Charles A Dietz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982635165 PECOS PAC ID: 3971688979 Enrollment ID: I20080315000047 |
| Provider Name | Dennis Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427161736 PECOS PAC ID: 1951393529 Enrollment ID: I20080325000356 |
| Provider Name | Anil Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740340611 PECOS PAC ID: 1951393982 Enrollment ID: I20080325000410 |
| Provider Name | Daniel J Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669449674 PECOS PAC ID: 1759338213 Enrollment ID: I20080404000792 |
| Provider Name | Mohammad H Arbabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003809898 PECOS PAC ID: 6608805940 Enrollment ID: I20080407000357 |
| Provider Name | Thomas R Henry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568569085 PECOS PAC ID: 4981651452 Enrollment ID: I20080407000398 |
| Provider Name | Sarah H Tollefson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053509570 PECOS PAC ID: 5597844068 Enrollment ID: I20080508000626 |
| Provider Name | Ann T Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679658967 PECOS PAC ID: 9335162114 Enrollment ID: I20080509000283 |
| Provider Name | Paula L Brito |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508030396 PECOS PAC ID: 2365404670 Enrollment ID: I20080514000111 |
| Provider Name | Keith H Wittenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154300929 PECOS PAC ID: 3173437886 Enrollment ID: I20080530000327 |
| Provider Name | Robert H Weinmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780663450 PECOS PAC ID: 3274447982 Enrollment ID: I20080530000354 |
| Provider Name | Anuradha K Tummala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972582732 PECOS PAC ID: 2567376270 Enrollment ID: I20080530000396 |
| Provider Name | Susan M Truman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356320105 PECOS PAC ID: 6507859840 Enrollment ID: I20080530000403 |
| Provider Name | Michael S Rosenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023097755 PECOS PAC ID: 2062326762 Enrollment ID: I20080530000731 |
| Provider Name | Alexandra L Muschenheim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184603607 PECOS PAC ID: 2668452335 Enrollment ID: I20080531000068 |
| Provider Name | Paul F Mulcahy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467431262 PECOS PAC ID: 9234043928 Enrollment ID: I20080531000071 |
| Provider Name | Joseph J Baraga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730167073 PECOS PAC ID: 8022922053 Enrollment ID: I20080602000094 |
| Provider Name | Jeffrey M Barkmeier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871571083 PECOS PAC ID: 4385558311 Enrollment ID: I20080602000101 |
| Provider Name | John P Knoedler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023097078 PECOS PAC ID: 7911811609 Enrollment ID: I20080603000224 |
| Provider Name | Conrad Iber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649225012 PECOS PAC ID: 3274615869 Enrollment ID: I20080611000186 |
| Provider Name | Jorge Leon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013996065 PECOS PAC ID: 2860394210 Enrollment ID: I20080611000310 |
| Provider Name | Loretta L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720029838 PECOS PAC ID: 2466404421 Enrollment ID: I20080619000729 |
| Provider Name | Anne Weisensee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992784755 PECOS PAC ID: 8729992433 Enrollment ID: I20080620000583 |
| Provider Name | David Drake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528046612 PECOS PAC ID: 7517871288 Enrollment ID: I20080620000617 |
| Provider Name | Anand K Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457342131 PECOS PAC ID: 8820160187 Enrollment ID: I20080701000345 |
| Provider Name | Ford C Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508964388 PECOS PAC ID: 6608949367 Enrollment ID: I20080715000122 |
| Provider Name | William Walsh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801923966 PECOS PAC ID: 5698867547 Enrollment ID: I20080716000751 |
| Provider Name | John William Colford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164575411 PECOS PAC ID: 1254426141 Enrollment ID: I20080721000076 |
| Provider Name | Andrew Deh-an Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124070883 PECOS PAC ID: 2769581578 Enrollment ID: I20080721000162 |
| Provider Name | John E Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205933595 PECOS PAC ID: 5395818538 Enrollment ID: I20080721000527 |
| Provider Name | Jafar Golzarian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093703944 PECOS PAC ID: 4486727633 Enrollment ID: I20080721000634 |
| Provider Name | Alexander Khoruts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841389780 PECOS PAC ID: 4183798580 Enrollment ID: I20080804000065 |
| Provider Name | Linda R Varghese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841345790 PECOS PAC ID: 3476627555 Enrollment ID: I20080807000362 |
| Provider Name | Mark D Mcmillan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508884826 PECOS PAC ID: 4981785995 Enrollment ID: I20080809000057 |
| Provider Name | Eric S Schneider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497871271 PECOS PAC ID: 1052486925 Enrollment ID: I20080813000025 |
| Provider Name | Justin R Quade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366633091 PECOS PAC ID: 8325113491 Enrollment ID: I20080825000414 |
| Provider Name | Jeffrey A Norman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952593329 PECOS PAC ID: 7911073788 Enrollment ID: I20080902000073 |
| Provider Name | Shari L Germscheid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962485680 PECOS PAC ID: 0547336281 Enrollment ID: I20080904000292 |
| Provider Name | Sandra K Rosenberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912955212 PECOS PAC ID: 3870669161 Enrollment ID: I20080910000641 |
| Provider Name | David H Ingbar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063446557 PECOS PAC ID: 4688741432 Enrollment ID: I20080922000209 |
| Provider Name | Orrin Mann |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1295719607 PECOS PAC ID: 1850380015 Enrollment ID: I20080926000549 |
| Provider Name | Elena Bond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659563765 PECOS PAC ID: 6305914458 Enrollment ID: I20081002000641 |
| Provider Name | Jianling Yuan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063556520 PECOS PAC ID: 9436227881 Enrollment ID: I20081013000086 |
| Provider Name | Cynthia K Brenden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669664736 PECOS PAC ID: 2769540616 Enrollment ID: I20081021000484 |
| Provider Name | James A Kirkham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316988512 PECOS PAC ID: 5890690531 Enrollment ID: I20081024000236 |
| Provider Name | Ralph J Magnusson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487614566 PECOS PAC ID: 2365500063 Enrollment ID: I20081024000334 |
| Provider Name | Andrew R Zinkel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043491335 PECOS PAC ID: 8123194651 Enrollment ID: I20081025000049 |
| Provider Name | Chiquita M Ewert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972562569 PECOS PAC ID: 6103984661 Enrollment ID: I20081028000196 |
| Provider Name | Elizabeth M Tello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801074554 PECOS PAC ID: 4688733025 Enrollment ID: I20081030000363 |
| Provider Name | Jean M Schaaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285885202 PECOS PAC ID: 9537228499 Enrollment ID: I20081106000438 |
| Provider Name | Lawrence Hong Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053384784 PECOS PAC ID: 2668531351 Enrollment ID: I20081110000844 |
| Provider Name | Angela K House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093980534 PECOS PAC ID: 0941361240 Enrollment ID: I20081204000906 |
| Provider Name | Shoua T Thao Kalugdan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396919742 PECOS PAC ID: 5799846473 Enrollment ID: I20081213000030 |
| Provider Name | Margaret L Guthrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114963097 PECOS PAC ID: 5294897914 Enrollment ID: I20081215000198 |
| Provider Name | Walter Paul Gleich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205823440 PECOS PAC ID: 9436233459 Enrollment ID: I20081215000263 |
| Provider Name | Ahmed R Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326167792 PECOS PAC ID: 1052473790 Enrollment ID: I20081215000481 |
| Provider Name | Lynne Fiscus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831238690 PECOS PAC ID: 2365533130 Enrollment ID: I20081230000147 |
| Provider Name | Sara H Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689854804 PECOS PAC ID: 7618030438 Enrollment ID: I20090106000063 |
| Provider Name | Awil Hirsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770797342 PECOS PAC ID: 7416010939 Enrollment ID: I20090109000502 |
| Provider Name | Matthew A Hunt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619017787 PECOS PAC ID: 9638233281 Enrollment ID: I20090127000597 |
| Provider Name | Ann S Oswood |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851543813 PECOS PAC ID: 1951465335 Enrollment ID: I20090129000513 |
| Provider Name | Edward M Beadle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598848731 PECOS PAC ID: 6800709544 Enrollment ID: I20090130000160 |
| Provider Name | Scott W Ahrenholz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720068810 PECOS PAC ID: 3870657901 Enrollment ID: I20090204000081 |
| Provider Name | Cherilyn M Wicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780858589 PECOS PAC ID: 2365507670 Enrollment ID: I20090220000498 |
| Provider Name | Craig A Henke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558395129 PECOS PAC ID: 7113082389 Enrollment ID: I20090223000412 |
| Provider Name | Susan M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023253945 PECOS PAC ID: 6608931753 Enrollment ID: I20090224000597 |
| Provider Name | Michelle M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700846052 PECOS PAC ID: 0042376055 Enrollment ID: I20090226000599 |
| Provider Name | Jennifer L Lessin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215912530 PECOS PAC ID: 3577629823 Enrollment ID: I20090311000525 |
| Provider Name | Vicki L Niedzwieski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447410931 PECOS PAC ID: 2567529365 Enrollment ID: I20090323000401 |
| Provider Name | Nam M Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235258690 PECOS PAC ID: 9537226147 Enrollment ID: I20090326000379 |
| Provider Name | Michelle L Flaskerud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285872754 PECOS PAC ID: 4183771447 Enrollment ID: I20090402000647 |
| Provider Name | David S Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124249743 PECOS PAC ID: 8921199043 Enrollment ID: I20090409000353 |
| Provider Name | Amy C Klopp |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1508007378 PECOS PAC ID: 5698822393 Enrollment ID: I20090415000602 |
| Provider Name | Ann M Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437341807 PECOS PAC ID: 2769530062 Enrollment ID: I20090424000239 |
| Provider Name | Frederick S Mosch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154403764 PECOS PAC ID: 1153470620 Enrollment ID: I20090513000248 |
| Provider Name | Benjamin G Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366578924 PECOS PAC ID: 9830248210 Enrollment ID: I20090513000517 |
| Provider Name | Anna E Henry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912030032 PECOS PAC ID: 0941359947 Enrollment ID: I20090521000559 |
| Provider Name | Daniel Steinberger |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932340213 PECOS PAC ID: 8628129160 Enrollment ID: I20090624000181 |
| Provider Name | Steven G Thiel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427229541 PECOS PAC ID: 1456411735 Enrollment ID: I20090624000713 |
| Provider Name | Allison Holt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346393386 PECOS PAC ID: 6507918273 Enrollment ID: I20090710000516 |
| Provider Name | Stephanie J Fox |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1770600884 PECOS PAC ID: 8628120763 Enrollment ID: I20090721000087 |
| Provider Name | Amarjit Virdi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669541702 PECOS PAC ID: 2860544848 Enrollment ID: I20090722000528 |
| Provider Name | Dana M Olson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518177997 PECOS PAC ID: 3870646466 Enrollment ID: I20090729000618 |
| Provider Name | Robby J Bershow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962622258 PECOS PAC ID: 9234282880 Enrollment ID: I20090730000135 |
| Provider Name | Benjamin J May |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710172960 PECOS PAC ID: 0547313918 Enrollment ID: I20090803000113 |
| Provider Name | Demosthenes N Iskos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710972864 PECOS PAC ID: 7517941669 Enrollment ID: I20090805000675 |
| Provider Name | Shao C Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093732760 PECOS PAC ID: 0042297640 Enrollment ID: I20090806000524 |
| Provider Name | Mary T Wild Crea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982604096 PECOS PAC ID: 3577617570 Enrollment ID: I20090810000532 |
| Provider Name | Paul Joseph Tuite |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811085137 PECOS PAC ID: 6507910486 Enrollment ID: I20090811000583 |
| Provider Name | Samuel A L Bugbee |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073772893 PECOS PAC ID: 4082768577 Enrollment ID: I20090818000632 |
| Provider Name | Rebecca K Ameduri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861696569 PECOS PAC ID: 4688728116 Enrollment ID: I20090819000136 |
| Provider Name | Ashley R Loomis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629278783 PECOS PAC ID: 2769570613 Enrollment ID: I20090826000627 |
| Provider Name | Julie K Vogel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821057563 PECOS PAC ID: 4587719810 Enrollment ID: I20090909000724 |
| Provider Name | Scott P Bender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104091537 PECOS PAC ID: 6800941006 Enrollment ID: I20090910000528 |
| Provider Name | Sujatha Tata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467615690 PECOS PAC ID: 3173685369 Enrollment ID: I20090911000476 |
| Provider Name | Laura A Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932337953 PECOS PAC ID: 3072669910 Enrollment ID: I20090918000207 |
| Provider Name | Christine M Schmitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083652754 PECOS PAC ID: 9931197274 Enrollment ID: I20091006000202 |
| Provider Name | Cherinet N Jaleta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336316702 PECOS PAC ID: 3274679063 Enrollment ID: I20091008000244 |
| Provider Name | David J Delaney Elsner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407041148 PECOS PAC ID: 1456498872 Enrollment ID: I20091016000288 |
| Provider Name | Jakiann M Mork |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184855587 PECOS PAC ID: 0244377505 Enrollment ID: I20091020000229 |
| Provider Name | Sarah E Masrud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447413539 PECOS PAC ID: 1658418827 Enrollment ID: I20091020000497 |
| Provider Name | Nimi Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124190707 PECOS PAC ID: 7012054174 Enrollment ID: I20091021000633 |
| Provider Name | Paresh S Ghodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427158427 PECOS PAC ID: 6608927512 Enrollment ID: I20091026000469 |
| Provider Name | Lisa A Bishop |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376775437 PECOS PAC ID: 7618014325 Enrollment ID: I20091029000387 |
| Provider Name | Michael T Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891981825 PECOS PAC ID: 1951448588 Enrollment ID: I20091029000751 |
| Provider Name | Jason D Dukes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790914554 PECOS PAC ID: 9931246592 Enrollment ID: I20091030000210 |
| Provider Name | Sara Eckloff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104907286 PECOS PAC ID: 6507938792 Enrollment ID: I20091109000115 |
| Provider Name | Bryan Jeffrey Williams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407903222 PECOS PAC ID: 7810035086 Enrollment ID: I20091109000147 |
| Provider Name | Lina Daugela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245419134 PECOS PAC ID: 5395883409 Enrollment ID: I20091110000707 |
| Provider Name | Jessica J Hampton |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629208079 PECOS PAC ID: 8426196023 Enrollment ID: I20091118000394 |
| Provider Name | Karin Amanda Vassar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699906578 PECOS PAC ID: 3173662715 Enrollment ID: I20091120000277 |
| Provider Name | Suma Konety |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821172727 PECOS PAC ID: 2365490281 Enrollment ID: I20091203000088 |
| Provider Name | Kenneth L Irons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922037688 PECOS PAC ID: 6002915444 Enrollment ID: I20091210000730 |
| Provider Name | Thomas G Schwinghamer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437399763 PECOS PAC ID: 2567495641 Enrollment ID: I20091215000088 |
| Provider Name | Steven H Bollinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225029374 PECOS PAC ID: 2860532884 Enrollment ID: I20091222000488 |
| Provider Name | Stephen M Winselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942262225 PECOS PAC ID: 2365583929 Enrollment ID: I20100105000704 |
| Provider Name | Thomas W Laedtke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679532022 PECOS PAC ID: 2860456308 Enrollment ID: I20100109000026 |
| Provider Name | Aner Vlodaver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093804320 PECOS PAC ID: 4486795614 Enrollment ID: I20100109000051 |
| Provider Name | Susan G Grosse-macemon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922060169 PECOS PAC ID: 5597806521 Enrollment ID: I20100112000725 |
| Provider Name | Gary L Brunkow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558367847 PECOS PAC ID: 5496657819 Enrollment ID: I20100112000813 |
| Provider Name | Ryan P Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982661120 PECOS PAC ID: 8820170657 Enrollment ID: I20100112000841 |
| Provider Name | Michael J Manoles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578521555 PECOS PAC ID: 0042119109 Enrollment ID: I20100112000853 |
| Provider Name | Tami D Lindell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033364245 PECOS PAC ID: 5092855601 Enrollment ID: I20100114000565 |
| Provider Name | Ladan Zand |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174789796 PECOS PAC ID: 5597807495 Enrollment ID: I20100114000666 |
| Provider Name | Kristine A Foslien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144286220 PECOS PAC ID: 3577605302 Enrollment ID: I20100116000235 |
| Provider Name | Carrie M Reynoso |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295061026 PECOS PAC ID: 0446392187 Enrollment ID: I20100119000649 |
| Provider Name | Mary K Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811129273 PECOS PAC ID: 8921140682 Enrollment ID: I20100119000787 |
| Provider Name | Mumtaz Mustapha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467595983 PECOS PAC ID: 1355484353 Enrollment ID: I20100129000333 |
| Provider Name | Leland P Cheng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356328348 PECOS PAC ID: 8123161833 Enrollment ID: I20100203000477 |
| Provider Name | Christopher J Sabal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194701979 PECOS PAC ID: 0840333555 Enrollment ID: I20100203000486 |
| Provider Name | Cara S Walz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538126867 PECOS PAC ID: 9537063359 Enrollment ID: I20100203000824 |
| Provider Name | Debra A Scherman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821075623 PECOS PAC ID: 1658415492 Enrollment ID: I20100217000894 |
| Provider Name | Kristina Varadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669580890 PECOS PAC ID: 4587708094 Enrollment ID: I20100222000865 |
| Provider Name | Leslie A Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790760148 PECOS PAC ID: 7810032687 Enrollment ID: I20100304000145 |
| Provider Name | Sherri R Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053346791 PECOS PAC ID: 7416092143 Enrollment ID: I20100305000734 |
| Provider Name | Timothy J Ronneberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700849908 PECOS PAC ID: 5496890899 Enrollment ID: I20100310000550 |
| Provider Name | Mark L. Brancel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417924481 PECOS PAC ID: 9032254362 Enrollment ID: I20100310000996 |
| Provider Name | Samy Magdy Riad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841492378 PECOS PAC ID: 7810022233 Enrollment ID: I20100323000957 |
| Provider Name | Jaena J Wisniewski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710032594 PECOS PAC ID: 4385779727 Enrollment ID: I20100324000184 |
| Provider Name | William M Kaylor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447264569 PECOS PAC ID: 7012074537 Enrollment ID: I20100329001095 |
| Provider Name | Paul D Hartleben |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487622510 PECOS PAC ID: 2466532486 Enrollment ID: I20100331001067 |
| Provider Name | Robert B Levy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083640833 PECOS PAC ID: 9234265786 Enrollment ID: I20100413000063 |
| Provider Name | Sara Frances Whitehouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972730687 PECOS PAC ID: 9335276583 Enrollment ID: I20100421000056 |
| Provider Name | Victor M Sandler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306814991 PECOS PAC ID: 5395792857 Enrollment ID: I20100503000043 |
| Provider Name | Shakuntla R Puri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871559963 PECOS PAC ID: 5294863817 Enrollment ID: I20100503000062 |
| Provider Name | William H Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518935113 PECOS PAC ID: 3971631409 Enrollment ID: I20100504000694 |
| Provider Name | Asa B Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326026113 PECOS PAC ID: 0446388565 Enrollment ID: I20100511001042 |
| Provider Name | Daniel J Weisdorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669579090 PECOS PAC ID: 9335280684 Enrollment ID: I20100524000156 |
| Provider Name | Gregory M Vercellotti |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1912008921 PECOS PAC ID: 8325950868 Enrollment ID: I20100524000405 |
| Provider Name | Angela I Radulescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689866626 PECOS PAC ID: 6002945367 Enrollment ID: I20100525000332 |
| Provider Name | Steven C Link |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720013436 PECOS PAC ID: 5890690549 Enrollment ID: I20100525000493 |
| Provider Name | Kendall J Strand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518987668 PECOS PAC ID: 3577468222 Enrollment ID: I20100525000619 |
| Provider Name | Lori M Geller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619130861 PECOS PAC ID: 0749319853 Enrollment ID: I20100528000265 |
| Provider Name | Mark J Wanderman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285660837 PECOS PAC ID: 8820127822 Enrollment ID: I20100601000718 |
| Provider Name | Lester J Nixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114091410 PECOS PAC ID: 1355470352 Enrollment ID: I20100601000735 |
| Provider Name | Laurie Jepson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073538559 PECOS PAC ID: 7810026820 Enrollment ID: I20100601000828 |
| Provider Name | Steven D Stovitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487735619 PECOS PAC ID: 2668502188 Enrollment ID: I20100610000159 |
| Provider Name | Andrew J Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922063981 PECOS PAC ID: 5395875546 Enrollment ID: I20100614000930 |
| Provider Name | Lisa B Newcomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326376096 PECOS PAC ID: 9436280286 Enrollment ID: I20100623000649 |
| Provider Name | John C Halla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285874222 PECOS PAC ID: 8325020241 Enrollment ID: I20100626000166 |
| Provider Name | Bazak Sharon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407099054 PECOS PAC ID: 6406988856 Enrollment ID: I20100720000808 |
| Provider Name | Gautam G Jha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538370622 PECOS PAC ID: 8224160353 Enrollment ID: I20100724000227 |
| Provider Name | Michael A Murati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851583512 PECOS PAC ID: 0244363810 Enrollment ID: I20100803000542 |
| Provider Name | Julie M Seiler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700853470 PECOS PAC ID: 3678606035 Enrollment ID: I20100805000427 |
| Provider Name | Joshua Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811127905 PECOS PAC ID: 7416081591 Enrollment ID: I20100811000156 |
| Provider Name | Ivaylo L Krastev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205073848 PECOS PAC ID: 9335273465 Enrollment ID: I20100811000807 |
| Provider Name | Weston P Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407903156 PECOS PAC ID: 3678607389 Enrollment ID: I20100817001023 |
| Provider Name | Robert J Jungman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851555940 PECOS PAC ID: 5991839565 Enrollment ID: I20100818000324 |
| Provider Name | Manuel A Idrogo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588730675 PECOS PAC ID: 3476687906 Enrollment ID: I20100818001252 |
| Provider Name | Barbara Leone Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497774871 PECOS PAC ID: 9739213273 Enrollment ID: I20100818001274 |
| Provider Name | Brian M Idelkope |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588802201 PECOS PAC ID: 8527192061 Enrollment ID: I20100818001318 |
| Provider Name | Shelley Eiler Thron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326365693 PECOS PAC ID: 7416081997 Enrollment ID: I20100819000497 |
| Provider Name | Sebahattin Cureoglu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669641304 PECOS PAC ID: 9830223262 Enrollment ID: I20100819001222 |
| Provider Name | Kristi Lee Werdin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528099538 PECOS PAC ID: 4688659634 Enrollment ID: I20100820000639 |
| Provider Name | Susan Elizabeth Kline |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285724708 PECOS PAC ID: 4688708084 Enrollment ID: I20100820000790 |
| Provider Name | David W Macomber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023190543 PECOS PAC ID: 0446384713 Enrollment ID: I20100823000683 |
| Provider Name | Carolyn Torkelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114016110 PECOS PAC ID: 0244364511 Enrollment ID: I20100823000705 |
| Provider Name | Kirby D Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447288311 PECOS PAC ID: 8426172719 Enrollment ID: I20100823000979 |
| Provider Name | David V Power |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386745933 PECOS PAC ID: 6305960691 Enrollment ID: I20100823001016 |
| Provider Name | James T Pacala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689759599 PECOS PAC ID: 7416071717 Enrollment ID: I20100823001113 |
| Provider Name | Michelle M Dolan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033140223 PECOS PAC ID: 2163546441 Enrollment ID: I20100824000930 |
| Provider Name | Jamie Santilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467553008 PECOS PAC ID: 9335263516 Enrollment ID: I20100824001077 |
| Provider Name | Connie L Manske |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588778013 PECOS PAC ID: 2860516044 Enrollment ID: I20100824001115 |
| Provider Name | Minoo Shams Moorkani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568666923 PECOS PAC ID: 3678697869 Enrollment ID: I20100824001286 |
| Provider Name | Rosemary F Kelly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811008543 PECOS PAC ID: 9830213024 Enrollment ID: I20100824001306 |
| Provider Name | Katie L Pehl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659691673 PECOS PAC ID: 3971627175 Enrollment ID: I20100825000057 |
| Provider Name | Tanya S Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720186893 PECOS PAC ID: 6406970565 Enrollment ID: I20100826000932 |
| Provider Name | Mark Anthony Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245221647 PECOS PAC ID: 8527033729 Enrollment ID: I20100902000991 |
| Provider Name | James S Vanvooren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255432431 PECOS PAC ID: 6901921378 Enrollment ID: I20100909000497 |
| Provider Name | Casey S Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710088380 PECOS PAC ID: 5890810261 Enrollment ID: I20100909000518 |
| Provider Name | Marshall I Hertz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396779864 PECOS PAC ID: 7113042433 Enrollment ID: I20100909001138 |
| Provider Name | Anne L Rumsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518919323 PECOS PAC ID: 4789709007 Enrollment ID: I20100909001233 |
| Provider Name | Sara Shumway |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164527503 PECOS PAC ID: 5193840379 Enrollment ID: I20100910000850 |
| Provider Name | Nancy L Ott |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1295840783 PECOS PAC ID: 4082507199 Enrollment ID: I20100910000909 |
| Provider Name | Jay J Bauder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972737054 PECOS PAC ID: 1850416975 Enrollment ID: I20100914000037 |
| Provider Name | Arne Slungaard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922180116 PECOS PAC ID: 0143345991 Enrollment ID: I20100916000554 |
| Provider Name | Erik J Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619051869 PECOS PAC ID: 5890810485 Enrollment ID: I20100920000986 |
| Provider Name | Joseph R Ofstedal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316026958 PECOS PAC ID: 8527183078 Enrollment ID: I20100921000613 |
| Provider Name | William O Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154404952 PECOS PAC ID: 1456264068 Enrollment ID: I20100921001297 |
| Provider Name | Ositadinma C. Anene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194925313 PECOS PAC ID: 9739217795 Enrollment ID: I20100923001343 |
| Provider Name | Jennifer M Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194917302 PECOS PAC ID: 1355467507 Enrollment ID: I20100925000196 |
| Provider Name | Evelyn L Slomka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437388378 PECOS PAC ID: 3577689629 Enrollment ID: I20100925000280 |
| Provider Name | Amanda E Olson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285833616 PECOS PAC ID: 1658497607 Enrollment ID: I20100927001317 |
| Provider Name | Heather C. Johnson Serum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730381153 PECOS PAC ID: 9931225943 Enrollment ID: I20100928000483 |
| Provider Name | Andrew B Maresh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811163082 PECOS PAC ID: 6709902695 Enrollment ID: I20100928001686 |
| Provider Name | Anjali Dahiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275709420 PECOS PAC ID: 2961528856 Enrollment ID: I20100928001714 |
| Provider Name | Michael D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205898228 PECOS PAC ID: 6709078256 Enrollment ID: I20101004000225 |
| Provider Name | Jon S Hallberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912931411 PECOS PAC ID: 1456543602 Enrollment ID: I20101007000200 |
| Provider Name | Erin A Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215143383 PECOS PAC ID: 0446442545 Enrollment ID: I20101007000871 |
| Provider Name | John A Kriz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265609895 PECOS PAC ID: 0547452674 Enrollment ID: I20101007001247 |
| Provider Name | John L Clifton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922156405 PECOS PAC ID: 7517159650 Enrollment ID: I20101007001297 |
| Provider Name | Maryam L Moghaddam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811958424 PECOS PAC ID: 2769674803 Enrollment ID: I20101007001343 |
| Provider Name | Barbara Knoll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306838644 PECOS PAC ID: 3274527288 Enrollment ID: I20101011000048 |
| Provider Name | Troy D Wolter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154547552 PECOS PAC ID: 4082806773 Enrollment ID: I20101013000910 |
| Provider Name | Thomas M Leventhal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275720898 PECOS PAC ID: 3870786106 Enrollment ID: I20101019001422 |
| Provider Name | Mark A Wolters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982612610 PECOS PAC ID: 6507059557 Enrollment ID: I20101021001462 |
| Provider Name | Mothilal Sonia S Jain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932359619 PECOS PAC ID: 7315131869 Enrollment ID: I20101028001564 |
| Provider Name | Sameh M Said |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134262843 PECOS PAC ID: 8224222054 Enrollment ID: I20101104001645 |
| Provider Name | Bushra Sikander Dar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639132889 PECOS PAC ID: 4981899523 Enrollment ID: I20101109001212 |
| Provider Name | Lorene A Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548577224 PECOS PAC ID: 7911192448 Enrollment ID: I20101110000817 |
| Provider Name | Bilal Shaukat Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457470155 PECOS PAC ID: 5496820383 Enrollment ID: I20101116001070 |
| Provider Name | Walter A Hinck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720011034 PECOS PAC ID: 8123076049 Enrollment ID: I20101122000890 |
| Provider Name | Joshua J Thom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144453242 PECOS PAC ID: 0547456857 Enrollment ID: I20101129001087 |
| Provider Name | Rebecca Sue Hitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932400991 PECOS PAC ID: 5890982722 Enrollment ID: I20101204000100 |
| Provider Name | Courtney J Baechler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710021175 PECOS PAC ID: 7214124916 Enrollment ID: I20101207001003 |
| Provider Name | Sarah M Brumberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437465473 PECOS PAC ID: 3173710506 Enrollment ID: I20101209001392 |
| Provider Name | Evidio Domingo Musibay |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831321785 PECOS PAC ID: 9234327313 Enrollment ID: I20101216000744 |
| Provider Name | Zacharia G Ogwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427367093 PECOS PAC ID: 9133317902 Enrollment ID: I20101221000062 |
| Provider Name | Kristine L Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083606263 PECOS PAC ID: 4183813389 Enrollment ID: I20110104000371 |
| Provider Name | Maggi L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437393402 PECOS PAC ID: 5698964450 Enrollment ID: I20110110000146 |
| Provider Name | Peter K Dahlstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588808638 PECOS PAC ID: 8022207760 Enrollment ID: I20110111000318 |
| Provider Name | Janelle C Meixl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528370673 PECOS PAC ID: 4082803788 Enrollment ID: I20110112000096 |
| Provider Name | Greg M Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548419138 PECOS PAC ID: 9931398310 Enrollment ID: I20110117000240 |
| Provider Name | Christina T Dunn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265636963 PECOS PAC ID: 2668661984 Enrollment ID: I20110118000639 |
| Provider Name | Alicia K Harrison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710171228 PECOS PAC ID: 4284813338 Enrollment ID: I20110121000713 |
| Provider Name | Stefan H Pomrenke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881860567 PECOS PAC ID: 9537349097 Enrollment ID: I20110215001220 |
| Provider Name | Nghia H La |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013199553 PECOS PAC ID: 3870774847 Enrollment ID: I20110223001040 |
| Provider Name | Colleen M Zimmer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598065054 PECOS PAC ID: 2466633169 Enrollment ID: I20110301000771 |
| Provider Name | Donna L Dsouza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750512109 PECOS PAC ID: 1254513757 Enrollment ID: I20110304000111 |
| Provider Name | Douglas P Forgit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346572062 PECOS PAC ID: 7315134855 Enrollment ID: I20110309000820 |
| Provider Name | Michelle Lavelle Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063490134 PECOS PAC ID: 0345225124 Enrollment ID: I20110317000567 |
| Provider Name | Jenikka L Tomashek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992014682 PECOS PAC ID: 7012190796 Enrollment ID: I20110318000347 |
| Provider Name | Milan Za |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902817893 PECOS PAC ID: 0941398705 Enrollment ID: I20110321000714 |
| Provider Name | Carrie A Link |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306026455 PECOS PAC ID: 8426231697 Enrollment ID: I20110324000998 |
| Provider Name | Sabeen Askari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194816918 PECOS PAC ID: 4587847470 Enrollment ID: I20110330000988 |
| Provider Name | Kristel A St Ores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477858587 PECOS PAC ID: 6002099835 Enrollment ID: I20110331000475 |
| Provider Name | Ann M Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518038959 PECOS PAC ID: 5193909901 Enrollment ID: I20110401000555 |
| Provider Name | Daniel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699768176 PECOS PAC ID: 5890694640 Enrollment ID: I20110405000174 |
| Provider Name | Kidmealem L Zekarias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346430782 PECOS PAC ID: 2961686639 Enrollment ID: I20110405000831 |
| Provider Name | Brian C Weitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790786564 PECOS PAC ID: 8921050295 Enrollment ID: I20110409000034 |
| Provider Name | Andrew P Wilson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386810562 PECOS PAC ID: 7214111533 Enrollment ID: I20110412000338 |
| Provider Name | Mary M Bazille |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700042702 PECOS PAC ID: 2466637368 Enrollment ID: I20110419000467 |
| Provider Name | Kelly J Scheller Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003119785 PECOS PAC ID: 4587849450 Enrollment ID: I20110420000140 |
| Provider Name | Michele G Stegeman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528031374 PECOS PAC ID: 1254516842 Enrollment ID: I20110425000842 |
| Provider Name | Amir A Moheet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093754921 PECOS PAC ID: 1355344482 Enrollment ID: I20110427000269 |
| Provider Name | John F Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548221146 PECOS PAC ID: 4385829787 Enrollment ID: I20110428000706 |
| Provider Name | Martin L Immerman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558333781 PECOS PAC ID: 9032002118 Enrollment ID: I20110516000559 |
| Provider Name | Jason J Wirtz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255398830 PECOS PAC ID: 8729264122 Enrollment ID: I20110519000631 |
| Provider Name | Sarah L Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548575202 PECOS PAC ID: 1355527466 Enrollment ID: I20110525000094 |
| Provider Name | Tasma Harindhanavudhi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528277100 PECOS PAC ID: 9931386679 Enrollment ID: I20110607000466 |
| Provider Name | Dayuan Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679776223 PECOS PAC ID: 3375629645 Enrollment ID: I20110608000588 |
| Provider Name | Bharathi D Jagadeesan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255523221 PECOS PAC ID: 7416134945 Enrollment ID: I20110608000773 |
| Provider Name | Trisha R Prescott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487895660 PECOS PAC ID: 8123205655 Enrollment ID: I20110608000802 |
| Provider Name | Jessica Ann Axmacher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912148867 PECOS PAC ID: 6305023839 Enrollment ID: I20110608000812 |
| Provider Name | Angela W Tai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336212810 PECOS PAC ID: 8022161819 Enrollment ID: I20110610000570 |
| Provider Name | Benjamin D Spilseth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609068717 PECOS PAC ID: 6608053830 Enrollment ID: I20110615000482 |
| Provider Name | Lona G Caires |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639273113 PECOS PAC ID: 5799780714 Enrollment ID: I20110621000530 |
| Provider Name | Zuzan Cayci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447414024 PECOS PAC ID: 2264508423 Enrollment ID: I20110623000579 |
| Provider Name | Won Suk Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114189289 PECOS PAC ID: 6608054978 Enrollment ID: I20110711000442 |
| Provider Name | Andrew P.j. Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457595704 PECOS PAC ID: 9739357005 Enrollment ID: I20110713000308 |
| Provider Name | Derrick L Green |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184897043 PECOS PAC ID: 3870761703 Enrollment ID: I20110720000737 |
| Provider Name | Jeffrey B Rykken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225272990 PECOS PAC ID: 0547438343 Enrollment ID: I20110721000811 |
| Provider Name | Naomi Fujioka |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881736833 PECOS PAC ID: 5092983676 Enrollment ID: I20110726000700 |
| Provider Name | Cuong Q Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790970341 PECOS PAC ID: 6305014994 Enrollment ID: I20110726000787 |
| Provider Name | Jeffrey A Macalena |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922141449 PECOS PAC ID: 3072781574 Enrollment ID: I20110728000385 |
| Provider Name | Jaclyn J Bohm |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306005111 PECOS PAC ID: 2466620968 Enrollment ID: I20110728000455 |
| Provider Name | Nolawit Tesfaye |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356517817 PECOS PAC ID: 2567630999 Enrollment ID: I20110729000183 |
| Provider Name | Sandeep K Kalola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922271857 PECOS PAC ID: 2860661287 Enrollment ID: I20110801000712 |
| Provider Name | Heather A Muster |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992825814 PECOS PAC ID: 5496856478 Enrollment ID: I20110808000728 |
| Provider Name | Grace A Totoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538335302 PECOS PAC ID: 3072782929 Enrollment ID: I20110809000860 |
| Provider Name | Michael R Campoli |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730206541 PECOS PAC ID: 6709055684 Enrollment ID: I20110810000321 |
| Provider Name | Ronald As Reilkoff |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003090358 PECOS PAC ID: 2365611860 Enrollment ID: I20110817000428 |
| Provider Name | Melissa L Gleaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801190244 PECOS PAC ID: 7810166378 Enrollment ID: I20110818000103 |
| Provider Name | Christine L Lange |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497912711 PECOS PAC ID: 0941470462 Enrollment ID: I20110818000916 |
| Provider Name | Lori M Creagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982996948 PECOS PAC ID: 1254501711 Enrollment ID: I20110819000474 |
| Provider Name | Christopher O Restad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841273703 PECOS PAC ID: 8224208509 Enrollment ID: I20110823001029 |
| Provider Name | Kara Lynn Tomlinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518120591 PECOS PAC ID: 6507043619 Enrollment ID: I20110829000495 |
| Provider Name | Bryan J Trottier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659550309 PECOS PAC ID: 1951571082 Enrollment ID: I20110829000642 |
| Provider Name | James M Cain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629090469 PECOS PAC ID: 1759380470 Enrollment ID: I20110901000502 |
| Provider Name | Meghan K Rothenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417087487 PECOS PAC ID: 3274703889 Enrollment ID: I20110908001855 |
| Provider Name | Emma L Duncanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518126333 PECOS PAC ID: 6103097357 Enrollment ID: I20110919000695 |
| Provider Name | Deanna Teoh |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1659407708 PECOS PAC ID: 7618027970 Enrollment ID: I20110920000844 |
| Provider Name | Peter K Chweyah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568606903 PECOS PAC ID: 3375714454 Enrollment ID: I20110921000443 |
| Provider Name | David W Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487932984 PECOS PAC ID: 5193996916 Enrollment ID: I20110927000383 |
| Provider Name | Julie Sturgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790063063 PECOS PAC ID: 2567634942 Enrollment ID: I20111006000550 |
| Provider Name | Franklin Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265540405 PECOS PAC ID: 1951454644 Enrollment ID: I20111011000500 |
| Provider Name | Charles P Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851602924 PECOS PAC ID: 1759553555 Enrollment ID: I20111019000838 |
| Provider Name | Shaista Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407951494 PECOS PAC ID: 1355347030 Enrollment ID: I20111021000261 |
| Provider Name | Kimberly D Yung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710265368 PECOS PAC ID: 1254504061 Enrollment ID: I20111021000557 |
| Provider Name | Kimberly C Viskocil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033352851 PECOS PAC ID: 8224201744 Enrollment ID: I20111028000303 |
| Provider Name | Jean Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568647048 PECOS PAC ID: 6103993290 Enrollment ID: I20111031000347 |
| Provider Name | Elizabeth R Burnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659697894 PECOS PAC ID: 3173796448 Enrollment ID: I20111101000742 |
| Provider Name | Erin M Galbraith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750304259 PECOS PAC ID: 6901803667 Enrollment ID: I20111104000471 |
| Provider Name | Anne Florence Njenga |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1992086383 PECOS PAC ID: 1456524438 Enrollment ID: I20111108000496 |
| Provider Name | Jeremy J Fleischmann |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295904696 PECOS PAC ID: 6507912177 Enrollment ID: I20111110000468 |
| Provider Name | Rebecca L Gray |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962448969 PECOS PAC ID: 8820033244 Enrollment ID: I20111110000599 |
| Provider Name | Fredericus Van Kuijk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972699635 PECOS PAC ID: 9133120249 Enrollment ID: I20111111000318 |
| Provider Name | Corinna J Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205114691 PECOS PAC ID: 9335313139 Enrollment ID: I20111112000023 |
| Provider Name | Kaydee E Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114984028 PECOS PAC ID: 4880643485 Enrollment ID: I20111121000969 |
| Provider Name | Thaddeus S Walczak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538180864 PECOS PAC ID: 9234304049 Enrollment ID: I20111206000685 |
| Provider Name | Nathan T Chomilo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063656593 PECOS PAC ID: 1456527456 Enrollment ID: I20111221000566 |
| Provider Name | Jane M Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578878146 PECOS PAC ID: 1951577527 Enrollment ID: I20120103000347 |
| Provider Name | Katti L Woerner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043486590 PECOS PAC ID: 5597931170 Enrollment ID: I20120103000479 |
| Provider Name | Charlotte M Leitschuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952686206 PECOS PAC ID: 3870769474 Enrollment ID: I20120103000711 |
| Provider Name | Kathleen A Strawn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114208006 PECOS PAC ID: 3476720400 Enrollment ID: I20120116000096 |
| Provider Name | Molly M Lehmann |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174806012 PECOS PAC ID: 3274790514 Enrollment ID: I20120130000226 |
| Provider Name | Kevin M Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578565560 PECOS PAC ID: 3375688328 Enrollment ID: I20120201000206 |
| Provider Name | Michael Tressler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255595526 PECOS PAC ID: 8224295993 Enrollment ID: I20120208000244 |
| Provider Name | Kelly J Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538446083 PECOS PAC ID: 2062679756 Enrollment ID: I20120208000474 |
| Provider Name | Heather K Jelinek |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538430954 PECOS PAC ID: 5092974410 Enrollment ID: I20120305000312 |
| Provider Name | Adam P Foss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447576392 PECOS PAC ID: 8729242532 Enrollment ID: I20120607000098 |
| Provider Name | Santosh Dhital |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275762395 PECOS PAC ID: 6800050469 Enrollment ID: I20120611000398 |
| Provider Name | Kelly Renee Dietz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295877702 PECOS PAC ID: 0648434209 Enrollment ID: I20120611000480 |
| Provider Name | Takashi Takahashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437323243 PECOS PAC ID: 2466616867 Enrollment ID: I20120615000106 |
| Provider Name | Thomas M Hauth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215165055 PECOS PAC ID: 7517121700 Enrollment ID: I20120620000248 |
| Provider Name | Lucas B Ludeman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205080744 PECOS PAC ID: 2668537069 Enrollment ID: I20120625000418 |
| Provider Name | Keri Megan Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336416783 PECOS PAC ID: 1951567148 Enrollment ID: I20120716000071 |
| Provider Name | Mathew So |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215126503 PECOS PAC ID: 1254597487 Enrollment ID: I20120716000497 |
| Provider Name | Chad Y Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265723779 PECOS PAC ID: 2062678121 Enrollment ID: I20120718000525 |
| Provider Name | Matthew C Peterson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083840664 PECOS PAC ID: 1850547142 Enrollment ID: I20120801000576 |
| Provider Name | Jaime Nicole Wirth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386935229 PECOS PAC ID: 0648426718 Enrollment ID: I20120806000045 |
| Provider Name | Sami Safadi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255664421 PECOS PAC ID: 7315193174 Enrollment ID: I20120809000632 |
| Provider Name | Benjamin A Gilloon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902919376 PECOS PAC ID: 5597880989 Enrollment ID: I20120810000007 |
| Provider Name | Thejaswi Karnayana Poonacha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639309560 PECOS PAC ID: 1355515206 Enrollment ID: I20120810000127 |
| Provider Name | Lisa M Guetzko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831388974 PECOS PAC ID: 0840446670 Enrollment ID: I20120810000460 |
| Provider Name | Amy B Vislisel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952537979 PECOS PAC ID: 6709032444 Enrollment ID: I20120810000651 |
| Provider Name | Kathryn M Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730469164 PECOS PAC ID: 9537315296 Enrollment ID: I20120813000025 |
| Provider Name | Michael J Lawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609003292 PECOS PAC ID: 8628224110 Enrollment ID: I20120816000539 |
| Provider Name | Bernard E Trappey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336382852 PECOS PAC ID: 8022265487 Enrollment ID: I20120821000196 |
| Provider Name | Rochus K Voeller |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750465290 PECOS PAC ID: 0446260863 Enrollment ID: I20120823000547 |
| Provider Name | Georgina M Greil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699949776 PECOS PAC ID: 4587811666 Enrollment ID: I20120824000102 |
| Provider Name | Ingrid B Kaijage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285868190 PECOS PAC ID: 6709033483 Enrollment ID: I20120831000372 |
| Provider Name | Erich N Bryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740459551 PECOS PAC ID: 5799932489 Enrollment ID: I20120831000495 |
| Provider Name | Kathryn J Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740571769 PECOS PAC ID: 0941457642 Enrollment ID: I20120831000538 |
| Provider Name | Karim Thomas Sadak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881861235 PECOS PAC ID: 7618124165 Enrollment ID: I20120906000076 |
| Provider Name | Isaac T Marsolek |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1073788519 PECOS PAC ID: 0345497897 Enrollment ID: I20120906000078 |
| Provider Name | Andrew J Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093783961 PECOS PAC ID: 5193788859 Enrollment ID: I20120906000169 |
| Provider Name | Bethany J Hanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841555927 PECOS PAC ID: 2860640117 Enrollment ID: I20120912000319 |
| Provider Name | Julianne M Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427304260 PECOS PAC ID: 0446408702 Enrollment ID: I20120912000498 |
| Provider Name | Jennifer Young Kendall Thomas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801061098 PECOS PAC ID: 7012185911 Enrollment ID: I20120912000533 |
| Provider Name | Susan S. Pleasants |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427349463 PECOS PAC ID: 5991953945 Enrollment ID: I20120917000195 |
| Provider Name | Anna M.w. Milz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609010966 PECOS PAC ID: 4981852910 Enrollment ID: I20120918000172 |
| Provider Name | Sara L Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073740668 PECOS PAC ID: 9234387192 Enrollment ID: I20120918000624 |
| Provider Name | Raquel A De La Mater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760747471 PECOS PAC ID: 1951559715 Enrollment ID: I20120919000875 |
| Provider Name | Christina M Wiekamp |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1356615322 PECOS PAC ID: 5890944490 Enrollment ID: I20120925000383 |
| Provider Name | Anoshirvan Mazhari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396973921 PECOS PAC ID: 1456476670 Enrollment ID: I20121002000165 |
| Provider Name | Liberty J Zyduck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336371780 PECOS PAC ID: 3971752791 Enrollment ID: I20121010000463 |
| Provider Name | Salman Mallick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578892113 PECOS PAC ID: 5698924322 Enrollment ID: I20121012000347 |
| Provider Name | Elizabeth Uchitelle |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720049828 PECOS PAC ID: 3870563240 Enrollment ID: I20121015000462 |
| Provider Name | Amy Denise Bandt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699007633 PECOS PAC ID: 4587794169 Enrollment ID: I20121019000053 |
| Provider Name | Julie A Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407118524 PECOS PAC ID: 8123278454 Enrollment ID: I20121023000559 |
| Provider Name | Kathleen F Sadak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003073768 PECOS PAC ID: 1759531601 Enrollment ID: I20121030000411 |
| Provider Name | Carissa M Scanlan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083972517 PECOS PAC ID: 5991955890 Enrollment ID: I20121031000439 |
| Provider Name | Jenna Bergquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538420468 PECOS PAC ID: 1850541665 Enrollment ID: I20121031000619 |
| Provider Name | Umbreen Hasan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447464748 PECOS PAC ID: 4981780780 Enrollment ID: I20121120000143 |
| Provider Name | Prabhjot S Nijjar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669687711 PECOS PAC ID: 0547338535 Enrollment ID: I20121120000352 |
| Provider Name | Joan M Bowlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881956209 PECOS PAC ID: 0941451900 Enrollment ID: I20121121000486 |
| Provider Name | Brian K Muthyala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821230574 PECOS PAC ID: 5698924363 Enrollment ID: I20121121000503 |
| Provider Name | Vasudha Goel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104091834 PECOS PAC ID: 1759533607 Enrollment ID: I20121129000043 |
| Provider Name | Kari M Vergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538418603 PECOS PAC ID: 7012169857 Enrollment ID: I20121130000423 |
| Provider Name | Shannon L Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972853208 PECOS PAC ID: 3375795115 Enrollment ID: I20121130000449 |
| Provider Name | Nasima R Soomar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295825537 PECOS PAC ID: 2264571546 Enrollment ID: I20121205000552 |
| Provider Name | Sameer Nevile |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447556584 PECOS PAC ID: 5991957425 Enrollment ID: I20121210000252 |
| Provider Name | Saima Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871727339 PECOS PAC ID: 4789736869 Enrollment ID: I20121210000414 |
| Provider Name | Syed Z Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841492188 PECOS PAC ID: 2466538251 Enrollment ID: I20121215000018 |
| Provider Name | Rebecca L Lucking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356694079 PECOS PAC ID: 3375795586 Enrollment ID: I20121217000399 |
| Provider Name | Emily Marie Luitjens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245587252 PECOS PAC ID: 2365695020 Enrollment ID: I20130104000392 |
| Provider Name | Ron Her |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881905982 PECOS PAC ID: 1951554302 Enrollment ID: I20130115000006 |
| Provider Name | Aaron K Graumann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194042887 PECOS PAC ID: 4183877566 Enrollment ID: I20130115000289 |
| Provider Name | Adriana J Addison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902053952 PECOS PAC ID: 0941358808 Enrollment ID: I20130205000150 |
| Provider Name | Kimberly S Heckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811241326 PECOS PAC ID: 9931353612 Enrollment ID: I20130205000195 |
| Provider Name | Linda D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760499909 PECOS PAC ID: 5092771956 Enrollment ID: I20130214000559 |
| Provider Name | Suma Jacob |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932269396 PECOS PAC ID: 5991714446 Enrollment ID: I20130219000132 |
| Provider Name | David G Mainguy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376598953 PECOS PAC ID: 7113162314 Enrollment ID: I20130318000010 |
| Provider Name | Scott E Runde |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154355667 PECOS PAC ID: 2860485695 Enrollment ID: I20130318000436 |
| Provider Name | Julie S Ligday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780922047 PECOS PAC ID: 4385889427 Enrollment ID: I20130320000758 |
| Provider Name | Megan M Sheeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396099008 PECOS PAC ID: 7810133246 Enrollment ID: I20130409000465 |
| Provider Name | Rahul Chauhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558517433 PECOS PAC ID: 3375714967 Enrollment ID: I20130418000357 |
| Provider Name | Harrison Wilson Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013924612 PECOS PAC ID: 2860595980 Enrollment ID: I20130423000209 |
| Provider Name | Lauren V Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306146949 PECOS PAC ID: 8729268016 Enrollment ID: I20130502000430 |
| Provider Name | Kimberly R Thein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437128352 PECOS PAC ID: 0840437646 Enrollment ID: I20130515000570 |
| Provider Name | Elizabeth N Jeffrey |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356669394 PECOS PAC ID: 0345487054 Enrollment ID: I20130516000054 |
| Provider Name | John F Lesko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831196484 PECOS PAC ID: 0345324042 Enrollment ID: I20130516000678 |
| Provider Name | Sara M Mestad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578804670 PECOS PAC ID: 6800033416 Enrollment ID: I20130517000443 |
| Provider Name | Emily Schafhauser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578889424 PECOS PAC ID: 1557509577 Enrollment ID: I20130604000348 |
| Provider Name | Devon Elizabeth Whitehead |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003037458 PECOS PAC ID: 9335387216 Enrollment ID: I20130606000524 |
| Provider Name | Kamran Darabi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508074402 PECOS PAC ID: 1052484185 Enrollment ID: I20130612000348 |
| Provider Name | Sarah M Lofgren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689991028 PECOS PAC ID: 8224277421 Enrollment ID: I20130619000467 |
| Provider Name | Christina P Russell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255659538 PECOS PAC ID: 7012156219 Enrollment ID: I20130619000495 |
| Provider Name | Sarah Lynn Hutto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235372616 PECOS PAC ID: 9931348802 Enrollment ID: I20130625000812 |
| Provider Name | Xiaoyu J Hou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053636886 PECOS PAC ID: 7315187176 Enrollment ID: I20130628000308 |
| Provider Name | Thomas C Bryson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811101116 PECOS PAC ID: 0749436491 Enrollment ID: I20130715000353 |
| Provider Name | Michael B Pitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104072172 PECOS PAC ID: 9638200322 Enrollment ID: I20130716000588 |
| Provider Name | Alex Matthew Westenfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255313417 PECOS PAC ID: 4082603220 Enrollment ID: I20130717000427 |
| Provider Name | Siobhan M Flanagan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477880276 PECOS PAC ID: 1153561022 Enrollment ID: I20130717000772 |
| Provider Name | Tate Alan Gisslen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629269121 PECOS PAC ID: 1254513724 Enrollment ID: I20130717000805 |
| Provider Name | Shashank Vats |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346482544 PECOS PAC ID: 6901047794 Enrollment ID: I20130719000539 |
| Provider Name | Elizabeth Ann Von Der Marwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619210812 PECOS PAC ID: 1759522576 Enrollment ID: I20130720000084 |
| Provider Name | Jennifer Lee Hedtke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114285012 PECOS PAC ID: 5991946725 Enrollment ID: I20130720000284 |
| Provider Name | Trent M Christensen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730446022 PECOS PAC ID: 1951542513 Enrollment ID: I20130724000081 |
| Provider Name | David Andrew Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760749485 PECOS PAC ID: 9931340593 Enrollment ID: I20130724000100 |
| Provider Name | Thomas Pavey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770726176 PECOS PAC ID: 5597932194 Enrollment ID: I20130724000583 |
| Provider Name | Thenappan Thenappan |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1508842048 PECOS PAC ID: 6901832823 Enrollment ID: I20130724000730 |
| Provider Name | Nicholas L St. Ores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184981912 PECOS PAC ID: 8123269768 Enrollment ID: I20130724000920 |
| Provider Name | Elycia Rene Matushin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255698783 PECOS PAC ID: 3173764719 Enrollment ID: I20130724000990 |
| Provider Name | Annette K Nijjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912192600 PECOS PAC ID: 8820239346 Enrollment ID: I20130725000965 |
| Provider Name | Henri Roukoz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144499187 PECOS PAC ID: 9931340353 Enrollment ID: I20130729000216 |
| Provider Name | Brittany K Beeson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730446477 PECOS PAC ID: 7719128925 Enrollment ID: I20130731000626 |
| Provider Name | Kelly K White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417293572 PECOS PAC ID: 7810139581 Enrollment ID: I20130808000272 |
| Provider Name | Olutoyin E Akintola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912163148 PECOS PAC ID: 6305034307 Enrollment ID: I20130809000179 |
| Provider Name | Jason Allen Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003077223 PECOS PAC ID: 2668614298 Enrollment ID: I20130812000517 |
| Provider Name | Samar Malaeb |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326216037 PECOS PAC ID: 8022250596 Enrollment ID: I20130813000312 |
| Provider Name | Al Gilbert V Galindez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689908253 PECOS PAC ID: 2769521665 Enrollment ID: I20130814000753 |
| Provider Name | Lara Hj Al Ejeilat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679889042 PECOS PAC ID: 8628210994 Enrollment ID: I20130815000764 |
| Provider Name | Jodi L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689010357 PECOS PAC ID: 0042452286 Enrollment ID: I20130816000794 |
| Provider Name | Stephen Joseph Clappier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871850479 PECOS PAC ID: 1759523855 Enrollment ID: I20130819000746 |
| Provider Name | Muna Senussi Sunni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114110566 PECOS PAC ID: 6305089418 Enrollment ID: I20130821000241 |
| Provider Name | Amy M Oneil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508129198 PECOS PAC ID: 7315183860 Enrollment ID: I20130821000540 |
| Provider Name | Rebecca Cogswell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861692519 PECOS PAC ID: 1658514658 Enrollment ID: I20130823000238 |
| Provider Name | Daniel T Kebed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003170952 PECOS PAC ID: 8325284847 Enrollment ID: I20130823001100 |
| Provider Name | Kristen A Benedict |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083056055 PECOS PAC ID: 4385887272 Enrollment ID: I20130824000134 |
| Provider Name | James Christopher Lorge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376749192 PECOS PAC ID: 7719134865 Enrollment ID: I20130827000196 |
| Provider Name | Arvin Thomas I Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770795411 PECOS PAC ID: 6103992292 Enrollment ID: I20130827000256 |
| Provider Name | Sean C Engel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1518113646 PECOS PAC ID: 9234314386 Enrollment ID: I20130920000320 |
| Provider Name | Jeffery L Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114160058 PECOS PAC ID: 0345488227 Enrollment ID: I20130920000416 |
| Provider Name | Allison A Honke Karun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700832896 PECOS PAC ID: 8325010648 Enrollment ID: I20130925000029 |
| Provider Name | Dipi Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841451135 PECOS PAC ID: 1759525108 Enrollment ID: I20130925000130 |
| Provider Name | Marit E Thorsgard |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841436383 PECOS PAC ID: 1658505532 Enrollment ID: I20131008001110 |
| Provider Name | Tiffany N Ling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437581824 PECOS PAC ID: 0749414324 Enrollment ID: I20131015000648 |
| Provider Name | Jean K Tiffany |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801154752 PECOS PAC ID: 4486889862 Enrollment ID: I20131022000268 |
| Provider Name | Ryan C Cusic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699091686 PECOS PAC ID: 2264667443 Enrollment ID: I20131023001741 |
| Provider Name | Sasha M Skendzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134561798 PECOS PAC ID: 7810122017 Enrollment ID: I20131024000006 |
| Provider Name | Natalie S Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285067694 PECOS PAC ID: 8325273378 Enrollment ID: I20131028001457 |
| Provider Name | Musa O Suleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376836270 PECOS PAC ID: 9739367590 Enrollment ID: I20131029000864 |
| Provider Name | Lisa N Von Wald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093147142 PECOS PAC ID: 1759516503 Enrollment ID: I20131101000878 |
| Provider Name | Habiba Alero Ikoghode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669783106 PECOS PAC ID: 5890933824 Enrollment ID: I20131112001927 |
| Provider Name | Amy E Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205260122 PECOS PAC ID: 1153557087 Enrollment ID: I20131122000886 |
| Provider Name | Brenda L Deutsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528495397 PECOS PAC ID: 4880820430 Enrollment ID: I20131204000716 |
| Provider Name | Ellissa A Kurk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013157551 PECOS PAC ID: 1153558671 Enrollment ID: I20131209000265 |
| Provider Name | Clifford M Matushin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639143688 PECOS PAC ID: 2567569882 Enrollment ID: I20131213000744 |
| Provider Name | Amanda Lucille Weinmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558628990 PECOS PAC ID: 9739316712 Enrollment ID: I20131219000284 |
| Provider Name | Amanda L Schuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669715421 PECOS PAC ID: 8325275340 Enrollment ID: I20131219001553 |
| Provider Name | Sharon E Oconnor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568496867 PECOS PAC ID: 5890922538 Enrollment ID: I20131230000497 |
| Provider Name | Kristin D Butler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588093223 PECOS PAC ID: 3678700499 Enrollment ID: I20140108000856 |
| Provider Name | James C Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992065346 PECOS PAC ID: 0244468403 Enrollment ID: I20140115000020 |
| Provider Name | Chetan N Shenoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346571320 PECOS PAC ID: 4880870633 Enrollment ID: I20140115001232 |
| Provider Name | Sean M Sanford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487083044 PECOS PAC ID: 7719115807 Enrollment ID: I20140117000863 |
| Provider Name | Karla J Lind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023440294 PECOS PAC ID: 4486882446 Enrollment ID: I20140121000404 |
| Provider Name | David J Jewison |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1003075383 PECOS PAC ID: 8325180078 Enrollment ID: I20140124000737 |
| Provider Name | Jill A Herges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376971515 PECOS PAC ID: 1052540200 Enrollment ID: I20140210001188 |
| Provider Name | Ian M Melander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629362264 PECOS PAC ID: 5496985376 Enrollment ID: I20140221000664 |
| Provider Name | Alayna Claire Pine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750610523 PECOS PAC ID: 5294876272 Enrollment ID: I20140306001069 |
| Provider Name | Anne-marie Leuck |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275728677 PECOS PAC ID: 3072744085 Enrollment ID: I20140314001115 |
| Provider Name | Mark D Bonin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619220019 PECOS PAC ID: 9830342773 Enrollment ID: I20140317002045 |
| Provider Name | Matthew R Casey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740227933 PECOS PAC ID: 4385656149 Enrollment ID: I20140324001233 |
| Provider Name | Jason D C Holgers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922298801 PECOS PAC ID: 3577688662 Enrollment ID: I20140411001277 |
| Provider Name | Heidi J Ekman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710308234 PECOS PAC ID: 7911139506 Enrollment ID: I20140414001332 |
| Provider Name | Karen L Laventure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548686934 PECOS PAC ID: 5395968481 Enrollment ID: I20140517000139 |
| Provider Name | Jonathan P Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003079112 PECOS PAC ID: 1153569710 Enrollment ID: I20140520002247 |
| Provider Name | Daniel David Miller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770745978 PECOS PAC ID: 9638330103 Enrollment ID: I20140527000481 |
| Provider Name | Amanda G Vander Wal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811249295 PECOS PAC ID: 5799908133 Enrollment ID: I20140603001798 |
| Provider Name | William Mark Gershan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821040403 PECOS PAC ID: 3375561996 Enrollment ID: I20140605000414 |
| Provider Name | Hope M Pogemiller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841518578 PECOS PAC ID: 4688898844 Enrollment ID: I20140610001747 |
| Provider Name | Byron Philip Vaughn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255503223 PECOS PAC ID: 0648494716 Enrollment ID: I20140611000024 |
| Provider Name | Noelle Fae Hoven |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598057390 PECOS PAC ID: 9739303421 Enrollment ID: I20140619002217 |
| Provider Name | Jill A Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720337702 PECOS PAC ID: 5597916437 Enrollment ID: I20140620000268 |
| Provider Name | Justin R Howard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134360704 PECOS PAC ID: 9830314210 Enrollment ID: I20140626001516 |
| Provider Name | Haitham M Hussein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851583579 PECOS PAC ID: 8224285614 Enrollment ID: I20140701001721 |
| Provider Name | Cyrus Jahansouz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073926705 PECOS PAC ID: 9830314988 Enrollment ID: I20140702002358 |
| Provider Name | Radha Rajasingham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013181130 PECOS PAC ID: 2466677521 Enrollment ID: I20140702002741 |
| Provider Name | Ryan Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881820074 PECOS PAC ID: 0446475495 Enrollment ID: I20140707000823 |
| Provider Name | Emily J Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154648889 PECOS PAC ID: 5799939948 Enrollment ID: I20140714000704 |
| Provider Name | Rekha Kalidindi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750678942 PECOS PAC ID: 4981829678 Enrollment ID: I20140714002376 |
| Provider Name | Aparna Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720315906 PECOS PAC ID: 4880832823 Enrollment ID: I20140723001921 |
| Provider Name | Freaha Riaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073743589 PECOS PAC ID: 6901951607 Enrollment ID: I20140724001825 |
| Provider Name | Asad Nazir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346567633 PECOS PAC ID: 8921255878 Enrollment ID: I20140724002232 |
| Provider Name | Thomas Von Soukup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891087953 PECOS PAC ID: 8224265749 Enrollment ID: I20140724002620 |
| Provider Name | Maya Tram Highness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366730509 PECOS PAC ID: 1456577295 Enrollment ID: I20140730002737 |
| Provider Name | Laura J Hagemeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831489483 PECOS PAC ID: 9739306358 Enrollment ID: I20140805002355 |
| Provider Name | Katherine T Janssen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205196854 PECOS PAC ID: 8820215957 Enrollment ID: I20140813000512 |
| Provider Name | Kirsten E White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104110170 PECOS PAC ID: 2466695093 Enrollment ID: I20140814001374 |
| Provider Name | Michon E Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851733919 PECOS PAC ID: 0042437006 Enrollment ID: I20140814002040 |
| Provider Name | Lindsey A Rogers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639583362 PECOS PAC ID: 7517184591 Enrollment ID: I20140814002728 |
| Provider Name | Jason S Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659661478 PECOS PAC ID: 5597982397 Enrollment ID: I20140818001727 |
| Provider Name | Viola M Tracy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366694655 PECOS PAC ID: 6709024326 Enrollment ID: I20140818001957 |
| Provider Name | Jeff Werner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417152885 PECOS PAC ID: 7113180258 Enrollment ID: I20140821002741 |
| Provider Name | Dawn M Violette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356750822 PECOS PAC ID: 2860610870 Enrollment ID: I20140903001882 |
| Provider Name | Jared G Bird |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467898155 PECOS PAC ID: 9931341534 Enrollment ID: I20140904002002 |
| Provider Name | Anna S Masters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366574592 PECOS PAC ID: 8224207741 Enrollment ID: I20140916001381 |
| Provider Name | Sarah B Kinsella |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1740509371 PECOS PAC ID: 6002035342 Enrollment ID: I20140918000345 |
| Provider Name | Sarah K Leadley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316263767 PECOS PAC ID: 9133342728 Enrollment ID: I20140919000334 |
| Provider Name | Rebecca Sara Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598055949 PECOS PAC ID: 2062631286 Enrollment ID: I20140919000582 |
| Provider Name | Isahaq M Abdullahi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780904532 PECOS PAC ID: 9234358482 Enrollment ID: I20140919001840 |
| Provider Name | Kristina M Krohn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316265564 PECOS PAC ID: 7416176565 Enrollment ID: I20140922002872 |
| Provider Name | Rebecca L Markowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164740072 PECOS PAC ID: 1951543685 Enrollment ID: I20140929000290 |
| Provider Name | Rolf G Hallberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386936151 PECOS PAC ID: 3779738778 Enrollment ID: I20140929000588 |
| Provider Name | Amanda J Dubuque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568874931 PECOS PAC ID: 8729208681 Enrollment ID: I20140929000841 |
| Provider Name | Nicole M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477964336 PECOS PAC ID: 3870713746 Enrollment ID: I20140929001016 |
| Provider Name | Ann C Molitor Eder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235540014 PECOS PAC ID: 0446470314 Enrollment ID: I20140929001333 |
| Provider Name | Assefa M Ayalew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912240235 PECOS PAC ID: 5597985358 Enrollment ID: I20140930001982 |
| Provider Name | Lisa M Forslund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821400631 PECOS PAC ID: 3072733781 Enrollment ID: I20141001000820 |
| Provider Name | Melissa Ny Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346539632 PECOS PAC ID: 4486874005 Enrollment ID: I20141002002035 |
| Provider Name | Tammie S Burnoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669884359 PECOS PAC ID: 7719107283 Enrollment ID: I20141003001842 |
| Provider Name | Karam Makram Obeid |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114138237 PECOS PAC ID: 6608760178 Enrollment ID: I20141007000811 |
| Provider Name | Jessica A Ranallo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013256734 PECOS PAC ID: 2466695762 Enrollment ID: I20141007001079 |
| Provider Name | Jacy A Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265831317 PECOS PAC ID: 7810117132 Enrollment ID: I20141008000564 |
| Provider Name | Vishnu Laalitha Surapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164714002 PECOS PAC ID: 5597985770 Enrollment ID: I20141010000958 |
| Provider Name | Debra A Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881683175 PECOS PAC ID: 8820219934 Enrollment ID: I20141014001504 |
| Provider Name | Paari Murugan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548593205 PECOS PAC ID: 6002037991 Enrollment ID: I20141017000553 |
| Provider Name | Deanna Downs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831533868 PECOS PAC ID: 9032330873 Enrollment ID: I20141021001184 |
| Provider Name | Melissa A Gulden-maleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457750937 PECOS PAC ID: 7113148529 Enrollment ID: I20141029000847 |
| Provider Name | Eusebio Emmanuel S Ferrer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538173406 PECOS PAC ID: 0042248791 Enrollment ID: I20141029001347 |
| Provider Name | Heidi M Haider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356753909 PECOS PAC ID: 5496977415 Enrollment ID: I20141106001752 |
| Provider Name | Jonathan D Gale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588829428 PECOS PAC ID: 3173752870 Enrollment ID: I20141110000063 |
| Provider Name | Rebecca A Lenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538573449 PECOS PAC ID: 4385866961 Enrollment ID: I20141114001666 |
| Provider Name | Jessica M Cici |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972737997 PECOS PAC ID: 7719109073 Enrollment ID: I20141121000355 |
| Provider Name | Ashley B Gilland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194127324 PECOS PAC ID: 6204158546 Enrollment ID: I20141124000461 |
| Provider Name | Richard J Mastenbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619386083 PECOS PAC ID: 8123340114 Enrollment ID: I20141202001220 |
| Provider Name | Vaishnavi A Parnerkar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972730703 PECOS PAC ID: 3577885581 Enrollment ID: I20141202001712 |
| Provider Name | Sarah A Mcintire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184916280 PECOS PAC ID: 3375865314 Enrollment ID: I20141203000324 |
| Provider Name | Srikanth R Dakoji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689932436 PECOS PAC ID: 7719209766 Enrollment ID: I20141203000765 |
| Provider Name | Janet L Quarshie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083029466 PECOS PAC ID: 2062734957 Enrollment ID: I20141203002347 |
| Provider Name | Scott C Repa |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720309404 PECOS PAC ID: 9032431960 Enrollment ID: I20141204000976 |
| Provider Name | Betsy A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568879260 PECOS PAC ID: 5597087387 Enrollment ID: I20141205001076 |
| Provider Name | Laura L Hilker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497162721 PECOS PAC ID: 0547582009 Enrollment ID: I20141211001556 |
| Provider Name | Laura K Dryjanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962805119 PECOS PAC ID: 2365764867 Enrollment ID: I20141212001054 |
| Provider Name | Seena S George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902201221 PECOS PAC ID: 9335462761 Enrollment ID: I20141216001169 |
| Provider Name | Erin Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942581400 PECOS PAC ID: 3870751357 Enrollment ID: I20141218002594 |
| Provider Name | Kelsey C Leonardsmith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992047385 PECOS PAC ID: 2466775671 Enrollment ID: I20141219000317 |
| Provider Name | Charito Manahan Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013103332 PECOS PAC ID: 5890984454 Enrollment ID: I20141219000422 |
| Provider Name | Jacob Waxman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972946937 PECOS PAC ID: 8820238322 Enrollment ID: I20141224001241 |
| Provider Name | Emily E Bunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720482565 PECOS PAC ID: 9537482559 Enrollment ID: I20141226000028 |
| Provider Name | Emily M Utech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568704286 PECOS PAC ID: 8628391281 Enrollment ID: I20150107000029 |
| Provider Name | Elizabeth J Rowland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598164386 PECOS PAC ID: 1254655046 Enrollment ID: I20150129001020 |
| Provider Name | Tami M Carpenter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942333992 PECOS PAC ID: 6709101140 Enrollment ID: I20150206001026 |
| Provider Name | Abby J Montague |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285929448 PECOS PAC ID: 9739404039 Enrollment ID: I20150209000583 |
| Provider Name | Angela D Sarkissian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134359888 PECOS PAC ID: 2163672015 Enrollment ID: I20150220002209 |
| Provider Name | Anne Gregerson Griffiths |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205083995 PECOS PAC ID: 3678898343 Enrollment ID: I20150221000303 |
| Provider Name | Courtney E Mcelroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013222694 PECOS PAC ID: 9335306760 Enrollment ID: I20150226000515 |
| Provider Name | Debra A Gutzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346209343 PECOS PAC ID: 1557687696 Enrollment ID: I20150306001907 |
| Provider Name | Mirza Salman Ahmed Baig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538485925 PECOS PAC ID: 8729205869 Enrollment ID: I20150320000725 |
| Provider Name | Jackline Sutherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861882029 PECOS PAC ID: 1153648217 Enrollment ID: I20150330000972 |
| Provider Name | Caroline Barusya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770717639 PECOS PAC ID: 0749464774 Enrollment ID: I20150401001308 |
| Provider Name | Peter Igarashi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225007792 PECOS PAC ID: 0042353385 Enrollment ID: I20150401002178 |
| Provider Name | Shelly Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770973760 PECOS PAC ID: 9739406687 Enrollment ID: I20150402001233 |
| Provider Name | Antonette M Trapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174914428 PECOS PAC ID: 1850619669 Enrollment ID: I20150407001727 |
| Provider Name | Sarah Jayne Anderson Williams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316265176 PECOS PAC ID: 7719205574 Enrollment ID: I20150408000978 |
| Provider Name | Kristin Lieberman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053413708 PECOS PAC ID: 0648267682 Enrollment ID: I20150410001347 |
| Provider Name | Kristen L Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952791469 PECOS PAC ID: 5395063846 Enrollment ID: I20150413000975 |
| Provider Name | Olga V Formogey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922498310 PECOS PAC ID: 2769700202 Enrollment ID: I20150414001535 |
| Provider Name | April Katherine Wilhelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326306648 PECOS PAC ID: 8527386812 Enrollment ID: I20150416002433 |
| Provider Name | Billy D Wyatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437132958 PECOS PAC ID: 1153398193 Enrollment ID: I20150428001784 |
| Provider Name | Jennifer L Rickard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598925455 PECOS PAC ID: 7113246935 Enrollment ID: I20150429001111 |
| Provider Name | Michelle L Monson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841452992 PECOS PAC ID: 3577710284 Enrollment ID: I20150514001873 |
| Provider Name | Inemienyu N Evbakhare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225307135 PECOS PAC ID: 6901063312 Enrollment ID: I20150515000443 |
| Provider Name | Sarah K Hallman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093104093 PECOS PAC ID: 1557681335 Enrollment ID: I20150519000295 |
| Provider Name | Christina L Boull |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225222862 PECOS PAC ID: 3678893419 Enrollment ID: I20150519002337 |
| Provider Name | Zachary P Kaltenborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790077873 PECOS PAC ID: 3971823667 Enrollment ID: I20150520001810 |
| Provider Name | Prashant Shrestha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457587578 PECOS PAC ID: 5092035691 Enrollment ID: I20150521002423 |
| Provider Name | Kyle R Shipley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841408200 PECOS PAC ID: 6507995339 Enrollment ID: I20150521002513 |
| Provider Name | John F Brunner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740423870 PECOS PAC ID: 2365680204 Enrollment ID: I20150528002417 |
| Provider Name | Surbhi Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649400680 PECOS PAC ID: 8628398849 Enrollment ID: I20150528002487 |
| Provider Name | Marie Hickey Swanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548529761 PECOS PAC ID: 5193046209 Enrollment ID: I20150601002803 |
| Provider Name | Tirtha R Kharel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861669848 PECOS PAC ID: 7911172390 Enrollment ID: I20150602000263 |
| Provider Name | Ryan T Whitesell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245465301 PECOS PAC ID: 2466690540 Enrollment ID: I20150602002888 |
| Provider Name | Dana M Hagen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538556287 PECOS PAC ID: 9133430457 Enrollment ID: I20150612000992 |
| Provider Name | Rebecca Powell Stepan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205220993 PECOS PAC ID: 2668783895 Enrollment ID: I20150615001888 |
| Provider Name | Nathaniel David Meuser-herr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336408244 PECOS PAC ID: 9638480809 Enrollment ID: I20150616000532 |
| Provider Name | Matthew Adam Rischall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750607248 PECOS PAC ID: 5890006415 Enrollment ID: I20150623000895 |
| Provider Name | Eric Carolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679899389 PECOS PAC ID: 6800037623 Enrollment ID: I20150623002728 |
| Provider Name | Nathan J Rodgers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790009595 PECOS PAC ID: 7719299668 Enrollment ID: I20150706002503 |
| Provider Name | Jane Yuet Ching Hui |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1396186078 PECOS PAC ID: 5698087468 Enrollment ID: I20150708000485 |
| Provider Name | Rena Dawn Singleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679833826 PECOS PAC ID: 9739491457 Enrollment ID: I20150708002243 |
| Provider Name | Mark A Traynham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760793269 PECOS PAC ID: 3476865940 Enrollment ID: I20150713000623 |
| Provider Name | Mona A Abdel-bary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689067860 PECOS PAC ID: 1254643745 Enrollment ID: I20150713001113 |
| Provider Name | Alicia R Crisp |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598146045 PECOS PAC ID: 4082927504 Enrollment ID: I20150713002200 |
| Provider Name | Mitchell A Timmons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285806182 PECOS PAC ID: 3173791621 Enrollment ID: I20150716000957 |
| Provider Name | Mary K Spencer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184005407 PECOS PAC ID: 8820301971 Enrollment ID: I20150717001441 |
| Provider Name | Deqa Y Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780942078 PECOS PAC ID: 1052624038 Enrollment ID: I20150720002796 |
| Provider Name | Kevin Q Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407090632 PECOS PAC ID: 2668793514 Enrollment ID: I20150722005555 |
| Provider Name | Nora L Mcpherson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740435171 PECOS PAC ID: 5193038883 Enrollment ID: I20150724009883 |
| Provider Name | Anne Marie Keenan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982017406 PECOS PAC ID: 0244544864 Enrollment ID: I20150727001999 |
| Provider Name | Kristina L Whitesell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578798880 PECOS PAC ID: 4688988116 Enrollment ID: I20150728006263 |
| Provider Name | Poonam Kafle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740437797 PECOS PAC ID: 8426221755 Enrollment ID: I20150729007439 |
| Provider Name | Karen Borchert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790043842 PECOS PAC ID: 5092029017 Enrollment ID: I20150805006926 |
| Provider Name | Bryan M Donald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396064465 PECOS PAC ID: 5698089555 Enrollment ID: I20150805008603 |
| Provider Name | Charles Vang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457771750 PECOS PAC ID: 2466766373 Enrollment ID: I20150806010120 |
| Provider Name | Jessica J Torres |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972987113 PECOS PAC ID: 7214241025 Enrollment ID: I20150806010372 |
| Provider Name | Leela R Krummel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124439658 PECOS PAC ID: 9739493529 Enrollment ID: I20150807013414 |
| Provider Name | Abby E Wagstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366827552 PECOS PAC ID: 4688989346 Enrollment ID: I20150811003678 |
| Provider Name | Kathryn A Aune |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043503352 PECOS PAC ID: 5698080364 Enrollment ID: I20150811003976 |
| Provider Name | Frank M Grund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548372162 PECOS PAC ID: 4981919560 Enrollment ID: I20150811004536 |
| Provider Name | Nana A Wilmot-desouza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396009247 PECOS PAC ID: 4385959972 Enrollment ID: I20150811005077 |
| Provider Name | Kyle C Sinclair |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548571318 PECOS PAC ID: 5193954022 Enrollment ID: I20150812008275 |
| Provider Name | Nicholas Kho Yan Lim Chow Tom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710159363 PECOS PAC ID: 9931414448 Enrollment ID: I20150812008782 |
| Provider Name | Christopher David Streib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629231881 PECOS PAC ID: 4587884440 Enrollment ID: I20150813011144 |
| Provider Name | Sarah N Stroik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679955884 PECOS PAC ID: 8325353717 Enrollment ID: I20150813011429 |
| Provider Name | Avinash Srikanth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205086816 PECOS PAC ID: 3375703945 Enrollment ID: I20150818003146 |
| Provider Name | Tami J Hirsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891177762 PECOS PAC ID: 6002122835 Enrollment ID: I20150825003204 |
| Provider Name | Patricia T Hickey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417216656 PECOS PAC ID: 2567778301 Enrollment ID: I20150825003582 |
| Provider Name | Eric David Hyun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831450170 PECOS PAC ID: 8527374388 Enrollment ID: I20150825004478 |
| Provider Name | Katherine M Breezley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780067033 PECOS PAC ID: 3476869173 Enrollment ID: I20150826000314 |
| Provider Name | Gennadiy V Shevchenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093005498 PECOS PAC ID: 6204142763 Enrollment ID: I20150828000258 |
| Provider Name | Ellen C Ingolfsland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801155023 PECOS PAC ID: 7911213160 Enrollment ID: I20150902001028 |
| Provider Name | Manit Singla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356605968 PECOS PAC ID: 7113233255 Enrollment ID: I20150903001230 |
| Provider Name | Benjamin Joseph Hoffman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063640100 PECOS PAC ID: 7810203973 Enrollment ID: I20150903001676 |
| Provider Name | Michelle L Schorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205212107 PECOS PAC ID: 6103133871 Enrollment ID: I20150911001887 |
| Provider Name | Promise C Amajiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164898953 PECOS PAC ID: 9638486178 Enrollment ID: I20150916002481 |
| Provider Name | Jenna L Viland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275918658 PECOS PAC ID: 6204143407 Enrollment ID: I20150921002830 |
| Provider Name | Jeremy R Van't Hof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679833909 PECOS PAC ID: 0446568448 Enrollment ID: I20150924000839 |
| Provider Name | Egla Maiyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952787905 PECOS PAC ID: 2365750247 Enrollment ID: I20150925000842 |
| Provider Name | Hannah S Lichtsinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033401187 PECOS PAC ID: 6406164177 Enrollment ID: I20150929002354 |
| Provider Name | Twila J Jesso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043552896 PECOS PAC ID: 4587972161 Enrollment ID: I20150930003337 |
| Provider Name | Sean Tracy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225444938 PECOS PAC ID: 0547485195 Enrollment ID: I20151001001465 |
| Provider Name | Sudarshan Setty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558555144 PECOS PAC ID: 0840425872 Enrollment ID: I20151006000304 |
| Provider Name | Carla S Christenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407223159 PECOS PAC ID: 1557679891 Enrollment ID: I20151006001176 |
| Provider Name | Megan Leigh Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336430453 PECOS PAC ID: 0941425003 Enrollment ID: I20151021001603 |
| Provider Name | Ashley J Thersleff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720456577 PECOS PAC ID: 0648589226 Enrollment ID: I20151021002712 |
| Provider Name | Beth K Thielen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831458793 PECOS PAC ID: 3971813189 Enrollment ID: I20151029002921 |
| Provider Name | Julie A Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639550817 PECOS PAC ID: 5294045159 Enrollment ID: I20151104001721 |
| Provider Name | David I Smith |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1316239361 PECOS PAC ID: 6103136924 Enrollment ID: I20151106002002 |
| Provider Name | Diane Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609290717 PECOS PAC ID: 4688984396 Enrollment ID: I20151110000417 |
| Provider Name | Danielle C Bandholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730555889 PECOS PAC ID: 9931419553 Enrollment ID: I20151112000114 |
| Provider Name | Siatta Bree Dunbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528358793 PECOS PAC ID: 3072749308 Enrollment ID: I20151112000299 |
| Provider Name | Carla M Vossen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861552010 PECOS PAC ID: 6800858796 Enrollment ID: I20151119002999 |
| Provider Name | Janice L James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407187511 PECOS PAC ID: 1951601400 Enrollment ID: I20151204002283 |
| Provider Name | Sarah Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790154441 PECOS PAC ID: 6103127055 Enrollment ID: I20151217001557 |
| Provider Name | Lori L Ongeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164797098 PECOS PAC ID: 8527360007 Enrollment ID: I20151230002108 |
| Provider Name | Lauren B Hoerl Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306219217 PECOS PAC ID: 4385946474 Enrollment ID: I20160106001784 |
| Provider Name | Joseph R Hounshell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851765721 PECOS PAC ID: 9931401759 Enrollment ID: I20160111000737 |
| Provider Name | Emily C Moody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699035055 PECOS PAC ID: 6002119427 Enrollment ID: I20160119001996 |
| Provider Name | Brian S Hilliard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659715613 PECOS PAC ID: 2466755483 Enrollment ID: I20160126001690 |
| Provider Name | Kathryn L Marvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669837340 PECOS PAC ID: 4981908316 Enrollment ID: I20160205000704 |
| Provider Name | Megan T Elgethun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558785311 PECOS PAC ID: 9931324654 Enrollment ID: I20160217002165 |
| Provider Name | Ellen A Overson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770903429 PECOS PAC ID: 4486958105 Enrollment ID: I20160310000409 |
| Provider Name | Brooke E Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033576046 PECOS PAC ID: 8628374857 Enrollment ID: I20160314001537 |
| Provider Name | Ruth Friedrichsdorf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447686985 PECOS PAC ID: 9931406949 Enrollment ID: I20160318000015 |
| Provider Name | Rohan R Lall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255582987 PECOS PAC ID: 0749590388 Enrollment ID: I20160318001205 |
| Provider Name | Laura R Baartman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699130708 PECOS PAC ID: 3577860550 Enrollment ID: I20160318002052 |
| Provider Name | Jodi A Hildebrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467819045 PECOS PAC ID: 0749587343 Enrollment ID: I20160325000694 |
| Provider Name | Kathryn Ann Cunin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831364587 PECOS PAC ID: 8426118860 Enrollment ID: I20160405001240 |
| Provider Name | Yvette N Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912365198 PECOS PAC ID: 0042518151 Enrollment ID: I20160406000011 |
| Provider Name | Cassandra R Lall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770739732 PECOS PAC ID: 7810124757 Enrollment ID: I20160414001120 |
| Provider Name | Jarrod N Yamanaka |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700206273 PECOS PAC ID: 5597063032 Enrollment ID: I20160415001414 |
| Provider Name | Nicholas E Ingraham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033539648 PECOS PAC ID: 3870898083 Enrollment ID: I20160419000268 |
| Provider Name | Allison L Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023479458 PECOS PAC ID: 3870892292 Enrollment ID: I20160505001454 |
| Provider Name | Brian S Martell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689991432 PECOS PAC ID: 9931419793 Enrollment ID: I20160511002723 |
| Provider Name | Umair U Rehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285074450 PECOS PAC ID: 5193946192 Enrollment ID: I20160512002144 |
| Provider Name | Cory Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699092445 PECOS PAC ID: 1355580671 Enrollment ID: I20160517000260 |
| Provider Name | Tanya L Velishek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770937781 PECOS PAC ID: 9830488766 Enrollment ID: I20160517001485 |
| Provider Name | Jeffrey Chuy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992083679 PECOS PAC ID: 5294024782 Enrollment ID: I20160524000266 |
| Provider Name | Timothy Meehan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558686030 PECOS PAC ID: 4486811395 Enrollment ID: I20160525002962 |
| Provider Name | Hiba Bashir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497875074 PECOS PAC ID: 6406034388 Enrollment ID: I20160526001234 |
| Provider Name | Reza Talaie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487886271 PECOS PAC ID: 8426353103 Enrollment ID: I20160526001340 |
| Provider Name | Guru Trikudanathan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740410638 PECOS PAC ID: 3678863792 Enrollment ID: I20160602000333 |
| Provider Name | Michael Powell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700027166 PECOS PAC ID: 9234262148 Enrollment ID: I20160603001177 |
| Provider Name | Shamar Young |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528389574 PECOS PAC ID: 1355585878 Enrollment ID: I20160603001449 |
| Provider Name | Elizabeth P Kratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780038299 PECOS PAC ID: 0345530887 Enrollment ID: I20160613000339 |
| Provider Name | Kerri Harting |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487674040 PECOS PAC ID: 8022016906 Enrollment ID: I20160620002332 |
| Provider Name | An L Church |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083813182 PECOS PAC ID: 6406010487 Enrollment ID: I20160621001766 |
| Provider Name | Esther Chinedu Enu - Adediran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912347774 PECOS PAC ID: 5991937682 Enrollment ID: I20160628001282 |
| Provider Name | Michael O Esan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538504139 PECOS PAC ID: 3476859794 Enrollment ID: I20160629000563 |
| Provider Name | David A Wacker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386969327 PECOS PAC ID: 0749572394 Enrollment ID: I20160630000861 |
| Provider Name | Elizabeth Herrity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679923072 PECOS PAC ID: 5092007443 Enrollment ID: I20160706001088 |
| Provider Name | Anteneh Girma Zewde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356684609 PECOS PAC ID: 2860784022 Enrollment ID: I20160707002375 |
| Provider Name | Kristine L Duhamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669827523 PECOS PAC ID: 3476845280 Enrollment ID: I20160714000414 |
| Provider Name | Evan K Moser-bleil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326307786 PECOS PAC ID: 9436456357 Enrollment ID: I20160715000299 |
| Provider Name | Wendy S Sabinske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750737441 PECOS PAC ID: 7214229921 Enrollment ID: I20160715001089 |
| Provider Name | Takako Araki |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689834392 PECOS PAC ID: 5193034437 Enrollment ID: I20160721001465 |
| Provider Name | Megan M Keuler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336527795 PECOS PAC ID: 1951606193 Enrollment ID: I20160722000365 |
| Provider Name | Erica Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134507783 PECOS PAC ID: 9234422551 Enrollment ID: I20160725001960 |
| Provider Name | Paul Edward Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861807216 PECOS PAC ID: 3779700174 Enrollment ID: I20160725002060 |
| Provider Name | William Nguyen Binh Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801274329 PECOS PAC ID: 6709181126 Enrollment ID: I20160726003307 |
| Provider Name | Justine Whitney Trumm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699153551 PECOS PAC ID: 7810296043 Enrollment ID: I20160727000140 |
| Provider Name | Jennifer M Svendsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972982718 PECOS PAC ID: 2466758131 Enrollment ID: I20160727001893 |
| Provider Name | Yasser Chebli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366704553 PECOS PAC ID: 3173832359 Enrollment ID: I20160728002488 |
| Provider Name | Margaret O Enadeghe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265723373 PECOS PAC ID: 0345542320 Enrollment ID: I20160729002205 |
| Provider Name | Deepak Somashekar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710116918 PECOS PAC ID: 6901118843 Enrollment ID: I20160801001484 |
| Provider Name | Alison Galdys |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326272329 PECOS PAC ID: 1456590033 Enrollment ID: I20160801001635 |
| Provider Name | Collin Torok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558523944 PECOS PAC ID: 7911156948 Enrollment ID: I20160801001831 |
| Provider Name | Sergey G Gurevich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578839015 PECOS PAC ID: 6103110911 Enrollment ID: I20160802001453 |
| Provider Name | Maureen A Looby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285991315 PECOS PAC ID: 5395040737 Enrollment ID: I20160802003096 |
| Provider Name | Lester Fahrner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295995900 PECOS PAC ID: 7618115981 Enrollment ID: I20160803001810 |
| Provider Name | Jodelle M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124480041 PECOS PAC ID: 0547554016 Enrollment ID: I20160805000534 |
| Provider Name | Thuy D Nguyen Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255718573 PECOS PAC ID: 8123322625 Enrollment ID: I20160808000593 |
| Provider Name | Daniel Joseph Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194104075 PECOS PAC ID: 5597060905 Enrollment ID: I20160810001741 |
| Provider Name | Matthew S Runde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598144891 PECOS PAC ID: 8628372786 Enrollment ID: I20160810002581 |
| Provider Name | Anne D Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053770784 PECOS PAC ID: 5890089775 Enrollment ID: I20160816001789 |
| Provider Name | Tara Y Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427252329 PECOS PAC ID: 0244525996 Enrollment ID: I20160819002222 |
| Provider Name | Parisa Salehi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083973630 PECOS PAC ID: 1951606631 Enrollment ID: I20160820000205 |
| Provider Name | Elizabeth J Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043668494 PECOS PAC ID: 8729373311 Enrollment ID: I20160822001056 |
| Provider Name | Elizabeth A Reisdorf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760714133 PECOS PAC ID: 2466747001 Enrollment ID: I20160822002872 |
| Provider Name | Joshua R Rhein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710182621 PECOS PAC ID: 7810282324 Enrollment ID: I20160823002216 |
| Provider Name | Lee Ann Bera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457797896 PECOS PAC ID: 0042448458 Enrollment ID: I20160823003161 |
| Provider Name | Lauren Anneliese Engelmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679863021 PECOS PAC ID: 4082833835 Enrollment ID: I20160825000851 |
| Provider Name | Jena M Labine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366893331 PECOS PAC ID: 4082909353 Enrollment ID: I20160825001069 |
| Provider Name | Nancy L Middlestead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326498635 PECOS PAC ID: 2163717315 Enrollment ID: I20160826000735 |
| Provider Name | Sara E Wildenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437476876 PECOS PAC ID: 8628373552 Enrollment ID: I20160829000743 |
| Provider Name | Alexandra S Snell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720490535 PECOS PAC ID: 7315169356 Enrollment ID: I20160830001969 |
| Provider Name | Alan H Cherkasky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568511970 PECOS PAC ID: 1456258094 Enrollment ID: I20160902000012 |
| Provider Name | Jonathan Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437323128 PECOS PAC ID: 4183866353 Enrollment ID: I20160902001217 |
| Provider Name | Brennen D Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376753277 PECOS PAC ID: 0749467280 Enrollment ID: I20160909002480 |
| Provider Name | Casey Loyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831541564 PECOS PAC ID: 9436445582 Enrollment ID: I20160915002018 |
| Provider Name | Laura E Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992174825 PECOS PAC ID: 4082919675 Enrollment ID: I20160916000689 |
| Provider Name | Nadar A Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427469923 PECOS PAC ID: 8426354911 Enrollment ID: I20160919000164 |
| Provider Name | Kelly M Vevea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093268393 PECOS PAC ID: 3072800150 Enrollment ID: I20160919000980 |
| Provider Name | Melissa E Kitzman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730592759 PECOS PAC ID: 2860712452 Enrollment ID: I20160919001590 |
| Provider Name | Katharine R Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659710390 PECOS PAC ID: 4587960778 Enrollment ID: I20161003000639 |
| Provider Name | Yuriy Zgherea |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891941373 PECOS PAC ID: 2567680531 Enrollment ID: I20161003001895 |
| Provider Name | Lynnsie M Schramm |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770038598 PECOS PAC ID: 7315235579 Enrollment ID: I20161004002092 |
| Provider Name | Nitika Ghattaura |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356748495 PECOS PAC ID: 4082902069 Enrollment ID: I20161006000688 |
| Provider Name | Ashley N Junghans Rutelonis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992109037 PECOS PAC ID: 5890083430 Enrollment ID: I20161013001351 |
| Provider Name | Indrani R Saha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649409665 PECOS PAC ID: 0446404107 Enrollment ID: I20161013001488 |
| Provider Name | Alison B Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902172901 PECOS PAC ID: 6002111341 Enrollment ID: I20161017001928 |
| Provider Name | Megan Drelles Ditty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821354994 PECOS PAC ID: 2668764150 Enrollment ID: I20161019001634 |
| Provider Name | Maureen E Stoesz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619424777 PECOS PAC ID: 0143508176 Enrollment ID: I20161026001977 |
| Provider Name | Leann Margaret Krezowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538612940 PECOS PAC ID: 0840578894 Enrollment ID: I20161026002892 |
| Provider Name | Nicole M Siddons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467803403 PECOS PAC ID: 7113205923 Enrollment ID: I20161031000174 |
| Provider Name | Richard M Belle Isle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871790451 PECOS PAC ID: 0143484378 Enrollment ID: I20161103000131 |
| Provider Name | Kathryn E Monpas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629421714 PECOS PAC ID: 9032497433 Enrollment ID: I20161104000733 |
| Provider Name | Phylicia L Binotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912456716 PECOS PAC ID: 9537447958 Enrollment ID: I20161104001308 |
| Provider Name | Chime Yangzom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639624927 PECOS PAC ID: 4880972215 Enrollment ID: I20161104001794 |
| Provider Name | Marian L Keillor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295283075 PECOS PAC ID: 8325327331 Enrollment ID: I20161115002495 |
| Provider Name | Christopher M Kobe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093192494 PECOS PAC ID: 0941508527 Enrollment ID: I20161116001265 |
| Provider Name | Christopher D Elness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649622200 PECOS PAC ID: 8426337205 Enrollment ID: I20161118000658 |
| Provider Name | Kelly M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295289064 PECOS PAC ID: 4981983632 Enrollment ID: I20161121000541 |
| Provider Name | Tara M Ettestad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578991352 PECOS PAC ID: 9931488574 Enrollment ID: I20161122001587 |
| Provider Name | Jessica L Mcalpine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144779612 PECOS PAC ID: 0941580112 Enrollment ID: I20161205001005 |
| Provider Name | Jennifer E Helms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164879755 PECOS PAC ID: 5698055671 Enrollment ID: I20161208001752 |
| Provider Name | Elizabeth J Swartout |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528513512 PECOS PAC ID: 5698055564 Enrollment ID: I20161212000569 |
| Provider Name | Marshall A Mazepa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174569354 PECOS PAC ID: 2163663519 Enrollment ID: I20170103001822 |
| Provider Name | Judy K Pauletich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528500360 PECOS PAC ID: 1254382757 Enrollment ID: I20170104000058 |
| Provider Name | Wen Zhong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356381537 PECOS PAC ID: 7810980752 Enrollment ID: I20170104001399 |
| Provider Name | Haruka M Torok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518150580 PECOS PAC ID: 8820144132 Enrollment ID: I20170104001817 |
| Provider Name | Clarence Shannon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851516165 PECOS PAC ID: 6204092208 Enrollment ID: I20170105001533 |
| Provider Name | Surabhi Thakar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063722767 PECOS PAC ID: 4789965575 Enrollment ID: I20170110002826 |
| Provider Name | Alicia H Keeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598039463 PECOS PAC ID: 4284895624 Enrollment ID: I20170117000894 |
| Provider Name | Thomas G Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316495401 PECOS PAC ID: 4284916727 Enrollment ID: I20170118002240 |
| Provider Name | Kristan M Lam |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386028181 PECOS PAC ID: 4789998618 Enrollment ID: I20170119001119 |
| Provider Name | Rachael Lenore Niemeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598148918 PECOS PAC ID: 3577879378 Enrollment ID: I20170124002896 |
| Provider Name | Danielle M Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649576703 PECOS PAC ID: 7315220977 Enrollment ID: I20170207000330 |
| Provider Name | Kylie M Vincent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245772953 PECOS PAC ID: 8820371248 Enrollment ID: I20170209001699 |
| Provider Name | Valor Hopes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780651620 PECOS PAC ID: 2163705351 Enrollment ID: I20170214001326 |
| Provider Name | Johanes I Prawira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932337706 PECOS PAC ID: 9830368786 Enrollment ID: I20170216001155 |
| Provider Name | Nicholas Alexander Zorko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972990182 PECOS PAC ID: 2466755293 Enrollment ID: I20170216002633 |
| Provider Name | Jennifer A Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023557352 PECOS PAC ID: 3072897446 Enrollment ID: I20170302001156 |
| Provider Name | Natalie N. Jacobson-dunlop |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598934689 PECOS PAC ID: 2961687330 Enrollment ID: I20170303000141 |
| Provider Name | Megan L Brozovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417121641 PECOS PAC ID: 4789968702 Enrollment ID: I20170310000942 |
| Provider Name | Christin L Radtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730621467 PECOS PAC ID: 6103101761 Enrollment ID: I20170322000149 |
| Provider Name | Cody W Wendlandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972915882 PECOS PAC ID: 8325334964 Enrollment ID: I20170328000417 |
| Provider Name | Andrew Sundblad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447411772 PECOS PAC ID: 3375781487 Enrollment ID: I20170329000219 |
| Provider Name | Molly C Vaishnav |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093191645 PECOS PAC ID: 3779869425 Enrollment ID: I20170411001893 |
| Provider Name | Michael John Helfman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487194957 PECOS PAC ID: 4284910779 Enrollment ID: I20170418001211 |
| Provider Name | Marlo I Dworsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558805903 PECOS PAC ID: 8224314612 Enrollment ID: I20170419002827 |
| Provider Name | Dawn M Bozicevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659386266 PECOS PAC ID: 5698051092 Enrollment ID: I20170420000177 |
| Provider Name | Lindsay Marie Kuphal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003351156 PECOS PAC ID: 7214213628 Enrollment ID: I20170420000606 |
| Provider Name | Sarah Watkins Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821437955 PECOS PAC ID: 9638398993 Enrollment ID: I20170502001330 |
| Provider Name | Ashley M Zilles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871858639 PECOS PAC ID: 2062731755 Enrollment ID: I20170502002455 |
| Provider Name | Kieran Gary Leong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952668410 PECOS PAC ID: 1355667536 Enrollment ID: I20170503000809 |
| Provider Name | Amy C Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396152583 PECOS PAC ID: 5092037523 Enrollment ID: I20170504002518 |
| Provider Name | Samuel C Dudley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568575173 PECOS PAC ID: 3274602420 Enrollment ID: I20170510001046 |
| Provider Name | Samuel J Luchsinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285908525 PECOS PAC ID: 3577868603 Enrollment ID: I20170510001178 |
| Provider Name | Cory Nordman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679771521 PECOS PAC ID: 2961689427 Enrollment ID: I20170517000985 |
| Provider Name | Lydia Nyakonu Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013457381 PECOS PAC ID: 5698042711 Enrollment ID: I20170522000571 |
| Provider Name | Natalia Genere |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235578956 PECOS PAC ID: 0345464574 Enrollment ID: I20170522002918 |
| Provider Name | Anthony D Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013329689 PECOS PAC ID: 1052617503 Enrollment ID: I20170523002750 |
| Provider Name | Daniel Keys |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710159975 PECOS PAC ID: 2466696919 Enrollment ID: I20170530000632 |
| Provider Name | Ilknur Can |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558514661 PECOS PAC ID: 3274800917 Enrollment ID: I20170530001739 |
| Provider Name | Benjamin T Webber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780094912 PECOS PAC ID: 1759688096 Enrollment ID: I20170608000965 |
| Provider Name | Andrew T Babcock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609134436 PECOS PAC ID: 3870898992 Enrollment ID: I20170609000332 |
| Provider Name | Raghavendra R Nayak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043654072 PECOS PAC ID: 7113222951 Enrollment ID: I20170609001284 |
| Provider Name | Ana Claudia F Rosa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184913261 PECOS PAC ID: 0840568069 Enrollment ID: I20170612002844 |
| Provider Name | Andrew W Shaffer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609039742 PECOS PAC ID: 4486885951 Enrollment ID: I20170612003026 |
| Provider Name | Christine E Ohl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174935712 PECOS PAC ID: 1456577758 Enrollment ID: I20170613001650 |
| Provider Name | Marat Yanavitski |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558599712 PECOS PAC ID: 7810265998 Enrollment ID: I20170613002626 |
| Provider Name | Stephanie E Standal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588007116 PECOS PAC ID: 2769787597 Enrollment ID: I20170613002963 |
| Provider Name | Joseph Zabell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164747085 PECOS PAC ID: 2466767579 Enrollment ID: I20170620000487 |
| Provider Name | Erin Marie Gutowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447670963 PECOS PAC ID: 7719283936 Enrollment ID: I20170620002579 |
| Provider Name | Molly F Wyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144665027 PECOS PAC ID: 4183922909 Enrollment ID: I20170623000023 |
| Provider Name | Christopher James Tignanelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477780245 PECOS PAC ID: 3072738509 Enrollment ID: I20170628002837 |
| Provider Name | Brinda Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013394030 PECOS PAC ID: 2769787357 Enrollment ID: I20170630001599 |
| Provider Name | Smarika Sapkota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417362617 PECOS PAC ID: 7911129242 Enrollment ID: I20170630002488 |
| Provider Name | Michael A Sundberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306111414 PECOS PAC ID: 8426296765 Enrollment ID: I20170703000907 |
| Provider Name | Jeremy Scott Markowitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033438601 PECOS PAC ID: 6901176478 Enrollment ID: I20170717003576 |
| Provider Name | Scott Wavinak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063831733 PECOS PAC ID: 9739488669 Enrollment ID: I20170718003544 |
| Provider Name | Matthew Yocum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497199236 PECOS PAC ID: 8426354812 Enrollment ID: I20170724002812 |
| Provider Name | Danielle M Schirm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447513072 PECOS PAC ID: 7911141858 Enrollment ID: I20170726001928 |
| Provider Name | Eugenia Shmidt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003102989 PECOS PAC ID: 0143477695 Enrollment ID: I20170727003786 |
| Provider Name | John Thomas Egan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063723310 PECOS PAC ID: 6103064332 Enrollment ID: I20170731002129 |
| Provider Name | Angelique M Ruff |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295020311 PECOS PAC ID: 4486870557 Enrollment ID: I20170731002948 |
| Provider Name | Erik John Kraska |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154772556 PECOS PAC ID: 8628349255 Enrollment ID: I20170801000587 |
| Provider Name | Mark L Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023464468 PECOS PAC ID: 4587945845 Enrollment ID: I20170807000590 |
| Provider Name | Afanwi Lumsina Kube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306367172 PECOS PAC ID: 6800167834 Enrollment ID: I20170809000706 |
| Provider Name | Christina L Fanola |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942461637 PECOS PAC ID: 1254500457 Enrollment ID: I20170810002794 |
| Provider Name | Andrew Jose Garcia |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801214499 PECOS PAC ID: 7315246261 Enrollment ID: I20170812000001 |
| Provider Name | Vincent Daniel Vallera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316380868 PECOS PAC ID: 0244546828 Enrollment ID: I20170812000068 |
| Provider Name | Kenneth R Leeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992225866 PECOS PAC ID: 1759652530 Enrollment ID: I20170814000757 |
| Provider Name | Brenda Aika Shoo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992993455 PECOS PAC ID: 4082930540 Enrollment ID: I20170814001263 |
| Provider Name | Abigail K Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295180586 PECOS PAC ID: 2961794680 Enrollment ID: I20170814002210 |
| Provider Name | Lindsay N Williams Palaniappan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568816189 PECOS PAC ID: 0749572535 Enrollment ID: I20170814002604 |
| Provider Name | Jonathan Snitzer |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1831456953 PECOS PAC ID: 2961774740 Enrollment ID: I20170815001989 |
| Provider Name | Avraham Sofer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386969152 PECOS PAC ID: 3678714011 Enrollment ID: I20170816002280 |
| Provider Name | Magdalena Ann Kappelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447694674 PECOS PAC ID: 2668777822 Enrollment ID: I20170817004174 |
| Provider Name | Elizabeth Ann Bodnia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790191732 PECOS PAC ID: 7810113818 Enrollment ID: I20170819000143 |
| Provider Name | James Edward Hougas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780812651 PECOS PAC ID: 6406095686 Enrollment ID: I20170819000205 |
| Provider Name | Marie Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417311895 PECOS PAC ID: 4183914302 Enrollment ID: I20170821001900 |
| Provider Name | Maleeha Faisal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730522004 PECOS PAC ID: 8527364090 Enrollment ID: I20170821003297 |
| Provider Name | Hilary Wilde |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023548559 PECOS PAC ID: 1355613621 Enrollment ID: I20170821003390 |
| Provider Name | Jaimi L Weber |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1336594498 PECOS PAC ID: 4587958095 Enrollment ID: I20170821003523 |
| Provider Name | Christopher C Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669554358 PECOS PAC ID: 1456453778 Enrollment ID: I20170824000678 |
| Provider Name | Fardows Salim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114344587 PECOS PAC ID: 4183926116 Enrollment ID: I20170824001375 |
| Provider Name | Sarah M Krueger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598008716 PECOS PAC ID: 4082933189 Enrollment ID: I20170825001687 |
| Provider Name | Ann J Liljegren |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942738596 PECOS PAC ID: 0244502243 Enrollment ID: I20170825002777 |
| Provider Name | Kayla Marie Fuller Stinger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487182432 PECOS PAC ID: 5496027328 Enrollment ID: I20170828000813 |
| Provider Name | Keith Wirth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336568617 PECOS PAC ID: 6406150267 Enrollment ID: I20170828003956 |
| Provider Name | John Robert Fischer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497867972 PECOS PAC ID: 0941220909 Enrollment ID: I20170829002159 |
| Provider Name | Jaclyn Dyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609396639 PECOS PAC ID: 5890068662 Enrollment ID: I20170830002843 |
| Provider Name | Matthew Richard Soule |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437393113 PECOS PAC ID: 5395041800 Enrollment ID: I20170830003748 |
| Provider Name | Alessio N/a Giubellino |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629410808 PECOS PAC ID: 5890068464 Enrollment ID: I20170901000395 |
| Provider Name | Edriss Ali Charaf |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629267588 PECOS PAC ID: 3072652783 Enrollment ID: I20170901001102 |
| Provider Name | Katie-anne Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225588668 PECOS PAC ID: 2860765385 Enrollment ID: I20170906000085 |
| Provider Name | Donald J Fahey-ahrndt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295180917 PECOS PAC ID: 3779863618 Enrollment ID: I20170906003351 |
| Provider Name | Kristin Eide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023454717 PECOS PAC ID: 8224261953 Enrollment ID: I20170907000817 |
| Provider Name | Bonnie Kathleen Keane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508248121 PECOS PAC ID: 5991019440 Enrollment ID: I20170908000243 |
| Provider Name | Loann M Heuring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831456805 PECOS PAC ID: 6002189321 Enrollment ID: I20170908001759 |
| Provider Name | Thuy Tien B Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418302 PECOS PAC ID: 4183921786 Enrollment ID: I20170919003752 |
| Provider Name | Jennilynn M Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174990089 PECOS PAC ID: 6002180668 Enrollment ID: I20170920001434 |
| Provider Name | Katherine L Braaten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942723713 PECOS PAC ID: 3476827684 Enrollment ID: I20170926002954 |
| Provider Name | Claire Kathleen Mcneil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447670948 PECOS PAC ID: 8527363308 Enrollment ID: I20170926003860 |
| Provider Name | David Allen Supik |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154767366 PECOS PAC ID: 0345532701 Enrollment ID: I20170929000727 |
| Provider Name | Mollika Sajady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427478734 PECOS PAC ID: 1456657675 Enrollment ID: I20171003005140 |
| Provider Name | Justin Houston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528479888 PECOS PAC ID: 7113240417 Enrollment ID: I20171003005253 |
| Provider Name | Marley Roseanne Abrams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538558762 PECOS PAC ID: 9931426871 Enrollment ID: I20171004001867 |
| Provider Name | Michael Macintire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962769125 PECOS PAC ID: 8729206164 Enrollment ID: I20171005000099 |
| Provider Name | Robert Kent Brownawell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063775260 PECOS PAC ID: 2264683606 Enrollment ID: I20171007000160 |
| Provider Name | Hannah Balfanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003334319 PECOS PAC ID: 9638444268 Enrollment ID: I20171009001483 |
| Provider Name | Brianna M. Koopman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205389798 PECOS PAC ID: 1355636531 Enrollment ID: I20171009002044 |
| Provider Name | Nasreen S Quadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992182158 PECOS PAC ID: 3678877719 Enrollment ID: I20171009002310 |
| Provider Name | Kristine M Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386160166 PECOS PAC ID: 3173898400 Enrollment ID: I20171012000173 |
| Provider Name | Nicholas Villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609392695 PECOS PAC ID: 7618243460 Enrollment ID: I20171023000252 |
| Provider Name | Theang T Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528412038 PECOS PAC ID: 7315228475 Enrollment ID: I20171023002010 |
| Provider Name | Stephanie A Boysen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982120085 PECOS PAC ID: 3870869563 Enrollment ID: I20171025000451 |
| Provider Name | Erin Galegher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982132536 PECOS PAC ID: 1153687462 Enrollment ID: I20171101003637 |
| Provider Name | Bridget M. Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831613603 PECOS PAC ID: 8224394317 Enrollment ID: I20171106001737 |
| Provider Name | Tiffany J Radke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730588823 PECOS PAC ID: 9638399470 Enrollment ID: I20171110000621 |
| Provider Name | Jane Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093732547 PECOS PAC ID: 6305975319 Enrollment ID: I20171110000858 |
| Provider Name | Andrea Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366822587 PECOS PAC ID: 4385940865 Enrollment ID: I20171115002648 |
| Provider Name | Roma Teekamdas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245673714 PECOS PAC ID: 8527346857 Enrollment ID: I20171127001621 |
| Provider Name | Richard S Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891106100 PECOS PAC ID: 8729384227 Enrollment ID: I20171130000505 |
| Provider Name | Anthony P Liebhard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609255645 PECOS PAC ID: 3577868496 Enrollment ID: I20171201002553 |
| Provider Name | Jessica Whelan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679866099 PECOS PAC ID: 4981844131 Enrollment ID: I20171204001450 |
| Provider Name | Kim S Christenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285076646 PECOS PAC ID: 3274760418 Enrollment ID: I20171207002189 |
| Provider Name | Maarya Pasha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205240744 PECOS PAC ID: 1759676364 Enrollment ID: I20171212001468 |
| Provider Name | Pamela Jo Shultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043373426 PECOS PAC ID: 7012275258 Enrollment ID: I20171218001750 |
| Provider Name | Jacob D Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528412210 PECOS PAC ID: 4284926197 Enrollment ID: I20171220000979 |
| Provider Name | Eric E Steinbrueck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134485022 PECOS PAC ID: 9133436207 Enrollment ID: I20180103000344 |
| Provider Name | Caitlin Ann Lutgen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477077840 PECOS PAC ID: 7214295849 Enrollment ID: I20180103000553 |
| Provider Name | Jeremy Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295189991 PECOS PAC ID: 4284993882 Enrollment ID: I20180104001381 |
| Provider Name | Andrew G Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467839332 PECOS PAC ID: 1456655141 Enrollment ID: I20180110000042 |
| Provider Name | Becca C Sample |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538600440 PECOS PAC ID: 4284993619 Enrollment ID: I20180110003047 |
| Provider Name | Carrie Lynn Sommars Maruska |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194915587 PECOS PAC ID: 3375802408 Enrollment ID: I20180118002210 |
| Provider Name | Anil Chauhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336380815 PECOS PAC ID: 5294977567 Enrollment ID: I20180205001833 |
| Provider Name | Scott Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700930344 PECOS PAC ID: 2062681059 Enrollment ID: I20180207001598 |
| Provider Name | Rahul Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497910186 PECOS PAC ID: 3870768385 Enrollment ID: I20180208002910 |
| Provider Name | Patrick Henry Nachman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912075144 PECOS PAC ID: 5395871016 Enrollment ID: I20180212000012 |
| Provider Name | Karl W Eckberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356738850 PECOS PAC ID: 7618273939 Enrollment ID: I20180221002662 |
| Provider Name | Justin Halbe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356667984 PECOS PAC ID: 8123347713 Enrollment ID: I20180306002750 |
| Provider Name | Brian J Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164440319 PECOS PAC ID: 7113816471 Enrollment ID: I20180308000536 |
| Provider Name | Elizabeth Victoria Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255847943 PECOS PAC ID: 5395006274 Enrollment ID: I20180312000800 |
| Provider Name | Harumi L Hachiya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760436166 PECOS PAC ID: 1951324326 Enrollment ID: I20180314000430 |
| Provider Name | Lashonda W Soma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831330851 PECOS PAC ID: 7214155076 Enrollment ID: I20180320002414 |
| Provider Name | Katie Jane Halverson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194231654 PECOS PAC ID: 9234491739 Enrollment ID: I20180321001826 |
| Provider Name | Alexandra Tsvilina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164801536 PECOS PAC ID: 9032415518 Enrollment ID: I20180322000231 |
| Provider Name | Elise Graham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366940850 PECOS PAC ID: 5496017857 Enrollment ID: I20180322001907 |
| Provider Name | David M Wilhelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386637882 PECOS PAC ID: 6901707355 Enrollment ID: I20180329001546 |
| Provider Name | Kelly Ann Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992216618 PECOS PAC ID: 5597028506 Enrollment ID: I20180404001000 |
| Provider Name | Jennifer S Gioia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952644841 PECOS PAC ID: 8022371913 Enrollment ID: I20180405001633 |
| Provider Name | Jessica Ann Hane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114374881 PECOS PAC ID: 9537446117 Enrollment ID: I20180412002915 |
| Provider Name | Lillian Elizabeth Medhus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265933766 PECOS PAC ID: 7618231721 Enrollment ID: I20180425001963 |
| Provider Name | Stephanie L Piche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073013181 PECOS PAC ID: 1658635115 Enrollment ID: I20180509000371 |
| Provider Name | Amit Bhargava |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679796999 PECOS PAC ID: 6103925334 Enrollment ID: I20180521002316 |
| Provider Name | Ilitch Diaz Gutierrez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629209366 PECOS PAC ID: 7911132105 Enrollment ID: I20180522002742 |
| Provider Name | Robben Andrew Schat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164765822 PECOS PAC ID: 6103121124 Enrollment ID: I20180606000910 |
| Provider Name | Elizabeth Thingvold |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922596782 PECOS PAC ID: 6800141920 Enrollment ID: I20180613002619 |
| Provider Name | Rahul Kapur |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295931962 PECOS PAC ID: 2668573247 Enrollment ID: I20180620000002 |
| Provider Name | Jason Carroll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033417571 PECOS PAC ID: 4789843285 Enrollment ID: I20180620003349 |
| Provider Name | Craig Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467667774 PECOS PAC ID: 7618021429 Enrollment ID: I20180621000799 |
| Provider Name | Zachary Royce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326307760 PECOS PAC ID: 8325340938 Enrollment ID: I20180628003496 |
| Provider Name | Eric Jonathan Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104172782 PECOS PAC ID: 3870716343 Enrollment ID: I20180629000734 |
| Provider Name | Kelsey E Gelhaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235559659 PECOS PAC ID: 3476858804 Enrollment ID: I20180702001587 |
| Provider Name | Kushal Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518233642 PECOS PAC ID: 6305127390 Enrollment ID: I20180702002014 |
| Provider Name | Guang Yang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609286277 PECOS PAC ID: 0446506695 Enrollment ID: I20180702002155 |
| Provider Name | Justin Gross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558676817 PECOS PAC ID: 1355573643 Enrollment ID: I20180703000252 |
| Provider Name | Sumit Sean Sood |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063858769 PECOS PAC ID: 3678870730 Enrollment ID: I20180706001019 |
| Provider Name | Tori L Bahr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790195923 PECOS PAC ID: 7618272451 Enrollment ID: I20180710000205 |
| Provider Name | Roy Lee Joe Kao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407058076 PECOS PAC ID: 5395918072 Enrollment ID: I20180710001872 |
| Provider Name | Nick Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023490414 PECOS PAC ID: 5092007328 Enrollment ID: I20180712000035 |
| Provider Name | Christopher Steevens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992094064 PECOS PAC ID: 1951607555 Enrollment ID: I20180720001003 |
| Provider Name | Dennis Ea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114450988 PECOS PAC ID: 9638447964 Enrollment ID: I20180728000016 |
| Provider Name | Albert Yeo |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1144479627 PECOS PAC ID: 1850538810 Enrollment ID: I20180730000462 |
| Provider Name | Zaki H Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700058849 PECOS PAC ID: 9335336361 Enrollment ID: I20180731000760 |
| Provider Name | Jennifer Kay Rieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174015986 PECOS PAC ID: 9739437237 Enrollment ID: I20180731001385 |
| Provider Name | Robert Ward |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124552096 PECOS PAC ID: 8628341401 Enrollment ID: I20180731003689 |
| Provider Name | Cameron Blegen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548791585 PECOS PAC ID: 3375812308 Enrollment ID: I20180801003575 |
| Provider Name | Kairav Pramesh Vakil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467600403 PECOS PAC ID: 3678889045 Enrollment ID: I20180802000500 |
| Provider Name | Christina Rose Werman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336671205 PECOS PAC ID: 4587933429 Enrollment ID: I20180802002634 |
| Provider Name | Nailah Cash-obannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144755323 PECOS PAC ID: 6901164342 Enrollment ID: I20180804000083 |
| Provider Name | Sheila Kathleen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710218151 PECOS PAC ID: 5991941692 Enrollment ID: I20180804000198 |
| Provider Name | Haley L Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659802510 PECOS PAC ID: 2163791989 Enrollment ID: I20180806001704 |
| Provider Name | Ryan Michael Finn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558898684 PECOS PAC ID: 7810269008 Enrollment ID: I20180806003180 |
| Provider Name | Benjamin Eli Rosenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346771920 PECOS PAC ID: 8820367790 Enrollment ID: I20180808001130 |
| Provider Name | Russ Patrick Gervais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760917660 PECOS PAC ID: 4385916782 Enrollment ID: I20180809000471 |
| Provider Name | Amanda M Termuhlen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043208697 PECOS PAC ID: 7012102882 Enrollment ID: I20180809004511 |
| Provider Name | Joshua Theodore Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992237754 PECOS PAC ID: 1850649674 Enrollment ID: I20180809005149 |
| Provider Name | Lori Fiessinger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578982773 PECOS PAC ID: 7719105816 Enrollment ID: I20180810002335 |
| Provider Name | Anna V Subramaniam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184156150 PECOS PAC ID: 9335411057 Enrollment ID: I20180814000138 |
| Provider Name | Abbie J Metzler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114452471 PECOS PAC ID: 4981973476 Enrollment ID: I20180824001813 |
| Provider Name | Matthew D Torgeson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497192066 PECOS PAC ID: 4789811662 Enrollment ID: I20180827002200 |
| Provider Name | Doha Ibrahim Salem |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295232718 PECOS PAC ID: 2961751946 Enrollment ID: I20180827002362 |
| Provider Name | Jennifer S Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487189718 PECOS PAC ID: 4880952134 Enrollment ID: I20180828000781 |
| Provider Name | Deanna Marie Heine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831677780 PECOS PAC ID: 2264781038 Enrollment ID: I20180828001920 |
| Provider Name | Mohammad Taha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588862346 PECOS PAC ID: 9537354279 Enrollment ID: I20180831000927 |
| Provider Name | Emily Diane Escue |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407295124 PECOS PAC ID: 5890919013 Enrollment ID: I20180901000044 |
| Provider Name | Joseph Decker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871940619 PECOS PAC ID: 0446500086 Enrollment ID: I20180901000166 |
| Provider Name | Steven Alex Rizzi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053841569 PECOS PAC ID: 6709136187 Enrollment ID: I20180905002876 |
| Provider Name | Sarwat Khalil |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982950218 PECOS PAC ID: 8123269941 Enrollment ID: I20180906000693 |
| Provider Name | Nicole Roeder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568737716 PECOS PAC ID: 5698094761 Enrollment ID: I20180910001647 |
| Provider Name | Nicholas Alexander Cooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801270798 PECOS PAC ID: 9032403530 Enrollment ID: I20180913000078 |
| Provider Name | Daniel Robert Mcalvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629373964 PECOS PAC ID: 1759631609 Enrollment ID: I20180913002665 |
| Provider Name | Melissa A Plesac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659750503 PECOS PAC ID: 2365748803 Enrollment ID: I20180917000162 |
| Provider Name | Brian F Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679950968 PECOS PAC ID: 1153680566 Enrollment ID: I20180919002856 |
| Provider Name | Sarah Marie Nolan-holicky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023508439 PECOS PAC ID: 0143571737 Enrollment ID: I20180920001655 |
| Provider Name | Justin C Boeke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073933321 PECOS PAC ID: 7012212384 Enrollment ID: I20180927001976 |
| Provider Name | Khanh Xong Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841261088 PECOS PAC ID: 5294865713 Enrollment ID: I20181001002908 |
| Provider Name | Taylor Kristine Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730624479 PECOS PAC ID: 1456603364 Enrollment ID: I20181003003352 |
| Provider Name | Laurent Grignon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538366752 PECOS PAC ID: 9638301849 Enrollment ID: I20181005000882 |
| Provider Name | Andrew Scott Jensen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245610633 PECOS PAC ID: 9537448675 Enrollment ID: I20181009000049 |
| Provider Name | Bertina L Haug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922585983 PECOS PAC ID: 0648522375 Enrollment ID: I20181009000220 |
| Provider Name | Vanessa Rose Kasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801373063 PECOS PAC ID: 9335491067 Enrollment ID: I20181009000405 |
| Provider Name | Stephanie Lynae Gulbranson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043793144 PECOS PAC ID: 2062764608 Enrollment ID: I20181010001405 |
| Provider Name | Douglas Sheafor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669438610 PECOS PAC ID: 7517970148 Enrollment ID: I20181012000040 |
| Provider Name | Danielle Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538551247 PECOS PAC ID: 1658679352 Enrollment ID: I20181016000017 |
| Provider Name | Sarah E Ransom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497235105 PECOS PAC ID: 0648522813 Enrollment ID: I20181016004096 |
| Provider Name | Matthew Lucas Lorenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427544873 PECOS PAC ID: 9436401585 Enrollment ID: I20181017003501 |
| Provider Name | Jacob Willem Ijdo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720075872 PECOS PAC ID: 0941338115 Enrollment ID: I20181018000212 |
| Provider Name | Steven D Skolasinski |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396005864 PECOS PAC ID: 7416252341 Enrollment ID: I20181024002446 |
| Provider Name | Kevin J Dirksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063992857 PECOS PAC ID: 8527311299 Enrollment ID: I20181025002306 |
| Provider Name | Prasuna Gnana Dubagunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376573014 PECOS PAC ID: 7618930017 Enrollment ID: I20181030000731 |
| Provider Name | Adriana Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952712333 PECOS PAC ID: 6901102029 Enrollment ID: I20181102000506 |
| Provider Name | Kate Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427538875 PECOS PAC ID: 2860745031 Enrollment ID: I20181106000259 |
| Provider Name | Leah Jeane Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225503055 PECOS PAC ID: 6103170337 Enrollment ID: I20181107000183 |
| Provider Name | Mark Daniel Folkertsma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902162985 PECOS PAC ID: 1850520339 Enrollment ID: I20181107000896 |
| Provider Name | Amanda Leigh Schlesinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992144083 PECOS PAC ID: 5395099212 Enrollment ID: I20181113001202 |
| Provider Name | Kerwin T Chan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639367865 PECOS PAC ID: 1456545177 Enrollment ID: I20181115000458 |
| Provider Name | Anna K Heins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902389539 PECOS PAC ID: 2567716236 Enrollment ID: I20181115000970 |
| Provider Name | Kahoua Caroline Lochungvu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609288828 PECOS PAC ID: 0941570394 Enrollment ID: I20181115001431 |
| Provider Name | Joshua Allan Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710372032 PECOS PAC ID: 6204126758 Enrollment ID: I20181128001745 |
| Provider Name | Annika Lee Blaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699253468 PECOS PAC ID: 0345584520 Enrollment ID: I20181128001835 |
| Provider Name | Jessica Shaheen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518200914 PECOS PAC ID: 7618272881 Enrollment ID: I20181130001593 |
| Provider Name | Hilary Brooke Stoffel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295288827 PECOS PAC ID: 9436493020 Enrollment ID: I20181210000549 |
| Provider Name | Katherine G Henschel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821355041 PECOS PAC ID: 7113261520 Enrollment ID: I20181211002745 |
| Provider Name | Andrea Lynn Engdahl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427531326 PECOS PAC ID: 6204170673 Enrollment ID: I20181212001175 |
| Provider Name | Stephanie Alicia Terezakis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053550228 PECOS PAC ID: 5496807364 Enrollment ID: I20181218001662 |
| Provider Name | Nzube C Okonkwo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154708022 PECOS PAC ID: 5991001471 Enrollment ID: I20181219003002 |
| Provider Name | Kevin Mcelroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184151110 PECOS PAC ID: 6204106644 Enrollment ID: I20181228000615 |
| Provider Name | Nandita Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639434806 PECOS PAC ID: 5991087371 Enrollment ID: I20190111000212 |
| Provider Name | Eric Glen Trembath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689143414 PECOS PAC ID: 8426395443 Enrollment ID: I20190130000048 |
| Provider Name | Kathleen R Averill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851570956 PECOS PAC ID: 1254678162 Enrollment ID: I20190131000848 |
| Provider Name | Diane Menzies Alderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851860506 PECOS PAC ID: 5799023768 Enrollment ID: I20190218000913 |
| Provider Name | Kamil N. Sayegh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124071865 PECOS PAC ID: 3375577455 Enrollment ID: I20190225001436 |
| Provider Name | Admatha Winfred |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003105552 PECOS PAC ID: 8325358575 Enrollment ID: I20190325000142 |
| Provider Name | Yuka Furuya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558655399 PECOS PAC ID: 4082834684 Enrollment ID: I20190327000096 |
| Provider Name | Jessica Jane Kolb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083029920 PECOS PAC ID: 6709172273 Enrollment ID: I20190408000606 |
| Provider Name | Brandon W Welsh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467730143 PECOS PAC ID: 3274830856 Enrollment ID: I20190408001050 |
| Provider Name | Jodi Lynn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942762828 PECOS PAC ID: 1254672348 Enrollment ID: I20190418001902 |
| Provider Name | Megan L Hydukovich |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710446695 PECOS PAC ID: 1658613740 Enrollment ID: I20190418002574 |
| Provider Name | Catherine J Steingraeber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801100102 PECOS PAC ID: 9133351844 Enrollment ID: I20190422002373 |
| Provider Name | Paige Holm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730647728 PECOS PAC ID: 7315289873 Enrollment ID: I20190502000994 |
| Provider Name | Jeffrey Charles Ames |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861810129 PECOS PAC ID: 9739484858 Enrollment ID: I20190506000252 |
| Provider Name | Courtney Seaborg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801281944 PECOS PAC ID: 4385986603 Enrollment ID: I20190506002850 |
| Provider Name | Fnu Neha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437584091 PECOS PAC ID: 1052609997 Enrollment ID: I20190507000856 |
| Provider Name | Joseph Michael Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710320288 PECOS PAC ID: 9436393386 Enrollment ID: I20190514000735 |
| Provider Name | Amanda Torgeson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841639747 PECOS PAC ID: 0941593891 Enrollment ID: I20190514001670 |
| Provider Name | Abdel Ghani El Rafei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184079469 PECOS PAC ID: 2466706585 Enrollment ID: I20190514001775 |
| Provider Name | Alexander James Patnoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548728389 PECOS PAC ID: 8527301357 Enrollment ID: I20190520001505 |
| Provider Name | Abdurkedir Woliyi Geda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780038216 PECOS PAC ID: 0143563981 Enrollment ID: I20190520001625 |
| Provider Name | Isaac Milton Engholm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881940864 PECOS PAC ID: 4880828128 Enrollment ID: I20190530001323 |
| Provider Name | Fahad Lodhi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053773176 PECOS PAC ID: 3870826050 Enrollment ID: I20190603000644 |
| Provider Name | Don Bambino Geno Tai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952854762 PECOS PAC ID: 6709126683 Enrollment ID: I20190606000237 |
| Provider Name | Timothy L Roach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104203397 PECOS PAC ID: 3476835448 Enrollment ID: I20190607000046 |
| Provider Name | Kristin Marie Mcbeath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073855367 PECOS PAC ID: 5799095170 Enrollment ID: I20190613001801 |
| Provider Name | Leslie L Teng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679916423 PECOS PAC ID: 7012262579 Enrollment ID: I20190619000396 |
| Provider Name | Matthew S Manganaro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609118710 PECOS PAC ID: 9234431321 Enrollment ID: I20190619000866 |
| Provider Name | John M Sherwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821121088 PECOS PAC ID: 6800988700 Enrollment ID: I20190619001148 |
| Provider Name | Zhen Hua Geng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154779007 PECOS PAC ID: 2264728526 Enrollment ID: I20190620001350 |
| Provider Name | John A Coburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205273083 PECOS PAC ID: 3476797317 Enrollment ID: I20190620001507 |
| Provider Name | Ariana Jw Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780062760 PECOS PAC ID: 9739484155 Enrollment ID: I20190624000319 |
| Provider Name | Aaron K Ho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962745216 PECOS PAC ID: 8628291200 Enrollment ID: I20190626001646 |
| Provider Name | Nissar Vahora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407299423 PECOS PAC ID: 4183864168 Enrollment ID: I20190626001823 |
| Provider Name | Ethan Greenberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225416944 PECOS PAC ID: 1759667561 Enrollment ID: I20190627000967 |
| Provider Name | Robin Rae Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477968634 PECOS PAC ID: 6507143419 Enrollment ID: I20190628003008 |
| Provider Name | Matthew R Frank |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568874758 PECOS PAC ID: 4880973221 Enrollment ID: I20190708000124 |
| Provider Name | Malvi Bipin Savani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649704198 PECOS PAC ID: 0840566014 Enrollment ID: I20190709000726 |
| Provider Name | Leo Booker Laub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396199741 PECOS PAC ID: 6709121916 Enrollment ID: I20190709002364 |
| Provider Name | Alice Lehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033563572 PECOS PAC ID: 4082958715 Enrollment ID: I20190711000576 |
| Provider Name | Mehmet Gencturk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134508054 PECOS PAC ID: 9335444520 Enrollment ID: I20190711001260 |
| Provider Name | Shawn Alderman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760498414 PECOS PAC ID: 3577788181 Enrollment ID: I20190711003107 |
| Provider Name | Ryan Christopher Knoper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376836031 PECOS PAC ID: 7618274218 Enrollment ID: I20190712000645 |
| Provider Name | Sara Jennerjohn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023670882 PECOS PAC ID: 1254666043 Enrollment ID: I20190716003660 |
| Provider Name | Michael Knudsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093058240 PECOS PAC ID: 3678877495 Enrollment ID: I20190717000935 |
| Provider Name | David M Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750721593 PECOS PAC ID: 5597075135 Enrollment ID: I20190717001219 |
| Provider Name | Islam Zineldin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326402256 PECOS PAC ID: 8729372917 Enrollment ID: I20190717003021 |
| Provider Name | Kelly L Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063883338 PECOS PAC ID: 2365752623 Enrollment ID: I20190718000292 |
| Provider Name | Kyle William Yeager |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770926958 PECOS PAC ID: 7911296694 Enrollment ID: I20190718002914 |
| Provider Name | Leif E Jensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205053832 PECOS PAC ID: 3678602992 Enrollment ID: I20190722000668 |
| Provider Name | Nicholas J Lange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285650952 PECOS PAC ID: 3971780701 Enrollment ID: I20190724001386 |
| Provider Name | Anisha Rimal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003270489 PECOS PAC ID: 6002109162 Enrollment ID: I20190725000866 |
| Provider Name | Stephanie Marie Mackenthun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538548441 PECOS PAC ID: 4587969928 Enrollment ID: I20190725001437 |
| Provider Name | Taylor Lane Lachapelle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043879588 PECOS PAC ID: 7416283551 Enrollment ID: I20190726000058 |
| Provider Name | Joel R Soma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053809020 PECOS PAC ID: 3678838265 Enrollment ID: I20190729001126 |
| Provider Name | Zachary Deutsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396260840 PECOS PAC ID: 3577820406 Enrollment ID: I20190730000812 |
| Provider Name | Larissa Taylor Shiue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053815787 PECOS PAC ID: 7810245891 Enrollment ID: I20190730003144 |
| Provider Name | Kevin Anthony Brueske |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588028955 PECOS PAC ID: 9335475243 Enrollment ID: I20190731000535 |
| Provider Name | Nicholas B Zaban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366701690 PECOS PAC ID: 0941440028 Enrollment ID: I20190731000693 |
| Provider Name | Raluca Teona Gray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477997765 PECOS PAC ID: 1052676079 Enrollment ID: I20190731004009 |
| Provider Name | Ahmad R Hatem Al Samaraee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447593173 PECOS PAC ID: 7810292828 Enrollment ID: I20190801000035 |
| Provider Name | Kathryn Kauffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861889388 PECOS PAC ID: 0941536643 Enrollment ID: I20190801000900 |
| Provider Name | Chee Lor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861999195 PECOS PAC ID: 9032467147 Enrollment ID: I20190808000102 |
| Provider Name | Brandon R Edlund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255821377 PECOS PAC ID: 3072851922 Enrollment ID: I20190808002149 |
| Provider Name | Timothy Franklin Steinmetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043203540 PECOS PAC ID: 6800797259 Enrollment ID: I20190808003919 |
| Provider Name | Stephanie V Aldrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144718917 PECOS PAC ID: 1951654987 Enrollment ID: I20190815000038 |
| Provider Name | Ariel B Stein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316492812 PECOS PAC ID: 7012255672 Enrollment ID: I20190815000088 |
| Provider Name | Nathaniel William Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881043602 PECOS PAC ID: 6204129935 Enrollment ID: I20190815003340 |
| Provider Name | Katherine E Hawkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336409978 PECOS PAC ID: 4880992346 Enrollment ID: I20190820001530 |
| Provider Name | Dustin Nickolas Golz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245617463 PECOS PAC ID: 2163712589 Enrollment ID: I20190820002352 |
| Provider Name | Matthew Martin Nygren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902461601 PECOS PAC ID: 0345578019 Enrollment ID: I20190820002531 |
| Provider Name | Shelly A Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114983749 PECOS PAC ID: 6103154786 Enrollment ID: I20190820003479 |
| Provider Name | Markus F Meyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003871955 PECOS PAC ID: 8123031291 Enrollment ID: I20190820003633 |
| Provider Name | Amelia Rose Solei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861059719 PECOS PAC ID: 9537497169 Enrollment ID: I20190821000991 |
| Provider Name | Samantha Jane Barker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295894277 PECOS PAC ID: 1052414547 Enrollment ID: I20190822000588 |
| Provider Name | Joseph Stephen Renier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093210049 PECOS PAC ID: 1951658251 Enrollment ID: I20190827004184 |
| Provider Name | Ellie Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861750572 PECOS PAC ID: 4385945047 Enrollment ID: I20190828000130 |
| Provider Name | Lulu Guo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326400086 PECOS PAC ID: 3577847573 Enrollment ID: I20190828001465 |
| Provider Name | Kathryn Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396245593 PECOS PAC ID: 3779845698 Enrollment ID: I20190829000270 |
| Provider Name | Sameh M Hozayen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992060966 PECOS PAC ID: 3577846237 Enrollment ID: I20190829003648 |
| Provider Name | Brienne L Sauvageau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356994404 PECOS PAC ID: 9234468158 Enrollment ID: I20190831000259 |
| Provider Name | Susan E Orlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740782549 PECOS PAC ID: 3476804071 Enrollment ID: I20190903000763 |
| Provider Name | Lindsey L Dawes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154975514 PECOS PAC ID: 1254660111 Enrollment ID: I20190903001725 |
| Provider Name | Sarah Vicenta Soma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356839336 PECOS PAC ID: 5193075398 Enrollment ID: I20190905000835 |
| Provider Name | Anne Marie Kouri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639460439 PECOS PAC ID: 6709026719 Enrollment ID: I20190905001790 |
| Provider Name | Rose Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376906461 PECOS PAC ID: 7618261835 Enrollment ID: I20190910003444 |
| Provider Name | Nakita Grace Natala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699114975 PECOS PAC ID: 9133439276 Enrollment ID: I20190912002114 |
| Provider Name | Tyson John Sievers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457795775 PECOS PAC ID: 7012246168 Enrollment ID: I20190916000296 |
| Provider Name | Toni M Dick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285124602 PECOS PAC ID: 5799036968 Enrollment ID: I20190916003604 |
| Provider Name | Susanne U Trost |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376622613 PECOS PAC ID: 9537167572 Enrollment ID: I20190917004288 |
| Provider Name | Suba Pathmanathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205191871 PECOS PAC ID: 7315252822 Enrollment ID: I20190919000077 |
| Provider Name | Joanne Ruth Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285636712 PECOS PAC ID: 7315988557 Enrollment ID: I20190920002428 |
| Provider Name | James D Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750878948 PECOS PAC ID: 5496005316 Enrollment ID: I20190923001469 |
| Provider Name | Paul Joseph Smaciarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497303911 PECOS PAC ID: 2860722345 Enrollment ID: I20190926000100 |
| Provider Name | Paul S Stadem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679060750 PECOS PAC ID: 3971852146 Enrollment ID: I20190926002284 |
| Provider Name | Tsige Gebreslasse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992230072 PECOS PAC ID: 9638400732 Enrollment ID: I20191003001362 |
| Provider Name | Brigitta Hope Aadland Keyler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992351738 PECOS PAC ID: 2163753831 Enrollment ID: I20191010000691 |
| Provider Name | Srinivasa Reddy Vaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184863938 PECOS PAC ID: 3971775974 Enrollment ID: I20191010001272 |
| Provider Name | Zachary Lee Schroer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821641788 PECOS PAC ID: 3971835109 Enrollment ID: I20191021003042 |
| Provider Name | Colleen Lynn Quesnell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659707289 PECOS PAC ID: 4789819533 Enrollment ID: I20191022001249 |
| Provider Name | Kristen E Herscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225687551 PECOS PAC ID: 7012249170 Enrollment ID: I20191023001587 |
| Provider Name | Libbie L Nyarangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306498597 PECOS PAC ID: 7214264548 Enrollment ID: I20191029000519 |
| Provider Name | Crystal Sue Hambley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790126837 PECOS PAC ID: 6002050283 Enrollment ID: I20191031002723 |
| Provider Name | Shahnaz Sultan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790868925 PECOS PAC ID: 2769409903 Enrollment ID: I20191031003179 |
| Provider Name | Lindsey K Wagenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548818370 PECOS PAC ID: 6002248994 Enrollment ID: I20191114001468 |
| Provider Name | Meredith Nicole Stallone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821589680 PECOS PAC ID: 4688923717 Enrollment ID: I20191202000399 |
| Provider Name | Robert W Stuart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104880236 PECOS PAC ID: 7214820786 Enrollment ID: I20191204000063 |
| Provider Name | Dorothy L Curran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972045581 PECOS PAC ID: 9931446077 Enrollment ID: I20191209002848 |
| Provider Name | Alissa J Pool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073163515 PECOS PAC ID: 7517390230 Enrollment ID: I20191210001577 |
| Provider Name | Huseyin Tore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538504303 PECOS PAC ID: 5799080925 Enrollment ID: I20191212002239 |
| Provider Name | Rachel Stenach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649734864 PECOS PAC ID: 0446684989 Enrollment ID: I20191217000175 |
| Provider Name | Dehua Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578790655 PECOS PAC ID: 8729302112 Enrollment ID: I20191231000523 |
| Provider Name | Brian A Conley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831394402 PECOS PAC ID: 6002076825 Enrollment ID: I20191231000965 |
| Provider Name | Lavanya Namballa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881030658 PECOS PAC ID: 9234446097 Enrollment ID: I20191231002108 |
| Provider Name | Robert Hosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023338282 PECOS PAC ID: 1153624051 Enrollment ID: I20200107002156 |
| Provider Name | Whitney Lea Finke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134404908 PECOS PAC ID: 2062659345 Enrollment ID: I20200121002324 |
| Provider Name | Satchel J Iten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992341796 PECOS PAC ID: 0941635825 Enrollment ID: I20200123000406 |
| Provider Name | April Coming Hay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104278365 PECOS PAC ID: 3779878905 Enrollment ID: I20200128000196 |
| Provider Name | Yan Dong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043507577 PECOS PAC ID: 6305088410 Enrollment ID: I20200128002967 |
| Provider Name | Gwendolyn M Neumeister |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770064560 PECOS PAC ID: 4688001845 Enrollment ID: I20200227002025 |
| Provider Name | Lorraine Woidylla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447883889 PECOS PAC ID: 2961830757 Enrollment ID: I20200309002253 |
| Provider Name | Donovan Dewayne Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699069930 PECOS PAC ID: 4688893027 Enrollment ID: I20200313000852 |
| Provider Name | Hannah Deutschman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508350513 PECOS PAC ID: 9234478066 Enrollment ID: I20200316002386 |
| Provider Name | Laura Terese Goebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457985806 PECOS PAC ID: 0244669810 Enrollment ID: I20200402000290 |
| Provider Name | Hang T Vu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730140476 PECOS PAC ID: 7810921137 Enrollment ID: I20200402001375 |
| Provider Name | Joseph Kriz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295276921 PECOS PAC ID: 3375813371 Enrollment ID: I20200410001478 |
| Provider Name | Ryan Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952796252 PECOS PAC ID: 8022314756 Enrollment ID: I20200413001493 |
| Provider Name | Michael John Landgren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487176590 PECOS PAC ID: 9335579424 Enrollment ID: I20200413001600 |
| Provider Name | Julie Kovanda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063836468 PECOS PAC ID: 7012140809 Enrollment ID: I20200414000803 |
| Provider Name | Jason Nellis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457612350 PECOS PAC ID: 7315162146 Enrollment ID: I20200415000135 |
| Provider Name | Kelly Jean Killian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013478775 PECOS PAC ID: 9931539632 Enrollment ID: I20200421000860 |
| Provider Name | Michelle R. Didio |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154497634 PECOS PAC ID: 1759343098 Enrollment ID: I20200428001674 |
| Provider Name | Mark T Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245625003 PECOS PAC ID: 9739484874 Enrollment ID: I20200502000009 |
| Provider Name | Emilee Kay Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053931964 PECOS PAC ID: 8123459344 Enrollment ID: I20200504000207 |
| Provider Name | Benjamin R Morgan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750505913 PECOS PAC ID: 1557412103 Enrollment ID: I20200504002679 |
| Provider Name | Patrick Bartholomew Herson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1689170805 PECOS PAC ID: 5890717532 Enrollment ID: I20200506001537 |
| Provider Name | Can Ozutemiz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396195517 PECOS PAC ID: 3678846037 Enrollment ID: I20200508002157 |
| Provider Name | Jennifer L Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538587175 PECOS PAC ID: 6800199597 Enrollment ID: I20200509000212 |
| Provider Name | William G Tenbrink |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710419403 PECOS PAC ID: 9032450648 Enrollment ID: I20200514001579 |
| Provider Name | Bryan P Labore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124559893 PECOS PAC ID: 6002169513 Enrollment ID: I20200519000247 |
| Provider Name | Erica M Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427581925 PECOS PAC ID: 2466717343 Enrollment ID: I20200520002955 |
| Provider Name | Amandeep Godara |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487094066 PECOS PAC ID: 1951602663 Enrollment ID: I20200520003103 |
| Provider Name | Nauroze A Faizi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114302940 PECOS PAC ID: 1355646258 Enrollment ID: I20200521000481 |
| Provider Name | Rahel Nardos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912111592 PECOS PAC ID: 6103999354 Enrollment ID: I20200603002776 |
| Provider Name | Amit Kulkarni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417374406 PECOS PAC ID: 2668605494 Enrollment ID: I20200615003423 |
| Provider Name | Sacha Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891045258 PECOS PAC ID: 7517105679 Enrollment ID: I20200616001164 |
| Provider Name | Lucky Vang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053627364 PECOS PAC ID: 7517277205 Enrollment ID: I20200616001862 |
| Provider Name | Nishitha Radhakrishna Pillai |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1700173895 PECOS PAC ID: 0941622104 Enrollment ID: I20200617002378 |
| Provider Name | Nicholas Joseph Sausen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235526336 PECOS PAC ID: 8527365220 Enrollment ID: I20200618001639 |
| Provider Name | Paul Hoogervorst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568925600 PECOS PAC ID: 0547597833 Enrollment ID: I20200622000247 |
| Provider Name | Justin M Penny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023541604 PECOS PAC ID: 5496025124 Enrollment ID: I20200622001771 |
| Provider Name | Alison Scharber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861926446 PECOS PAC ID: 3375815590 Enrollment ID: I20200624000973 |
| Provider Name | Florence John |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548614464 PECOS PAC ID: 6406148014 Enrollment ID: I20200624003412 |
| Provider Name | Mahmood Gharib |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174889729 PECOS PAC ID: 6800022617 Enrollment ID: I20200626000381 |
| Provider Name | Mary Julia Thomson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205273174 PECOS PAC ID: 9931400116 Enrollment ID: I20200629000986 |
| Provider Name | Takumi Yamada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205135381 PECOS PAC ID: 3173791951 Enrollment ID: I20200630002958 |
| Provider Name | Laura Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811512601 PECOS PAC ID: 1557784741 Enrollment ID: I20200707000502 |
| Provider Name | Jacob John Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700266079 PECOS PAC ID: 5597076406 Enrollment ID: I20200715002278 |
| Provider Name | Jacob George Manske |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801277918 PECOS PAC ID: 6305136540 Enrollment ID: I20200715003275 |
| Provider Name | Justin M Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326455239 PECOS PAC ID: 7810114527 Enrollment ID: I20200716000249 |
| Provider Name | Rajat Kalra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346680188 PECOS PAC ID: 3678715026 Enrollment ID: I20200717000486 |
| Provider Name | Stefan Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952500191 PECOS PAC ID: 0345331435 Enrollment ID: I20200717000663 |
| Provider Name | Deborah A Hudleston |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578959607 PECOS PAC ID: 8224333059 Enrollment ID: I20200721000780 |
| Provider Name | Luis Felipe Nascimento Kazmirczak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619255890 PECOS PAC ID: 2961826920 Enrollment ID: I20200723000506 |
| Provider Name | Viviane Tchonang Leuche |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184043192 PECOS PAC ID: 5799004685 Enrollment ID: I20200727000027 |
| Provider Name | Rajesh Thampy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417281452 PECOS PAC ID: 8628493293 Enrollment ID: I20200730001987 |
| Provider Name | Heather Anne Bateman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659906048 PECOS PAC ID: 5193140556 Enrollment ID: I20200731001780 |
| Provider Name | Saleha Raajpoot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275066813 PECOS PAC ID: 3173895349 Enrollment ID: I20200803000509 |
| Provider Name | Rachel Beck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710481742 PECOS PAC ID: 1557625159 Enrollment ID: I20200803001135 |
| Provider Name | Julia Lister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376999722 PECOS PAC ID: 0840585659 Enrollment ID: I20200804000595 |
| Provider Name | Bimaje Akpa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144583642 PECOS PAC ID: 6406164409 Enrollment ID: I20200804003417 |
| Provider Name | Caitlin Canton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093164972 PECOS PAC ID: 0143502518 Enrollment ID: I20200807000656 |
| Provider Name | Julie Johnson Rolfes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174883995 PECOS PAC ID: 5698046647 Enrollment ID: I20200808000105 |
| Provider Name | Michael K Wempe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780900647 PECOS PAC ID: 9436454287 Enrollment ID: I20200812003791 |
| Provider Name | Bethany Ann Sabol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346582558 PECOS PAC ID: 7214179555 Enrollment ID: I20200813002365 |
| Provider Name | Shontel Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225499353 PECOS PAC ID: 2062838626 Enrollment ID: I20200813002473 |
| Provider Name | Daniel E Kendrick |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730479882 PECOS PAC ID: 7517212004 Enrollment ID: I20200814000110 |
| Provider Name | Kaitlin Barabash |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366892937 PECOS PAC ID: 6204120132 Enrollment ID: I20200814000184 |
| Provider Name | Gita P Byraiah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164876942 PECOS PAC ID: 4486945441 Enrollment ID: I20200817001948 |
| Provider Name | Matthew Theodore Stuart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851824163 PECOS PAC ID: 6002232048 Enrollment ID: I20200820001976 |
| Provider Name | Alysse V Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437684602 PECOS PAC ID: 1951671684 Enrollment ID: I20200826002038 |
| Provider Name | Mung Ting Yung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962856708 PECOS PAC ID: 1254601610 Enrollment ID: I20200827001127 |
| Provider Name | Brent Edward White |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902163892 PECOS PAC ID: 6709019474 Enrollment ID: I20200828001140 |
| Provider Name | Thanh T Phung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457889420 PECOS PAC ID: 1153691472 Enrollment ID: I20200831001594 |
| Provider Name | Rachel Koski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760802052 PECOS PAC ID: 0446675706 Enrollment ID: I20200831003210 |
| Provider Name | Allyson Stevenson-king |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568817146 PECOS PAC ID: 0244573939 Enrollment ID: I20200902000632 |
| Provider Name | Geneva Tranchida |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235549890 PECOS PAC ID: 6901101146 Enrollment ID: I20200909001093 |
| Provider Name | Julie Duke |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043553803 PECOS PAC ID: 3870810120 Enrollment ID: I20200910000438 |
| Provider Name | Andrea Elliott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801114392 PECOS PAC ID: 5395011134 Enrollment ID: I20200910000533 |
| Provider Name | Sarah Anne Wernimont |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275970402 PECOS PAC ID: 3476797531 Enrollment ID: I20200914001580 |
| Provider Name | Joshua A Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114289873 PECOS PAC ID: 8022373240 Enrollment ID: I20200915000127 |
| Provider Name | Morgan Buda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689161663 PECOS PAC ID: 9234494485 Enrollment ID: I20200916001449 |
| Provider Name | Joseph Thomas Knapper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174889661 PECOS PAC ID: 7416262183 Enrollment ID: I20200921000009 |
| Provider Name | Emily A Wagner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801276175 PECOS PAC ID: 0143532317 Enrollment ID: I20200921003065 |
| Provider Name | Lindsey Sloan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073991840 PECOS PAC ID: 5991083933 Enrollment ID: I20200923000430 |
| Provider Name | Erik A Kuross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932632155 PECOS PAC ID: 9739459330 Enrollment ID: I20200928001221 |
| Provider Name | Stephen A Selinsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528414869 PECOS PAC ID: 7315281029 Enrollment ID: I20200929000174 |
| Provider Name | Chelsea Thibodeau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538693916 PECOS PAC ID: 0749550507 Enrollment ID: I20200929001328 |
| Provider Name | Michael William Thorp |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407267248 PECOS PAC ID: 1153674114 Enrollment ID: I20200929003495 |
| Provider Name | Charmi Shah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922486109 PECOS PAC ID: 6800226283 Enrollment ID: I20200930000079 |
| Provider Name | Hayley Starr Gifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396373932 PECOS PAC ID: 1355760075 Enrollment ID: I20200930001110 |
| Provider Name | Alanna Marie Wallerstein |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245846542 PECOS PAC ID: 1254750458 Enrollment ID: I20201007000251 |
| Provider Name | Emily L Langan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740897016 PECOS PAC ID: 7416377205 Enrollment ID: I20201016000424 |
| Provider Name | Rachel Elizabeth Kraemer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518572254 PECOS PAC ID: 0749600278 Enrollment ID: I20201021002155 |
| Provider Name | Nikolay Genchev Kolev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699951699 PECOS PAC ID: 5496837171 Enrollment ID: I20201027000317 |
| Provider Name | Sahar Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578917100 PECOS PAC ID: 1254751548 Enrollment ID: I20201027000972 |
| Provider Name | Gregory Goblirsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821081316 PECOS PAC ID: 8628979077 Enrollment ID: I20201028001147 |
| Provider Name | Ryan Taylor Greene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649723511 PECOS PAC ID: 8123358157 Enrollment ID: I20201030001332 |
| Provider Name | Bauj S Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215540810 PECOS PAC ID: 3375953227 Enrollment ID: I20201103003044 |
| Provider Name | Margot Zarin-pass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356795926 PECOS PAC ID: 7810241973 Enrollment ID: I20201113000637 |
| Provider Name | Deirdre E Milligan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467984344 PECOS PAC ID: 8729323407 Enrollment ID: I20201118002278 |
| Provider Name | Sarah Halloran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629531363 PECOS PAC ID: 4486985157 Enrollment ID: I20201127000106 |
| Provider Name | Evan Jungbauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841853769 PECOS PAC ID: 4183956568 Enrollment ID: I20201130001322 |
| Provider Name | Lauren E Mcpherson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912439985 PECOS PAC ID: 5890067631 Enrollment ID: I20201208001492 |
| Provider Name | Jon Stoffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134783871 PECOS PAC ID: 3476888918 Enrollment ID: I20210106002447 |
| Provider Name | Melissa G Elumba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366989154 PECOS PAC ID: 7416233424 Enrollment ID: I20210111001530 |
| Provider Name | Samuel Brian Goldfarb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740202027 PECOS PAC ID: 2860541372 Enrollment ID: I20210117000006 |
| Provider Name | Mark B Juckett |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750357604 PECOS PAC ID: 2860557170 Enrollment ID: I20210118000488 |
| Provider Name | Kathleen Elizabeth Kopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346838687 PECOS PAC ID: 3870907348 Enrollment ID: I20210122002683 |
| Provider Name | Larry Lindenbaum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205922911 PECOS PAC ID: 0042402984 Enrollment ID: I20210126000228 |
| Provider Name | Vicky L Hedican-sime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801407192 PECOS PAC ID: 1254745680 Enrollment ID: I20210127000310 |
| Provider Name | Stephanie Marie Dombrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868944 PECOS PAC ID: 9436563780 Enrollment ID: I20210127001259 |
| Provider Name | John Christopher H Goodnow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184288524 PECOS PAC ID: 7517292964 Enrollment ID: I20210204002258 |
| Provider Name | Laken Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780286054 PECOS PAC ID: 9830503671 Enrollment ID: I20210205001752 |
| Provider Name | Lindsey Ann Sahli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528664067 PECOS PAC ID: 8921413519 Enrollment ID: I20210211002699 |
| Provider Name | Jacquelyn Cameron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700345881 PECOS PAC ID: 8921331380 Enrollment ID: I20210211003102 |
| Provider Name | Lucas Kuzj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639632441 PECOS PAC ID: 9234464017 Enrollment ID: I20210222000750 |
| Provider Name | Nicholas A Myslicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386132389 PECOS PAC ID: 9931456399 Enrollment ID: I20210226002180 |
| Provider Name | Hillary Anne Marotz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316536584 PECOS PAC ID: 8729494299 Enrollment ID: I20210308001540 |
| Provider Name | Alex C Hoover |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407380090 PECOS PAC ID: 4385914589 Enrollment ID: I20210309001087 |
| Provider Name | Emily C Pierskalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710589882 PECOS PAC ID: 0143636555 Enrollment ID: I20210310000695 |
| Provider Name | Arjun Gupta |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1851710651 PECOS PAC ID: 1254608599 Enrollment ID: I20210311002866 |
| Provider Name | Caleb P Skipper |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356751564 PECOS PAC ID: 5092080119 Enrollment ID: I20210318001400 |
| Provider Name | Jennifer Marie Stong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922561307 PECOS PAC ID: 7315276730 Enrollment ID: I20210326001335 |
| Provider Name | Amanda Louise Stanhope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548845332 PECOS PAC ID: 6800203993 Enrollment ID: I20210408001447 |
| Provider Name | Siddhartha Sen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538513684 PECOS PAC ID: 0547552374 Enrollment ID: I20210409000451 |
| Provider Name | Kyle Maurer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053773671 PECOS PAC ID: 4981998549 Enrollment ID: I20210416001117 |
| Provider Name | Valmiki Rishi Maharaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215355284 PECOS PAC ID: 5991007445 Enrollment ID: I20210420001474 |
| Provider Name | Ashley R Forstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639732837 PECOS PAC ID: 6800127721 Enrollment ID: I20210427001008 |
| Provider Name | Jacob Torrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356704365 PECOS PAC ID: 3072859487 Enrollment ID: I20210429002733 |
| Provider Name | Matthias Zinn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609089994 PECOS PAC ID: 5991888372 Enrollment ID: I20210511001565 |
| Provider Name | William Sveen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609253020 PECOS PAC ID: 6608174271 Enrollment ID: I20210511001725 |
| Provider Name | Allyson Connor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750745832 PECOS PAC ID: 7517240765 Enrollment ID: I20210511002417 |
| Provider Name | Alexander Matthew Clayton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073976080 PECOS PAC ID: 8224320213 Enrollment ID: I20210513002394 |
| Provider Name | Madeleine Grosland Sather |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841753688 PECOS PAC ID: 3476884271 Enrollment ID: I20210517001681 |
| Provider Name | Amit Justin Sood |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588079768 PECOS PAC ID: 3375765969 Enrollment ID: I20210519002474 |
| Provider Name | Thomas Baron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750744462 PECOS PAC ID: 1557653508 Enrollment ID: I20210520002988 |
| Provider Name | Arielle Skalisky |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891213419 PECOS PAC ID: 5890194971 Enrollment ID: I20210521000586 |
| Provider Name | Melissa E Hardy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952804734 PECOS PAC ID: 4587901848 Enrollment ID: I20210527001870 |
| Provider Name | Bashir Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225657604 PECOS PAC ID: 6103248943 Enrollment ID: I20210607000240 |
| Provider Name | Yasoda Meesala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548551039 PECOS PAC ID: 3870711468 Enrollment ID: I20210608001938 |
| Provider Name | Edward J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639602709 PECOS PAC ID: 4688007289 Enrollment ID: I20210608002720 |
| Provider Name | Amanda Marie Honsvall Hoefler |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154855484 PECOS PAC ID: 3072846559 Enrollment ID: I20210609001170 |
| Provider Name | Daniel T Lotz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265828859 PECOS PAC ID: 2769790013 Enrollment ID: I20210609001837 |
| Provider Name | Hannah Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427583137 PECOS PAC ID: 8820365620 Enrollment ID: I20210610000271 |
| Provider Name | Serin Edwin Erayil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982084240 PECOS PAC ID: 4082973821 Enrollment ID: I20210616000018 |
| Provider Name | Tyler J Lewandowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669961215 PECOS PAC ID: 7618224304 Enrollment ID: I20210617001124 |
| Provider Name | Luke A Krystosek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568857639 PECOS PAC ID: 2062718646 Enrollment ID: I20210617001797 |
| Provider Name | Sanjal H Desai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265843379 PECOS PAC ID: 8224337019 Enrollment ID: I20210618000025 |
| Provider Name | Vikas Le-kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159000 PECOS PAC ID: 7315291606 Enrollment ID: I20210618000883 |
| Provider Name | Zachary Lauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043606999 PECOS PAC ID: 9133425887 Enrollment ID: I20210622000392 |
| Provider Name | Lisha Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780079640 PECOS PAC ID: 0042611550 Enrollment ID: I20210622001033 |
| Provider Name | Krista E Bratt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740711068 PECOS PAC ID: 0244563427 Enrollment ID: I20210623000341 |
| Provider Name | Alejandra Gutierrez Bernal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487074597 PECOS PAC ID: 6800297086 Enrollment ID: I20210624003373 |
| Provider Name | Erin Rose Karl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124510110 PECOS PAC ID: 9335499151 Enrollment ID: I20210628000055 |
| Provider Name | Stanley Kogan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245261510 PECOS PAC ID: 3072532555 Enrollment ID: I20210629002301 |
| Provider Name | Jessica Stoefen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427640051 PECOS PAC ID: 6709287568 Enrollment ID: I20210630002376 |
| Provider Name | Lauren Stribling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841645033 PECOS PAC ID: 7517253156 Enrollment ID: I20210706002859 |
| Provider Name | Phillip L Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437500261 PECOS PAC ID: 6002101086 Enrollment ID: I20210708001965 |
| Provider Name | Robert Thomas Galvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598119331 PECOS PAC ID: 0345574687 Enrollment ID: I20210713003968 |
| Provider Name | Allison Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497186019 PECOS PAC ID: 3971877721 Enrollment ID: I20210716000057 |
| Provider Name | Tooba Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356871073 PECOS PAC ID: 2668874462 Enrollment ID: I20210716000332 |
| Provider Name | Sandeep Sainathan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245486364 PECOS PAC ID: 3870897705 Enrollment ID: I20210720001018 |
| Provider Name | Kurtis J Swanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457748907 PECOS PAC ID: 1850641986 Enrollment ID: I20210722001106 |
| Provider Name | Thomas Mark Suszynski |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1013336155 PECOS PAC ID: 9537562855 Enrollment ID: I20210724000054 |
| Provider Name | Mehrnoosh Tashakori |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366838732 PECOS PAC ID: 1759784929 Enrollment ID: I20210726002030 |
| Provider Name | Erica Ting |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497280101 PECOS PAC ID: 0446527378 Enrollment ID: I20210726002799 |
| Provider Name | Grace Borton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275061699 PECOS PAC ID: 6204174022 Enrollment ID: I20210727000740 |
| Provider Name | Mackenzie Kampa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912400797 PECOS PAC ID: 6901156249 Enrollment ID: I20210727002767 |
| Provider Name | Monika Kakol |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861807794 PECOS PAC ID: 7416255526 Enrollment ID: I20210728000731 |
| Provider Name | Gretchen L Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023074655 PECOS PAC ID: 2567865488 Enrollment ID: I20210729000559 |
| Provider Name | Megan Kristan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821483967 PECOS PAC ID: 6002148327 Enrollment ID: I20210729001369 |
| Provider Name | Ashley Evelyn Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194294439 PECOS PAC ID: 9739583543 Enrollment ID: I20210802000423 |
| Provider Name | Glen C Gross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467814467 PECOS PAC ID: 4880986884 Enrollment ID: I20210803003763 |
| Provider Name | Eva Ssentongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790399772 PECOS PAC ID: 4284038118 Enrollment ID: I20210813001763 |
| Provider Name | Edward Wu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124419890 PECOS PAC ID: 5991109837 Enrollment ID: I20210813002295 |
| Provider Name | Amila William |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356585236 PECOS PAC ID: 9739493891 Enrollment ID: I20210816001644 |
| Provider Name | Ludmil Lazarov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285826404 PECOS PAC ID: 1254407729 Enrollment ID: I20210816003909 |
| Provider Name | Thomas Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720374721 PECOS PAC ID: 4486972742 Enrollment ID: I20210818000244 |
| Provider Name | Jessica Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013312966 PECOS PAC ID: 4082916242 Enrollment ID: I20210818002072 |
| Provider Name | Alexandra Marquez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154767788 PECOS PAC ID: 5698170306 Enrollment ID: I20210818002884 |
| Provider Name | Sharon Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700318268 PECOS PAC ID: 5496022196 Enrollment ID: I20210818003587 |
| Provider Name | Benjamin Joseph Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326579517 PECOS PAC ID: 7517238520 Enrollment ID: I20210820002487 |
| Provider Name | Jessica Helena Randa Goldstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275796732 PECOS PAC ID: 6709004708 Enrollment ID: I20210823001077 |
| Provider Name | Munir J Abdalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962909390 PECOS PAC ID: 9335487511 Enrollment ID: I20210824002712 |
| Provider Name | Hafsa Abdulshakur Parpia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548754732 PECOS PAC ID: 7416352760 Enrollment ID: I20210824003270 |
| Provider Name | Hector Marcano |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851504666 PECOS PAC ID: 3274665906 Enrollment ID: I20210825000809 |
| Provider Name | Nathan R Hendrickson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306227632 PECOS PAC ID: 5496060170 Enrollment ID: I20210901000786 |
| Provider Name | Michelle Stoffel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487040127 PECOS PAC ID: 2668740234 Enrollment ID: I20210902001775 |
| Provider Name | Toy Elaine Amanda Hess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306334040 PECOS PAC ID: 6305242033 Enrollment ID: I20210904000015 |
| Provider Name | Sapna Prabhakaran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992938534 PECOS PAC ID: 1052717311 Enrollment ID: I20210913000194 |
| Provider Name | Pegah Entezari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639517881 PECOS PAC ID: 7214156702 Enrollment ID: I20210913002899 |
| Provider Name | Miheret Tamirat Gebreyohannes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477043388 PECOS PAC ID: 6204232440 Enrollment ID: I20210914000172 |
| Provider Name | Emily Rose Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215601026 PECOS PAC ID: 5597161687 Enrollment ID: I20210915002650 |
| Provider Name | Trinh Ngoc To |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821450040 PECOS PAC ID: 3779870506 Enrollment ID: I20210917001023 |
| Provider Name | Caroline Sokomwuyoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356017255 PECOS PAC ID: 4981001872 Enrollment ID: I20210920001878 |
| Provider Name | Kimberly Jacobsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386945004 PECOS PAC ID: 4688976087 Enrollment ID: I20210921000498 |
| Provider Name | Sarah Raeann Kruell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194348177 PECOS PAC ID: 6305243007 Enrollment ID: I20210922003579 |
| Provider Name | Devon L. Stevens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891133823 PECOS PAC ID: 4284970781 Enrollment ID: I20210923002938 |
| Provider Name | Kejela Haji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407430473 PECOS PAC ID: 8820495260 Enrollment ID: I20210927003284 |
| Provider Name | Martin Allan Koyle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467546796 PECOS PAC ID: 8325027410 Enrollment ID: I20210930000703 |
| Provider Name | Kourtney Christine Dropps |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740609445 PECOS PAC ID: 2163794777 Enrollment ID: I20210930002431 |
| Provider Name | Kristen Rose Cadieux |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528419595 PECOS PAC ID: 0042540643 Enrollment ID: I20211001001557 |
| Provider Name | Abdisamad Mohamed Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922538834 PECOS PAC ID: 6002185667 Enrollment ID: I20211006001516 |
| Provider Name | Lauren Mcclure Yauch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295120020 PECOS PAC ID: 1557665635 Enrollment ID: I20211007000131 |
| Provider Name | Isabel Mae Kobylinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063096667 PECOS PAC ID: 6002214780 Enrollment ID: I20211011001299 |
| Provider Name | Beatrice Ann Stoneburner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952079279 PECOS PAC ID: 6800294430 Enrollment ID: I20211012000531 |
| Provider Name | Shannon R Weas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902388192 PECOS PAC ID: 5294133823 Enrollment ID: I20211012000746 |
| Provider Name | Tony Zhengyu Cui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528688157 PECOS PAC ID: 9032534144 Enrollment ID: I20211013001897 |
| Provider Name | Kayla Chandra Dasrath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841810801 PECOS PAC ID: 8527484336 Enrollment ID: I20211013001954 |
| Provider Name | Gary Gross |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760434252 PECOS PAC ID: 2860594330 Enrollment ID: I20211018001015 |
| Provider Name | Kathryn Christine Jenewein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073870192 PECOS PAC ID: 3274838214 Enrollment ID: I20211018002461 |
| Provider Name | Brian Van Wie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689345779 PECOS PAC ID: 5597153866 Enrollment ID: I20211020000118 |
| Provider Name | Edith N Nyangoma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265920680 PECOS PAC ID: 0244589349 Enrollment ID: I20211020000321 |
| Provider Name | Duong Tu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679776272 PECOS PAC ID: 7315267242 Enrollment ID: I20211116001155 |
| Provider Name | Brenda Shua Her |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972009603 PECOS PAC ID: 4082961420 Enrollment ID: I20211117002755 |
| Provider Name | Jason B Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255596037 PECOS PAC ID: 0749356137 Enrollment ID: I20211204000273 |
| Provider Name | Andrew Dahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003436106 PECOS PAC ID: 6103241070 Enrollment ID: I20211207000399 |
| Provider Name | Michael A Schirado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104852185 PECOS PAC ID: 4789661026 Enrollment ID: I20211210001482 |
| Provider Name | Lily Rkl Bastian |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104140029 PECOS PAC ID: 5496145187 Enrollment ID: I20211213001534 |
| Provider Name | Matthew H Wheelwright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063975894 PECOS PAC ID: 9234463217 Enrollment ID: I20211215000068 |
| Provider Name | Courtney Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720572449 PECOS PAC ID: 8325394174 Enrollment ID: I20211221001026 |
| Provider Name | Mackenzie Stice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629632799 PECOS PAC ID: 7810221496 Enrollment ID: I20211221001471 |
| Provider Name | Sulakshna Dhamija |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629383153 PECOS PAC ID: 0244474112 Enrollment ID: I20211222001077 |
| Provider Name | Hannah Marie Maeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740952084 PECOS PAC ID: 3072904259 Enrollment ID: I20211222002441 |
| Provider Name | Mckenzie White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518454594 PECOS PAC ID: 8123379278 Enrollment ID: I20211228001807 |
| Provider Name | Cassandra Marie Shallenberger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164180709 PECOS PAC ID: 9234521808 Enrollment ID: I20220112001168 |
| Provider Name | Ashley Jo Hundley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053917138 PECOS PAC ID: 7214329713 Enrollment ID: I20220113000036 |
| Provider Name | Megan Reed Losinski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417520578 PECOS PAC ID: 7113319617 Enrollment ID: I20220113000081 |
| Provider Name | Manika Bhateja |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902035777 PECOS PAC ID: 5395995781 Enrollment ID: I20220113000957 |
| Provider Name | Anand Patani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396921342 PECOS PAC ID: 9436209608 Enrollment ID: I20220118000771 |
| Provider Name | Kevin O Turner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184874125 PECOS PAC ID: 9739327719 Enrollment ID: I20220126002648 |
| Provider Name | Meera Srikanthan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841637220 PECOS PAC ID: 4385872217 Enrollment ID: I20220131002165 |
| Provider Name | Stephanie Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649944042 PECOS PAC ID: 7012300528 Enrollment ID: I20220204001853 |
| Provider Name | Sanjay Saluja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053374462 PECOS PAC ID: 0840241279 Enrollment ID: I20220217001713 |
| Provider Name | Olabisi Florence Abokede-rahaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538659198 PECOS PAC ID: 0547525164 Enrollment ID: I20220217001843 |
| Provider Name | Brian P Flemming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093000747 PECOS PAC ID: 7214226422 Enrollment ID: I20220222002584 |
| Provider Name | Kenneth Starks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487799110 PECOS PAC ID: 4789572546 Enrollment ID: I20220223002070 |
| Provider Name | Michael P Hafertepe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407388952 PECOS PAC ID: 0840541793 Enrollment ID: I20220302003015 |
| Provider Name | John D Millet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922444355 PECOS PAC ID: 3375845472 Enrollment ID: I20220307002551 |
| Provider Name | Manicia Shundreal Liddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568963866 PECOS PAC ID: 3779829908 Enrollment ID: I20220309000640 |
| Provider Name | Jonathan Edward Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033606587 PECOS PAC ID: 4486049863 Enrollment ID: I20220322000928 |
| Provider Name | Megan E Lindsey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265814560 PECOS PAC ID: 7719287812 Enrollment ID: I20220404000403 |
| Provider Name | Shannon M Welter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386873958 PECOS PAC ID: 4880080514 Enrollment ID: I20220406001461 |
| Provider Name | Mary Agnes Dahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609497973 PECOS PAC ID: 4486070208 Enrollment ID: I20220408000948 |
| Provider Name | Ryan B O'malley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174729131 PECOS PAC ID: 3870759707 Enrollment ID: I20220409000409 |
| Provider Name | Renee Zasada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730840976 PECOS PAC ID: 9537555834 Enrollment ID: I20220414001056 |
| Provider Name | Nimo Abdullahi Ahmed |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730832296 PECOS PAC ID: 5597152785 Enrollment ID: I20220418000620 |
| Provider Name | Everett H Gu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588004535 PECOS PAC ID: 5395055396 Enrollment ID: I20220418001627 |
| Provider Name | Fahma Osman Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538789276 PECOS PAC ID: 5698197317 Enrollment ID: I20220420002164 |
| Provider Name | Srikrishna Vulava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821301367 PECOS PAC ID: 7517108889 Enrollment ID: I20220425001085 |
| Provider Name | Grishma Trivedi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548781479 PECOS PAC ID: 6305181231 Enrollment ID: I20220426000961 |
| Provider Name | Daniel Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063405561 PECOS PAC ID: 8527969989 Enrollment ID: I20220426001181 |
| Provider Name | Jenna Vanbeck |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184079535 PECOS PAC ID: 8325339369 Enrollment ID: I20220503000976 |
| Provider Name | Peter Thorne |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346775137 PECOS PAC ID: 3072883768 Enrollment ID: I20220503001007 |
| Provider Name | Robert J Dolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447782453 PECOS PAC ID: 6507139045 Enrollment ID: I20220513001665 |
| Provider Name | Pranava Sinha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649427816 PECOS PAC ID: 6103981865 Enrollment ID: I20220516000785 |
| Provider Name | Joshua R Trujeque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497318679 PECOS PAC ID: 5698002830 Enrollment ID: I20220518002275 |
| Provider Name | Kelsey Lien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699395707 PECOS PAC ID: 2466877477 Enrollment ID: I20220523000086 |
| Provider Name | Angelica Nicole Willis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932604246 PECOS PAC ID: 0446682223 Enrollment ID: I20220523001065 |
| Provider Name | Venus Vakhshori |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023490380 PECOS PAC ID: 9133408610 Enrollment ID: I20220526000568 |
| Provider Name | Timothy K Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063874808 PECOS PAC ID: 8820497779 Enrollment ID: I20220601003005 |
| Provider Name | Gabriel Nicolas Guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720576127 PECOS PAC ID: 0840535621 Enrollment ID: I20220602000120 |
| Provider Name | Lisa Rebekah Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518605344 PECOS PAC ID: 2365820263 Enrollment ID: I20220606001563 |
| Provider Name | Rachel Witt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497135057 PECOS PAC ID: 0749536613 Enrollment ID: I20220606002876 |
| Provider Name | Robert Talbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700172905 PECOS PAC ID: 3274762422 Enrollment ID: I20220609002655 |
| Provider Name | Patrick Hackler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205282746 PECOS PAC ID: 0345531091 Enrollment ID: I20220610001459 |
| Provider Name | Sean K Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609052000 PECOS PAC ID: 7416088489 Enrollment ID: I20220610001786 |
| Provider Name | Ashley C Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770938607 PECOS PAC ID: 6305242959 Enrollment ID: I20220610002027 |
| Provider Name | Dennis Heaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144453978 PECOS PAC ID: 6901944669 Enrollment ID: I20220613001256 |
| Provider Name | Aparna K Basu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306286356 PECOS PAC ID: 2062734239 Enrollment ID: I20220613001692 |
| Provider Name | Tamara Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417364944 PECOS PAC ID: 6103046891 Enrollment ID: I20220614001076 |
| Provider Name | Sabrina C Burn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396125662 PECOS PAC ID: 9537464979 Enrollment ID: I20220617001689 |
| Provider Name | Erica Sue Swenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578183042 PECOS PAC ID: 2769807858 Enrollment ID: I20220617001877 |
| Provider Name | Ornina Bachour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073046298 PECOS PAC ID: 2163773011 Enrollment ID: I20220621002836 |
| Provider Name | Kelsey Gagesch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548795305 PECOS PAC ID: 4082984257 Enrollment ID: I20220624001683 |
| Provider Name | Gina Rae Groshek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154881878 PECOS PAC ID: 3779816210 Enrollment ID: I20220625000100 |
| Provider Name | Eamonn Maher |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982130746 PECOS PAC ID: 3173895257 Enrollment ID: I20220629001049 |
| Provider Name | Jennifer Laroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942654983 PECOS PAC ID: 3870885254 Enrollment ID: I20220630000947 |
| Provider Name | Benjamin Richard Stanghelle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104389568 PECOS PAC ID: 8921332958 Enrollment ID: I20220701000837 |
| Provider Name | Bilal Alturkmani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649627621 PECOS PAC ID: 2264723105 Enrollment ID: I20220705001248 |
| Provider Name | Mary K Shoemaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821652900 PECOS PAC ID: 4587998158 Enrollment ID: I20220708003141 |
| Provider Name | Andrea Patricia Espejo Freire |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154776961 PECOS PAC ID: 2860873593 Enrollment ID: I20220713000650 |
| Provider Name | Jonathan Zvi Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881006104 PECOS PAC ID: 7012135551 Enrollment ID: I20220713000975 |
| Provider Name | Jeremy William Leclaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003548256 PECOS PAC ID: 3072995802 Enrollment ID: I20220726003746 |
| Provider Name | Priya Omprakash Pathak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851800668 PECOS PAC ID: 1153697859 Enrollment ID: I20220728003174 |
| Provider Name | Jacob David Kastner |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124569413 PECOS PAC ID: 9537433214 Enrollment ID: I20220729002340 |
| Provider Name | Aaron Wasson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114378676 PECOS PAC ID: 8123311305 Enrollment ID: I20220801000724 |
| Provider Name | Benjamin D Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619324043 PECOS PAC ID: 2264726397 Enrollment ID: I20220802001611 |
| Provider Name | Brian Lefchak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265939961 PECOS PAC ID: 0244578078 Enrollment ID: I20220802004061 |
| Provider Name | Charanya Nalligoundanur Pasupathi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841853900 PECOS PAC ID: 6002144342 Enrollment ID: I20220803002505 |
| Provider Name | Avery Marie Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811457914 PECOS PAC ID: 6608109111 Enrollment ID: I20220808003285 |
| Provider Name | Mark D Kovacs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437385507 PECOS PAC ID: 3072738285 Enrollment ID: I20220809003262 |
| Provider Name | Michelle Tiwalade Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962965236 PECOS PAC ID: 0840673778 Enrollment ID: I20220810001349 |
| Provider Name | Kayla L Tilkens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881258572 PECOS PAC ID: 1759615941 Enrollment ID: I20220811002127 |
| Provider Name | Mary Park |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891351862 PECOS PAC ID: 1153656509 Enrollment ID: I20220811002203 |
| Provider Name | Alexandra R Alejos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326544669 PECOS PAC ID: 7315291044 Enrollment ID: I20220817002543 |
| Provider Name | Anita Bajpai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104483205 PECOS PAC ID: 3678956984 Enrollment ID: I20220819000830 |
| Provider Name | Chen Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053808147 PECOS PAC ID: 2466700463 Enrollment ID: I20220822000733 |
| Provider Name | Mai Ly Thor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902369705 PECOS PAC ID: 3274938907 Enrollment ID: I20220901001253 |
| Provider Name | Jeffrey Nathan Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285959213 PECOS PAC ID: 7214174101 Enrollment ID: I20220902000580 |
| Provider Name | Atul Kumar Mehta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770920209 PECOS PAC ID: 2961706817 Enrollment ID: I20220905000406 |
| Provider Name | Samuel B Wood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740840784 PECOS PAC ID: 1456736412 Enrollment ID: I20220913000424 |
| Provider Name | Jonathan Stanley Popko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558080929 PECOS PAC ID: 0840675666 Enrollment ID: I20220915000303 |
| Provider Name | Nathan Mebrahtu Mesfin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417305400 PECOS PAC ID: 0648563338 Enrollment ID: I20220916002765 |
| Provider Name | Christopher Michael Kissell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134849037 PECOS PAC ID: 7315322963 Enrollment ID: I20220916002800 |
| Provider Name | Madhav Vijaykumar Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316384704 PECOS PAC ID: 4082919287 Enrollment ID: I20220920003187 |
| Provider Name | Diana Akiko Cowdrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396241493 PECOS PAC ID: 9436406659 Enrollment ID: I20220928000822 |
| Provider Name | Keyn Mun Joshua Wong |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1235490707 PECOS PAC ID: 9537545520 Enrollment ID: I20220928001692 |
| Provider Name | Melissa A Gunderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700445301 PECOS PAC ID: 5698003259 Enrollment ID: I20221004003490 |
| Provider Name | Sathish Kumar Cullath Harikrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861421869 PECOS PAC ID: 1355348087 Enrollment ID: I20221007001024 |
| Provider Name | Lindsay M Conner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982340501 PECOS PAC ID: 1052797438 Enrollment ID: I20221008000356 |
| Provider Name | Anthony Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942923347 PECOS PAC ID: 8921474818 Enrollment ID: I20221018001121 |
| Provider Name | Aaron Michael Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336875087 PECOS PAC ID: 8527434158 Enrollment ID: I20221021001378 |
| Provider Name | Phillip Lee Van |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639330533 PECOS PAC ID: 9335380161 Enrollment ID: I20221031000664 |
| Provider Name | Roxanne Dujour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255642856 PECOS PAC ID: 2769507029 Enrollment ID: I20221108001957 |
| Provider Name | Adam T Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306078191 PECOS PAC ID: 3779890546 Enrollment ID: I20221115000082 |
| Provider Name | Andrew Scarano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356607725 PECOS PAC ID: 0446473177 Enrollment ID: I20221115000160 |
| Provider Name | Julia Elise Sobaszkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376262725 PECOS PAC ID: 8123496544 Enrollment ID: I20221116001101 |
| Provider Name | Robert Sean Tanouye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376837625 PECOS PAC ID: 6103136478 Enrollment ID: I20221117001812 |
| Provider Name | Collin Jon Beyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639750060 PECOS PAC ID: 6103226857 Enrollment ID: I20221119000271 |
| Provider Name | Anna Marie Revolinski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962124594 PECOS PAC ID: 5698143816 Enrollment ID: I20221119000423 |
| Provider Name | Christopher J Jones |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1841610326 PECOS PAC ID: 2668894288 Enrollment ID: I20221123000108 |
| Provider Name | Ashley Marie Wolfgram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003537820 PECOS PAC ID: 3971971979 Enrollment ID: I20221123000716 |
| Provider Name | Meghan Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023435104 PECOS PAC ID: 0749658615 Enrollment ID: I20221128000008 |
| Provider Name | Casey Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528455326 PECOS PAC ID: 4587969753 Enrollment ID: I20221201001901 |
| Provider Name | Nicole Irene Hunter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326534108 PECOS PAC ID: 5890164453 Enrollment ID: I20221205000691 |
| Provider Name | Kali Ann James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720737711 PECOS PAC ID: 9032588389 Enrollment ID: I20221208003137 |
| Provider Name | Laura Mary Tess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154039865 PECOS PAC ID: 1850760042 Enrollment ID: I20221209002296 |
| Provider Name | Erika Re'nee Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184334617 PECOS PAC ID: 6204205305 Enrollment ID: I20221213000310 |
| Provider Name | Carly Harvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194067660 PECOS PAC ID: 7618197005 Enrollment ID: I20221224000133 |
| Provider Name | Thomas Gerald Reimann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992331870 PECOS PAC ID: 3173946084 Enrollment ID: I20221229000501 |
| Provider Name | Matthew Jonathan Wesley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265894489 PECOS PAC ID: 3173812773 Enrollment ID: I20230103001998 |
| Provider Name | Long Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588010870 PECOS PAC ID: 6406197136 Enrollment ID: I20230111001192 |
| Provider Name | Alyssa Rose Gustafson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477263176 PECOS PAC ID: 4688045321 Enrollment ID: I20230117002151 |
| Provider Name | Sean Larsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467985200 PECOS PAC ID: 2860743911 Enrollment ID: I20230117002547 |
| Provider Name | Swathi Nemani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568824654 PECOS PAC ID: 8921305012 Enrollment ID: I20230117002579 |
| Provider Name | Emily Anna Merchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013535350 PECOS PAC ID: 9335548379 Enrollment ID: I20230117002889 |
| Provider Name | Michael Fu-yen Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245250802 PECOS PAC ID: 7113922030 Enrollment ID: I20230117003100 |
| Provider Name | John Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427062306 PECOS PAC ID: 5698769925 Enrollment ID: I20230123000377 |
| Provider Name | Ajay Dhadwal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629206032 PECOS PAC ID: 6800921362 Enrollment ID: I20230201001619 |
| Provider Name | Kimberly Jo Lundeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437731361 PECOS PAC ID: 8527467125 Enrollment ID: I20230208000057 |
| Provider Name | Stephen Chiramukathu John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780212217 PECOS PAC ID: 7719303015 Enrollment ID: I20230208002213 |
| Provider Name | Rachael W Starcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164914503 PECOS PAC ID: 8123374659 Enrollment ID: I20230214000667 |
| Provider Name | Michael Skulski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801871876 PECOS PAC ID: 8921058108 Enrollment ID: I20230217002258 |
| Provider Name | Tamara L Harvanko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568175966 PECOS PAC ID: 1658743653 Enrollment ID: I20230220001565 |
| Provider Name | Hannah Marie Balder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467164277 PECOS PAC ID: 5597138206 Enrollment ID: I20230228002078 |
| Provider Name | Tristan R Lawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295260552 PECOS PAC ID: 4082986385 Enrollment ID: I20230328000764 |
| Provider Name | Aiham H Jbeli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912326950 PECOS PAC ID: 0749407740 Enrollment ID: I20230329000533 |
| Provider Name | Jesse M Reiter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992202709 PECOS PAC ID: 5799034021 Enrollment ID: I20230331001324 |
| Provider Name | Yasemin Koksel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922659028 PECOS PAC ID: 4880925304 Enrollment ID: I20230331001529 |
| Provider Name | Tony Ghodadra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346217973 PECOS PAC ID: 8224006960 Enrollment ID: I20230403001126 |
| Provider Name | Jennifer Bremer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114627171 PECOS PAC ID: 3577938695 Enrollment ID: I20230403002031 |
| Provider Name | Maddie Marie Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760100424 PECOS PAC ID: 2860867769 Enrollment ID: I20230406001520 |
| Provider Name | Kevin Klee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750888459 PECOS PAC ID: 6800147687 Enrollment ID: I20230414002116 |
| Provider Name | Jennifer Michelle Vanhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760191944 PECOS PAC ID: 6002281300 Enrollment ID: I20230418001515 |
| Provider Name | Elizabeth Hannah Frykman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811696057 PECOS PAC ID: 0547625626 Enrollment ID: I20230424002760 |
| Provider Name | Amrith Shettigar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366007528 PECOS PAC ID: 6709110380 Enrollment ID: I20230425000738 |
| Provider Name | Sandhyarani Dasaraju |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659804094 PECOS PAC ID: 8022473172 Enrollment ID: I20230425002666 |
| Provider Name | Christopher Hesh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740642354 PECOS PAC ID: 7618275140 Enrollment ID: I20230427001547 |
| Provider Name | Alesia Gene Autumn Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477587426 PECOS PAC ID: 1951655117 Enrollment ID: I20230501001522 |
| Provider Name | Nirmal N Lumpkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093003709 PECOS PAC ID: 3072914381 Enrollment ID: I20230502000183 |
| Provider Name | Minghao Zhong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467637025 PECOS PAC ID: 6103081575 Enrollment ID: I20230502001097 |
| Provider Name | Karlyn Stoltman Messer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659878775 PECOS PAC ID: 9133470743 Enrollment ID: I20230503003260 |
| Provider Name | Kyle Aaron Kitzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689162067 PECOS PAC ID: 0244581049 Enrollment ID: I20230504002903 |
| Provider Name | Kelli Dawn Guth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891313862 PECOS PAC ID: 8426413873 Enrollment ID: I20230508002327 |
| Provider Name | Michael Cole |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982132528 PECOS PAC ID: 0749550937 Enrollment ID: I20230511002973 |
| Provider Name | Andrea Lewis Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316633993 PECOS PAC ID: 7911363940 Enrollment ID: I20230517003554 |
| Provider Name | Vanessa Elene Slots |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740506203 PECOS PAC ID: 6406829217 Enrollment ID: I20230519002590 |
| Provider Name | Henrik Slots |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679899892 PECOS PAC ID: 2163668690 Enrollment ID: I20230520000222 |
| Provider Name | Katie Elizabeth Farrens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497456792 PECOS PAC ID: 9335505056 Enrollment ID: I20230522002289 |
| Provider Name | James P Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710472063 PECOS PAC ID: 4688926090 Enrollment ID: I20230522002890 |
| Provider Name | Bar Ferents |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023570652 PECOS PAC ID: 0143686709 Enrollment ID: I20230524001167 |
| Provider Name | Alysen Demzik |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437541299 PECOS PAC ID: 7416202270 Enrollment ID: I20230525002932 |
| Provider Name | Maarten L Galantowicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194257899 PECOS PAC ID: 6608146063 Enrollment ID: I20230526001606 |
| Provider Name | Ethan Andrew Pfantz Forsgren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487115663 PECOS PAC ID: 1456760602 Enrollment ID: I20230530000829 |
| Provider Name | Punita Grover |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184001729 PECOS PAC ID: 3971809666 Enrollment ID: I20230530003034 |
| Provider Name | Anupam Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982835567 PECOS PAC ID: 3375832587 Enrollment ID: I20230530003315 |
| Provider Name | Nicholas G Reason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093212391 PECOS PAC ID: 0446595201 Enrollment ID: I20230531001906 |
| Provider Name | Katlin F Vanderhoef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982232161 PECOS PAC ID: 7618334632 Enrollment ID: I20230607001632 |
| Provider Name | Sarah Copelas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073140877 PECOS PAC ID: 0941622898 Enrollment ID: I20230608001232 |
| Provider Name | Saad Jameel Gondal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306379243 PECOS PAC ID: 6406270214 Enrollment ID: I20230609002249 |
| Provider Name | Perpetua Okechukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194345611 PECOS PAC ID: 2062835234 Enrollment ID: I20230613002326 |
| Provider Name | Sean J Condon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346869930 PECOS PAC ID: 0446670384 Enrollment ID: I20230614000168 |
| Provider Name | John Frank Galatowitsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922637461 PECOS PAC ID: 0648692129 Enrollment ID: I20230614004067 |
| Provider Name | Manaswita Tappata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346860616 PECOS PAC ID: 2466870811 Enrollment ID: I20230622000563 |
| Provider Name | Ismail Elbaz Younes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811419344 PECOS PAC ID: 8022389238 Enrollment ID: I20230628000373 |
| Provider Name | Gaurav Sanjay Suryawanshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164042446 PECOS PAC ID: 8123445418 Enrollment ID: I20230628002507 |
| Provider Name | James Austin Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437687167 PECOS PAC ID: 3476823915 Enrollment ID: I20230708000431 |
| Provider Name | James Arthur Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306378344 PECOS PAC ID: 1850660705 Enrollment ID: I20230711003910 |
| Provider Name | Sonya S Brady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053095638 PECOS PAC ID: 9931568714 Enrollment ID: I20230711004350 |
| Provider Name | Zhilan Xiao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235768862 PECOS PAC ID: 7012339005 Enrollment ID: I20230712003329 |
| Provider Name | Lauren Taylor Thornton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780180034 PECOS PAC ID: 5698026466 Enrollment ID: I20230712003465 |
| Provider Name | Aparna Das |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447602297 PECOS PAC ID: 2264727866 Enrollment ID: I20230713001348 |
| Provider Name | Amanda Marie Kleppe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336678689 PECOS PAC ID: 7416226477 Enrollment ID: I20230713002262 |
| Provider Name | Benjamin Scott Levy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053745273 PECOS PAC ID: 9638421050 Enrollment ID: I20230713002678 |
| Provider Name | Shruthi Vinayaga Subramaniam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881223451 PECOS PAC ID: 0042635575 Enrollment ID: I20230717001389 |
| Provider Name | Alexandra Therese Tarabochia-gast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134651433 PECOS PAC ID: 9638440043 Enrollment ID: I20230718002302 |
| Provider Name | Matthew Gerard Traxler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962995316 PECOS PAC ID: 6002167764 Enrollment ID: I20230718002931 |
| Provider Name | Hussein Santur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306310586 PECOS PAC ID: 0749640985 Enrollment ID: I20230719001550 |
| Provider Name | Mengxuan Tang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316472137 PECOS PAC ID: 6103162938 Enrollment ID: I20230725001265 |
| Provider Name | Matthew Charles Mcvay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336593300 PECOS PAC ID: 3971903352 Enrollment ID: I20230727001817 |
| Provider Name | Adam S Nygard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871021816 PECOS PAC ID: 3173895232 Enrollment ID: I20230801001541 |
| Provider Name | Samantha Mimi Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891310850 PECOS PAC ID: 0446611982 Enrollment ID: I20230801002099 |
| Provider Name | Molly A Wingfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649709411 PECOS PAC ID: 1052683133 Enrollment ID: I20230802000432 |
| Provider Name | Anne Kathryn Wieck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932887742 PECOS PAC ID: 8729449806 Enrollment ID: I20230806000036 |
| Provider Name | Scott Mauch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598290272 PECOS PAC ID: 3173893104 Enrollment ID: I20230808002941 |
| Provider Name | Trevor Everett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134654908 PECOS PAC ID: 0446520654 Enrollment ID: I20230809001624 |
| Provider Name | Anand Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629102918 PECOS PAC ID: 9436217858 Enrollment ID: I20230810000565 |
| Provider Name | Gregory Paul Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346878097 PECOS PAC ID: 8224450879 Enrollment ID: I20230810002383 |
| Provider Name | Jack Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104356500 PECOS PAC ID: 2668744426 Enrollment ID: I20230816003429 |
| Provider Name | Rashedat B Oshodi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104448638 PECOS PAC ID: 6204298532 Enrollment ID: I20230817002119 |
| Provider Name | Javier Andres Suarez Oliveros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275907156 PECOS PAC ID: 9739410002 Enrollment ID: I20230824001334 |
| Provider Name | Zane R Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437831930 PECOS PAC ID: 9739542663 Enrollment ID: I20230825000505 |
| Provider Name | Sandeep Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255730180 PECOS PAC ID: 9739484890 Enrollment ID: I20230906000687 |
| Provider Name | Jacob Laurence Tigner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952922148 PECOS PAC ID: 3971913989 Enrollment ID: I20230907001849 |
| Provider Name | Tuyen Thi Kim Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457135006 PECOS PAC ID: 6204290968 Enrollment ID: I20230913002862 |
| Provider Name | Michael Keegan Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467746818 PECOS PAC ID: 7113146861 Enrollment ID: I20230917000036 |
| Provider Name | Yulanda King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184214132 PECOS PAC ID: 7416366786 Enrollment ID: I20230918002476 |
| Provider Name | Tory M Pressman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578094983 PECOS PAC ID: 5597119875 Enrollment ID: I20230921000733 |
| Provider Name | Tessa Maria Fontana Watt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144633488 PECOS PAC ID: 6305151929 Enrollment ID: I20230921000948 |
| Provider Name | Igor Sister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518149467 PECOS PAC ID: 4981787975 Enrollment ID: I20230921001719 |
| Provider Name | Angela Lisa Tuchtenhagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427739432 PECOS PAC ID: 9032563853 Enrollment ID: I20230928000301 |
| Provider Name | Timothy Clem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558705871 PECOS PAC ID: 5092011270 Enrollment ID: I20231003001722 |
| Provider Name | Titi Taiwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033851209 PECOS PAC ID: 1153776877 Enrollment ID: I20231016000744 |
| Provider Name | Carrie Ann Warns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164205365 PECOS PAC ID: 4082060512 Enrollment ID: I20231019002236 |
| Provider Name | Goodness Chioma Chinweuba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972181733 PECOS PAC ID: 4981004876 Enrollment ID: I20231020002773 |
| Provider Name | Andrew Thomas Thornton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043878713 PECOS PAC ID: 9234463282 Enrollment ID: I20231023002118 |
| Provider Name | Rachel B Bachman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144802943 PECOS PAC ID: 0547661779 Enrollment ID: I20231024000778 |
| Provider Name | Jacob Michael Lentner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962146928 PECOS PAC ID: 0244619807 Enrollment ID: I20231024001466 |
| Provider Name | Emily A Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306629795 PECOS PAC ID: 9436505666 Enrollment ID: I20231025000535 |
| Provider Name | Laura Lara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942881412 PECOS PAC ID: 0840695979 Enrollment ID: I20231026003830 |
| Provider Name | Lauren E Lussenhop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447832720 PECOS PAC ID: 7012318322 Enrollment ID: I20231027000165 |
| Provider Name | Kali Jo Templin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932982410 PECOS PAC ID: 8729434675 Enrollment ID: I20231027003106 |
| Provider Name | Rachel Olsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922635200 PECOS PAC ID: 9436539681 Enrollment ID: I20231030000989 |
| Provider Name | Johnathone Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851915557 PECOS PAC ID: 8820419468 Enrollment ID: I20231102002333 |
| Provider Name | Emanuela Donata Antonellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316725427 PECOS PAC ID: 2860849304 Enrollment ID: I20231106001798 |
| Provider Name | Samantha Jo Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700566866 PECOS PAC ID: 1658728076 Enrollment ID: I20231107001837 |
| Provider Name | Janie Elizabeth Goodall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083838874 PECOS PAC ID: 9638253057 Enrollment ID: I20231110002158 |
| Provider Name | Samantha Rae Woehrle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629851332 PECOS PAC ID: 5890142822 Enrollment ID: I20231113000791 |
| Provider Name | Leyla Bille Warsame |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861844177 PECOS PAC ID: 3870824220 Enrollment ID: I20231113001730 |
| Provider Name | Margaret Singer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346877891 PECOS PAC ID: 5799101648 Enrollment ID: I20231121002480 |
| Provider Name | Nichole Lee Zimdars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548047434 PECOS PAC ID: 7315395563 Enrollment ID: I20231128002569 |
| Provider Name | Nancy Beal Waller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508833419 PECOS PAC ID: 7517315641 Enrollment ID: I20231129002092 |
| Provider Name | Kirsi Elizabeth Keener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285406371 PECOS PAC ID: 8921456054 Enrollment ID: I20231129002327 |
| Provider Name | Hayley Jeanmarie Severson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285210310 PECOS PAC ID: 3779981188 Enrollment ID: I20231205001564 |
| Provider Name | Kerith Lijewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093708588 PECOS PAC ID: 2961483763 Enrollment ID: I20231208001704 |
| Provider Name | Erin Lisa Reberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821879560 PECOS PAC ID: 8022467422 Enrollment ID: I20231211002334 |
| Provider Name | Mitchell David Moe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023753415 PECOS PAC ID: 8527448117 Enrollment ID: I20231214001935 |
| Provider Name | Sana Aaron Zekri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013371624 PECOS PAC ID: 1951735323 Enrollment ID: I20231215002123 |
| Provider Name | Rachel Anne Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407638828 PECOS PAC ID: 3072963529 Enrollment ID: I20231222002640 |
| Provider Name | Kathleen Ann Widmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366227910 PECOS PAC ID: 0446600704 Enrollment ID: I20231228001999 |
| Provider Name | Christopher Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114230323 PECOS PAC ID: 0941444798 Enrollment ID: I20240102000810 |
| Provider Name | Nickolas Alan Steer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710620810 PECOS PAC ID: 5890175475 Enrollment ID: I20240102001135 |
| Provider Name | John Daniel Rothpletz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740220409 PECOS PAC ID: 3971496142 Enrollment ID: I20240102001184 |
| Provider Name | Anisa Abdi Mohamud Suleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962085647 PECOS PAC ID: 2961804968 Enrollment ID: I20240122001676 |
| Provider Name | Tague Michael Thorson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922595206 PECOS PAC ID: 6204185655 Enrollment ID: I20240123000656 |
| Provider Name | George V Chesteen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083053573 PECOS PAC ID: 8729333646 Enrollment ID: I20240129001598 |
| Provider Name | Bradley John Otto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841649084 PECOS PAC ID: 6800189697 Enrollment ID: I20240214000194 |
| Provider Name | Kimberly Sue Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568239051 PECOS PAC ID: 4183068950 Enrollment ID: I20240220003008 |
| Provider Name | Emily Mae Bergstedt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720721632 PECOS PAC ID: 9032598685 Enrollment ID: I20240220003145 |
| Provider Name | Daniel Zaiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871236794 PECOS PAC ID: 8729467659 Enrollment ID: I20240221001219 |
| Provider Name | John Robert Leister |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497247027 PECOS PAC ID: 4789086877 Enrollment ID: I20240226002910 |
| Provider Name | Lisa Zak-hunter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932464096 PECOS PAC ID: 1951746155 Enrollment ID: I20240227004437 |
| Provider Name | Alyssa A Sauro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679336952 PECOS PAC ID: 2961847199 Enrollment ID: I20240228000447 |
| Provider Name | Laura Elizabeth Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215702683 PECOS PAC ID: 6406292630 Enrollment ID: I20240311002635 |
| Provider Name | Kriti Choudhary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326428475 PECOS PAC ID: 0941506430 Enrollment ID: I20240311002681 |
| Provider Name | Michael J Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144676685 PECOS PAC ID: 2163709692 Enrollment ID: I20240313003182 |
| Provider Name | Rebekah Morgan Fiers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003551946 PECOS PAC ID: 5496136343 Enrollment ID: I20240320001080 |
| Provider Name | Rebecca Raymond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205260114 PECOS PAC ID: 3678877552 Enrollment ID: I20240401001654 |
| Provider Name | Paul Joseph Strain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124609201 PECOS PAC ID: 5193163699 Enrollment ID: I20240403001201 |
| Provider Name | Ece Meram |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932697091 PECOS PAC ID: 6305193293 Enrollment ID: I20240405002877 |
| Provider Name | Aaron Jay Rosenblum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790428613 PECOS PAC ID: 8527449313 Enrollment ID: I20240409002767 |
| Provider Name | Russell Daniel Pluhm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093378499 PECOS PAC ID: 1153758529 Enrollment ID: I20240416001128 |
| Provider Name | Sada Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891323408 PECOS PAC ID: 8224477633 Enrollment ID: I20240418001352 |
| Provider Name | Stephanie Breckenridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669950556 PECOS PAC ID: 5294088456 Enrollment ID: I20240425000424 |
| Provider Name | Tara Marie Nordberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104585744 PECOS PAC ID: 8224420856 Enrollment ID: I20240507000480 |
| Provider Name | Hans Hesse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356907992 PECOS PAC ID: 7012242159 Enrollment ID: I20240510001410 |
| Provider Name | Bobby John Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447748322 PECOS PAC ID: 9537418983 Enrollment ID: I20240516002922 |
| Provider Name | Victoria Sheree St Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851034961 PECOS PAC ID: 6901286574 Enrollment ID: I20240610002016 |
| Provider Name | Caitlin Johanna Erbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871342584 PECOS PAC ID: 6406398957 Enrollment ID: I20240612000568 |
Morningstar Wellness Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Ave N, Suite 202, Minneapolis, MN 55401 Phone: 612-455-2920 Fax: 612-455-2921 | |
Healthpartners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425 Phone: 952-883-7469 Fax: 952-883-5395 | |
Boynton Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-8400 Fax: 612-625-1434 | |
Corban Health Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5141 36th Ave S, Minneapolis, MN 55417 Phone: 612-644-9047 | |
M Health Fairview Masonic Institute For The Developing Brain Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 E River Pkwy, Minneapolis, MN 55414 Phone: 612-301-0115 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Washington Ave N Fl 2, Minneapolis, MN 55401 Phone: 773-292-4800 Fax: 312-564-4059 | |
Allina Health Home Hospital Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-262-7800 |