| M Health Fairview Recovery Clinic | |
|
2312 S 6th St Ste F105 Minneapolis MN 55454-1336 | |
| (612) 273-3565 | |
| Not Available |
| Full Name | M Health Fairview Recovery Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2312 S 6th St Ste F105, Minneapolis, Minnesota |
| Authorized Official Name and Position | Maureen Veronica-reger Ring (SYSTEM DIRECTOR) |
| Authorized Official Contact | 6126726740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Health Fairview Recovery Clinic 1700 University Ave W Saint Paul MN 55104-3727 Ph: (612) 672-6740 | M Health Fairview Recovery Clinic 2312 S 6th St Ste F105 Minneapolis MN 55454-1336 Ph: (612) 273-3565 |
| NPI Number | 1053952606 |
|---|---|
| Provider Enumeration Date | 10/04/2019 |
| Last Update Date | 04/04/2024 |
| Medicare PECOS PAC ID | 3375645179 |
|---|---|
| Medicare Enrollment ID | O20081028000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053952606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Molly A Mcnaughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699749796 PECOS PAC ID: 9032023510 Enrollment ID: I20031118000803 |
| Provider Name | Edmond J Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629006754 PECOS PAC ID: 6305740044 Enrollment ID: I20031124000424 |
| Provider Name | Martin J Asis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598743833 PECOS PAC ID: 3678477353 Enrollment ID: I20031124000575 |
| Provider Name | Nathan D Block |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871571125 PECOS PAC ID: 0648174334 Enrollment ID: I20031124000644 |
| Provider Name | Melissa Ann Geller |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265466809 PECOS PAC ID: 0446154959 Enrollment ID: I20031125000480 |
| Provider Name | Michael H Wittmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427029859 PECOS PAC ID: 1658275094 Enrollment ID: I20031126000227 |
| Provider Name | Howard Brent Clark |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568490662 PECOS PAC ID: 8820993215 Enrollment ID: I20031126000528 |
| 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 | Anjali Goel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174590087 PECOS PAC ID: 7911803150 Enrollment ID: I20031209000911 |
| Provider Name | Nancy L Guttormson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962432252 PECOS PAC ID: 4385540988 Enrollment ID: I20031212000040 |
| Provider Name | Heather Linee Bergeson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1932172277 PECOS PAC ID: 5890692438 Enrollment ID: I20031212000778 |
| 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 | David Wayne Polly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669483046 PECOS PAC ID: 2961309729 Enrollment ID: I20031218000571 |
| Provider Name | Cornelius Hoktsim Lam |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871695098 PECOS PAC ID: 9830097575 Enrollment ID: I20031219000477 |
| Provider Name | Katherine Elizabeth Murray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730166711 PECOS PAC ID: 1456259530 Enrollment ID: I20031229000163 |
| Provider Name | Bradley T Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497867584 PECOS PAC ID: 1759289861 Enrollment ID: I20031229000334 |
| Provider Name | Wojciech Zukowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841276045 PECOS PAC ID: 1850290503 Enrollment ID: I20040102000124 |
| Provider Name | Monna J Marolt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538136924 PECOS PAC ID: 9537068150 Enrollment ID: I20040102000597 |
| Provider Name | Rebecca R Kragh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851344345 PECOS PAC ID: 8123927142 Enrollment ID: I20040108000071 |
| Provider Name | Carol H Larter Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073591939 PECOS PAC ID: 6507766367 Enrollment ID: I20040109000508 |
| Provider Name | Michael E Long |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821071317 PECOS PAC ID: 3375443088 Enrollment ID: I20040109000822 |
| Provider Name | Susan L Burton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659565208 PECOS PAC ID: 7517868995 Enrollment ID: I20040119000219 |
| Provider Name | Kamiab Delfanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043229438 PECOS PAC ID: 2365343779 Enrollment ID: I20040119000386 |
| Provider Name | Deborah S Talmage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033226717 PECOS PAC ID: 7810899986 Enrollment ID: I20040121000497 |
| Provider Name | Elizabeth A Arendt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578507778 PECOS PAC ID: 9931001856 Enrollment ID: I20040122000240 |
| Provider Name | Marc F Swiontkowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285605527 PECOS PAC ID: 4486556313 Enrollment ID: I20040122000297 |
| Provider Name | Bradley S Miller |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184633059 PECOS PAC ID: 8224930847 Enrollment ID: I20040123000749 |
| Provider Name | Eileen M Burchby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407808744 PECOS PAC ID: 3577465889 Enrollment ID: I20040126000466 |
| Provider Name | Amna H Shakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851366439 PECOS PAC ID: 0648172999 Enrollment ID: I20040126000694 |
| Provider Name | Jerry W Froelich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093744120 PECOS PAC ID: 5991608044 Enrollment ID: I20040128000346 |
| Provider Name | Thomas J Riegel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043303597 PECOS PAC ID: 2264335298 Enrollment ID: I20040128000791 |
| Provider Name | Sara M Troje |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750481156 PECOS PAC ID: 6608779657 Enrollment ID: I20040128000874 |
| Provider Name | Frederick W Ott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366476848 PECOS PAC ID: 0547163131 Enrollment ID: I20040130000431 |
| Provider Name | Deborah C Bohn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902883192 PECOS PAC ID: 6709789043 Enrollment ID: I20040202000628 |
| Provider Name | Matthew M Schaar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790765600 PECOS PAC ID: 5698678944 Enrollment ID: I20040202000713 |
| Provider Name | Robert E Glesne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427075472 PECOS PAC ID: 8921991621 Enrollment ID: I20040205001124 |
| Provider Name | Robert J Tibesar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205822954 PECOS PAC ID: 2668365016 Enrollment ID: I20040207000380 |
| Provider Name | Timothy Ramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053324418 PECOS PAC ID: 2860386216 Enrollment ID: I20040209000529 |
| Provider Name | Mark T Dahl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508862194 PECOS PAC ID: 8426943911 Enrollment ID: I20040216000117 |
| 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 | Kenneth William Baran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962485797 PECOS PAC ID: 9335046903 Enrollment ID: I20040224000232 |
| Provider Name | Stuart Welsh Adler |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366425183 PECOS PAC ID: 5597662163 Enrollment ID: I20040224000270 |
| Provider Name | Stephen J Haines |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255365540 PECOS PAC ID: 2062300627 Enrollment ID: I20040306000042 |
| Provider Name | Lori M Marion |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851491252 PECOS PAC ID: 0941198501 Enrollment ID: I20040306000062 |
| 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 | Sara Beth Koepp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225138837 PECOS PAC ID: 3173413028 Enrollment ID: I20040316001031 |
| Provider Name | Shannon M Vaske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669479069 PECOS PAC ID: 8729978531 Enrollment ID: I20040316001394 |
| Provider Name | Susan E Viergever |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851360416 PECOS PAC ID: 3072403427 Enrollment ID: I20040318000741 |
| Provider Name | David James Schwartz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215914379 PECOS PAC ID: 6002706157 Enrollment ID: I20040319001211 |
| Provider Name | Richard S Spong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689651093 PECOS PAC ID: 2769373745 Enrollment ID: I20040320000652 |
| Provider Name | Sheila M Specker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710068119 PECOS PAC ID: 8426949231 Enrollment ID: I20040322001575 |
| Provider Name | Lori M Bethke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639193261 PECOS PAC ID: 6103717665 Enrollment ID: I20040323001398 |
| Provider Name | Nihar S Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245218759 PECOS PAC ID: 4688667645 Enrollment ID: I20040406000322 |
| Provider Name | Michael Thurmes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518944875 PECOS PAC ID: 2860487477 Enrollment ID: I20040414001751 |
| Provider Name | Christopher Loren Moertel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720058043 PECOS PAC ID: 5698760825 Enrollment ID: I20040417000192 |
| Provider Name | Meghan M Rietschel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578678181 PECOS PAC ID: 4284629338 Enrollment ID: I20040417000430 |
| 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 | Fernando A Pena |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992800205 PECOS PAC ID: 7214924190 Enrollment ID: I20040430000855 |
| 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 | Michael L Bloomquist |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265478473 PECOS PAC ID: 0042208761 Enrollment ID: I20040503000885 |
| 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 | David G Benditt |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073559134 PECOS PAC ID: 9234127200 Enrollment ID: I20040506000419 |
| 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 | 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 | John T Olsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801814132 PECOS PAC ID: 8224933973 Enrollment ID: I20040512001342 |
| Provider Name | Sue A Crook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255381257 PECOS PAC ID: 1456256171 Enrollment ID: I20040512001458 |
| 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 | Tiffany R Beckman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174528939 PECOS PAC ID: 4688664477 Enrollment ID: I20040513001454 |
| Provider Name | Ellen L Abeln |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861441230 PECOS PAC ID: 5799680419 Enrollment ID: I20040514000676 |
| Provider Name | Lora L Truckenbrod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205802477 PECOS PAC ID: 4587654181 Enrollment ID: I20040515000122 |
| Provider Name | Margaret A Reynolds |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487661336 PECOS PAC ID: 3072504430 Enrollment ID: I20040524000501 |
| 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 | Peter A Hilger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790770196 PECOS PAC ID: 4385625391 Enrollment ID: I20040526000629 |
| Provider Name | Abraham K Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144242587 PECOS PAC ID: 1153303664 Enrollment ID: I20040607000849 |
| Provider Name | Peter N Toensing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841258688 PECOS PAC ID: 9133101660 Enrollment ID: I20040607001011 |
| Provider Name | Beth Anne Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235108408 PECOS PAC ID: 1153304373 Enrollment ID: I20040609001086 |
| 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 | 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 | Daniel A Duprez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609807825 PECOS PAC ID: 7315921780 Enrollment ID: I20040614001590 |
| Provider Name | Ranjit John |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720183171 PECOS PAC ID: 4385628759 Enrollment ID: I20040614001613 |
| Provider Name | Kimmie E Rabe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649291741 PECOS PAC ID: 6406830082 Enrollment ID: I20040615000610 |
| 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 | Mark B.o. Comnick |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851380752 PECOS PAC ID: 9335124114 Enrollment ID: I20040624000326 |
| Provider Name | Khalafalla O Bushara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841226735 PECOS PAC ID: 6002892437 Enrollment ID: I20040626000374 |
| Provider Name | Brian T Sick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609958651 PECOS PAC ID: 6901884915 Enrollment ID: I20040707001300 |
| Provider Name | Snigdhasmrithi S Pusalavidyasagar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033199955 PECOS PAC ID: 1850379751 Enrollment ID: I20040708000531 |
| Provider Name | Daniel B Frechette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023173952 PECOS PAC ID: 0446238711 Enrollment ID: I20040713000042 |
| Provider Name | Kevin T Wycoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598728644 PECOS PAC ID: 8729066006 Enrollment ID: I20040713000124 |
| Provider Name | Monica M Overkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063489144 PECOS PAC ID: 1254319395 Enrollment ID: I20040713001390 |
| Provider Name | Rahul M Tamhane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073625752 PECOS PAC ID: 6800874975 Enrollment ID: I20040713001578 |
| Provider Name | Michael F Schmitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851351688 PECOS PAC ID: 4688653462 Enrollment ID: I20040715000731 |
| Provider Name | Gerilyn A Erkkila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053371476 PECOS PAC ID: 3678553872 Enrollment ID: I20040720000964 |
| Provider Name | Demenia B Gbarbea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962990184 PECOS PAC ID: 2769462860 Enrollment ID: I20040721000081 |
| 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 | Deanna Jo Diebold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235166737 PECOS PAC ID: 5890766513 Enrollment ID: I20040804001563 |
| Provider Name | Roderick L Youngdahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821193681 PECOS PAC ID: 5496727059 Enrollment ID: I20040812000869 |
| Provider Name | Shernan Holtan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1780664284 PECOS PAC ID: 9537132774 Enrollment ID: I20040817000256 |
| Provider Name | David J Satin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003999582 PECOS PAC ID: 3971576810 Enrollment ID: I20040818000378 |
| Provider Name | Mohammad Umar Hasan Choudry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851363717 PECOS PAC ID: 6800869769 Enrollment ID: I20040818000561 |
| Provider Name | Xin Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275627820 PECOS PAC ID: 6709859515 Enrollment ID: I20040818000931 |
| Provider Name | Birendra Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063491066 PECOS PAC ID: 3375516123 Enrollment ID: I20040819001432 |
| Provider Name | Holly C Boyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467438424 PECOS PAC ID: 5991779332 Enrollment ID: I20040823000619 |
| Provider Name | Carol A Soutor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023084241 PECOS PAC ID: 8022082304 Enrollment ID: I20040823000953 |
| 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 | Michael Shreve |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700887312 PECOS PAC ID: 0446226567 Enrollment ID: I20040909001046 |
| Provider Name | Shanti Lakshmi Narasimhan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891714259 PECOS PAC ID: 8729055769 Enrollment ID: I20040910000530 |
| Provider Name | John R Lake |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740360619 PECOS PAC ID: 8224005285 Enrollment ID: I20040910000652 |
| Provider Name | Deann M Thomas-kvidera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881671956 PECOS PAC ID: 0244207090 Enrollment ID: I20040913000436 |
| Provider Name | Deborah L Lacroix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235153313 PECOS PAC ID: 4587631338 Enrollment ID: I20040913000457 |
| Provider Name | Laura A France |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497732481 PECOS PAC ID: 3678540952 Enrollment ID: I20040915000813 |
| Provider Name | Pamela J Wymore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760429138 PECOS PAC ID: 8527035773 Enrollment ID: I20040916000028 |
| 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 | 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 | Robert A Kratzke |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497845861 PECOS PAC ID: 7012976954 Enrollment ID: I20041006001437 |
| Provider Name | Timothy A Lander |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548264435 PECOS PAC ID: 8426018698 Enrollment ID: I20041012001274 |
| Provider Name | Brian D Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881683696 PECOS PAC ID: 4880655232 Enrollment ID: I20041020000366 |
| 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 | Theodore P Vanerp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013969633 PECOS PAC ID: 3274594197 Enrollment ID: I20041025000325 |
| Provider Name | Bruce G Dahlman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679673073 PECOS PAC ID: 3678534377 Enrollment ID: I20041026000396 |
| 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 | Stephen C Battista |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861479370 PECOS PAC ID: 2062400617 Enrollment ID: I20041028000442 |
| 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 | Eduardo D Trinidad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780663203 PECOS PAC ID: 0941263537 Enrollment ID: I20041104000953 |
| Provider Name | Jon C Krook |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902841588 PECOS PAC ID: 4981667037 Enrollment ID: I20041109000930 |
| 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 | Kristen M Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629083068 PECOS PAC ID: 6002879830 Enrollment ID: I20041111000613 |
| Provider Name | Afshan Anjum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316981517 PECOS PAC ID: 1355304189 Enrollment ID: I20041111000624 |
| Provider Name | Anthony J Vertalino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669572061 PECOS PAC ID: 1759344518 Enrollment ID: I20041111000803 |
| Provider Name | Matthew C Patterson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457339996 PECOS PAC ID: 3072577535 Enrollment ID: I20041115000722 |
| Provider Name | Stuart H Bloom |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1336159565 PECOS PAC ID: 9032173489 Enrollment ID: I20041116000049 |
| Provider Name | Charles J Billington |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235225160 PECOS PAC ID: 4981668027 Enrollment ID: I20041117001001 |
| Provider Name | Kara J Harkness |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811088172 PECOS PAC ID: 2668436718 Enrollment ID: I20041117001150 |
| 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 | Linda L Wick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053339655 PECOS PAC ID: 0042275810 Enrollment ID: I20041122000635 |
| Provider Name | Peter G Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275567778 PECOS PAC ID: 3476518051 Enrollment ID: I20041123000365 |
| Provider Name | Suk Yin Chan-colenbrander |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104843101 PECOS PAC ID: 9436114873 Enrollment ID: I20041124000317 |
| Provider Name | Thomas R Frerichs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629028329 PECOS PAC ID: 9436114634 Enrollment ID: I20041130000530 |
| 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 | Jeffrey R Brace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619905924 PECOS PAC ID: 7618933326 Enrollment ID: I20041204000145 |
| Provider Name | Vicky Joy Mecl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245298710 PECOS PAC ID: 6204892649 Enrollment ID: I20041207000758 |
| 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 | Joseph P Neglia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720024474 PECOS PAC ID: 2567429251 Enrollment ID: I20041214000865 |
| Provider Name | Patrick Yoon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134236284 PECOS PAC ID: 2062479553 Enrollment ID: I20041216000308 |
| Provider Name | Richard Kubicka |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1255369989 PECOS PAC ID: 1759348170 Enrollment ID: I20041216000623 |
| Provider Name | Kenneth Hoj |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053352567 PECOS PAC ID: 5991762239 Enrollment ID: I20041217000501 |
| Provider Name | Arif Somani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255363503 PECOS PAC ID: 5991763500 Enrollment ID: I20041229000697 |
| Provider Name | Timothy Deaconson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679559355 PECOS PAC ID: 6507759602 Enrollment ID: I20050105000595 |
| Provider Name | Dana Brandenburg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548296502 PECOS PAC ID: 3274581368 Enrollment ID: I20050105000613 |
| Provider Name | Nathan M Frink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003878760 PECOS PAC ID: 9133114010 Enrollment ID: I20050105000648 |
| 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 | Kyriakie Sarafoglou |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902989486 PECOS PAC ID: 5597715441 Enrollment ID: I20050127000872 |
| Provider Name | Richard S Gregory |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063476547 PECOS PAC ID: 1052304482 Enrollment ID: I20050128000088 |
| Provider Name | Jennifer M Bottem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972579464 PECOS PAC ID: 0648220558 Enrollment ID: I20050128000177 |
| Provider Name | Leona A Stern Tuomala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356302251 PECOS PAC ID: 0749177418 Enrollment ID: I20050201000293 |
| Provider Name | David D Hamlar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720044357 PECOS PAC ID: 2860443413 Enrollment ID: I20050201000795 |
| Provider Name | Samuel C Levine |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508954181 PECOS PAC ID: 4284546417 Enrollment ID: I20050203000262 |
| Provider Name | Dominic F Frecentese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144209008 PECOS PAC ID: 8022922798 Enrollment ID: I20050208000057 |
| 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 | Vanessa Dayton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497790927 PECOS PAC ID: 4284686544 Enrollment ID: I20050215000317 |
| Provider Name | Rafael S Andrade |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538103155 PECOS PAC ID: 2264484310 Enrollment ID: I20050216000789 |
| Provider Name | Joel L Boyd |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1619970571 PECOS PAC ID: 8527035245 Enrollment ID: I20050221000076 |
| Provider Name | Kirk J Aadalen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720081672 PECOS PAC ID: 6204888043 Enrollment ID: I20050221000086 |
| Provider Name | John A Steubs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669475638 PECOS PAC ID: 3678540309 Enrollment ID: I20050221000170 |
| Provider Name | Paolo T Pianosi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639157928 PECOS PAC ID: 8123070091 Enrollment ID: I20050309000338 |
| Provider Name | Robert D Madoff |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1023191590 PECOS PAC ID: 9032007596 Enrollment ID: I20050310000043 |
| Provider Name | Lisa M Vollmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558324780 PECOS PAC ID: 1951355130 Enrollment ID: I20050310000321 |
| Provider Name | Marcie Claire Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700898970 PECOS PAC ID: 6507810553 Enrollment ID: I20050311000627 |
| Provider Name | Aaron Binstock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891744280 PECOS PAC ID: 4284689985 Enrollment ID: I20050315001076 |
| Provider Name | Mark Richard Schleiss |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942382452 PECOS PAC ID: 1951356435 Enrollment ID: I20050317000410 |
| Provider Name | Kristeen Laura Groth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265545776 PECOS PAC ID: 5991750374 Enrollment ID: I20050318000132 |
| Provider Name | Douglas F Bailey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780615666 PECOS PAC ID: 3678568854 Enrollment ID: I20050323000299 |
| Provider Name | Tara M Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063465458 PECOS PAC ID: 0749236768 Enrollment ID: I20050323000527 |
| Provider Name | Timothy M Casey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285626184 PECOS PAC ID: 6608822630 Enrollment ID: I20050323000640 |
| Provider Name | Tereza M Cervenka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508087511 PECOS PAC ID: 4981650934 Enrollment ID: I20050323000819 |
| Provider Name | Kimberly K Deroche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386611150 PECOS PAC ID: 0840246708 Enrollment ID: I20050324000216 |
| 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 | Keith E Eidman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174579437 PECOS PAC ID: 8628024411 Enrollment ID: I20050324000564 |
| 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 | Wayne Owen Adkisson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1902826449 PECOS PAC ID: 6002862851 Enrollment ID: I20050324001022 |
| 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 | Elizabeth Hauser Cameron |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275570566 PECOS PAC ID: 5092762237 Enrollment ID: I20050331000411 |
| Provider Name | Timothy J Gavin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528004587 PECOS PAC ID: 5092762187 Enrollment ID: I20050331000831 |
| Provider Name | Hubert Spencer Holmes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497738975 PECOS PAC ID: 8123075173 Enrollment ID: I20050401000730 |
| Provider Name | David G Bue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053364752 PECOS PAC ID: 4284681941 Enrollment ID: I20050405000445 |
| Provider Name | Kathleen D Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245266279 PECOS PAC ID: 9133176662 Enrollment ID: I20050406000533 |
| Provider Name | Daniel Y Parkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770574196 PECOS PAC ID: 0345297784 Enrollment ID: I20050407000174 |
| Provider Name | Alex K Uspensky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912989203 PECOS PAC ID: 4284681651 Enrollment ID: I20050407000411 |
| 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 | Daniel Robert Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578617759 PECOS PAC ID: 5193762219 Enrollment ID: I20050411000859 |
| Provider Name | Patrick P Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063491819 PECOS PAC ID: 6305750019 Enrollment ID: I20050412000595 |
| Provider Name | Katarzyna J Litak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144325374 PECOS PAC ID: 1557308293 Enrollment ID: I20050413001096 |
| Provider Name | Patrick J Fischbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518978089 PECOS PAC ID: 5294772968 Enrollment ID: I20050413001266 |
| Provider Name | Terry W Kopp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184675431 PECOS PAC ID: 8820035520 Enrollment ID: I20050414000209 |
| Provider Name | Leann Monica Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073520169 PECOS PAC ID: 5395782874 Enrollment ID: I20050415000465 |
| Provider Name | Grant C Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790864395 PECOS PAC ID: 1557261781 Enrollment ID: I20050419000976 |
| Provider Name | Jennifer A Currens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346345063 PECOS PAC ID: 6204874191 Enrollment ID: I20050421000071 |
| Provider Name | Brenda L Frie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629177993 PECOS PAC ID: 8729026612 Enrollment ID: I20050421000102 |
| Provider Name | Ruth M Lekander |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386749075 PECOS PAC ID: 6406894393 Enrollment ID: I20050421000148 |
| Provider Name | Amy M Pattock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700981347 PECOS PAC ID: 1850339755 Enrollment ID: I20050421000173 |
| Provider Name | Kathy G Mulier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790794154 PECOS PAC ID: 4587602495 Enrollment ID: I20050421000264 |
| Provider Name | Christine Gove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992817142 PECOS PAC ID: 5597705079 Enrollment ID: I20050504000205 |
| Provider Name | Sharon S Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285697243 PECOS PAC ID: 4385684562 Enrollment ID: I20050506000280 |
| 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 | Samy M El-halawani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477505121 PECOS PAC ID: 5991746752 Enrollment ID: I20050523000082 |
| 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 | Peter H Kelly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669447850 PECOS PAC ID: 0446163232 Enrollment ID: I20050525001078 |
| 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 | Jill S Anderson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275577454 PECOS PAC ID: 3870536683 Enrollment ID: I20050602000888 |
| 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 | Torrey Bergman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861442493 PECOS PAC ID: 5890762124 Enrollment ID: I20050606001011 |
| Provider Name | William R Omlie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518997782 PECOS PAC ID: 3173518362 Enrollment ID: I20050608000077 |
| Provider Name | Charles Phifer Nicholson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114958097 PECOS PAC ID: 1456346642 Enrollment ID: I20050608000180 |
| 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 | Robert J Sevenich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801856307 PECOS PAC ID: 5395789150 Enrollment ID: I20050614000188 |
| Provider Name | Paul F Hunt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841279973 PECOS PAC ID: 1456395078 Enrollment ID: I20050615000105 |
| Provider Name | Brian T Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780604835 PECOS PAC ID: 9436193802 Enrollment ID: I20050616000255 |
| Provider Name | Michael D Heaney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245287549 PECOS PAC ID: 7416991880 Enrollment ID: I20050616000269 |
| Provider Name | Huagui Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477569895 PECOS PAC ID: 8628012028 Enrollment ID: I20050616000512 |
| Provider Name | Frank G Ondrey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508941428 PECOS PAC ID: 7517901937 Enrollment ID: I20050616000631 |
| Provider Name | Peter J Ganzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275599318 PECOS PAC ID: 6103860333 Enrollment ID: I20050617000455 |
| 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 | Paul L Benn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093746976 PECOS PAC ID: 0941295125 Enrollment ID: I20050621000108 |
| Provider Name | Robert D Dexter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548237548 PECOS PAC ID: 2860437621 Enrollment ID: I20050622000582 |
| Provider Name | Vincent A Simone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427053917 PECOS PAC ID: 2365406048 Enrollment ID: I20050623000215 |
| Provider Name | Donald Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255307740 PECOS PAC ID: 8224073739 Enrollment ID: I20050624000802 |
| Provider Name | Richard D Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477529121 PECOS PAC ID: 5193760619 Enrollment ID: I20050624000906 |
| Provider Name | Kristen K Mccullough |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396711313 PECOS PAC ID: 1456397496 Enrollment ID: I20050630000149 |
| 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 | Annie L Burton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871548362 PECOS PAC ID: 9830125061 Enrollment ID: I20050711000541 |
| Provider Name | Christofer A Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053375121 PECOS PAC ID: 8527094556 Enrollment ID: I20050712000322 |
| Provider Name | Jennifer L Budd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083625057 PECOS PAC ID: 5092742981 Enrollment ID: I20050722000092 |
| Provider Name | Patricia A Carroll |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033249065 PECOS PAC ID: 6800823568 Enrollment ID: I20050725000519 |
| 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 | Peter J Halvorson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831152008 PECOS PAC ID: 3779550876 Enrollment ID: I20050802000908 |
| Provider Name | Li Lisa Ge |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194709188 PECOS PAC ID: 0648208280 Enrollment ID: I20050803000856 |
| Provider Name | Shamane Kimara March |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942288162 PECOS PAC ID: 5395774558 Enrollment ID: I20050808000819 |
| Provider Name | Chinsoo L Cho |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588683676 PECOS PAC ID: 6305875345 Enrollment ID: I20050810000051 |
| Provider Name | Hyun J Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891885307 PECOS PAC ID: 7517996325 Enrollment ID: I20050811000249 |
| 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 | Jeffrey J Connaire |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710931449 PECOS PAC ID: 6709818875 Enrollment ID: I20050909000291 |
| Provider Name | Tara Lee Holm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164567764 PECOS PAC ID: 8820021801 Enrollment ID: I20050912000822 |
| 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 | Lisa M Bowman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861479065 PECOS PAC ID: 2567495898 Enrollment ID: I20050916000032 |
| Provider Name | Mark S Wilke |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376546234 PECOS PAC ID: 4183657315 Enrollment ID: I20050916000793 |
| Provider Name | Peter Karachunski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720176308 PECOS PAC ID: 7719911825 Enrollment ID: I20050919000678 |
| Provider Name | Mark W Berger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962481747 PECOS PAC ID: 0749194777 Enrollment ID: I20050920000198 |
| Provider Name | Robert J Johnson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1740224732 PECOS PAC ID: 4284668229 Enrollment ID: I20050920000726 |
| 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 | Erika N Sandell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508973272 PECOS PAC ID: 5294769873 Enrollment ID: I20050922000943 |
| Provider Name | Jeff W Wiemiller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285641373 PECOS PAC ID: 3870527450 Enrollment ID: I20050922000992 |
| 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 | Annemarie M Mischel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306812698 PECOS PAC ID: 1456385616 Enrollment ID: I20050927000253 |
| Provider Name | Rachel C Ulfers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225126303 PECOS PAC ID: 5193750354 Enrollment ID: I20050927001189 |
| 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 | Ann E Van Heest |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1194833376 PECOS PAC ID: 7113942335 Enrollment ID: I20051006000879 |
| Provider Name | Jeffrey S Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497734123 PECOS PAC ID: 1254245954 Enrollment ID: I20051007000143 |
| Provider Name | William M Stauffer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093781049 PECOS PAC ID: 2264457332 Enrollment ID: I20051007000274 |
| Provider Name | Deanna L Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851473342 PECOS PAC ID: 5092730101 Enrollment ID: I20051007000588 |
| 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 | Carly M Kempton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275552879 PECOS PAC ID: 9638194632 Enrollment ID: I20051010000181 |
| 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 | 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 | Curt Behrns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801869227 PECOS PAC ID: 1850318379 Enrollment ID: I20051025000024 |
| 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 | Sayeed Ikramuddin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417988510 PECOS PAC ID: 5395763718 Enrollment ID: I20051103001161 |
| Provider Name | Anne H Blaes |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285690156 PECOS PAC ID: 0042238222 Enrollment ID: I20051107000107 |
| Provider Name | James Kyle Anderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093819153 PECOS PAC ID: 1153392378 Enrollment ID: I20051107000332 |
| Provider Name | Meghan R Mckeon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316926215 PECOS PAC ID: 9032137195 Enrollment ID: I20051107000960 |
| 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 | Michael S Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649351115 PECOS PAC ID: 7416975487 Enrollment ID: I20051108000722 |
| Provider Name | Karin E Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144305558 PECOS PAC ID: 4587682562 Enrollment ID: I20051108000748 |
| Provider Name | Maneesh Bhargava |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407892755 PECOS PAC ID: 8022036011 Enrollment ID: I20051108000852 |
| Provider Name | Jessica L Nyholm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023098837 PECOS PAC ID: 4981623386 Enrollment ID: I20051115000683 |
| Provider Name | Jonathan Patrick Braman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548296619 PECOS PAC ID: 0840219028 Enrollment ID: I20051116000889 |
| Provider Name | Ranji Varghese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255304770 PECOS PAC ID: 5890714083 Enrollment ID: I20051116000987 |
| Provider Name | Jennifer A Ward |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205829520 PECOS PAC ID: 6800815945 Enrollment ID: I20051117000295 |
| Provider Name | Manish R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740204957 PECOS PAC ID: 1658391040 Enrollment ID: I20051130000441 |
| Provider Name | Pamela J Freske |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912497041 PECOS PAC ID: 0749201424 Enrollment ID: I20051208000985 |
| Provider Name | Kari D Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285717082 PECOS PAC ID: 8426079500 Enrollment ID: I20051216000353 |
| Provider Name | Elise M Binsfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154383404 PECOS PAC ID: 9436170446 Enrollment ID: I20051216000660 |
| 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 | James R Natwick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912916388 PECOS PAC ID: 0749202091 Enrollment ID: I20051229000587 |
| 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 | Rene L Royal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093823122 PECOS PAC ID: 4880616036 Enrollment ID: I20051230000604 |
| Provider Name | Alan E Sadowsky |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023126166 PECOS PAC ID: 2567484736 Enrollment ID: I20060103000056 |
| Provider Name | Carol H Schoonover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699883587 PECOS PAC ID: 6901828177 Enrollment ID: I20060103000069 |
| Provider Name | Randall S Sondrol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841390242 PECOS PAC ID: 0143242313 Enrollment ID: I20060103000108 |
| Provider Name | Bradley R Pierce |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932130812 PECOS PAC ID: 5890780084 Enrollment ID: I20060106000340 |
| Provider Name | Rebecca A Wicklund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134193287 PECOS PAC ID: 9032132543 Enrollment ID: I20060111000353 |
| Provider Name | Kristine Anne Mannchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720065899 PECOS PAC ID: 2466475884 Enrollment ID: I20060111000546 |
| Provider Name | Alexis R Maciej |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902988421 PECOS PAC ID: 3476576653 Enrollment ID: I20060113000527 |
| Provider Name | Lisa K Van Berkel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114032729 PECOS PAC ID: 2860416062 Enrollment ID: I20060113000767 |
| 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 | Janet A Hommerding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659463990 PECOS PAC ID: 5698799062 Enrollment ID: I20060124000981 |
| Provider Name | Robin K Rumsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619050028 PECOS PAC ID: 8022022979 Enrollment ID: I20060130000784 |
| Provider Name | Indu Agarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902840689 PECOS PAC ID: 0941269955 Enrollment ID: I20060130000807 |
| Provider Name | Paula Johnson Rehder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518050103 PECOS PAC ID: 2567476484 Enrollment ID: I20060131000373 |
| 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 | Beatrice E Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033292958 PECOS PAC ID: 5991710329 Enrollment ID: I20060207000311 |
| 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 | Jordan M Dunitz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760413124 PECOS PAC ID: 8921013731 Enrollment ID: I20060216000463 |
| Provider Name | Edward B Martin-chaffee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295728848 PECOS PAC ID: 3870508575 Enrollment ID: I20060216000471 |
| 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 | Christine N Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902817877 PECOS PAC ID: 0749295228 Enrollment ID: I20060221000227 |
| Provider Name | Stephen Bauman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326059262 PECOS PAC ID: 2769498203 Enrollment ID: I20060221000744 |
| Provider Name | John L Bass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164468583 PECOS PAC ID: 5294741732 Enrollment ID: I20060221000751 |
| Provider Name | Kimberly A Bixel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447365218 PECOS PAC ID: 6305852781 Enrollment ID: I20060222000221 |
| Provider Name | Richard K Bom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689789554 PECOS PAC ID: 2264448661 Enrollment ID: I20060222000368 |
| Provider Name | Michael J Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295813731 PECOS PAC ID: 6406862861 Enrollment ID: I20060223000014 |
| Provider Name | Teresa L Caspar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386736221 PECOS PAC ID: 7315953502 Enrollment ID: I20060224000533 |
| Provider Name | Chad M Clemenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568479657 PECOS PAC ID: 2163438318 Enrollment ID: I20060227000197 |
| Provider Name | Marian L Delaney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457362444 PECOS PAC ID: 6406862366 Enrollment ID: I20060301000599 |
| 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 | Kathrine Patricia Frey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114994563 PECOS PAC ID: 8022024652 Enrollment ID: I20060306000581 |
| Provider Name | William H Meller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053496216 PECOS PAC ID: 6305853961 Enrollment ID: I20060307000772 |
| Provider Name | Melanie J Hanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508907882 PECOS PAC ID: 3173530656 Enrollment ID: I20060308000133 |
| Provider Name | Claudia Joan Hornibrook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083625552 PECOS PAC ID: 4385651819 Enrollment ID: I20060308000602 |
| Provider Name | Ganesh Raveendran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265418420 PECOS PAC ID: 8123035664 Enrollment ID: I20060308000680 |
| Provider Name | Tara D Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952492464 PECOS PAC ID: 9032126412 Enrollment ID: I20060309000240 |
| 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 | Janelle J Melgeorge Anderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659338481 PECOS PAC ID: 1759398035 Enrollment ID: I20060310000442 |
| Provider Name | Richard W Lundgren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033217377 PECOS PAC ID: 1355358607 Enrollment ID: I20060313000301 |
| Provider Name | Jeffrey R Mathews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285742916 PECOS PAC ID: 8325055502 Enrollment ID: I20060313000616 |
| Provider Name | Janice M Mcintosh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720187198 PECOS PAC ID: 4082621297 Enrollment ID: I20060314000099 |
| Provider Name | Patrick J Morris |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1023194016 PECOS PAC ID: 4183518657 Enrollment ID: I20060314000477 |
| Provider Name | Dean R Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508810482 PECOS PAC ID: 7911914064 Enrollment ID: I20060314000573 |
| Provider Name | Michelle M Perault-boughton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346357035 PECOS PAC ID: 4587671680 Enrollment ID: I20060315000145 |
| Provider Name | Paul A Nielsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851302335 PECOS PAC ID: 3577570670 Enrollment ID: I20060315000152 |
| Provider Name | Margaret E O Brien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669589354 PECOS PAC ID: 3577570688 Enrollment ID: I20060315000207 |
| Provider Name | Karen A Oelschlaeger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427165190 PECOS PAC ID: 4284641390 Enrollment ID: I20060315000235 |
| Provider Name | Jessica L Olderness |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265549950 PECOS PAC ID: 1355358466 Enrollment ID: I20060315000262 |
| Provider Name | Lynn A Olejniczak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578667259 PECOS PAC ID: 8527075639 Enrollment ID: I20060315000274 |
| Provider Name | Lynn M Osborne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144311499 PECOS PAC ID: 6002823127 Enrollment ID: I20060315000344 |
| Provider Name | Debra J Palma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902817489 PECOS PAC ID: 0143237180 Enrollment ID: I20060315000546 |
| Provider Name | Teresa M Paulson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396850905 PECOS PAC ID: 7012924079 Enrollment ID: I20060315000676 |
| Provider Name | Robin E Quast |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598714347 PECOS PAC ID: 0749297745 Enrollment ID: I20060316000208 |
| Provider Name | Michael J Howell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407897804 PECOS PAC ID: 3678581303 Enrollment ID: I20060322000523 |
| Provider Name | Quentin M Gabor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427115856 PECOS PAC ID: 6002883139 Enrollment ID: I20060323000136 |
| Provider Name | Melissa R Shirriff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740291749 PECOS PAC ID: 3173531704 Enrollment ID: I20060323000520 |
| Provider Name | Jennifer S Oberstar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073515466 PECOS PAC ID: 2567470990 Enrollment ID: I20060328000016 |
| Provider Name | Elizabeth J Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457449225 PECOS PAC ID: 2466460720 Enrollment ID: I20060328000436 |
| Provider Name | Dale C Snover |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831166289 PECOS PAC ID: 1456369727 Enrollment ID: I20060328000460 |
| Provider Name | Laurie K Harvison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851408520 PECOS PAC ID: 9537177811 Enrollment ID: I20060328000581 |
| Provider Name | Bradley J Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619950839 PECOS PAC ID: 5890703037 Enrollment ID: I20060329000341 |
| Provider Name | Karen B Torgerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821103797 PECOS PAC ID: 3072521236 Enrollment ID: I20060329000502 |
| 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 | Heather K Vander Weide |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114938685 PECOS PAC ID: 0840208021 Enrollment ID: I20060329000645 |
| Provider Name | Craig R Weinert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891892261 PECOS PAC ID: 7113935255 Enrollment ID: I20060330000511 |
| Provider Name | Loren M Wilkes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619929395 PECOS PAC ID: 2860400918 Enrollment ID: I20060330000585 |
| Provider Name | Jodi M Zolik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659488591 PECOS PAC ID: 6800804915 Enrollment ID: I20060331000342 |
| Provider Name | Patricia D Zweber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295745388 PECOS PAC ID: 2163430281 Enrollment ID: I20060331000360 |
| Provider Name | Dana L Metzger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154376135 PECOS PAC ID: 6507874575 Enrollment ID: I20060403000269 |
| Provider Name | Alicia S Kunin-batson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437239308 PECOS PAC ID: 6002824091 Enrollment ID: I20060403000414 |
| Provider Name | Elizabeth A Braunlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265468334 PECOS PAC ID: 1052329851 Enrollment ID: I20060404000710 |
| 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 | Boris L Kholomyansky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699725903 PECOS PAC ID: 3173533999 Enrollment ID: I20060425000013 |
| Provider Name | Anthony G Bottini |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265422927 PECOS PAC ID: 4284644923 Enrollment ID: I20060426000314 |
| Provider Name | Ann Louise Forster Page |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902837875 PECOS PAC ID: 7517978554 Enrollment ID: I20060505000444 |
| Provider Name | Carrie E Neerland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689601783 PECOS PAC ID: 3173534138 Enrollment ID: I20060505000616 |
| Provider Name | Peter H Helseth |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205828308 PECOS PAC ID: 9032120753 Enrollment ID: I20060509000939 |
| Provider Name | Peter J Boardman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376500389 PECOS PAC ID: 0446262356 Enrollment ID: I20060614000223 |
| Provider Name | Luis E Laguna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205874591 PECOS PAC ID: 1052323904 Enrollment ID: I20060615000172 |
| Provider Name | Brenda J Weigel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194779850 PECOS PAC ID: 1850303702 Enrollment ID: I20060615000191 |
| 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 | Armand E Radke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447287677 PECOS PAC ID: 4082626320 Enrollment ID: I20060703000052 |
| 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 | Daniel Brent Leslie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295779809 PECOS PAC ID: 0446263230 Enrollment ID: I20060721000005 |
| Provider Name | James M Mylrea |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528052594 PECOS PAC ID: 9830118694 Enrollment ID: I20060724000211 |
| Provider Name | David P Lambert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154384527 PECOS PAC ID: 9436162120 Enrollment ID: I20060725000249 |
| Provider Name | John E Simon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255374609 PECOS PAC ID: 7911972534 Enrollment ID: I20060725000378 |
| Provider Name | Gregory M Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427090133 PECOS PAC ID: 2860397510 Enrollment ID: I20060726000019 |
| Provider Name | Lisa S Chow |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689652224 PECOS PAC ID: 2567475114 Enrollment ID: I20060726000289 |
| Provider Name | Tina Huang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104867316 PECOS PAC ID: 7315900040 Enrollment ID: I20060727000116 |
| Provider Name | Bruce M Berens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811994858 PECOS PAC ID: 4688687163 Enrollment ID: I20060731000087 |
| 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 | Danielle M Lausted |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043276199 PECOS PAC ID: 2264445576 Enrollment ID: I20060802000421 |
| 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 | Jeffrey P Sanderson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669464970 PECOS PAC ID: 2466482666 Enrollment ID: I20060814000307 |
| Provider Name | James L Wise |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982681334 PECOS PAC ID: 4981607850 Enrollment ID: I20060814000502 |
| 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 | Jason G Rahenkamp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205854239 PECOS PAC ID: 2668407339 Enrollment ID: I20060823000019 |
| Provider Name | Sean Patrick Elliott |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861435943 PECOS PAC ID: 5698715647 Enrollment ID: I20060823000293 |
| Provider Name | Matthew J Loe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861419293 PECOS PAC ID: 2769486117 Enrollment ID: I20060828000166 |
| Provider Name | Eric H Jensen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1770526857 PECOS PAC ID: 5890798250 Enrollment ID: I20060829000474 |
| 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 | Brian T Hauger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568576064 PECOS PAC ID: 9133123789 Enrollment ID: I20060913000144 |
| Provider Name | Stephanie S Band |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952405003 PECOS PAC ID: 8628073137 Enrollment ID: I20060915000213 |
| Provider Name | Brandon M Nathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891738530 PECOS PAC ID: 0749285856 Enrollment ID: I20060925000144 |
| Provider Name | Amy J Edman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881638344 PECOS PAC ID: 1355346255 Enrollment ID: I20060928000106 |
| Provider Name | David P Enneking |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215948229 PECOS PAC ID: 9931105244 Enrollment ID: I20061010000439 |
| Provider Name | Candace F Granberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679594774 PECOS PAC ID: 1355347550 Enrollment ID: I20061011000461 |
| Provider Name | Suzanne S Parrino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730113671 PECOS PAC ID: 1658341870 Enrollment ID: I20061012000098 |
| Provider Name | Christopher J Boys |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568418812 PECOS PAC ID: 6507862398 Enrollment ID: I20061019000046 |
| Provider Name | Danielle Y Maclaurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629168158 PECOS PAC ID: 6507863917 Enrollment ID: I20061027000232 |
| Provider Name | Antoinette M Moran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780618249 PECOS PAC ID: 3274530464 Enrollment ID: I20061101000056 |
| 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 | James J Martineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205927084 PECOS PAC ID: 8921006487 Enrollment ID: I20061116000169 |
| Provider Name | Peter Ames |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245279306 PECOS PAC ID: 0749189934 Enrollment ID: I20061117000056 |
| Provider Name | John B Buren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023087814 PECOS PAC ID: 8426081738 Enrollment ID: I20061117000470 |
| Provider Name | June E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659474880 PECOS PAC ID: 5193723401 Enrollment ID: I20061121000424 |
| Provider Name | Anna Schorer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164449989 PECOS PAC ID: 3779581996 Enrollment ID: I20061127000157 |
| Provider Name | Mary I Pukite |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447204078 PECOS PAC ID: 7517966187 Enrollment ID: I20061208000020 |
| Provider Name | Renae L Kane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669542874 PECOS PAC ID: 7618976069 Enrollment ID: I20061212000320 |
| Provider Name | Sameer Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578500252 PECOS PAC ID: 7113910563 Enrollment ID: I20061212000500 |
| Provider Name | Sarah J Schwarzenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245264795 PECOS PAC ID: 3375542590 Enrollment ID: I20061215000153 |
| Provider Name | Peter J Bzdusek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992800544 PECOS PAC ID: 5496754624 Enrollment ID: I20061215000214 |
| Provider Name | Patrick G Arndt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265546345 PECOS PAC ID: 1557334505 Enrollment ID: I20061220000138 |
| Provider Name | Azhar T Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538187786 PECOS PAC ID: 0143228809 Enrollment ID: I20061227000270 |
| Provider Name | Michael J Forseth |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1700992492 PECOS PAC ID: 4587565791 Enrollment ID: I20070108000509 |
| Provider Name | Alan Berger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104861350 PECOS PAC ID: 6709887656 Enrollment ID: I20070122000049 |
| Provider Name | Andrew R Harrison |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396768180 PECOS PAC ID: 0749281400 Enrollment ID: I20070123000418 |
| 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 | Alice E Snorteland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861403859 PECOS PAC ID: 4981608544 Enrollment ID: I20070124000186 |
| Provider Name | Curtis D Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114087608 PECOS PAC ID: 3072514397 Enrollment ID: I20070129000441 |
| Provider Name | David A Potter |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1073579504 PECOS PAC ID: 2769483080 Enrollment ID: I20070129000490 |
| Provider Name | Teresa M Saracino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891708251 PECOS PAC ID: 7315948684 Enrollment ID: I20070130000057 |
| Provider Name | Josephine Zelma Helmbrecht |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194816413 PECOS PAC ID: 9739181900 Enrollment ID: I20070201000385 |
| Provider Name | Jagadish M R Patil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720098833 PECOS PAC ID: 4587666821 Enrollment ID: I20070215000340 |
| Provider Name | Mark A Janiga |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679504625 PECOS PAC ID: 3173558251 Enrollment ID: I20070226000014 |
| Provider Name | Michael T Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972600286 PECOS PAC ID: 3971605601 Enrollment ID: I20070226000701 |
| Provider Name | Antoinette Rae Vanstelten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669577516 PECOS PAC ID: 5698878817 Enrollment ID: I20070308000459 |
| 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 | Laurie A Leabhart |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1366519936 PECOS PAC ID: 4688778632 Enrollment ID: I20070330000252 |
| Provider Name | Jeffrey G Chipman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942237946 PECOS PAC ID: 0345345575 Enrollment ID: I20070418000015 |
| Provider Name | Alakananda Nagaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265533913 PECOS PAC ID: 2163312828 Enrollment ID: I20070424000670 |
| Provider Name | Milena Elimelakh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679609689 PECOS PAC ID: 1052417706 Enrollment ID: I20070426000422 |
| Provider Name | Molly Klein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902840010 PECOS PAC ID: 7911003975 Enrollment ID: I20070508000327 |
| Provider Name | Robert E Bulander |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093844391 PECOS PAC ID: 4183721657 Enrollment ID: I20070517000148 |
| Provider Name | Rebecca R Thomas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518996081 PECOS PAC ID: 5991790289 Enrollment ID: I20070524000570 |
| Provider Name | Michael H Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427116896 PECOS PAC ID: 3173626488 Enrollment ID: I20070611000399 |
| Provider Name | Robert W Mckenna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669431706 PECOS PAC ID: 6305944422 Enrollment ID: I20070613000079 |
| Provider Name | Nissrine A Nakib |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669516852 PECOS PAC ID: 3375641384 Enrollment ID: I20070614000111 |
| Provider Name | Alexander Ivaskovic |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831391432 PECOS PAC ID: 1153421706 Enrollment ID: I20070711000494 |
| Provider Name | Tan D Scheraldi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891915302 PECOS PAC ID: 1052411584 Enrollment ID: I20070712000220 |
| Provider Name | James V Harmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073586269 PECOS PAC ID: 2860592367 Enrollment ID: I20070712000801 |
| Provider Name | Anne Marie Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215036314 PECOS PAC ID: 4688774912 Enrollment ID: I20070716000197 |
| Provider Name | Veronika Bachanova |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841327665 PECOS PAC ID: 5395845622 Enrollment ID: I20070716000212 |
| Provider Name | Erica Dahl Warlick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699833434 PECOS PAC ID: 6103926449 Enrollment ID: I20070716000227 |
| Provider Name | Christopher A Warlick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730260787 PECOS PAC ID: 9032111299 Enrollment ID: I20070716000245 |
| Provider Name | Michael A Reid |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528287414 PECOS PAC ID: 8123129970 Enrollment ID: I20070723000767 |
| Provider Name | David G Strike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669449492 PECOS PAC ID: 1951402510 Enrollment ID: I20070726000236 |
| 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 | Kathryn R Cullen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740496090 PECOS PAC ID: 7618078023 Enrollment ID: I20070728000011 |
| Provider Name | Sreejaya Veluvali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568462570 PECOS PAC ID: 0749243624 Enrollment ID: I20070728000012 |
| Provider Name | Kamran M Karimi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215947288 PECOS PAC ID: 8820091481 Enrollment ID: I20070802000235 |
| Provider Name | Sara S Frankwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700806833 PECOS PAC ID: 3476644360 Enrollment ID: I20070807000416 |
| Provider Name | Seth C Janus |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982747515 PECOS PAC ID: 0042301657 Enrollment ID: I20070811000068 |
| Provider Name | Stephen James Huddleston |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104037621 PECOS PAC ID: 2668563271 Enrollment ID: I20070811000083 |
| Provider Name | Gail S Summerville |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1679640783 PECOS PAC ID: 8123119625 Enrollment ID: I20070814000039 |
| 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 | Sally A Mullany |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1871572909 PECOS PAC ID: 6608967054 Enrollment ID: I20070814000554 |
| Provider Name | Bradford V Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992907364 PECOS PAC ID: 8123110426 Enrollment ID: I20070816000242 |
| Provider Name | Paul R Carolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144427055 PECOS PAC ID: 3971695214 Enrollment ID: I20070816000583 |
| 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 | Beverly J Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306935804 PECOS PAC ID: 9739271842 Enrollment ID: I20070822000060 |
| Provider Name | Robert R Kempainen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356430284 PECOS PAC ID: 8022100585 Enrollment ID: I20070828001074 |
| Provider Name | Brian J Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922130798 PECOS PAC ID: 0648363465 Enrollment ID: I20070910000486 |
| 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 | Donavon J Hess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376668251 PECOS PAC ID: 3678667243 Enrollment ID: I20070913000690 |
| Provider Name | Carlye T Tomczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306048574 PECOS PAC ID: 8325132764 Enrollment ID: I20070917000335 |
| Provider Name | Ramachandra P Tummala |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124078027 PECOS PAC ID: 2466464714 Enrollment ID: I20070919000265 |
| Provider Name | Adam F Carpenter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942355490 PECOS PAC ID: 5991899189 Enrollment ID: I20070919000276 |
| Provider Name | Mesfin E Abdissa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376579417 PECOS PAC ID: 1456363829 Enrollment ID: I20070919000305 |
| Provider Name | Phillip N Rauk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780768176 PECOS PAC ID: 7012909146 Enrollment ID: I20070919000663 |
| Provider Name | Sarulatha M Kuppa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093911083 PECOS PAC ID: 1153415245 Enrollment ID: I20070920000177 |
| Provider Name | Robin E Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619050184 PECOS PAC ID: 9830283936 Enrollment ID: I20070920000240 |
| Provider Name | Rebecca Rs French |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336208669 PECOS PAC ID: 7517051592 Enrollment ID: I20070921000129 |
| Provider Name | Jocelin Huang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609997808 PECOS PAC ID: 5597859579 Enrollment ID: I20070921000150 |
| Provider Name | Stephen C Kaufman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558421958 PECOS PAC ID: 1153415179 Enrollment ID: I20070921000376 |
| Provider Name | Thomas N George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144215088 PECOS PAC ID: 3678667698 Enrollment ID: I20070921000393 |
| Provider Name | Caroline S George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912993049 PECOS PAC ID: 9436240975 Enrollment ID: I20070921000401 |
| Provider Name | Timinder S Biring |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487621017 PECOS PAC ID: 8527095306 Enrollment ID: I20070926001151 |
| Provider Name | Megan J Opsahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295929735 PECOS PAC ID: 1355436957 Enrollment ID: I20070927000334 |
| 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 | Andrew Hartigan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093793234 PECOS PAC ID: 5294649976 Enrollment ID: I20070928000639 |
| Provider Name | Tadashi L Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700925864 PECOS PAC ID: 9234224452 Enrollment ID: I20071003000463 |
| Provider Name | Bryce A Binstadt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942244686 PECOS PAC ID: 5890734990 Enrollment ID: I20071003000532 |
| 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 | Marek Kostanecki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568577492 PECOS PAC ID: 5698672665 Enrollment ID: I20071010000388 |
| Provider Name | Anthony A Killeen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811087323 PECOS PAC ID: 5092801787 Enrollment ID: I20071010000608 |
| Provider Name | Maria R Evasovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326077611 PECOS PAC ID: 7416043716 Enrollment ID: I20071018000172 |
| Provider Name | Debra J Reinisch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790798155 PECOS PAC ID: 7214023464 Enrollment ID: I20071018000589 |
| Provider Name | Errin M Musich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083806657 PECOS PAC ID: 9931295102 Enrollment ID: I20071018000694 |
| 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 | Sivakumar Chinnadurai |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083835003 PECOS PAC ID: 3678660453 Enrollment ID: I20071025000333 |
| Provider Name | Rebecca A Wieben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174717847 PECOS PAC ID: 7113014861 Enrollment ID: I20071029000260 |
| Provider Name | John H Eckfeldt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629006218 PECOS PAC ID: 0749377877 Enrollment ID: I20071106000372 |
| Provider Name | Patrick Morgan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790707537 PECOS PAC ID: 0547265837 Enrollment ID: I20071108000600 |
| Provider Name | David R Boulware |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225181290 PECOS PAC ID: 4486742269 Enrollment ID: I20071112000473 |
| Provider Name | Philip L Prosapio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487602926 PECOS PAC ID: 2365335510 Enrollment ID: I20071126000071 |
| 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 | Sally H Berryman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306877790 PECOS PAC ID: 3779672845 Enrollment ID: I20071128000196 |
| Provider Name | Gail M Brottman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154421642 PECOS PAC ID: 5496844151 Enrollment ID: I20071203000472 |
| 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 | Amy N Redlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821076837 PECOS PAC ID: 6507956638 Enrollment ID: I20071213000268 |
| Provider Name | Chung K Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972609360 PECOS PAC ID: 5193815108 Enrollment ID: I20071214000053 |
| Provider Name | Stephen Florante Austria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023297454 PECOS PAC ID: 0143310011 Enrollment ID: I20071214000619 |
| Provider Name | Cameron Mcconnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649284910 PECOS PAC ID: 8022921634 Enrollment ID: I20071217000148 |
| Provider Name | Patricia Lynn Richman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235146994 PECOS PAC ID: 6901719517 Enrollment ID: I20071217000265 |
| Provider Name | Angela J Smithson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093721771 PECOS PAC ID: 6709799315 Enrollment ID: I20071217000351 |
| Provider Name | Rick L Nissen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306842711 PECOS PAC ID: 5991895690 Enrollment ID: I20071219000124 |
| Provider Name | Milind Y Junghare |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205020294 PECOS PAC ID: 6901996438 Enrollment ID: I20071220000106 |
| Provider Name | Cynthia J Lynch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528240819 PECOS PAC ID: 3476643735 Enrollment ID: I20071226000480 |
| Provider Name | Maria K Hordinsky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134152218 PECOS PAC ID: 9830279843 Enrollment ID: I20080103000369 |
| Provider Name | Daniel L Mueller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821174814 PECOS PAC ID: 1951481977 Enrollment ID: I20080103000428 |
| Provider Name | Barbara S Daniels |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306874458 PECOS PAC ID: 6901718113 Enrollment ID: I20080104000311 |
| Provider Name | David R Nascene |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548451073 PECOS PAC ID: 8820178734 Enrollment ID: I20080104000370 |
| Provider Name | Jonathan B Jensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366534273 PECOS PAC ID: 1254411010 Enrollment ID: I20080107000082 |
| Provider Name | Suzanne Hecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669423950 PECOS PAC ID: 6709847775 Enrollment ID: I20080109000605 |
| Provider Name | Jerry A Molitor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235147331 PECOS PAC ID: 2365405396 Enrollment ID: I20080109000825 |
| Provider Name | Bharat Thyagarajan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245385186 PECOS PAC ID: 8527148014 Enrollment ID: I20080109000834 |
| Provider Name | Erin A Osterholm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083806061 PECOS PAC ID: 8628159654 Enrollment ID: I20080116000440 |
| 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 | James M Mcgreevy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568532653 PECOS PAC ID: 0840257275 Enrollment ID: I20080129000711 |
| Provider Name | Michael Thomas Madison |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1821077876 PECOS PAC ID: 5890609580 Enrollment ID: I20080130000624 |
| Provider Name | James T Langland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699711457 PECOS PAC ID: 3779488754 Enrollment ID: I20080201000031 |
| Provider Name | Suzanne R Ruegg |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164605358 PECOS PAC ID: 5496837254 Enrollment ID: I20080201000066 |
| Provider Name | Bevan Yueh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538262860 PECOS PAC ID: 9436242468 Enrollment ID: I20080201000415 |
| Provider Name | George S Goding |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134221427 PECOS PAC ID: 6608958202 Enrollment ID: I20080204000474 |
| Provider Name | Daniel Vincent Landers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114973328 PECOS PAC ID: 5092810788 Enrollment ID: I20080207000532 |
| 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 | Gary J Bachowski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184729337 PECOS PAC ID: 2365525482 Enrollment ID: I20080213000389 |
| Provider Name | Sharon M Wolters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336182955 PECOS PAC ID: 4385618602 Enrollment ID: I20080214000614 |
| Provider Name | Lynn Ann Burmeister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295761385 PECOS PAC ID: 9537242383 Enrollment ID: I20080216000078 |
| Provider Name | Erica K Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366635302 PECOS PAC ID: 9537243134 Enrollment ID: I20080220000618 |
| 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 | Carrie A Terrell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932298866 PECOS PAC ID: 9234213448 Enrollment ID: I20080227000182 |
| Provider Name | Lisa Long |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801072020 PECOS PAC ID: 1254416845 Enrollment ID: I20080306000355 |
| Provider Name | Jonathan N Sembrano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932113487 PECOS PAC ID: 6709961360 Enrollment ID: I20080307000105 |
| Provider Name | Margaret A Bebler |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1528241726 PECOS PAC ID: 7012092364 Enrollment ID: I20080311000245 |
| Provider Name | Boris Sudel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336349778 PECOS PAC ID: 9032294251 Enrollment ID: I20080312000570 |
| Provider Name | Lori M Leier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477664886 PECOS PAC ID: 9739189408 Enrollment ID: I20080313000669 |
| Provider Name | Charles A Dietz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982635165 PECOS PAC ID: 3971688979 Enrollment ID: I20080315000047 |
| Provider Name | Anil Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740340611 PECOS PAC ID: 1951393982 Enrollment ID: I20080325000410 |
| Provider Name | Jamie L Lohr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811916125 PECOS PAC ID: 1557447943 Enrollment ID: I20080326000162 |
| Provider Name | Miguel E Fiol |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689603888 PECOS PAC ID: 2062598154 Enrollment ID: I20080331000085 |
| Provider Name | Scott T Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932277043 PECOS PAC ID: 5294735544 Enrollment ID: I20080404000686 |
| Provider Name | Daniel J Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669449674 PECOS PAC ID: 1759338213 Enrollment ID: I20080404000792 |
| Provider Name | Thomas R Henry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568569085 PECOS PAC ID: 4981651452 Enrollment ID: I20080407000398 |
| Provider Name | Daniel J Garry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093770810 PECOS PAC ID: 0547347866 Enrollment ID: I20080410000178 |
| Provider Name | William T Browne |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497847321 PECOS PAC ID: 6103903489 Enrollment ID: I20080410000641 |
| Provider Name | Tambra R Dahlheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689644908 PECOS PAC ID: 1759468911 Enrollment ID: I20080411000470 |
| Provider Name | Martin L Freeman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013955848 PECOS PAC ID: 1658459292 Enrollment ID: I20080422000631 |
| Provider Name | Joshua A Bodie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083769517 PECOS PAC ID: 8820177926 Enrollment ID: I20080430000577 |
| Provider Name | Jamie L Feldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356372213 PECOS PAC ID: 7618056714 Enrollment ID: I20080430000601 |
| Provider Name | Loann S Stinson-deboer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992975395 PECOS PAC ID: 6507945664 Enrollment ID: I20080501000124 |
| 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 | 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 | Todd M Tuttle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700987906 PECOS PAC ID: 3577633700 Enrollment ID: I20080530000527 |
| 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 | Steven C Hommeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356329593 PECOS PAC ID: 8325952005 Enrollment ID: I20080602000034 |
| Provider Name | Edith Kang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720066848 PECOS PAC ID: 9032023726 Enrollment ID: I20080602000052 |
| Provider Name | Richard N Aizpuru |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558367789 PECOS PAC ID: 1951215979 Enrollment ID: I20080602000074 |
| Provider Name | Todd M Arsenault |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902890726 PECOS PAC ID: 4688588619 Enrollment ID: I20080602000082 |
| 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 | Blake A Carlson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548249956 PECOS PAC ID: 8022922780 Enrollment ID: I20080602000174 |
| Provider Name | John M Caspers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750369989 PECOS PAC ID: 2567376221 Enrollment ID: I20080602000293 |
| Provider Name | Matthew T Baldwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487632725 PECOS PAC ID: 5496669426 Enrollment ID: I20080602000307 |
| Provider Name | Timothy Goertzen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821076068 PECOS PAC ID: 3577477256 Enrollment ID: I20080602000518 |
| 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 | Kevin P Henseler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952358129 PECOS PAC ID: 6800977810 Enrollment ID: I20080703000478 |
| Provider Name | Joel D Halcomb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912954108 PECOS PAC ID: 4082795091 Enrollment ID: I20080703000505 |
| Provider Name | Rita F Rock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710159173 PECOS PAC ID: 3678645793 Enrollment ID: I20080708000005 |
| 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 | Robert D Acton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992749584 PECOS PAC ID: 0042383291 Enrollment ID: I20080721000623 |
| Provider Name | Jafar Golzarian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093703944 PECOS PAC ID: 4486727633 Enrollment ID: I20080721000634 |
| Provider Name | Margaret L Macmillan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881771947 PECOS PAC ID: 9537233234 Enrollment ID: I20080729000563 |
| Provider Name | James Reed Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942262290 PECOS PAC ID: 7113972753 Enrollment ID: I20080802000103 |
| Provider Name | Alexander Khoruts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841389780 PECOS PAC ID: 4183798580 Enrollment ID: I20080804000065 |
| Provider Name | Mudassar Ahmed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366595324 PECOS PAC ID: 9638243751 Enrollment ID: I20080807000035 |
| 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 | Leo Passov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437359882 PECOS PAC ID: 6800961285 Enrollment ID: I20080819000921 |
| Provider Name | Anne C Carlson-buren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588840813 PECOS PAC ID: 3274608369 Enrollment ID: I20080825000597 |
| Provider Name | Jeffrey A Norman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952593329 PECOS PAC ID: 7911073788 Enrollment ID: I20080902000073 |
| Provider Name | Lanning W Houston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548219124 PECOS PAC ID: 0547165284 Enrollment ID: I20080904000144 |
| Provider Name | Shari L Germscheid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962485680 PECOS PAC ID: 0547336281 Enrollment ID: I20080904000292 |
| Provider Name | Sara B Veldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578755740 PECOS PAC ID: 0042386559 Enrollment ID: I20080908000248 |
| Provider Name | Susan A Berry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982640264 PECOS PAC ID: 3375619653 Enrollment ID: I20080910000578 |
| 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 | Brooke M Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568662195 PECOS PAC ID: 9234206269 Enrollment ID: I20080917000462 |
| Provider Name | David H Ingbar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063446557 PECOS PAC ID: 4688741432 Enrollment ID: I20080922000209 |
| Provider Name | Mathew A Asuma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912154162 PECOS PAC ID: 4587731336 Enrollment ID: I20080922000216 |
| Provider Name | Orrin Mann |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1295719607 PECOS PAC ID: 1850380015 Enrollment ID: I20080926000549 |
| Provider Name | David M Perlman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467536615 PECOS PAC ID: 1759459803 Enrollment ID: I20081002000652 |
| Provider Name | Lin Y Chen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205800240 PECOS PAC ID: 6204904774 Enrollment ID: I20081010000221 |
| Provider Name | Jill L Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669568176 PECOS PAC ID: 3375645443 Enrollment ID: I20081010000257 |
| 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 | Melissa K Claar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588821573 PECOS PAC ID: 6901964774 Enrollment ID: I20081022000706 |
| Provider Name | James A Kirkham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316988512 PECOS PAC ID: 5890690531 Enrollment ID: I20081024000236 |
| Provider Name | Andrew R Zinkel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043491335 PECOS PAC ID: 8123194651 Enrollment ID: I20081025000049 |
| Provider Name | Genevieve B Melton Meaux |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1255487013 PECOS PAC ID: 5193883627 Enrollment ID: I20081027000774 |
| Provider Name | Julia K Reid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598750960 PECOS PAC ID: 0446318992 Enrollment ID: I20081028000130 |
| Provider Name | Chiquita M Ewert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972562569 PECOS PAC ID: 6103984661 Enrollment ID: I20081028000196 |
| Provider Name | Demetris Yannopoulos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821143629 PECOS PAC ID: 7911065396 Enrollment ID: I20081029000604 |
| Provider Name | Samir S Khariwala |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093859613 PECOS PAC ID: 5193825578 Enrollment ID: I20081030000212 |
| Provider Name | Elizabeth M Tello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801074554 PECOS PAC ID: 4688733025 Enrollment ID: I20081030000363 |
| Provider Name | Michelle N Rheault |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013053982 PECOS PAC ID: 2769562115 Enrollment ID: I20081103000295 |
| Provider Name | Angela R Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043365984 PECOS PAC ID: 1355400557 Enrollment ID: I20081103000425 |
| Provider Name | Joanne L Billings |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275579583 PECOS PAC ID: 5799844775 Enrollment ID: I20081105000531 |
| Provider Name | Jean M Schaaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285885202 PECOS PAC ID: 9537228499 Enrollment ID: I20081106000438 |
| Provider Name | Erin L Sly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740430792 PECOS PAC ID: 5991864662 Enrollment ID: I20081110000681 |
| Provider Name | Marissa A Hendrickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770797151 PECOS PAC ID: 6901869478 Enrollment ID: I20081122000151 |
| Provider Name | Angela K House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093980534 PECOS PAC ID: 0941361240 Enrollment ID: I20081204000906 |
| Provider Name | Gregory A Hatfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457392664 PECOS PAC ID: 7810892551 Enrollment ID: I20081211000028 |
| 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 | Nicole B Beckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306016860 PECOS PAC ID: 9133205263 Enrollment ID: I20081218000365 |
| Provider Name | Avi Katz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144337593 PECOS PAC ID: 6305908229 Enrollment ID: I20081230000502 |
| Provider Name | Boris J Winterhoff |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1225158132 PECOS PAC ID: 9537221379 Enrollment ID: I20090102000409 |
| Provider Name | Shawn M Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134317704 PECOS PAC ID: 3971666785 Enrollment ID: I20090105000569 |
| Provider Name | Sara H Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689854804 PECOS PAC ID: 7618030438 Enrollment ID: I20090106000063 |
| Provider Name | David J Maurer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962432104 PECOS PAC ID: 4183619372 Enrollment ID: I20090120000144 |
| Provider Name | Jackie L Bosshart |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801041447 PECOS PAC ID: 2860555711 Enrollment ID: I20090120000559 |
| Provider Name | Matthew A Hunt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619017787 PECOS PAC ID: 9638233281 Enrollment ID: I20090127000597 |
| Provider Name | Scott W Ahrenholz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720068810 PECOS PAC ID: 3870657901 Enrollment ID: I20090204000081 |
| Provider Name | Laurie J Fisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881613024 PECOS PAC ID: 1759446420 Enrollment ID: I20090212000141 |
| Provider Name | Gary S Francis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679666317 PECOS PAC ID: 4284630427 Enrollment ID: I20090220000226 |
| 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 | Parvin Christine Dorostkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962412056 PECOS PAC ID: 9931181567 Enrollment ID: I20090316000309 |
| Provider Name | Richard K Vehe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972604981 PECOS PAC ID: 9537226170 Enrollment ID: I20090325000598 |
| 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 | Donald R Nixdorf |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538211727 PECOS PAC ID: 0941357818 Enrollment ID: I20090409000661 |
| Provider Name | Andrew J Portis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881681815 PECOS PAC ID: 8426132440 Enrollment ID: I20090413000334 |
| Provider Name | Melinda K Fristedt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730207150 PECOS PAC ID: 2466509187 Enrollment ID: I20090416000130 |
| Provider Name | Laura G Hoyt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417923533 PECOS PAC ID: 2062569619 Enrollment ID: I20090416000492 |
| Provider Name | Erik Brian Finger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700849486 PECOS PAC ID: 5890738314 Enrollment ID: I20090422000542 |
| Provider Name | Jay M Hemmila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841302965 PECOS PAC ID: 9133277494 Enrollment ID: I20090427000189 |
| Provider Name | Ashley R Bjorklund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730371824 PECOS PAC ID: 0143378315 Enrollment ID: I20090427000380 |
| Provider Name | Susan E Walts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962479501 PECOS PAC ID: 3779631460 Enrollment ID: I20090507000301 |
| 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 | Steven J Chargo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497941553 PECOS PAC ID: 1951450626 Enrollment ID: I20090529000088 |
| Provider Name | Amy N Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427297209 PECOS PAC ID: 1951451327 Enrollment ID: I20090604000550 |
| 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 | Brian F Decesare |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194871798 PECOS PAC ID: 5395811863 Enrollment ID: I20090625000117 |
| Provider Name | Steven L Manning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245313139 PECOS PAC ID: 9830240969 Enrollment ID: I20090630000419 |
| Provider Name | Michael R Galle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841478005 PECOS PAC ID: 1456402403 Enrollment ID: I20090702000172 |
| 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 | 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 | Matthew Trefz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376735035 PECOS PAC ID: 9739230590 Enrollment ID: I20090810000398 |
| Provider Name | Paul Joseph Tuite |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811085137 PECOS PAC ID: 6507910486 Enrollment ID: I20090811000583 |
| Provider Name | Troy C Lund |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538357785 PECOS PAC ID: 4981758851 Enrollment ID: I20090812000657 |
| Provider Name | Joshua Harlen Olson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710143334 PECOS PAC ID: 2860546645 Enrollment ID: I20090812000912 |
| Provider Name | Christian M Ogilvie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902847601 PECOS PAC ID: 2668526476 Enrollment ID: I20090813000190 |
| Provider Name | Shanna M Morgan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215071675 PECOS PAC ID: 8820142557 Enrollment ID: I20090814000541 |
| Provider Name | Rebecca K Ameduri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861696569 PECOS PAC ID: 4688728116 Enrollment ID: I20090819000136 |
| Provider Name | Melena D Bellin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124219043 PECOS PAC ID: 8921152455 Enrollment ID: I20090819000173 |
| Provider Name | Andrew J Larson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528296043 PECOS PAC ID: 1153475538 Enrollment ID: I20090819000728 |
| Provider Name | Jacob Hodge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811158256 PECOS PAC ID: 3072668193 Enrollment ID: I20090825000751 |
| Provider Name | Ashley R Loomis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629278783 PECOS PAC ID: 2769570613 Enrollment ID: I20090826000627 |
| Provider Name | Jolene Ann Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811175193 PECOS PAC ID: 8022163088 Enrollment ID: I20090827000535 |
| Provider Name | Samantha L Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255523924 PECOS PAC ID: 2365597036 Enrollment ID: I20090901000446 |
| Provider Name | Patricia Marie Hobday |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962655308 PECOS PAC ID: 7315092004 Enrollment ID: I20090901000718 |
| Provider Name | Suzanne M Darnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164617569 PECOS PAC ID: 4385799741 Enrollment ID: I20090908000619 |
| Provider Name | Sujatha Tata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467615690 PECOS PAC ID: 3173685369 Enrollment ID: I20090911000476 |
| Provider Name | Dara D Koozekanani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265497556 PECOS PAC ID: 6305945783 Enrollment ID: I20090914000533 |
| Provider Name | Stephen D Bennett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154589364 PECOS PAC ID: 6608922141 Enrollment ID: I20090924000172 |
| Provider Name | Laurie A Judd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376779074 PECOS PAC ID: 7517003809 Enrollment ID: I20090929000508 |
| Provider Name | Caitlin G Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508096744 PECOS PAC ID: 8224174156 Enrollment ID: I20091007000479 |
| Provider Name | Lydia Najera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689747982 PECOS PAC ID: 5890831630 Enrollment ID: I20091007000653 |
| Provider Name | Melissa R Berends |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487886404 PECOS PAC ID: 7012053770 Enrollment ID: I20091009000297 |
| 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 | Badrinath R Konety |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912937657 PECOS PAC ID: 7517903362 Enrollment ID: I20091020000517 |
| Provider Name | Ann M Mchale |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1073742375 PECOS PAC ID: 3971640103 Enrollment ID: I20091021000234 |
| 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 | Therese M Maas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043543093 PECOS PAC ID: 9638216476 Enrollment ID: I20091027000388 |
| Provider Name | Justin L Seningen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083878425 PECOS PAC ID: 1052458874 Enrollment ID: I20091028000275 |
| Provider Name | Michael T Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891981825 PECOS PAC ID: 1951448588 Enrollment ID: I20091029000751 |
| Provider Name | Bryan Jeffrey Williams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407903222 PECOS PAC ID: 7810035086 Enrollment ID: I20091109000147 |
| Provider Name | Dawn Jenniges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669602306 PECOS PAC ID: 2466590641 Enrollment ID: I20091109000229 |
| Provider Name | Laurie Lynn Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700111788 PECOS PAC ID: 3173661220 Enrollment ID: I20091110000219 |
| Provider Name | Emiro Ejwin Caicedo Granados |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891840344 PECOS PAC ID: 3173691250 Enrollment ID: I20091110000390 |
| Provider Name | Sophia L Yohe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972783769 PECOS PAC ID: 5799823449 Enrollment ID: I20091117000571 |
| Provider Name | Cara L Borggren |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851581136 PECOS PAC ID: 6406994193 Enrollment ID: I20091118000213 |
| Provider Name | Keith L Cavanaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497830145 PECOS PAC ID: 8426955592 Enrollment ID: I20091118000228 |
| Provider Name | Amy Nell Esler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407005465 PECOS PAC ID: 0749328433 Enrollment ID: I20091118000249 |
| 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 | Priya Verghese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902917891 PECOS PAC ID: 4789723230 Enrollment ID: I20091123000535 |
| 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 | 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 | Michael J Manoles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578521555 PECOS PAC ID: 0042119109 Enrollment ID: I20100112000853 |
| Provider Name | Mehrsheed Sinaki |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336127224 PECOS PAC ID: 6507907433 Enrollment ID: I20100113000967 |
| 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 | Bradley J Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467488536 PECOS PAC ID: 6002958899 Enrollment ID: I20100115000799 |
| Provider Name | George M Realmuto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497839831 PECOS PAC ID: 1557403359 Enrollment ID: I20100115000821 |
| Provider Name | Cheryl A Gale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801828645 PECOS PAC ID: 5799827564 Enrollment ID: I20100118000167 |
| 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 | Gregory J Beilman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235218793 PECOS PAC ID: 7810039468 Enrollment ID: I20100121000101 |
| Provider Name | George Thomas Obryan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417061904 PECOS PAC ID: 1456262252 Enrollment ID: I20100128000977 |
| Provider Name | Mumtaz Mustapha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467595983 PECOS PAC ID: 1355484353 Enrollment ID: I20100129000333 |
| Provider Name | Michael K Georgieff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992737878 PECOS PAC ID: 4789727637 Enrollment ID: I20100201000670 |
| Provider Name | Raghavendra B Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225111974 PECOS PAC ID: 0648313593 Enrollment ID: I20100201000707 |
| Provider Name | Nancy M Fahim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023034329 PECOS PAC ID: 1052333556 Enrollment ID: I20100201000716 |
| Provider Name | Cara S Walz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538126867 PECOS PAC ID: 9537063359 Enrollment ID: I20100203000824 |
| Provider Name | Jakub Tolar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962591974 PECOS PAC ID: 8123161502 Enrollment ID: I20100208000142 |
| Provider Name | Lawrence J Schut |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356331011 PECOS PAC ID: 5395888770 Enrollment ID: I20100208000153 |
| Provider Name | Stephen B Sundberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396781696 PECOS PAC ID: 5294732004 Enrollment ID: I20100210000582 |
| Provider Name | Christopher J Day |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881827202 PECOS PAC ID: 3375686561 Enrollment ID: I20100210000667 |
| Provider Name | Charles F Moldow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467538413 PECOS PAC ID: 0042354094 Enrollment ID: I20100215000612 |
| Provider Name | Barbara N Malone |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831135193 PECOS PAC ID: 7113976127 Enrollment ID: I20100217000731 |
| Provider Name | Debra A Scherman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821075623 PECOS PAC ID: 1658415492 Enrollment ID: I20100217000894 |
| Provider Name | Kelvin O Lim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912089152 PECOS PAC ID: 7113061839 Enrollment ID: I20100218000840 |
| Provider Name | William K Engel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023093390 PECOS PAC ID: 7214071786 Enrollment ID: I20100222000544 |
| Provider Name | Kristina Varadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669580890 PECOS PAC ID: 4587708094 Enrollment ID: I20100222000865 |
| Provider Name | Genet N Ghebre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114154986 PECOS PAC ID: 4880738277 Enrollment ID: I20100223000848 |
| Provider Name | Joseph W Leach |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922083336 PECOS PAC ID: 7315082393 Enrollment ID: I20100302000311 |
| Provider Name | Lucien Gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295900629 PECOS PAC ID: 0840335873 Enrollment ID: I20100302000758 |
| Provider Name | Piet C De Groen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811977028 PECOS PAC ID: 6204971971 Enrollment ID: I20100305000207 |
| Provider Name | Bruce I Idelkope |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083661680 PECOS PAC ID: 6800977240 Enrollment ID: I20100306000239 |
| Provider Name | Timothy J Ronneberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700849908 PECOS PAC ID: 5496890899 Enrollment ID: I20100310000550 |
| Provider Name | Kevin A Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538243779 PECOS PAC ID: 7517002819 Enrollment ID: I20100310000636 |
| Provider Name | Mark L. Brancel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417924481 PECOS PAC ID: 9032254362 Enrollment ID: I20100310000996 |
| Provider Name | Joseph Patrick Garry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306838255 PECOS PAC ID: 1153383989 Enrollment ID: I20100311000910 |
| Provider Name | William E Conroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396723243 PECOS PAC ID: 1456486323 Enrollment ID: I20100317000317 |
| 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 | Seyyed H Fatemi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477582765 PECOS PAC ID: 4688700925 Enrollment ID: I20100325001075 |
| Provider Name | William M Kaylor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447264569 PECOS PAC ID: 7012074537 Enrollment ID: I20100329001095 |
| Provider Name | John C Hulbert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881608917 PECOS PAC ID: 4284791708 Enrollment ID: I20100329001113 |
| Provider Name | Amy J Thorsen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1215945944 PECOS PAC ID: 1951368141 Enrollment ID: I20100330000128 |
| Provider Name | Paul D Hartleben |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487622510 PECOS PAC ID: 2466532486 Enrollment ID: I20100331001067 |
| Provider Name | Karee E Lehrman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417924770 PECOS PAC ID: 3375435795 Enrollment ID: I20100408000117 |
| Provider Name | Timothy L Pruett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659402873 PECOS PAC ID: 5698783355 Enrollment ID: I20100409000021 |
| Provider Name | Stephen C Olson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245315084 PECOS PAC ID: 4385540145 Enrollment ID: I20100415000029 |
| Provider Name | Matthew Mark Melin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730166992 PECOS PAC ID: 0648307959 Enrollment ID: I20100419000341 |
| Provider Name | Laxmana M Godishala |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1588619324 PECOS PAC ID: 2860529120 Enrollment ID: I20100420000078 |
| Provider Name | Jorge A Granja |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619912169 PECOS PAC ID: 8729115944 Enrollment ID: I20100420000857 |
| Provider Name | Sara Frances Whitehouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972730687 PECOS PAC ID: 9335276583 Enrollment ID: I20100421000056 |
| Provider Name | Deanna L Bass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275577371 PECOS PAC ID: 3274660915 Enrollment ID: I20100428000697 |
| Provider Name | Gail A Bernstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821034992 PECOS PAC ID: 0244367902 Enrollment ID: I20100428000968 |
| Provider Name | Anne R Gearity |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497776389 PECOS PAC ID: 2769510346 Enrollment ID: I20100503000816 |
| Provider Name | Bronagh P Murphy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396714267 PECOS PAC ID: 1658266960 Enrollment ID: I20100504000183 |
| Provider Name | Jon V Thomas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467453597 PECOS PAC ID: 0547289787 Enrollment ID: I20100504000272 |
| Provider Name | Janet E Muraca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881608222 PECOS PAC ID: 7911042155 Enrollment ID: I20100504000823 |
| Provider Name | Thomas R Jacques |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609868470 PECOS PAC ID: 5395797591 Enrollment ID: I20100504000873 |
| Provider Name | Warren A Mcguire |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386613818 PECOS PAC ID: 1759276058 Enrollment ID: I20100506000458 |
| Provider Name | Katherine G Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073845079 PECOS PAC ID: 7719015908 Enrollment ID: I20100508000134 |
| Provider Name | John W Floberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427071752 PECOS PAC ID: 7012045156 Enrollment ID: I20100511000104 |
| Provider Name | Neil Russel Dahlquist |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790709855 PECOS PAC ID: 9830227974 Enrollment ID: I20100511000129 |
| Provider Name | Craig L Hyser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205857380 PECOS PAC ID: 2567590607 Enrollment ID: I20100511000173 |
| Provider Name | Asa B Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326026113 PECOS PAC ID: 0446388565 Enrollment ID: I20100511001042 |
| Provider Name | Biljana Capra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982640439 PECOS PAC ID: 0143358168 Enrollment ID: I20100512001077 |
| Provider Name | Laura Y Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811984958 PECOS PAC ID: 8921050121 Enrollment ID: I20100514000629 |
| Provider Name | Nadeem Iqbal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285626036 PECOS PAC ID: 9931151131 Enrollment ID: I20100518000918 |
| Provider Name | David E Olson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497830319 PECOS PAC ID: 8921137456 Enrollment ID: I20100521000435 |
| Provider Name | Bruce A Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780768937 PECOS PAC ID: 3971632357 Enrollment ID: I20100524000146 |
| Provider Name | Daniel J Weisdorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669579090 PECOS PAC ID: 9335280684 Enrollment ID: I20100524000156 |
| Provider Name | Philip B Mcglave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003992116 PECOS PAC ID: 1355470741 Enrollment ID: I20100524000256 |
| Provider Name | Jeffrey S Miller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053497198 PECOS PAC ID: 8426187816 Enrollment ID: I20100524000274 |
| Provider Name | Mark T Reding |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336223866 PECOS PAC ID: 9537298930 Enrollment ID: I20100524000389 |
| Provider Name | Gregory M Vercellotti |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1912008921 PECOS PAC ID: 8325950868 Enrollment ID: I20100524000405 |
| Provider Name | Douglas Yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598851198 PECOS PAC ID: 8325177728 Enrollment ID: I20100524000420 |
| Provider Name | Steven M Dittes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770593089 PECOS PAC ID: 0446275796 Enrollment ID: I20100524000499 |
| Provider Name | Erik L Bressler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558311837 PECOS PAC ID: 2860397585 Enrollment ID: I20100524000898 |
| Provider Name | Angela I Radulescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689866626 PECOS PAC ID: 6002945367 Enrollment ID: I20100525000332 |
| Provider Name | Kenneth P Korte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821037011 PECOS PAC ID: 0244135986 Enrollment ID: I20100525000393 |
| Provider Name | Alan Laorr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346289204 PECOS PAC ID: 8820993579 Enrollment ID: I20100525000416 |
| Provider Name | Lorraine L Laroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063451920 PECOS PAC ID: 1355246000 Enrollment ID: I20100525000454 |
| Provider Name | Steven C Link |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720013436 PECOS PAC ID: 5890690549 Enrollment ID: I20100525000493 |
| Provider Name | Daniel J Loes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508891227 PECOS PAC ID: 9436054186 Enrollment ID: I20100525000523 |
| Provider Name | Kendall J Strand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518987668 PECOS PAC ID: 3577468222 Enrollment ID: I20100525000619 |
| Provider Name | Joseph H Spaeth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679506604 PECOS PAC ID: 5496650145 Enrollment ID: I20100525000650 |
| Provider Name | Bradley Hugh Kranendonk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770530909 PECOS PAC ID: 4688579329 Enrollment ID: I20100525000858 |
| Provider Name | Richard Marc Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356391643 PECOS PAC ID: 8022913771 Enrollment ID: I20100527000640 |
| Provider Name | Chris L Palaskas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255359584 PECOS PAC ID: 0345321352 Enrollment ID: I20100527000832 |
| 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 | Peter C Conklin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447200605 PECOS PAC ID: 5193620813 Enrollment ID: I20100601000206 |
| Provider Name | Marla M Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669599643 PECOS PAC ID: 3375672348 Enrollment ID: I20100601000343 |
| Provider Name | Marie E Steiner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003840687 PECOS PAC ID: 5395874390 Enrollment ID: I20100601000703 |
| Provider Name | Lester J Nixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114091410 PECOS PAC ID: 1355470352 Enrollment ID: I20100601000735 |
| Provider Name | Sara A Elsbecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194056630 PECOS PAC ID: 7911037528 Enrollment ID: I20100608000736 |
| Provider Name | Jeffrey H Albrecht |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568415305 PECOS PAC ID: 1254235823 Enrollment ID: I20100608000817 |
| Provider Name | Barry Rittberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356459994 PECOS PAC ID: 1355471863 Enrollment ID: I20100610000081 |
| Provider Name | Steven D Stovitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487735619 PECOS PAC ID: 2668502188 Enrollment ID: I20100610000159 |
| Provider Name | Sue V Petzel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356404503 PECOS PAC ID: 3779613815 Enrollment ID: I20100616000177 |
| Provider Name | Lisa M Hollensteiner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871560094 PECOS PAC ID: 1052441102 Enrollment ID: I20100616000299 |
| Provider Name | Bhargavi Shiledar Ghate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467622498 PECOS PAC ID: 2466583299 Enrollment ID: I20100623000355 |
| Provider Name | Lisa B Newcomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326376096 PECOS PAC ID: 9436280286 Enrollment ID: I20100623000649 |
| Provider Name | Bruce R Blazar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003842162 PECOS PAC ID: 3678604311 Enrollment ID: I20100624000702 |
| Provider Name | Benjamin J Vonende |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184680555 PECOS PAC ID: 3476685496 Enrollment ID: I20100709000324 |
| Provider Name | Shalamar D Sibley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154403103 PECOS PAC ID: 0042342891 Enrollment ID: I20100714001023 |
| Provider Name | Allison L Kohtz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336367408 PECOS PAC ID: 8022140870 Enrollment ID: I20100714001045 |
| Provider Name | Richard S Ziegler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437172699 PECOS PAC ID: 8820120405 Enrollment ID: I20100716000568 |
| Provider Name | Bazak Sharon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407099054 PECOS PAC ID: 6406988856 Enrollment ID: I20100720000808 |
| Provider Name | Drew A Rosielle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528011269 PECOS PAC ID: 3375561178 Enrollment ID: I20100724000119 |
| Provider Name | Gautam G Jha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538370622 PECOS PAC ID: 8224160353 Enrollment ID: I20100724000227 |
| Provider Name | Claudia K Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306877709 PECOS PAC ID: 4587796610 Enrollment ID: I20100724000250 |
| Provider Name | Katharine J Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831234889 PECOS PAC ID: 6709919673 Enrollment ID: I20100728001039 |
| Provider Name | Michael Brendan Osullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962547901 PECOS PAC ID: 2163555046 Enrollment ID: I20100728001141 |
| Provider Name | Mindy Kaye Dombrovski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093033805 PECOS PAC ID: 0345373239 Enrollment ID: I20100728001246 |
| Provider Name | Michael A Murati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851583512 PECOS PAC ID: 0244363810 Enrollment ID: I20100803000542 |
| Provider Name | Srinath Chinnakotla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376579698 PECOS PAC ID: 8729111224 Enrollment ID: I20100804000927 |
| Provider Name | Jason M Habeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598958613 PECOS PAC ID: 8729112990 Enrollment ID: I20100810001147 |
| Provider Name | Joshua Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811127905 PECOS PAC ID: 7416081591 Enrollment ID: I20100811000156 |
| Provider Name | Weston P Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407903156 PECOS PAC ID: 3678607389 Enrollment ID: I20100817001023 |
| Provider Name | Claudia S Cohn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215194972 PECOS PAC ID: 2860526589 Enrollment ID: I20100817001164 |
| Provider Name | Manuel A Idrogo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588730675 PECOS PAC ID: 3476687906 Enrollment ID: I20100818001252 |
| Provider Name | Mark W Yeazel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619061124 PECOS PAC ID: 3072647510 Enrollment ID: I20100818001325 |
| Provider Name | Jennifer J Remitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922298108 PECOS PAC ID: 8325130743 Enrollment ID: I20100818001357 |
| Provider Name | Michael R Wootten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881780393 PECOS PAC ID: 3375677164 Enrollment ID: I20100818001378 |
| Provider Name | Kimberly A Bohjanen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447296660 PECOS PAC ID: 5294869731 Enrollment ID: I20100818001387 |
| Provider Name | Winston Cavert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013995356 PECOS PAC ID: 8921132473 Enrollment ID: I20100818001393 |
| Provider Name | Shelley Eiler Thron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326365693 PECOS PAC ID: 7416081997 Enrollment ID: I20100819000497 |
| Provider Name | Wen-wei Chung |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487672929 PECOS PAC ID: 5991780942 Enrollment ID: I20100819000948 |
| Provider Name | Joseph P Leverone |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245262369 PECOS PAC ID: 8628053675 Enrollment ID: I20100819000973 |
| 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 | David M Cartwright |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720010853 PECOS PAC ID: 3274518220 Enrollment ID: I20100820000667 |
| 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 C Mair |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992898464 PECOS PAC ID: 8628102027 Enrollment ID: I20100820000841 |
| 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 | Jerrold Lee Vitek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700841327 PECOS PAC ID: 7113999194 Enrollment ID: I20100823000959 |
| 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 | Denis R Clohisy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801823711 PECOS PAC ID: 2365566544 Enrollment ID: I20100824001184 |
| Provider Name | Edward Y Cheng |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447287610 PECOS PAC ID: 0547345605 Enrollment ID: I20100824001242 |
| Provider Name | Chester B Whitley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588735005 PECOS PAC ID: 3779607965 Enrollment ID: I20100824001270 |
| Provider Name | Minoo Shams Moorkani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568666923 PECOS PAC ID: 3678697869 Enrollment ID: I20100824001286 |
| Provider Name | Timothy W Schacker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225110745 PECOS PAC ID: 4486778677 Enrollment ID: I20100824001298 |
| Provider Name | Rosemary F Kelly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811008543 PECOS PAC ID: 9830213024 Enrollment ID: I20100824001306 |
| Provider Name | Diane L Bearman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285720813 PECOS PAC ID: 8628192820 Enrollment ID: I20100825000025 |
| 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 | Markus Gapany |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912962002 PECOS PAC ID: 9931223104 Enrollment ID: I20100825000933 |
| Provider Name | Tanya S Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720186893 PECOS PAC ID: 6406970565 Enrollment ID: I20100826000932 |
| Provider Name | Martha M Wright |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497840631 PECOS PAC ID: 3577687540 Enrollment ID: I20100826001251 |
| Provider Name | Peter B Bitterman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912943275 PECOS PAC ID: 0749304715 Enrollment ID: I20100826001262 |
| Provider Name | Mukta Arora |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073557278 PECOS PAC ID: 6103940176 Enrollment ID: I20100826001270 |
| Provider Name | Elizabeth R Seaquist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144390089 PECOS PAC ID: 1456475433 Enrollment ID: I20100827000019 |
| Provider Name | Mark Anthony Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245221647 PECOS PAC ID: 8527033729 Enrollment ID: I20100902000991 |
| Provider Name | Ryan M Odonnell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336214212 PECOS PAC ID: 5496879058 Enrollment ID: I20100902001098 |
| Provider Name | Jacob L Hutchins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033397294 PECOS PAC ID: 2365566932 Enrollment ID: I20100902001161 |
| Provider Name | Blanche M Chavers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033146188 PECOS PAC ID: 2769506195 Enrollment ID: I20100907001048 |
| Provider Name | William N Robiner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184707002 PECOS PAC ID: 6608991021 Enrollment ID: I20100908001052 |
| 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 | Heather A Thompson Buum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699864611 PECOS PAC ID: 8022133404 Enrollment ID: I20100909000574 |
| Provider Name | Paul R Bohjanen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235175449 PECOS PAC ID: 6901921386 Enrollment ID: I20100909000618 |
| Provider Name | Clifford E Kashtan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699863274 PECOS PAC ID: 2163547464 Enrollment ID: I20100909000935 |
| Provider Name | Mary Mahoney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386727857 PECOS PAC ID: 8820113137 Enrollment ID: I20100909001038 |
| Provider Name | Marshall I Hertz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396779864 PECOS PAC ID: 7113042433 Enrollment ID: I20100909001138 |
| Provider Name | William D Payne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689779993 PECOS PAC ID: 8729103049 Enrollment ID: I20100909001177 |
| 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 | Dianne R Berg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821173329 PECOS PAC ID: 3375668429 Enrollment ID: I20100914000455 |
| Provider Name | Michael H Miner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487739827 PECOS PAC ID: 4082739032 Enrollment ID: I20100914000493 |
| Provider Name | Rosemary A Munns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730265844 PECOS PAC ID: 3971628926 Enrollment ID: I20100914000517 |
| Provider Name | Arne Slungaard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922180116 PECOS PAC ID: 0143345991 Enrollment ID: I20100916000554 |
| Provider Name | Patricia Ferrieri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326145665 PECOS PAC ID: 0345365110 Enrollment ID: I20100916000810 |
| Provider Name | Sharon L Lehmann |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1538269568 PECOS PAC ID: 2860517638 Enrollment ID: I20100916000843 |
| Provider Name | Kamaskshi Md Lakshminarayan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366522245 PECOS PAC ID: 3476678251 Enrollment ID: I20100916000892 |
| Provider Name | Sheldon M Mauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174607436 PECOS PAC ID: 8325163132 Enrollment ID: I20100916001287 |
| Provider Name | Raja Kandaswamy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710079645 PECOS PAC ID: 5991820706 Enrollment ID: I20100916001372 |
| Provider Name | Christina C Danner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124056320 PECOS PAC ID: 7810012531 Enrollment ID: I20100917000233 |
| Provider Name | Mitchell E Bender |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437195591 PECOS PAC ID: 8527052505 Enrollment ID: I20100917000870 |
| Provider Name | Dana E Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508959453 PECOS PAC ID: 0941325526 Enrollment ID: I20100920000750 |
| Provider Name | Marie-claire Buckley |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730116971 PECOS PAC ID: 3971628553 Enrollment ID: I20100920000854 |
| Provider Name | David H Mckenna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972697993 PECOS PAC ID: 6507981198 Enrollment ID: I20100920000884 |
| 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 | David W Hunter |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1114014578 PECOS PAC ID: 3274658737 Enrollment ID: I20100921000727 |
| Provider Name | Arthur J Matas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306920657 PECOS PAC ID: 7214053701 Enrollment ID: I20100921001234 |
| Provider Name | William O Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154404952 PECOS PAC ID: 1456264068 Enrollment ID: I20100921001297 |
| Provider Name | Sheila K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417012253 PECOS PAC ID: 7012033533 Enrollment ID: I20100921001534 |
| Provider Name | Jennifer M Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194917302 PECOS PAC ID: 1355467507 Enrollment ID: I20100925000196 |
| Provider Name | Heather E Stefanski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013013424 PECOS PAC ID: 7517083660 Enrollment ID: I20100925000226 |
| Provider Name | Daniel Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386776961 PECOS PAC ID: 8224154372 Enrollment ID: I20100925000251 |
| Provider Name | Evelyn L Slomka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437388378 PECOS PAC ID: 3577689629 Enrollment ID: I20100925000280 |
| Provider Name | Anjali Dahiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275709420 PECOS PAC ID: 2961528856 Enrollment ID: I20100928001714 |
| Provider Name | Peter B Scal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619077484 PECOS PAC ID: 2567654981 Enrollment ID: I20101004001160 |
| Provider Name | Richelle N Moen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366514242 PECOS PAC ID: 0941492136 Enrollment ID: I20101006000629 |
| Provider Name | Erin G Holker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982637229 PECOS PAC ID: 9032301288 Enrollment ID: I20101007000162 |
| Provider Name | Jon S Hallberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912931411 PECOS PAC ID: 1456543602 Enrollment ID: I20101007000200 |
| Provider Name | Kathleen V Watson |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1528138450 PECOS PAC ID: 2264624311 Enrollment ID: I20101007000226 |
| 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 | Deborah Elizabeth Powell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033293360 PECOS PAC ID: 9931138674 Enrollment ID: I20101008000885 |
| Provider Name | Jeffrey R Wozniak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760578215 PECOS PAC ID: 5991997918 Enrollment ID: I20101008001054 |
| Provider Name | Leo T Furcht |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629009444 PECOS PAC ID: 7911082078 Enrollment ID: I20101008001093 |
| Provider Name | David W Groth |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629000534 PECOS PAC ID: 8022151919 Enrollment ID: I20101011000030 |
| Provider Name | Mary Jo L Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881794659 PECOS PAC ID: 5890987739 Enrollment ID: I20101011000065 |
| Provider Name | Robert P Himmerick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134389778 PECOS PAC ID: 0648462317 Enrollment ID: I20101013000583 |
| Provider Name | John A Corbo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053625434 PECOS PAC ID: 6002008778 Enrollment ID: I20101013000595 |
| Provider Name | Sakina B Naqvi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619108693 PECOS PAC ID: 9537351226 Enrollment ID: I20101013000905 |
| Provider Name | Troy D Wolter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154547552 PECOS PAC ID: 4082806773 Enrollment ID: I20101013000910 |
| Provider Name | Yoav Segal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740388230 PECOS PAC ID: 9032302690 Enrollment ID: I20101015000381 |
| Provider Name | Catherine M Bendel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578599643 PECOS PAC ID: 1557554045 Enrollment ID: I20101015000992 |
| Provider Name | Thomas M Leventhal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275720898 PECOS PAC ID: 3870786106 Enrollment ID: I20101019001422 |
| Provider Name | Mirna G Boumitri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053580092 PECOS PAC ID: 5799978409 Enrollment ID: I20101026000304 |
| Provider Name | Sixto F Guiang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871525386 PECOS PAC ID: 2860685500 Enrollment ID: I20101026000717 |
| 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 | Thomas A Worwa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558679282 PECOS PAC ID: 6305030404 Enrollment ID: I20101103000070 |
| Provider Name | Daniel Lewis Kenney-jung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063644771 PECOS PAC ID: 2264626092 Enrollment ID: I20101104001616 |
| Provider Name | Sameh M Said |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134262843 PECOS PAC ID: 8224222054 Enrollment ID: I20101104001645 |
| Provider Name | Barbara J Friedman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497846711 PECOS PAC ID: 9335334143 Enrollment ID: I20101105000962 |
| Provider Name | Emily Gustava Greengard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538369871 PECOS PAC ID: 7315132164 Enrollment ID: I20101106000035 |
| Provider Name | Kiran Krishan Lassi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245320282 PECOS PAC ID: 7315949617 Enrollment ID: I20101115000219 |
| 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 | Christopher Weight |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962612127 PECOS PAC ID: 7416142666 Enrollment ID: I20101117001207 |
| Provider Name | Elizabeth C Niemuth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588979082 PECOS PAC ID: 7517153117 Enrollment ID: I20101122000823 |
| 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 | Rehana L Ahmed Saucedo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427243898 PECOS PAC ID: 8224225941 Enrollment ID: I20101207001143 |
| Provider Name | Evidio Domingo Musibay |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831321785 PECOS PAC ID: 9234327313 Enrollment ID: I20101216000744 |
| Provider Name | Kristine L Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083606263 PECOS PAC ID: 4183813389 Enrollment ID: I20110104000371 |
| Provider Name | Meredith E Adams |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609992254 PECOS PAC ID: 3173699725 Enrollment ID: I20110110000109 |
| Provider Name | Mohamed Hussein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639488166 PECOS PAC ID: 8527257096 Enrollment ID: I20110114000043 |
| Provider Name | Christina T Dunn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265636963 PECOS PAC ID: 2668661984 Enrollment ID: I20110118000639 |
| Provider Name | Elizabeth A Hines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912213158 PECOS PAC ID: 5395924443 Enrollment ID: I20110121000690 |
| Provider Name | Alicia K Harrison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710171228 PECOS PAC ID: 4284813338 Enrollment ID: I20110121000713 |
| Provider Name | Kyan Soon Ja Bodden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194034686 PECOS PAC ID: 4284814401 Enrollment ID: I20110204000789 |
| Provider Name | Sara E Ramel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932303633 PECOS PAC ID: 0749460970 Enrollment ID: I20110204000894 |
| Provider Name | Katherine A Majeski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770891509 PECOS PAC ID: 1355521584 Enrollment ID: I20110204000928 |
| Provider Name | Stefan H Pomrenke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881860567 PECOS PAC ID: 9537349097 Enrollment ID: I20110215001220 |
| Provider Name | David J Dries |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770558520 PECOS PAC ID: 1658414115 Enrollment ID: I20110222001153 |
| Provider Name | Nghia H La |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013199553 PECOS PAC ID: 3870774847 Enrollment ID: I20110223001040 |
| Provider Name | Paul J Orchard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700961620 PECOS PAC ID: 8729260336 Enrollment ID: I20110302001042 |
| Provider Name | Donna L Dsouza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750512109 PECOS PAC ID: 1254513757 Enrollment ID: I20110304000111 |
| Provider Name | Erin Stepka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982710265 PECOS PAC ID: 0840231635 Enrollment ID: I20110304000136 |
| Provider Name | Kristen P Hook |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053465641 PECOS PAC ID: 1759563265 Enrollment ID: I20110304000303 |
| Provider Name | Ann M Parr |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912136284 PECOS PAC ID: 7012199581 Enrollment ID: I20110305000071 |
| Provider Name | Douglas P Forgit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346572062 PECOS PAC ID: 7315134855 Enrollment ID: I20110309000820 |
| Provider Name | Natalie M Wise |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598951626 PECOS PAC ID: 1456533686 Enrollment ID: I20110309000984 |
| Provider Name | Tseganesh H Orcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609184019 PECOS PAC ID: 3779765748 Enrollment ID: I20110311000616 |
| Provider Name | Robert N Foley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508171208 PECOS PAC ID: 3779765631 Enrollment ID: I20110314000757 |
| 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 | Alfred Chiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043243827 PECOS PAC ID: 8123194958 Enrollment ID: I20110323001033 |
| Provider Name | Carrie A Link |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306026455 PECOS PAC ID: 8426231697 Enrollment ID: I20110324000998 |
| Provider Name | Huseyin Dincer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255344537 PECOS PAC ID: 7214094531 Enrollment ID: I20110329000963 |
| Provider Name | Renee K Haroldson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013975663 PECOS PAC ID: 8628142189 Enrollment ID: I20110330000975 |
| 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 | Mohamed Abdihalim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912141243 PECOS PAC ID: 6204010994 Enrollment ID: I20110404000745 |
| Provider Name | Daniel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699768176 PECOS PAC ID: 5890694640 Enrollment ID: I20110405000174 |
| Provider Name | Heather C Lundberg |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376850396 PECOS PAC ID: 2961686688 Enrollment ID: I20110405000190 |
| Provider Name | Kidmealem L Zekarias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346430782 PECOS PAC ID: 2961686639 Enrollment ID: I20110405000831 |
| Provider Name | Sandra R Montezuma |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285798470 PECOS PAC ID: 7113085895 Enrollment ID: I20110406000809 |
| Provider Name | Julie A Hoyez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942504782 PECOS PAC ID: 6608050141 Enrollment ID: I20110407000766 |
| Provider Name | Andrew P Wilson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386810562 PECOS PAC ID: 7214111533 Enrollment ID: I20110412000338 |
| 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 | Amir A Moheet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093754921 PECOS PAC ID: 1355344482 Enrollment ID: I20110427000269 |
| Provider Name | Diane Cassady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770890030 PECOS PAC ID: 2668657974 Enrollment ID: I20110502000672 |
| Provider Name | Heather L Foerster-bach |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013005164 PECOS PAC ID: 7911182159 Enrollment ID: I20110503000292 |
| Provider Name | Jason J Wirtz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255398830 PECOS PAC ID: 8729264122 Enrollment ID: I20110519000631 |
| Provider Name | Katherine Marie Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184816506 PECOS PAC ID: 0941486237 Enrollment ID: I20110523000194 |
| Provider Name | Kara L Nachtsheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790091700 PECOS PAC ID: 4082890298 Enrollment ID: I20110523000528 |
| Provider Name | Nataliya Ishkova-volovets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780999177 PECOS PAC ID: 1951587120 Enrollment ID: I20110524000353 |
| Provider Name | Sarah J Kizilbash |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164600458 PECOS PAC ID: 5991866634 Enrollment ID: I20110525000753 |
| Provider Name | Tasma Harindhanavudhi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528277100 PECOS PAC ID: 9931386679 Enrollment ID: I20110607000466 |
| 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 | Johannah Mcmullen Scheurer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497920821 PECOS PAC ID: 0446438428 Enrollment ID: I20110621000648 |
| Provider Name | Zuzan Cayci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447414024 PECOS PAC ID: 2264508423 Enrollment ID: I20110623000579 |
| Provider Name | Peter E Friedell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356360531 PECOS PAC ID: 4284527359 Enrollment ID: I20110715000218 |
| Provider Name | Derrick L Green |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184897043 PECOS PAC ID: 3870761703 Enrollment ID: I20110720000737 |
| Provider Name | Vanessa R Humphreville |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255540498 PECOS PAC ID: 9436327228 Enrollment ID: I20110721000713 |
| Provider Name | Briar L Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275578452 PECOS PAC ID: 8628258043 Enrollment ID: I20110721000745 |
| Provider Name | Jeffrey B Rykken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225272990 PECOS PAC ID: 0547438343 Enrollment ID: I20110721000811 |
| Provider Name | Katherine A Daly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922162155 PECOS PAC ID: 1456529023 Enrollment ID: I20110726000558 |
| 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 | Amy B Karger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629233135 PECOS PAC ID: 9335318757 Enrollment ID: I20110801000683 |
| 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 | Abby Meyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477696995 PECOS PAC ID: 3577695816 Enrollment ID: I20110809000682 |
| Provider Name | Michael A Linden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639284870 PECOS PAC ID: 0446429484 Enrollment ID: I20110809000706 |
| 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 | Parastoo Fazeli |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1992980841 PECOS PAC ID: 6507035326 Enrollment ID: I20110812000353 |
| Provider Name | Saurabh Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336435189 PECOS PAC ID: 7214106038 Enrollment ID: I20110812000366 |
| 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 | Melissa Elizabeth Brunsvold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407073224 PECOS PAC ID: 1153411038 Enrollment ID: I20110823000728 |
| Provider Name | Samantha J Glass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780977934 PECOS PAC ID: 1850561135 Enrollment ID: I20110823001050 |
| 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 | David A Solfelt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467747832 PECOS PAC ID: 5597935445 Enrollment ID: I20110831000780 |
| Provider Name | James M Cain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629090469 PECOS PAC ID: 1759380470 Enrollment ID: I20110901000502 |
| Provider Name | Catherine M Larson-nath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457524902 PECOS PAC ID: 4284804956 Enrollment ID: I20110907001317 |
| Provider Name | Meghan K Rothenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417087487 PECOS PAC ID: 3274703889 Enrollment ID: I20110908001855 |
| Provider Name | Emil Lou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902062433 PECOS PAC ID: 7618148131 Enrollment ID: I20110913000907 |
| Provider Name | Marc Tompkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326195454 PECOS PAC ID: 1254482540 Enrollment ID: I20110914000781 |
| Provider Name | Andrew W Grande |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629289939 PECOS PAC ID: 1951572304 Enrollment ID: I20110915000677 |
| Provider Name | David Aamodt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578876496 PECOS PAC ID: 0244401461 Enrollment ID: I20110920000701 |
| Provider Name | Deanna Teoh |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1659407708 PECOS PAC ID: 7618027970 Enrollment ID: I20110920000844 |
| Provider Name | Geoffrey S Fasen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316259708 PECOS PAC ID: 4183895279 Enrollment ID: I20110921000576 |
| Provider Name | Torfi Thorkell Hoskuldsson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518129071 PECOS PAC ID: 7810168671 Enrollment ID: I20110927000796 |
| Provider Name | Ghassan Elkadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740224948 PECOS PAC ID: 8820083918 Enrollment ID: I20110928000885 |
| Provider Name | Andrea L Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780962381 PECOS PAC ID: 8628240199 Enrollment ID: I20111004000881 |
| 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 | Michael Page |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144491523 PECOS PAC ID: 9335272186 Enrollment ID: I20111011000749 |
| Provider Name | Paige L Balgie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548558224 PECOS PAC ID: 4284806233 Enrollment ID: I20111017000454 |
| Provider Name | Charles P Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851602924 PECOS PAC ID: 1759553555 Enrollment ID: I20111019000838 |
| Provider Name | Andrea M Britt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447539580 PECOS PAC ID: 2769655588 Enrollment ID: I20111024000084 |
| Provider Name | Ilo Leppik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538174073 PECOS PAC ID: 0648443317 Enrollment ID: I20111026000277 |
| Provider Name | Stephanie N Misono |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578673398 PECOS PAC ID: 0345366423 Enrollment ID: I20111027000919 |
| Provider Name | Kimberly C Viskocil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033352851 PECOS PAC ID: 8224201744 Enrollment ID: I20111028000303 |
| Provider Name | Kevan K Andish |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700080587 PECOS PAC ID: 7618140021 Enrollment ID: I20111031000782 |
| Provider Name | Forum Kamdar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043548548 PECOS PAC ID: 0648443085 Enrollment ID: I20111101000329 |
| Provider Name | Ian J Lalich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285955203 PECOS PAC ID: 6800069014 Enrollment ID: I20111103000860 |
| Provider Name | Jeremy J Fleischmann |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295904696 PECOS PAC ID: 6507912177 Enrollment ID: I20111110000468 |
| Provider Name | Kerry Lea Sackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326352840 PECOS PAC ID: 0244356129 Enrollment ID: I20111110000608 |
| 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 | Nabeel Azeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225261480 PECOS PAC ID: 6709050578 Enrollment ID: I20111114000699 |
| Provider Name | Christina M Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548548654 PECOS PAC ID: 6103090717 Enrollment ID: I20111116000867 |
| Provider Name | Kimberly A Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427341247 PECOS PAC ID: 8729252333 Enrollment ID: I20111116000883 |
| Provider Name | Abigail R Wren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306137377 PECOS PAC ID: 2769656305 Enrollment ID: I20111117000315 |
| 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 | Heather C Beckwith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780879940 PECOS PAC ID: 0547435349 Enrollment ID: I20111206000498 |
| Provider Name | Thaddeus S Walczak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538180864 PECOS PAC ID: 9234304049 Enrollment ID: I20111206000685 |
| Provider Name | Margaret E Semrud-clikeman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902181514 PECOS PAC ID: 8022283621 Enrollment ID: I20111209000336 |
| Provider Name | Krista M Koch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689956922 PECOS PAC ID: 6406021856 Enrollment ID: I20111213000598 |
| Provider Name | Kelly E King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679840391 PECOS PAC ID: 4880869072 Enrollment ID: I20111216000577 |
| Provider Name | Susan Elise Wheaton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669465720 PECOS PAC ID: 6103092259 Enrollment ID: I20111220000776 |
| 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 | Sara R Belshan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093084345 PECOS PAC ID: 8628244183 Enrollment ID: I20120104000621 |
| Provider Name | Kristin E Gravel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790076909 PECOS PAC ID: 6406022748 Enrollment ID: I20120109000141 |
| Provider Name | Nathaniel I Cree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821365305 PECOS PAC ID: 7719153063 Enrollment ID: I20120109000213 |
| Provider Name | Ludmila S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790062545 PECOS PAC ID: 1153597398 Enrollment ID: I20120110000384 |
| Provider Name | Nathan Bahr |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609006048 PECOS PAC ID: 4789850926 Enrollment ID: I20120110000400 |
| Provider Name | Leah R Kann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346519568 PECOS PAC ID: 7810164969 Enrollment ID: I20120113000086 |
| Provider Name | Daniel J Guillaume |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932193083 PECOS PAC ID: 0547161002 Enrollment ID: I20120113000123 |
| 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 | Darcy R Schubloom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679672968 PECOS PAC ID: 6103093133 Enrollment ID: I20120116000101 |
| Provider Name | Alicia M Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194009555 PECOS PAC ID: 8325215213 Enrollment ID: I20120117000729 |
| Provider Name | Megan Marie Hilden Rondeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679856363 PECOS PAC ID: 5991972747 Enrollment ID: I20120118000598 |
| Provider Name | Nicholas P Zeimet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760762892 PECOS PAC ID: 1759558588 Enrollment ID: I20120119000597 |
| Provider Name | Christopher J Chow |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295908036 PECOS PAC ID: 7719154467 Enrollment ID: I20120119000911 |
| Provider Name | Maria G Kroupina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083999544 PECOS PAC ID: 1052588712 Enrollment ID: I20120120000098 |
| Provider Name | Jaime Green |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790990976 PECOS PAC ID: 0244373827 Enrollment ID: I20120124000750 |
| Provider Name | Marie E Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942496492 PECOS PAC ID: 5294992533 Enrollment ID: I20120130000203 |
| 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 | Meredith L Gunlicks Stoessel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649411406 PECOS PAC ID: 1456518646 Enrollment ID: I20120130000841 |
| Provider Name | Jeffrey S Renwick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508878927 PECOS PAC ID: 9234396144 Enrollment ID: I20120206000057 |
| 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 | Kirsten P Malvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861778151 PECOS PAC ID: 6608033006 Enrollment ID: I20120213000197 |
| Provider Name | Jennifer C Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861790321 PECOS PAC ID: 4789842196 Enrollment ID: I20120214000736 |
| 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 | Wajahat Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952574592 PECOS PAC ID: 0840360921 Enrollment ID: I20120307000041 |
| Provider Name | Bradley Jay Segura |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649390378 PECOS PAC ID: 1052465036 Enrollment ID: I20120313000503 |
| Provider Name | Melissa Ann Saftner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093948374 PECOS PAC ID: 6800941139 Enrollment ID: I20120314000707 |
| Provider Name | Amy C Gross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053693515 PECOS PAC ID: 7214197763 Enrollment ID: I20120321000295 |
| Provider Name | Noah I Goldfarb |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417188939 PECOS PAC ID: 6204097983 Enrollment ID: I20120406000130 |
| Provider Name | Eric Bomberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578880746 PECOS PAC ID: 0749443760 Enrollment ID: I20120531000239 |
| Provider Name | Adam P Foss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447576392 PECOS PAC ID: 8729242532 Enrollment ID: I20120607000098 |
| 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 | Mary E Logeais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952544181 PECOS PAC ID: 4789848961 Enrollment ID: I20120620000151 |
| Provider Name | Roy Joseph Cho |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063705580 PECOS PAC ID: 0345404414 Enrollment ID: I20120621000410 |
| Provider Name | Lucas B Ludeman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205080744 PECOS PAC ID: 2668537069 Enrollment ID: I20120625000418 |
| Provider Name | Jacob J Haws |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811263551 PECOS PAC ID: 3577728567 Enrollment ID: I20120625000449 |
| Provider Name | Mathew So |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215126503 PECOS PAC ID: 1254597487 Enrollment ID: I20120716000497 |
| Provider Name | Georgios Emmanuel Manousakis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588854608 PECOS PAC ID: 5890951917 Enrollment ID: I20120718000205 |
| Provider Name | Chad Y Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265723779 PECOS PAC ID: 2062678121 Enrollment ID: I20120718000525 |
| Provider Name | Paul E Drawz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528140019 PECOS PAC ID: 6103082011 Enrollment ID: I20120721000003 |
| Provider Name | Michael Grogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518015627 PECOS PAC ID: 6608044334 Enrollment ID: I20120723000798 |
| Provider Name | Rakesh John |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1487800249 PECOS PAC ID: 7214193820 Enrollment ID: I20120726000362 |
| Provider Name | Khalid Amin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003011396 PECOS PAC ID: 3072779693 Enrollment ID: I20120726000443 |
| 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 | Brionn Tonkin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598938045 PECOS PAC ID: 6608022660 Enrollment ID: I20120807000142 |
| Provider Name | Kimara L Gustafson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992949721 PECOS PAC ID: 6204082050 Enrollment ID: I20120809000524 |
| Provider Name | Sami Safadi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255664421 PECOS PAC ID: 7315193174 Enrollment ID: I20120809000632 |
| Provider Name | Eugene Drescher Dulaney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780616821 PECOS PAC ID: 7214000439 Enrollment ID: I20120809000936 |
| Provider Name | Benjamin A Gilloon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902919376 PECOS PAC ID: 5597880989 Enrollment ID: I20120810000007 |
| Provider Name | Lisa A Gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740574995 PECOS PAC ID: 9537315288 Enrollment ID: I20120810000763 |
| 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 | Sarah L Elfering |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225205180 PECOS PAC ID: 7618013319 Enrollment ID: I20120820000756 |
| Provider Name | Bernard E Trappey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336382852 PECOS PAC ID: 8022265487 Enrollment ID: I20120821000196 |
| Provider Name | Gwenyth A Fischer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104990191 PECOS PAC ID: 7517114762 Enrollment ID: I20120823000540 |
| Provider Name | Rochus K Voeller |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750465290 PECOS PAC ID: 0446260863 Enrollment ID: I20120823000547 |
| Provider Name | Tamas Alexy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477782316 PECOS PAC ID: 2466609334 Enrollment ID: I20120828000586 |
| 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 | Ingrid C Polcari |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992976716 PECOS PAC ID: 7012164536 Enrollment ID: I20120905000626 |
| Provider Name | Karim Thomas Sadak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881861235 PECOS PAC ID: 7618124165 Enrollment ID: I20120906000076 |
| Provider Name | Alexandra Danielle Zagoloff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376890525 PECOS PAC ID: 7315194867 Enrollment ID: I20120906000106 |
| Provider Name | Janet Rae Hume |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750500088 PECOS PAC ID: 7113174673 Enrollment ID: I20120906000136 |
| Provider Name | Zohar Sachs |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568623148 PECOS PAC ID: 3375791601 Enrollment ID: I20120912000099 |
| 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 | Niyati N Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114173093 PECOS PAC ID: 8921256165 Enrollment ID: I20120913000469 |
| Provider Name | Michelle C Naylor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316187347 PECOS PAC ID: 4486802592 Enrollment ID: I20120914000452 |
| Provider Name | Susan S. Pleasants |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427349463 PECOS PAC ID: 5991953945 Enrollment ID: I20120917000195 |
| 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 | Heather A Podgorski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720297427 PECOS PAC ID: 2769631290 Enrollment ID: I20120927000209 |
| Provider Name | Anoshirvan Mazhari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396973921 PECOS PAC ID: 1456476670 Enrollment ID: I20121002000165 |
| Provider Name | Meghann R Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235421660 PECOS PAC ID: 0143479295 Enrollment ID: I20121004000322 |
| Provider Name | Sima I. Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043350366 PECOS PAC ID: 6800045964 Enrollment ID: I20121004000401 |
| Provider Name | Amy K Cole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396007415 PECOS PAC ID: 3971752064 Enrollment ID: I20121004000763 |
| Provider Name | Liberty J Zyduck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336371780 PECOS PAC ID: 3971752791 Enrollment ID: I20121010000463 |
| Provider Name | Elizabeth Uchitelle |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720049828 PECOS PAC ID: 3870563240 Enrollment ID: I20121015000462 |
| Provider Name | Ali Mokhtarzadeh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225299647 PECOS PAC ID: 2860642402 Enrollment ID: I20121017000374 |
| Provider Name | Julie A Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407118524 PECOS PAC ID: 8123278454 Enrollment ID: I20121023000559 |
| Provider Name | Nicole Rae Pelach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336499904 PECOS PAC ID: 9830349000 Enrollment ID: I20121024000286 |
| Provider Name | Naomi T Goloff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093040404 PECOS PAC ID: 0648420653 Enrollment ID: I20121029000801 |
| 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 | Kara Dianne Schmid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841587193 PECOS PAC ID: 5294986535 Enrollment ID: I20121113000643 |
| Provider Name | Molly M Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912252933 PECOS PAC ID: 8224289525 Enrollment ID: I20121114000447 |
| 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 | Amanda K Hilligoss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922361328 PECOS PAC ID: 1456502418 Enrollment ID: I20121121000532 |
| 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 | Joseph C Keenan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205061223 PECOS PAC ID: 9234261215 Enrollment ID: I20121130000430 |
| 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 | Shane Cameron Mcallister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538330980 PECOS PAC ID: 4688826993 Enrollment ID: I20121213000351 |
| Provider Name | Jess L Boysen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780862862 PECOS PAC ID: 0143346148 Enrollment ID: I20121215000004 |
| Provider Name | Rumi Mohammed Faizer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720025455 PECOS PAC ID: 2961654132 Enrollment ID: I20121215000015 |
| Provider Name | Jinal K Vakil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134472913 PECOS PAC ID: 6709038896 Enrollment ID: I20121219000268 |
| Provider Name | Yazmin M Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538411855 PECOS PAC ID: 3577716570 Enrollment ID: I20121226000054 |
| Provider Name | Gail L Turnberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063404655 PECOS PAC ID: 4486807278 Enrollment ID: I20130103000061 |
| Provider Name | Emily Marie Luitjens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245587252 PECOS PAC ID: 2365695020 Enrollment ID: I20130104000392 |
| Provider Name | Mary Mackenburg Mohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073690012 PECOS PAC ID: 3577716158 Enrollment ID: I20130109000777 |
| Provider Name | Archana Ramaswamy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164474870 PECOS PAC ID: 8921033572 Enrollment ID: I20130114000483 |
| Provider Name | Rochelle D Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023306834 PECOS PAC ID: 7416101548 Enrollment ID: I20130125000234 |
| Provider Name | Aimee K Murray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780933960 PECOS PAC ID: 5294989844 Enrollment ID: I20130206000443 |
| 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 | Vicky L Therkildsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598093536 PECOS PAC ID: 1052454436 Enrollment ID: I20130227000601 |
| 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 | Samantha M Sorensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750625166 PECOS PAC ID: 7618112350 Enrollment ID: I20130328000253 |
| Provider Name | Julia L Pawlenty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144569781 PECOS PAC ID: 4284879784 Enrollment ID: I20130405000029 |
| Provider Name | Harrison Wilson Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013924612 PECOS PAC ID: 2860595980 Enrollment ID: I20130423000209 |
| Provider Name | Kimberly R Thein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437128352 PECOS PAC ID: 0840437646 Enrollment ID: I20130515000570 |
| Provider Name | Bethany L Hart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972745586 PECOS PAC ID: 4082852884 Enrollment ID: I20130606000788 |
| 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 | Lucie Marie Turcotte |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699975052 PECOS PAC ID: 6901045863 Enrollment ID: I20130625000736 |
| Provider Name | Sarah Lynn Hutto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235372616 PECOS PAC ID: 9931348802 Enrollment ID: I20130625000812 |
| Provider Name | Varvara A Kirchner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083844146 PECOS PAC ID: 7315186210 Enrollment ID: I20130626000302 |
| Provider Name | Melissa Christina Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891139465 PECOS PAC ID: 9133369986 Enrollment ID: I20130628000199 |
| Provider Name | Lisa J Bradt Karrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639260086 PECOS PAC ID: 5799925541 Enrollment ID: I20130628000287 |
| Provider Name | Adam B Jeffers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255539748 PECOS PAC ID: 8325293038 Enrollment ID: I20130702000112 |
| Provider Name | Elizabeth Z Colsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487802021 PECOS PAC ID: 3678713278 Enrollment ID: I20130702000472 |
| Provider Name | Craig E Eckfeldt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265625719 PECOS PAC ID: 4385884949 Enrollment ID: I20130703000243 |
| 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 | Kathleen Marie Pfister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952505448 PECOS PAC ID: 4880834753 Enrollment ID: I20130717000776 |
| 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 | 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 | 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 | Christopher James Larocca |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932426681 PECOS PAC ID: 9234370552 Enrollment ID: I20130730000407 |
| Provider Name | Yukiko Nakajima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922389790 PECOS PAC ID: 1951543909 Enrollment ID: I20130805000296 |
| Provider Name | Kelly K White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417293572 PECOS PAC ID: 7810139581 Enrollment ID: I20130808000272 |
| Provider Name | Joel C Strauch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407085616 PECOS PAC ID: 2668614348 Enrollment ID: I20130808000485 |
| Provider Name | Olutoyin E Akintola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912163148 PECOS PAC ID: 6305034307 Enrollment ID: I20130809000179 |
| Provider Name | Samar Malaeb |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326216037 PECOS PAC ID: 8022250596 Enrollment ID: I20130813000312 |
| Provider Name | Abbie L Begnaud |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396867909 PECOS PAC ID: 7315098324 Enrollment ID: I20130813000744 |
| 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 | Ashley K Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982999397 PECOS PAC ID: 7416127097 Enrollment ID: I20130814000958 |
| Provider Name | Jodi L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689010357 PECOS PAC ID: 0042452286 Enrollment ID: I20130816000794 |
| Provider Name | Jennifer Susan Needle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588685903 PECOS PAC ID: 1951349273 Enrollment ID: I20130820000170 |
| Provider Name | Raymond G Areaux |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447416946 PECOS PAC ID: 1153563200 Enrollment ID: I20130820000488 |
| Provider Name | Muna Senussi Sunni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114110566 PECOS PAC ID: 6305089418 Enrollment ID: I20130821000241 |
| Provider Name | Rebecca Cogswell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861692519 PECOS PAC ID: 1658514658 Enrollment ID: I20130823000238 |
| Provider Name | Rita B Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316114275 PECOS PAC ID: 0648413609 Enrollment ID: I20130823000916 |
| 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 | Katherine Mary Martin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356782007 PECOS PAC ID: 9335382142 Enrollment ID: I20130827000294 |
| Provider Name | Mary C Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588005441 PECOS PAC ID: 2466695283 Enrollment ID: I20130827000380 |
| Provider Name | Cara Koroscil Gaherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053637835 PECOS PAC ID: 1557537990 Enrollment ID: I20130918000353 |
| 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 | Kathleen A Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699108209 PECOS PAC ID: 0345474581 Enrollment ID: I20131002000089 |
| Provider Name | Marit E Thorsgard |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841436383 PECOS PAC ID: 1658505532 Enrollment ID: I20131008001110 |
| Provider Name | Cynthia S Fok |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730341231 PECOS PAC ID: 8426282831 Enrollment ID: I20131017000905 |
| 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 | Daniel B Hayward |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821380577 PECOS PAC ID: 7315172483 Enrollment ID: I20131025000474 |
| Provider Name | Steve N Flinkenstein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821209255 PECOS PAC ID: 3779678461 Enrollment ID: I20131025000624 |
| Provider Name | Musa O Suleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376836270 PECOS PAC ID: 9739367590 Enrollment ID: I20131029000864 |
| Provider Name | Mary Therese Sallstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982031571 PECOS PAC ID: 5496980419 Enrollment ID: I20131029001604 |
| Provider Name | Cristina S Albott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316237050 PECOS PAC ID: 4486889367 Enrollment ID: I20131030001741 |
| 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 | Meysam A Kebriaei |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255452926 PECOS PAC ID: 8123254554 Enrollment ID: I20131113001192 |
| Provider Name | Yeewan S Kao |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1780017020 PECOS PAC ID: 8820224298 Enrollment ID: I20131114000373 |
| Provider Name | Megan T Fraser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588097091 PECOS PAC ID: 1456587229 Enrollment ID: I20131127000087 |
| Provider Name | Maria A. Ordonez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053577197 PECOS PAC ID: 9335296359 Enrollment ID: I20131202000828 |
| Provider Name | Brenda L Deutsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528495397 PECOS PAC ID: 4880820430 Enrollment ID: I20131204000716 |
| Provider Name | Denise C Musser |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1710312087 PECOS PAC ID: 7810124393 Enrollment ID: I20131206001223 |
| 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 | Don M Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003118845 PECOS PAC ID: 9436386729 Enrollment ID: I20131211001888 |
| 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 | Tracie S Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548690902 PECOS PAC ID: 3577790575 Enrollment ID: I20131219001013 |
| Provider Name | Todd M Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780924092 PECOS PAC ID: 3577709666 Enrollment ID: I20131224000275 |
| Provider Name | Matthew J Groschen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023370004 PECOS PAC ID: 4789811498 Enrollment ID: I20131227001655 |
| 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 | Peter Michael Gordon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558565085 PECOS PAC ID: 2264561190 Enrollment ID: I20140129001771 |
| Provider Name | Jill A Herges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376971515 PECOS PAC ID: 1052540200 Enrollment ID: I20140210001188 |
| Provider Name | Hayley Dee Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124457486 PECOS PAC ID: 2961631940 Enrollment ID: I20140218000000 |
| Provider Name | Deborah S Cavanaugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720171283 PECOS PAC ID: 1557251899 Enrollment ID: I20140224000589 |
| Provider Name | Anne-marie Leuck |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275728677 PECOS PAC ID: 3072744085 Enrollment ID: I20140314001115 |
| Provider Name | Chloe A Lebron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881975712 PECOS PAC ID: 0648423996 Enrollment ID: I20140320002003 |
| Provider Name | Matthew R Casey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740227933 PECOS PAC ID: 4385656149 Enrollment ID: I20140324001233 |
| Provider Name | Heidi J Ekman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710308234 PECOS PAC ID: 7911139506 Enrollment ID: I20140414001332 |
| Provider Name | Laura M Schuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023433109 PECOS PAC ID: 7719119130 Enrollment ID: I20140416001701 |
| Provider Name | Rachel L Fog |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407139868 PECOS PAC ID: 5597932533 Enrollment ID: I20140423001012 |
| Provider Name | Lidan Gu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164859443 PECOS PAC ID: 7618100819 Enrollment ID: I20140423001303 |
| Provider Name | Jeffery A Allen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982894010 PECOS PAC ID: 5395811954 Enrollment ID: I20140425000727 |
| Provider Name | Andrew Bunney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114246113 PECOS PAC ID: 5597998096 Enrollment ID: I20140508000511 |
| Provider Name | Julie B Eisengart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376812792 PECOS PAC ID: 1850551151 Enrollment ID: I20140515000691 |
| Provider Name | Melissa S Engel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215199013 PECOS PAC ID: 2365612157 Enrollment ID: I20140516000912 |
| 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 | Bartosz Jacek Grzywacz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386870251 PECOS PAC ID: 0941423800 Enrollment ID: I20140521001554 |
| Provider Name | Sofia Lyford-pike |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801004866 PECOS PAC ID: 7012166283 Enrollment ID: I20140522001468 |
| Provider Name | Rebecca L Kaehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811256118 PECOS PAC ID: 9133385040 Enrollment ID: I20140522001987 |
| Provider Name | Sharena Deonarain |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619990199 PECOS PAC ID: 9335135979 Enrollment ID: I20140527000042 |
| Provider Name | Daniel David Miller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770745978 PECOS PAC ID: 9638330103 Enrollment ID: I20140527000481 |
| Provider Name | Stuart K Amateau |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083769855 PECOS PAC ID: 2567631682 Enrollment ID: I20140529002178 |
| 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 | Lynn A Gershan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073507372 PECOS PAC ID: 6608771407 Enrollment ID: I20140605000872 |
| Provider Name | Maria Pia Franco Pino |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598957441 PECOS PAC ID: 3072737436 Enrollment ID: I20140605001031 |
| Provider Name | Helena B Molero Ramirez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780833483 PECOS PAC ID: 3678797974 Enrollment ID: I20140606000312 |
| Provider Name | Kristen Jones |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225260003 PECOS PAC ID: 7214151588 Enrollment ID: I20140609000384 |
| Provider Name | Byron Philip Vaughn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255503223 PECOS PAC ID: 0648494716 Enrollment ID: I20140611000024 |
| Provider Name | Ronda Samir Farah |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386963536 PECOS PAC ID: 5496911935 Enrollment ID: I20140612000307 |
| Provider Name | Andrew C Nelson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760700777 PECOS PAC ID: 9436373586 Enrollment ID: I20140612000369 |
| Provider Name | Brianne B Roby |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265605778 PECOS PAC ID: 5799926713 Enrollment ID: I20140613001153 |
| Provider Name | Noelle Fae Hoven |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598057390 PECOS PAC ID: 9739303421 Enrollment ID: I20140619002217 |
| Provider Name | Ryan J Olmscheid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124430228 PECOS PAC ID: 5395960850 Enrollment ID: I20140626000315 |
| Provider Name | Justin R Howard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134360704 PECOS PAC ID: 9830314210 Enrollment ID: I20140626001516 |
| Provider Name | Rebekah Lea Hudock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962822478 PECOS PAC ID: 6507081999 Enrollment ID: I20140626001769 |
| 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 | Alexander A Boucher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194083675 PECOS PAC ID: 9133344195 Enrollment ID: I20140707001277 |
| Provider Name | Nancy Sanders Harper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194770214 PECOS PAC ID: 4981673175 Enrollment ID: I20140709001342 |
| Provider Name | Darcia M Dierking |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780741942 PECOS PAC ID: 3678667995 Enrollment ID: I20140710001365 |
| Provider Name | Grant A Redstone |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821233164 PECOS PAC ID: 4688855729 Enrollment ID: I20140710001632 |
| Provider Name | Julie M Ottosen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053550434 PECOS PAC ID: 7810112596 Enrollment ID: I20140714001867 |
| Provider Name | Rekha Kalidindi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750678942 PECOS PAC ID: 4981829678 Enrollment ID: I20140714002376 |
| Provider Name | Matthew B Ambrose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255523320 PECOS PAC ID: 4789800202 Enrollment ID: I20140718001042 |
| Provider Name | William H Fredericks |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1720423643 PECOS PAC ID: 2567693120 Enrollment ID: I20140722001834 |
| Provider Name | Janet Leigh Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952713562 PECOS PAC ID: 2961428396 Enrollment ID: I20140724001346 |
| Provider Name | Esra Sit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962785063 PECOS PAC ID: 6608092838 Enrollment ID: I20140724001574 |
| Provider Name | Thomas Von Soukup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891087953 PECOS PAC ID: 8224265749 Enrollment ID: I20140724002620 |
| Provider Name | Elliot G Arsoniadis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225328388 PECOS PAC ID: 1557587409 Enrollment ID: I20140729002272 |
| Provider Name | Caren Blacker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871857458 PECOS PAC ID: 9032355854 Enrollment ID: I20140729002799 |
| Provider Name | Joshua H Hou |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508091786 PECOS PAC ID: 7113167693 Enrollment ID: I20140731000744 |
| Provider Name | Amanda C Maltry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609005487 PECOS PAC ID: 6901047612 Enrollment ID: I20140805000500 |
| 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 | 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 | Jacob J Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265871701 PECOS PAC ID: 9931341278 Enrollment ID: I20140821000325 |
| Provider Name | Jeff Werner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417152885 PECOS PAC ID: 7113180258 Enrollment ID: I20140821002741 |
| Provider Name | Kari Lynn Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427211655 PECOS PAC ID: 7416114442 Enrollment ID: I20140825000415 |
| Provider Name | Dawn M Violette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356750822 PECOS PAC ID: 2860610870 Enrollment ID: I20140903001882 |
| Provider Name | Janna R Gewirtz O'brien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518306703 PECOS PAC ID: 4385887009 Enrollment ID: I20140916001560 |
| Provider Name | Laurel E Stephenson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467610634 PECOS PAC ID: 9638324627 Enrollment ID: I20140916002410 |
| 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 | Matthew H Foehrenbacher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750672812 PECOS PAC ID: 8022237023 Enrollment ID: I20140923001876 |
| Provider Name | Carla E Cerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346664794 PECOS PAC ID: 4082834031 Enrollment ID: I20140925002047 |
| 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 | Assefa M Ayalew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912240235 PECOS PAC ID: 5597985358 Enrollment ID: I20140930001982 |
| Provider Name | Christy M Boraas Alsleben |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750544581 PECOS PAC ID: 9830353234 Enrollment ID: I20141001001409 |
| Provider Name | Kurt W Prins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730446873 PECOS PAC ID: 4789835588 Enrollment ID: I20141002001768 |
| Provider Name | Melissa Ny Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346539632 PECOS PAC ID: 4486874005 Enrollment ID: I20141002002035 |
| 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 | Mahmoud A Khalifa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467517920 PECOS PAC ID: 8628973468 Enrollment ID: I20141008002464 |
| Provider Name | Vishnu Laalitha Surapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164714002 PECOS PAC ID: 5597985770 Enrollment ID: I20141010000958 |
| Provider Name | Archana Bhaskaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891990453 PECOS PAC ID: 4183845217 Enrollment ID: I20141014002462 |
| Provider Name | Nathan P Strudle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386965226 PECOS PAC ID: 9234350364 Enrollment ID: I20141015000116 |
| Provider Name | Anthony R Palmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083023477 PECOS PAC ID: 3779704804 Enrollment ID: I20141015000169 |
| Provider Name | Matthew D Sorensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417365479 PECOS PAC ID: 8921229063 Enrollment ID: I20141015000304 |
| Provider Name | Natalie A Hahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255746459 PECOS PAC ID: 1254552318 Enrollment ID: I20141015001193 |
| Provider Name | Kyle R Sell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437567682 PECOS PAC ID: 7315168499 Enrollment ID: I20141015001595 |
| Provider Name | Hugo R Klaers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225444383 PECOS PAC ID: 0042431058 Enrollment ID: I20141016000514 |
| Provider Name | Brianna M Bren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588079933 PECOS PAC ID: 0840411898 Enrollment ID: I20141016001716 |
| Provider Name | Shannon M Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053727321 PECOS PAC ID: 2062633019 Enrollment ID: I20141016001968 |
| 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 | Misbil F Hagi-salaad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508265984 PECOS PAC ID: 0749401586 Enrollment ID: I20141021001291 |
| Provider Name | Heather M Gunderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952557126 PECOS PAC ID: 2567683303 Enrollment ID: I20141021001301 |
| Provider Name | Christine H Peltier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528474392 PECOS PAC ID: 7517188048 Enrollment ID: I20141024001431 |
| 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 | Erica A Kuhlmann |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548441603 PECOS PAC ID: 3971634726 Enrollment ID: I20141029002590 |
| Provider Name | Kristina M Reigstad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609921188 PECOS PAC ID: 3779704945 Enrollment ID: I20141101000078 |
| Provider Name | Wolfgang Bernd Gaertner |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1083857148 PECOS PAC ID: 7911129804 Enrollment ID: I20141108000168 |
| Provider Name | Jonathan D Gale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588829428 PECOS PAC ID: 3173752870 Enrollment ID: I20141110000063 |
| Provider Name | Kathleen M Miley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790186062 PECOS PAC ID: 8022230721 Enrollment ID: I20141113000833 |
| Provider Name | Natasha A Tennessen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710387220 PECOS PAC ID: 7911129614 Enrollment ID: I20141113000875 |
| Provider Name | Vivek Biala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720211840 PECOS PAC ID: 8224286547 Enrollment ID: I20141113001958 |
| Provider Name | Rebecca A Lenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538573449 PECOS PAC ID: 4385866961 Enrollment ID: I20141114001666 |
| Provider Name | Kristen Ellen Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891195459 PECOS PAC ID: 4284856865 Enrollment ID: I20141114001693 |
| Provider Name | Michael Chankwon Park |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942427117 PECOS PAC ID: 8325163983 Enrollment ID: I20141121000114 |
| Provider Name | Jessica M Cici |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972737997 PECOS PAC ID: 7719109073 Enrollment ID: I20141121000355 |
| Provider Name | Amanda M Moen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154563401 PECOS PAC ID: 2860714003 Enrollment ID: I20141125001624 |
| Provider Name | Speciose Sinyigaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205238250 PECOS PAC ID: 8729300884 Enrollment ID: I20141201002045 |
| Provider Name | Lori Ann Kehoe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942605639 PECOS PAC ID: 6709108764 Enrollment ID: I20141201002197 |
| Provider Name | Alexander M Hubbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508209842 PECOS PAC ID: 1052633047 Enrollment ID: I20141202001160 |
| Provider Name | Vaishnavi A Parnerkar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972730703 PECOS PAC ID: 3577885581 Enrollment ID: I20141202001712 |
| 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 | Chrystia C Lilley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447576376 PECOS PAC ID: 0244552065 Enrollment ID: I20141205001919 |
| 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 | 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 | Leah M Paquin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659777241 PECOS PAC ID: 3870816606 Enrollment ID: I20141230001877 |
| Provider Name | Kirsten J Bock |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871904029 PECOS PAC ID: 6507180114 Enrollment ID: I20150129002346 |
| 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 | Brian A Erickson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1457443673 PECOS PAC ID: 0840185013 Enrollment ID: I20150220001219 |
| Provider Name | Anne Gregerson Griffiths |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205083995 PECOS PAC ID: 3678898343 Enrollment ID: I20150221000303 |
| Provider Name | Colleen Correll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912170580 PECOS PAC ID: 0941425839 Enrollment ID: I20150226001175 |
| Provider Name | Sheila L Evans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558671586 PECOS PAC ID: 0244556611 Enrollment ID: I20150302000799 |
| Provider Name | Sheilagh Maguiness |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679796429 PECOS PAC ID: 9234298316 Enrollment ID: I20150304002248 |
| Provider Name | Debra A Gutzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346209343 PECOS PAC ID: 1557687696 Enrollment ID: I20150306001907 |
| Provider Name | Carlos A Galliani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962504134 PECOS PAC ID: 9830237254 Enrollment ID: I20150313002189 |
| Provider Name | Mirza Salman Ahmed Baig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538485925 PECOS PAC ID: 8729205869 Enrollment ID: I20150320000725 |
| 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 | Alisse J Zignego |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063811552 PECOS PAC ID: 0042538803 Enrollment ID: I20150408000747 |
| 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 | Olga V Formogey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922498310 PECOS PAC ID: 2769700202 Enrollment ID: I20150414001535 |
| Provider Name | Kari A Murdy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558752394 PECOS PAC ID: 6608194972 Enrollment ID: I20150416001723 |
| Provider Name | April Katherine Wilhelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326306648 PECOS PAC ID: 8527386812 Enrollment ID: I20150416002433 |
| Provider Name | Jennifer L Rickard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598925455 PECOS PAC ID: 7113246935 Enrollment ID: I20150429001111 |
| Provider Name | Erin P Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255595195 PECOS PAC ID: 8123347655 Enrollment ID: I20150506000007 |
| Provider Name | Scott E Cooper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538123781 PECOS PAC ID: 9638125255 Enrollment ID: I20150513002032 |
| Provider Name | Tetyana N Mettler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770729337 PECOS PAC ID: 7719207877 Enrollment ID: I20150513002485 |
| Provider Name | Michelle L Monson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841452992 PECOS PAC ID: 3577710284 Enrollment ID: I20150514001873 |
| 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 | Mark H Luquette |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154305324 PECOS PAC ID: 9931242625 Enrollment ID: I20150521001369 |
| 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 | Caroline L Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689664534 PECOS PAC ID: 0446277016 Enrollment ID: I20150521002607 |
| Provider Name | Alexander E Gurfinkel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861679987 PECOS PAC ID: 0749500213 Enrollment ID: I20150522002114 |
| Provider Name | Emilian Viorel Racila |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609010164 PECOS PAC ID: 8527388974 Enrollment ID: I20150526002055 |
| Provider Name | Steve W Pals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467842419 PECOS PAC ID: 8123348422 Enrollment ID: I20150528001589 |
| 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 | Laura C Speltz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306092655 PECOS PAC ID: 6507186756 Enrollment ID: I20150529000629 |
| Provider Name | Marie Hickey Swanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548529761 PECOS PAC ID: 5193046209 Enrollment ID: I20150601002803 |
| Provider Name | Ryan T Whitesell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245465301 PECOS PAC ID: 2466690540 Enrollment ID: I20150602002888 |
| Provider Name | Luke A Jakubowski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427290055 PECOS PAC ID: 4486871340 Enrollment ID: I20150603000742 |
| Provider Name | Andrew Johnson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962729111 PECOS PAC ID: 4981925849 Enrollment ID: I20150603001748 |
| Provider Name | Umesh Goswami |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114188406 PECOS PAC ID: 9335460278 Enrollment ID: I20150604000699 |
| Provider Name | Jessica Eileen Stumphy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104051721 PECOS PAC ID: 6709026784 Enrollment ID: I20150609001631 |
| Provider Name | Christen L Ebens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386846095 PECOS PAC ID: 3779804182 Enrollment ID: I20150610000328 |
| 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 | Veena R Iyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932426004 PECOS PAC ID: 0941511141 Enrollment ID: I20150615001242 |
| Provider Name | Rebecca Powell Stepan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205220993 PECOS PAC ID: 2668783895 Enrollment ID: I20150615001888 |
| Provider Name | Melissa R Dalhoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942680236 PECOS PAC ID: 4284945411 Enrollment ID: I20150615001962 |
| Provider Name | Ariela Lucy Marshall |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912141482 PECOS PAC ID: 3375792948 Enrollment ID: I20150615002719 |
| Provider Name | Lihong Bu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447541644 PECOS PAC ID: 0547571580 Enrollment ID: I20150618000052 |
| Provider Name | Bridget Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689068421 PECOS PAC ID: 8022329770 Enrollment ID: I20150622001504 |
| Provider Name | Brittani Conway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013202100 PECOS PAC ID: 3577874296 Enrollment ID: I20150623000755 |
| Provider Name | Matthew Adam Rischall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750607248 PECOS PAC ID: 5890006415 Enrollment ID: I20150623000895 |
| Provider Name | Aaron Daniel Corfield |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740544527 PECOS PAC ID: 3375761083 Enrollment ID: I20150623001351 |
| Provider Name | Eric Carolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679899389 PECOS PAC ID: 6800037623 Enrollment ID: I20150623002728 |
| Provider Name | Sean Thomas O'brien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134411192 PECOS PAC ID: 0042437618 Enrollment ID: I20150625001929 |
| Provider Name | Gurumurthy Hiremath Mallikarjun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952557332 PECOS PAC ID: 1153546429 Enrollment ID: I20150630000342 |
| 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 | Colleen L Rivard Hunt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205098399 PECOS PAC ID: 2860704681 Enrollment ID: I20150708001777 |
| Provider Name | Mark A Traynham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760793269 PECOS PAC ID: 3476865940 Enrollment ID: I20150713000623 |
| Provider Name | Joss J Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255383022 PECOS PAC ID: 2365445582 Enrollment ID: I20150713000798 |
| Provider Name | Katherine Chang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427289982 PECOS PAC ID: 4789996273 Enrollment ID: I20150713001166 |
| 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 | Christie Ann Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417339367 PECOS PAC ID: 9830402775 Enrollment ID: I20150721001328 |
| Provider Name | Kevin Q Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407090632 PECOS PAC ID: 2668793514 Enrollment ID: I20150722005555 |
| Provider Name | Edward V Craig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639143027 PECOS PAC ID: 0941214985 Enrollment ID: I20150723008875 |
| 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 | Jimmie Stewart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467414649 PECOS PAC ID: 4981662889 Enrollment ID: I20150729006660 |
| Provider Name | Deepak Agarwal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972919538 PECOS PAC ID: 4183840572 Enrollment ID: I20150729007864 |
| Provider Name | Joel Beachey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114333721 PECOS PAC ID: 8729204136 Enrollment ID: I20150729008688 |
| Provider Name | Molly M Nordberg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508275207 PECOS PAC ID: 5597079913 Enrollment ID: I20150729009704 |
| 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 | William Guntars Mantyh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750797460 PECOS PAC ID: 9133346273 Enrollment ID: I20150805008857 |
| Provider Name | Alison J Bemis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154705606 PECOS PAC ID: 3971817842 Enrollment ID: I20150805008961 |
| 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 | 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 | Cheryl Zabrowski Flogel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962802439 PECOS PAC ID: 9638497605 Enrollment ID: I20150813010637 |
| Provider Name | Christopher David Streib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629231881 PECOS PAC ID: 4587884440 Enrollment ID: I20150813011144 |
| Provider Name | Bethany Grace Fransen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356759534 PECOS PAC ID: 0446565832 Enrollment ID: I20150813011375 |
| 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 | Aaron Pinion |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1255642294 PECOS PAC ID: 3476868431 Enrollment ID: I20150819009016 |
| Provider Name | Shannon Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659409563 PECOS PAC ID: 5193030021 Enrollment ID: I20150820011218 |
| Provider Name | Gennadiy V Shevchenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093005498 PECOS PAC ID: 6204142763 Enrollment ID: I20150828000258 |
| Provider Name | Scott J Gorham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831575299 PECOS PAC ID: 2062728462 Enrollment ID: I20150831002389 |
| 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 | Niloo Krueger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376856500 PECOS PAC ID: 5890001952 Enrollment ID: I20150903001792 |
| Provider Name | Britt K Erickson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1225294762 PECOS PAC ID: 0749445955 Enrollment ID: I20150908002882 |
| Provider Name | Justin J Yamanuha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487880274 PECOS PAC ID: 1951532407 Enrollment ID: I20150910000055 |
| Provider Name | Carrie R Lucio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962879916 PECOS PAC ID: 4688981459 Enrollment ID: I20150911001416 |
| Provider Name | Elizabeth Anne Gulleen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790046910 PECOS PAC ID: 1951618628 Enrollment ID: I20150911001772 |
| Provider Name | Michelle L Schorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205212107 PECOS PAC ID: 6103133871 Enrollment ID: I20150911001887 |
| Provider Name | Kristi E White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003252842 PECOS PAC ID: 4880901156 Enrollment ID: I20150918000971 |
| 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 | Elizabeth Christine Swanson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710115449 PECOS PAC ID: 7810205895 Enrollment ID: I20150925000451 |
| Provider Name | Egla Maiyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952787905 PECOS PAC ID: 2365750247 Enrollment ID: I20150925000842 |
| Provider Name | Eric F Stokes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174906382 PECOS PAC ID: 0042528861 Enrollment ID: I20150929000376 |
| Provider Name | Sean Tracy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225444938 PECOS PAC ID: 0547485195 Enrollment ID: I20151001001465 |
| Provider Name | Matthew A Armfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447517115 PECOS PAC ID: 5597077602 Enrollment ID: I20151006001494 |
| Provider Name | Christina M Heringlake Jaspers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598057952 PECOS PAC ID: 3476861733 Enrollment ID: I20151006002067 |
| Provider Name | Collin Matthew Mcclelland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245438100 PECOS PAC ID: 0749453272 Enrollment ID: I20151013001276 |
| Provider Name | Ashley J Thersleff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720456577 PECOS PAC ID: 0648589226 Enrollment ID: I20151021002712 |
| Provider Name | Eric John Waldron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215298179 PECOS PAC ID: 7214187244 Enrollment ID: I20151026002773 |
| Provider Name | Aimee M Merino |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235557562 PECOS PAC ID: 3870802119 Enrollment ID: I20151027002403 |
| Provider Name | Danielle R Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215307046 PECOS PAC ID: 0244549590 Enrollment ID: I20151027002843 |
| Provider Name | Elizabeth Irene Pierpont |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093183436 PECOS PAC ID: 2860702065 Enrollment ID: I20151029002496 |
| Provider Name | Beth K Thielen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831458793 PECOS PAC ID: 3971813189 Enrollment ID: I20151029002921 |
| Provider Name | Jane Nofer Poskanzer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033425491 PECOS PAC ID: 0749590958 Enrollment ID: I20151030000021 |
| Provider Name | Jeffrey L Mills |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609247048 PECOS PAC ID: 9032429188 Enrollment ID: I20151102002689 |
| Provider Name | Jena L Uherka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346671914 PECOS PAC ID: 3678880226 Enrollment ID: I20151103000466 |
| Provider Name | Rachael Sarto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407224652 PECOS PAC ID: 3971813924 Enrollment ID: I20151104000644 |
| 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 | Rebecca A Niles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952708273 PECOS PAC ID: 2466776794 Enrollment ID: I20151112000712 |
| Provider Name | Traci L Hakanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225166135 PECOS PAC ID: 0840590634 Enrollment ID: I20151201000490 |
| Provider Name | Jason J Rasmussen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033191200 PECOS PAC ID: 6901958230 Enrollment ID: I20151209001785 |
| Provider Name | Hannah L Williamson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811036320 PECOS PAC ID: 2668773623 Enrollment ID: I20151216000526 |
| Provider Name | Sarah Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790154441 PECOS PAC ID: 6103127055 Enrollment ID: I20151217001557 |
| Provider Name | Marisa L Bushman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376918235 PECOS PAC ID: 8729389507 Enrollment ID: I20151221001534 |
| Provider Name | Sara M Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750752226 PECOS PAC ID: 0648571380 Enrollment ID: I20151222000876 |
| Provider Name | Megan G Berger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871856005 PECOS PAC ID: 6800198268 Enrollment ID: I20151231001967 |
| 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 | Karen M Dahl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700050374 PECOS PAC ID: 3072815703 Enrollment ID: I20160112001333 |
| Provider Name | Michelle L Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780971564 PECOS PAC ID: 6103128772 Enrollment ID: I20160113002840 |
| Provider Name | Jeffrey Ac Pounds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275552267 PECOS PAC ID: 4284936865 Enrollment ID: I20160114000083 |
| Provider Name | Daniel B Landauer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649604869 PECOS PAC ID: 5193029841 Enrollment ID: I20160201002117 |
| Provider Name | Andrea N King |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447615885 PECOS PAC ID: 6002110632 Enrollment ID: I20160202001781 |
| Provider Name | Justin D Jeffrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942670039 PECOS PAC ID: 3577867035 Enrollment ID: I20160204000547 |
| Provider Name | Kathryn L Marvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669837340 PECOS PAC ID: 4981908316 Enrollment ID: I20160205000704 |
| Provider Name | Jessica A Skelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396115614 PECOS PAC ID: 1759685761 Enrollment ID: I20160212000020 |
| Provider Name | Megan T Elgethun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558785311 PECOS PAC ID: 9931324654 Enrollment ID: I20160217002165 |
| Provider Name | Tracy Hinz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538153226 PECOS PAC ID: 0345546016 Enrollment ID: I20160307000026 |
| Provider Name | Sean Patrick Murray |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1477836054 PECOS PAC ID: 1658677299 Enrollment ID: I20160308002945 |
| Provider Name | Kristin E Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801251509 PECOS PAC ID: 3476859968 Enrollment ID: I20160309001467 |
| Provider Name | Ellen A Overson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770903429 PECOS PAC ID: 4486958105 Enrollment ID: I20160310000409 |
| Provider Name | Peter J Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841659182 PECOS PAC ID: 7012213176 Enrollment ID: I20160316000081 |
| Provider Name | Rohan R Lall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255582987 PECOS PAC ID: 0749590388 Enrollment ID: I20160318001205 |
| Provider Name | Diana J M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912366907 PECOS PAC ID: 6901103894 Enrollment ID: I20160321000182 |
| Provider Name | Jodi A Hildebrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467819045 PECOS PAC ID: 0749587343 Enrollment ID: I20160325000694 |
| Provider Name | Renae H Witta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770974578 PECOS PAC ID: 0345547501 Enrollment ID: I20160401002062 |
| 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 | Jenna N Brandt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679977607 PECOS PAC ID: 7214235217 Enrollment ID: I20160407000514 |
| Provider Name | Allison E Ackmann |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760871453 PECOS PAC ID: 0042518920 Enrollment ID: I20160408000878 |
| 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 | Patricio Cuevas Gargollo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982661781 PECOS PAC ID: 6305854357 Enrollment ID: I20160427001165 |
| Provider Name | Laura E Moench |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104146406 PECOS PAC ID: 0244539146 Enrollment ID: I20160427001706 |
| Provider Name | Stephanie R Norgaard-erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225496128 PECOS PAC ID: 4486943685 Enrollment ID: I20160511001163 |
| Provider Name | Brian S Martell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689991432 PECOS PAC ID: 9931419793 Enrollment ID: I20160511002723 |
| 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 | Kevin J Gaddis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699031567 PECOS PAC ID: 1951606391 Enrollment ID: I20160520001210 |
| 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 | Joseph M Gill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326339631 PECOS PAC ID: 6406151539 Enrollment ID: I20160608000323 |
| Provider Name | Michelle Sudyka Loichinger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699939496 PECOS PAC ID: 3678720273 Enrollment ID: I20160610001126 |
| Provider Name | Elizabeth P Kratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780038299 PECOS PAC ID: 0345530887 Enrollment ID: I20160613000339 |
| Provider Name | Sarah Fehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386092955 PECOS PAC ID: 5991096398 Enrollment ID: I20160615000365 |
| 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 | 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 | Danielle J Koenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841645942 PECOS PAC ID: 0547552689 Enrollment ID: I20160711000056 |
| Provider Name | Armin Rashidi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285950089 PECOS PAC ID: 6901035377 Enrollment ID: I20160711000561 |
| Provider Name | Kristine L Duhamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669827523 PECOS PAC ID: 3476845280 Enrollment ID: I20160714000414 |
| Provider Name | Nicole C Kalamitsiotis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457778623 PECOS PAC ID: 6901039403 Enrollment ID: I20160714000518 |
| 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 | Ana Catarina De Oliveira Virgens Paim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154762292 PECOS PAC ID: 9739472481 Enrollment ID: I20160719000745 |
| Provider Name | Amy L Jacky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922437334 PECOS PAC ID: 4183852478 Enrollment ID: I20160719002800 |
| Provider Name | Ratan K Banik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992063853 PECOS PAC ID: 7517250145 Enrollment ID: I20160720000743 |
| 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 | Christian T Larson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447632682 PECOS PAC ID: 3971896309 Enrollment ID: I20160722001826 |
| Provider Name | Paul Edward Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861807216 PECOS PAC ID: 3779700174 Enrollment ID: I20160725002060 |
| Provider Name | Brian Joy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861565459 PECOS PAC ID: 3577729052 Enrollment ID: I20160726002719 |
| Provider Name | Miriam Cedar Shapiro |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528294501 PECOS PAC ID: 5193966653 Enrollment ID: I20160727001152 |
| Provider Name | Jennifer M Svendsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972982718 PECOS PAC ID: 2466758131 Enrollment ID: I20160727001893 |
| Provider Name | Aazim K Omer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134382690 PECOS PAC ID: 3678626025 Enrollment ID: I20160728002386 |
| Provider Name | Sarah C Kiel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457694416 PECOS PAC ID: 8527363365 Enrollment ID: I20160728002625 |
| Provider Name | Benjamin Robert Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861724387 PECOS PAC ID: 2860628153 Enrollment ID: I20160729001358 |
| Provider Name | Patrick Kevin Horst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649596990 PECOS PAC ID: 6800027178 Enrollment ID: I20160729002164 |
| 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 | Bruno Perossa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346657889 PECOS PAC ID: 5092934513 Enrollment ID: I20160801001980 |
| 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 | Arthur T Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427404987 PECOS PAC ID: 7810281516 Enrollment ID: I20160803000869 |
| Provider Name | Lester Fahrner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295995900 PECOS PAC ID: 7618115981 Enrollment ID: I20160803001810 |
| Provider Name | Jessica A Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922455591 PECOS PAC ID: 0547554925 Enrollment ID: I20160808001635 |
| Provider Name | Sadia Ali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164632766 PECOS PAC ID: 5698859064 Enrollment ID: I20160808002373 |
| Provider Name | Eneniziaogochukwu Okocha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548649726 PECOS PAC ID: 0648576462 Enrollment ID: I20160809000629 |
| Provider Name | Derek W Eklund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255774733 PECOS PAC ID: 6800194580 Enrollment ID: I20160810001586 |
| Provider Name | Karen Armbrust |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124310735 PECOS PAC ID: 8527352723 Enrollment ID: I20160811000429 |
| Provider Name | Stephanie Delkoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174976138 PECOS PAC ID: 4486948551 Enrollment ID: I20160811002637 |
| Provider Name | Anne E Bantle |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477795441 PECOS PAC ID: 6103121512 Enrollment ID: I20160815002167 |
| Provider Name | Jennie Hoogheem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700238037 PECOS PAC ID: 5294029104 Enrollment ID: I20160815002446 |
| Provider Name | Aaron A Berg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033485842 PECOS PAC ID: 4385951524 Enrollment ID: I20160816000908 |
| Provider Name | Anne D Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053770784 PECOS PAC ID: 5890089775 Enrollment ID: I20160816001789 |
| Provider Name | Stacie Marie Knutson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720304439 PECOS PAC ID: 8820394299 Enrollment ID: I20160816003028 |
| Provider Name | Andrew James Ritter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700174349 PECOS PAC ID: 0244543429 Enrollment ID: I20160817000291 |
| Provider Name | Darrah Jean Steingraber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184177370 PECOS PAC ID: 2668767534 Enrollment ID: I20160817002031 |
| Provider Name | Mona Magdy Riskalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710068978 PECOS PAC ID: 9436444171 Enrollment ID: I20160819002142 |
| 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 A Reisdorf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760714133 PECOS PAC ID: 2466747001 Enrollment ID: I20160822002872 |
| Provider Name | Madhuri Vasudev Rao |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295997641 PECOS PAC ID: 0840585329 Enrollment ID: I20160823001478 |
| 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 | Megan Petrik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932553443 PECOS PAC ID: 8628363165 Enrollment ID: I20160824000096 |
| Provider Name | Syed Murfad Peer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427464072 PECOS PAC ID: 7517183049 Enrollment ID: I20160824002796 |
| Provider Name | Rachel Becker-warner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083065080 PECOS PAC ID: 4880989110 Enrollment ID: I20160825000009 |
| Provider Name | Jacob Kohlenberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306225990 PECOS PAC ID: 7810208477 Enrollment ID: I20160825000244 |
| Provider Name | Jena M Labine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366893331 PECOS PAC ID: 4082909353 Enrollment ID: I20160825001069 |
| Provider Name | Rupendra Dev Thaku Shrestha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194993774 PECOS PAC ID: 2961695119 Enrollment ID: I20160826000186 |
| Provider Name | Nancy L Middlestead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326498635 PECOS PAC ID: 2163717315 Enrollment ID: I20160826000735 |
| Provider Name | Michelle E Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962850065 PECOS PAC ID: 4284929316 Enrollment ID: I20160829000126 |
| Provider Name | Sara E Wildenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437476876 PECOS PAC ID: 8628373552 Enrollment ID: I20160829000743 |
| Provider Name | Christie M Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053780486 PECOS PAC ID: 8123313202 Enrollment ID: I20160829001567 |
| Provider Name | Jennifer L Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942587233 PECOS PAC ID: 8426343484 Enrollment ID: I20160830001204 |
| Provider Name | James M Flaherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336427913 PECOS PAC ID: 5698089860 Enrollment ID: I20160830001692 |
| Provider Name | Jonathan Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437323128 PECOS PAC ID: 4183866353 Enrollment ID: I20160902001217 |
| Provider Name | Margaret A Koeritzer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073066676 PECOS PAC ID: 3173819802 Enrollment ID: I20160907001093 |
| Provider Name | Jeffrey P Kendall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992776686 PECOS PAC ID: 1951371731 Enrollment ID: I20160907002013 |
| Provider Name | Brennen D Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376753277 PECOS PAC ID: 0749467280 Enrollment ID: I20160909002480 |
| Provider Name | Laura E Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992174825 PECOS PAC ID: 4082919675 Enrollment ID: I20160916000689 |
| Provider Name | Elizabeth Catherine Neil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598083081 PECOS PAC ID: 1254570021 Enrollment ID: I20160916001425 |
| Provider Name | Nadar A Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427469923 PECOS PAC ID: 8426354911 Enrollment ID: I20160919000164 |
| Provider Name | Batul K Mehdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225483605 PECOS PAC ID: 9234426396 Enrollment ID: I20160919000236 |
| 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 | Sobia Khaja |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306165972 PECOS PAC ID: 0648419747 Enrollment ID: I20160920000456 |
| Provider Name | Sarah S L Entinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073966115 PECOS PAC ID: 8123315918 Enrollment ID: I20160922000003 |
| Provider Name | Emily Margot Pisetsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477900975 PECOS PAC ID: 1951698505 Enrollment ID: I20160926000007 |
| Provider Name | Jessica J Cichocki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467909903 PECOS PAC ID: 0143517524 Enrollment ID: I20160928002778 |
| Provider Name | Piper Suzanne Kalos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013241058 PECOS PAC ID: 9830486182 Enrollment ID: I20160929002036 |
| Provider Name | Michael J Leffler Mccabe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407048416 PECOS PAC ID: 7810284015 Enrollment ID: I20160930001439 |
| Provider Name | Katharine R Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659710390 PECOS PAC ID: 4587960778 Enrollment ID: I20161003000639 |
| Provider Name | Karen Denise Cullen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346669603 PECOS PAC ID: 2163646357 Enrollment ID: I20161003001096 |
| Provider Name | Yuriy Zgherea |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891941373 PECOS PAC ID: 2567680531 Enrollment ID: I20161003001895 |
| Provider Name | Hlee Moua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861949661 PECOS PAC ID: 2264720366 Enrollment ID: I20161005000789 |
| Provider Name | Nitika Ghattaura |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356748495 PECOS PAC ID: 4082902069 Enrollment ID: I20161006000688 |
| Provider Name | Meghan L Hufstetler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760939797 PECOS PAC ID: 7810285830 Enrollment ID: I20161006002057 |
| Provider Name | Katherine E Cummins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932363983 PECOS PAC ID: 1153619408 Enrollment ID: I20161019001901 |
| Provider Name | Maureen E Stoesz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619424777 PECOS PAC ID: 0143508176 Enrollment ID: I20161026001977 |
| Provider Name | Nicole M Siddons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467803403 PECOS PAC ID: 7113205923 Enrollment ID: I20161031000174 |
| Provider Name | Kathryn E Monpas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629421714 PECOS PAC ID: 9032497433 Enrollment ID: I20161104000733 |
| Provider Name | Chime Yangzom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639624927 PECOS PAC ID: 4880972215 Enrollment ID: I20161104001794 |
| Provider Name | Jean E Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881145225 PECOS PAC ID: 3476832759 Enrollment ID: I20161109000002 |
| Provider Name | Stephen Contag |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710963707 PECOS PAC ID: 8123029774 Enrollment ID: I20161115000596 |
| 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 | Michael S Borofsky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629202197 PECOS PAC ID: 7517183569 Enrollment ID: I20161116000395 |
| Provider Name | Kayla J Gish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881046589 PECOS PAC ID: 6204115249 Enrollment ID: I20161116000854 |
| Provider Name | Sophia Vinogradov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558453928 PECOS PAC ID: 8426220187 Enrollment ID: I20161116002272 |
| Provider Name | Debra A Naegele |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114168663 PECOS PAC ID: 8628357530 Enrollment ID: I20161117000770 |
| 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 | Sarah Baer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972855211 PECOS PAC ID: 1355654807 Enrollment ID: I20161122001477 |
| 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 | Katie Warne |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659620755 PECOS PAC ID: 8527384247 Enrollment ID: I20161130002149 |
| Provider Name | Jessica L Mcalpine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144779612 PECOS PAC ID: 0941580112 Enrollment ID: I20161205001005 |
| Provider Name | Jacqueline Steffenhagen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306928940 PECOS PAC ID: 6305126459 Enrollment ID: I20161206001971 |
| Provider Name | Melissa R Nyberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699841437 PECOS PAC ID: 4486934577 Enrollment ID: I20161207000508 |
| Provider Name | Jennifer E Helms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164879755 PECOS PAC ID: 5698055671 Enrollment ID: I20161208001752 |
| Provider Name | Jennifer N Ihbe-eberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225418528 PECOS PAC ID: 2365722360 Enrollment ID: I20161208002454 |
| 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 | Matthew A Thate |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568741429 PECOS PAC ID: 6901187475 Enrollment ID: I20161222000434 |
| Provider Name | Kendall M Sexe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396120572 PECOS PAC ID: 4981985355 Enrollment ID: I20161222000494 |
| Provider Name | John C Moore |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1922217991 PECOS PAC ID: 9830243625 Enrollment ID: I20161227001491 |
| Provider Name | Sheila K Gonzales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588754121 PECOS PAC ID: 9032490172 Enrollment ID: I20170103000732 |
| Provider Name | Marshall A Mazepa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174569354 PECOS PAC ID: 2163663519 Enrollment ID: I20170103001822 |
| Provider Name | Michaela M Monetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033585914 PECOS PAC ID: 8628359700 Enrollment ID: I20170104000073 |
| Provider Name | Wen Zhong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356381537 PECOS PAC ID: 7810980752 Enrollment ID: I20170104001399 |
| 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 | Elissa M Downs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104116722 PECOS PAC ID: 5698070449 Enrollment ID: I20170111002663 |
| Provider Name | Alicia H Keeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598039463 PECOS PAC ID: 4284895624 Enrollment ID: I20170117000894 |
| Provider Name | Andrea Marie Balsimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912352188 PECOS PAC ID: 0345522819 Enrollment ID: I20170117001967 |
| Provider Name | Neil Eric Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457332934 PECOS PAC ID: 0042276933 Enrollment ID: I20170117002543 |
| Provider Name | Thomas G Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316495401 PECOS PAC ID: 4284916727 Enrollment ID: I20170118002240 |
| Provider Name | Jeremy R Allred |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821485095 PECOS PAC ID: 2961708193 Enrollment ID: I20170124001301 |
| Provider Name | Rachael Lenore Niemeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598148918 PECOS PAC ID: 3577879378 Enrollment ID: I20170124002896 |
| Provider Name | Erin M Whitcomb-crafton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669763454 PECOS PAC ID: 3971885062 Enrollment ID: I20170125002182 |
| Provider Name | Nicholas M Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922365709 PECOS PAC ID: 2961784061 Enrollment ID: I20170125002251 |
| Provider Name | Leah Eisel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609328103 PECOS PAC ID: 0547543910 Enrollment ID: I20170208002434 |
| Provider Name | Princess Cramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780047266 PECOS PAC ID: 0840573275 Enrollment ID: I20170209002065 |
| Provider Name | Kenneth Ray Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083927917 PECOS PAC ID: 3779866934 Enrollment ID: I20170214000140 |
| Provider Name | Johanes I Prawira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932337706 PECOS PAC ID: 9830368786 Enrollment ID: I20170216001155 |
| Provider Name | Vanessa N Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487104378 PECOS PAC ID: 3072896091 Enrollment ID: I20170216001203 |
| Provider Name | Nicholas Alexander Zorko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972990182 PECOS PAC ID: 2466755293 Enrollment ID: I20170216002633 |
| Provider Name | Pilar A Boril |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493396 PECOS PAC ID: 5092099788 Enrollment ID: I20170223002375 |
| Provider Name | Katherine Anne Lingras |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982992707 PECOS PAC ID: 9638453210 Enrollment ID: I20170227000905 |
| 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 | David P Darrow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649614496 PECOS PAC ID: 8729382213 Enrollment ID: I20170306002249 |
| Provider Name | Karina Mendoza Quevedo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992043418 PECOS PAC ID: 3072897271 Enrollment ID: I20170308000733 |
| Provider Name | Sarah Myer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114465135 PECOS PAC ID: 0345524443 Enrollment ID: I20170309002307 |
| Provider Name | Susan Cuny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225576101 PECOS PAC ID: 7214211317 Enrollment ID: I20170309002509 |
| 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 | Caroline W Kuria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801346093 PECOS PAC ID: 6406130426 Enrollment ID: I20170310001005 |
| Provider Name | Lindsey A Dahm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629420070 PECOS PAC ID: 5496030496 Enrollment ID: I20170313002248 |
| Provider Name | Lucianna Baregi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417490228 PECOS PAC ID: 7810272887 Enrollment ID: I20170315000523 |
| Provider Name | Lara E Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023552130 PECOS PAC ID: 0345525861 Enrollment ID: I20170324001764 |
| Provider Name | Jamie Fort |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568589083 PECOS PAC ID: 3375711542 Enrollment ID: I20170327002753 |
| Provider Name | Brandon J Pellaton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689080707 PECOS PAC ID: 7012292410 Enrollment ID: I20170328000188 |
| Provider Name | Andrew Sundblad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447411772 PECOS PAC ID: 3375781487 Enrollment ID: I20170329000219 |
| Provider Name | Karli Mcgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851729743 PECOS PAC ID: 4880823905 Enrollment ID: I20170406003168 |
| Provider Name | Stacy A Rivers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245761709 PECOS PAC ID: 7618253170 Enrollment ID: I20170417002146 |
| Provider Name | Alyssa P Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841737814 PECOS PAC ID: 5698051993 Enrollment ID: I20170421001975 |
| Provider Name | Stephanie April Kleven |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457775041 PECOS PAC ID: 9234416306 Enrollment ID: I20170428000217 |
| Provider Name | Ashley M Zilles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871858639 PECOS PAC ID: 2062731755 Enrollment ID: I20170502002455 |
| Provider Name | Suzanne Elizabeth Shane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013291434 PECOS PAC ID: 8123293081 Enrollment ID: I20170503000936 |
| Provider Name | Oladi Bentho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922398221 PECOS PAC ID: 7810203932 Enrollment ID: I20170510000668 |
| 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 | Abby Ilona Metzler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770927840 PECOS PAC ID: 0648575563 Enrollment ID: I20170510001341 |
| Provider Name | James Norby Porter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437521614 PECOS PAC ID: 8426335910 Enrollment ID: I20170510002982 |
| Provider Name | Jason A Bartos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366755878 PECOS PAC ID: 1355646290 Enrollment ID: I20170515001048 |
| Provider Name | Mehdi Najafi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003252297 PECOS PAC ID: 2567749849 Enrollment ID: I20170516001056 |
| Provider Name | Cresta W Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235146556 PECOS PAC ID: 9436181393 Enrollment ID: I20170516001984 |
| 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 | Adetola Oluwagbenga Ladejobi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1043639370 PECOS PAC ID: 9032338231 Enrollment ID: I20170522001579 |
| Provider Name | Jameel Justin Winter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699066357 PECOS PAC ID: 1557599560 Enrollment ID: I20170523000100 |
| Provider Name | Viraj Jayesh Mehta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992047617 PECOS PAC ID: 1951604487 Enrollment ID: I20170524002263 |
| Provider Name | Jay Haggerty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861784589 PECOS PAC ID: 7012217441 Enrollment ID: I20170525001593 |
| Provider Name | Daniel Keys |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710159975 PECOS PAC ID: 2466696919 Enrollment ID: I20170530000632 |
| Provider Name | Danielle Bullock |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730471293 PECOS PAC ID: 7911202924 Enrollment ID: I20170530000765 |
| Provider Name | Ilknur Can |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558514661 PECOS PAC ID: 3274800917 Enrollment ID: I20170530001739 |
| Provider Name | Colette R Brogan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073057840 PECOS PAC ID: 7113294794 Enrollment ID: I20170602000488 |
| Provider Name | April L Brandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386170306 PECOS PAC ID: 0941577415 Enrollment ID: I20170605001561 |
| Provider Name | Carol Brooke Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144237579 PECOS PAC ID: 2466720826 Enrollment ID: I20170608000855 |
| Provider Name | Nathaniel Thomas Gaeckle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477874865 PECOS PAC ID: 2961689351 Enrollment ID: I20170608001015 |
| Provider Name | Pawel Andrzej Mroz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740575125 PECOS PAC ID: 8224338884 Enrollment ID: I20170608001458 |
| Provider Name | Shannon Marie Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508397290 PECOS PAC ID: 3173891454 Enrollment ID: I20170608001939 |
| Provider Name | Rupa P Austria |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861835217 PECOS PAC ID: 6901101773 Enrollment ID: I20170608002122 |
| Provider Name | Christopher Thomas Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710272042 PECOS PAC ID: 1355581653 Enrollment ID: I20170608002623 |
| 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 | Christopher Thomas Wilke |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790077584 PECOS PAC ID: 2163727926 Enrollment ID: I20170612001310 |
| 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 | Megan Oberle Bensignor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821380007 PECOS PAC ID: 2365710282 Enrollment ID: I20170619001701 |
| Provider Name | Joseph Zabell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164747085 PECOS PAC ID: 2466767579 Enrollment ID: I20170620000487 |
| Provider Name | Keith Alan Vossel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114973765 PECOS PAC ID: 3678673027 Enrollment ID: I20170620002298 |
| Provider Name | Bronwyn Jane Southwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508155847 PECOS PAC ID: 8729366901 Enrollment ID: I20170621000508 |
| Provider Name | Matej Bajzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902242977 PECOS PAC ID: 0749558492 Enrollment ID: I20170621001111 |
| Provider Name | Andrew Lawrence Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518251198 PECOS PAC ID: 5294003828 Enrollment ID: I20170622001438 |
| Provider Name | Jamie Lyn Markfort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427585330 PECOS PAC ID: 5991073561 Enrollment ID: I20170622002879 |
| Provider Name | Molly F Wyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144665027 PECOS PAC ID: 4183922909 Enrollment ID: I20170623000023 |
| Provider Name | Megan Paulsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588958490 PECOS PAC ID: 8729356233 Enrollment ID: I20170623001433 |
| Provider Name | Kathryn M Pendleton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659666287 PECOS PAC ID: 4486955846 Enrollment ID: I20170627001881 |
| Provider Name | Aneliya M Miltcheva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205378403 PECOS PAC ID: 5991074379 Enrollment ID: I20170627003340 |
| Provider Name | Christopher James Tignanelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477780245 PECOS PAC ID: 3072738509 Enrollment ID: I20170628002837 |
| Provider Name | Sarah Nicole Olson Venning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003255472 PECOS PAC ID: 6406125723 Enrollment ID: I20170629002920 |
| Provider Name | Lindsay M Laramy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609324169 PECOS PAC ID: 4981973229 Enrollment ID: I20170630000453 |
| Provider Name | Smarika Sapkota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417362617 PECOS PAC ID: 7911129242 Enrollment ID: I20170630002488 |
| Provider Name | Melissa A Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386172609 PECOS PAC ID: 4183993736 Enrollment ID: I20170713000684 |
| Provider Name | Kelsey Ms Scampoli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043753049 PECOS PAC ID: 3779853387 Enrollment ID: I20170714000008 |
| 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 | Clark C. Chen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437149523 PECOS PAC ID: 5395825632 Enrollment ID: I20170719001350 |
| Provider Name | Laura E Norton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831307891 PECOS PAC ID: 3173791001 Enrollment ID: I20170724003317 |
| Provider Name | Arpit Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982991170 PECOS PAC ID: 7911127204 Enrollment ID: I20170724003712 |
| 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 | Danielle Marie Vrieze |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316389562 PECOS PAC ID: 9335410901 Enrollment ID: I20170801002082 |
| Provider Name | Mark L Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023464468 PECOS PAC ID: 4587945845 Enrollment ID: I20170807000590 |
| Provider Name | Brenna L Radermacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619499860 PECOS PAC ID: 6507137775 Enrollment ID: I20170807000837 |
| Provider Name | Robin Lesley Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568755965 PECOS PAC ID: 5496995946 Enrollment ID: I20170807003507 |
| Provider Name | Adam Mattox |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922269448 PECOS PAC ID: 1759683295 Enrollment ID: I20170809000077 |
| 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 | Jason William Denbo |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1346432572 PECOS PAC ID: 2163746827 Enrollment ID: I20170811001569 |
| Provider Name | Vincent Daniel Vallera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316380868 PECOS PAC ID: 0244546828 Enrollment ID: I20170812000068 |
| Provider Name | Heidi Renae Nichol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538514658 PECOS PAC ID: 9931489895 Enrollment ID: I20170812000338 |
| Provider Name | Nhat Anh Ngo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003193509 PECOS PAC ID: 8224276050 Enrollment ID: I20170814000170 |
| Provider Name | Jonathan C Homans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588919526 PECOS PAC ID: 6709192313 Enrollment ID: I20170814000409 |
| 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 | Georgios Christopoulos |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003294422 PECOS PAC ID: 3779804257 Enrollment ID: I20170814003283 |
| Provider Name | Dame Idossa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538523121 PECOS PAC ID: 9830481878 Enrollment ID: I20170815000546 |
| Provider Name | Jonathan Snitzer |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1831456953 PECOS PAC ID: 2961774740 Enrollment ID: I20170815001989 |
| Provider Name | Robyn Ivy Hegland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578917050 PECOS PAC ID: 0749572477 Enrollment ID: I20170815002458 |
| Provider Name | Brittney J Schultz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710305180 PECOS PAC ID: 2062717408 Enrollment ID: I20170816002070 |
| Provider Name | Avraham Sofer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386969152 PECOS PAC ID: 3678714011 Enrollment ID: I20170816002280 |
| Provider Name | Timothy Moss |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568721850 PECOS PAC ID: 6608026760 Enrollment ID: I20170816003682 |
| Provider Name | Magdalena Ann Kappelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447694674 PECOS PAC ID: 2668777822 Enrollment ID: I20170817004174 |
| 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 | Elena Averbakh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720321409 PECOS PAC ID: 4587936745 Enrollment ID: I20170823000671 |
| Provider Name | Ariel A Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811211337 PECOS PAC ID: 2860641453 Enrollment ID: I20170823003137 |
| Provider Name | Sasha Strul |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023374964 PECOS PAC ID: 0547404584 Enrollment ID: I20170823004347 |
| Provider Name | Sarah M Krueger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598008716 PECOS PAC ID: 4082933189 Enrollment ID: I20170825001687 |
| Provider Name | Lorelii Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124474408 PECOS PAC ID: 1759661788 Enrollment ID: I20170828003714 |
| 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 | Molly M Stark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497195382 PECOS PAC ID: 2163795972 Enrollment ID: I20170830000645 |
| Provider Name | John Mccormick-deaton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699074229 PECOS PAC ID: 8921225962 Enrollment ID: I20170830001183 |
| Provider Name | Katherine Ann Vellabati |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902320500 PECOS PAC ID: 0345513172 Enrollment ID: I20170830001477 |
| 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 | Brandon C Ng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386099851 PECOS PAC ID: 5092007880 Enrollment ID: I20170831001841 |
| 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 | Amanjit Baadh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003061367 PECOS PAC ID: 3870750029 Enrollment ID: I20170905001562 |
| 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 | Katie E Hinderaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548615255 PECOS PAC ID: 8426340183 Enrollment ID: I20170907002794 |
| 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 | Patricia Marie Peters Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497874663 PECOS PAC ID: 3678846664 Enrollment ID: I20170913004013 |
| Provider Name | Ziad Hector Nahas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649388505 PECOS PAC ID: 7517048515 Enrollment ID: I20170915001594 |
| Provider Name | Jon Michael Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710414610 PECOS PAC ID: 5799059564 Enrollment ID: I20170918000492 |
| Provider Name | Clair Bernard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700300381 PECOS PAC ID: 7012281785 Enrollment ID: I20170919001531 |
| 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 | David Allen Supik |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154767366 PECOS PAC ID: 0345532701 Enrollment ID: I20170929000727 |
| Provider Name | Elise S Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275058505 PECOS PAC ID: 7719252790 Enrollment ID: I20170929002567 |
| Provider Name | Christine Conelea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710393046 PECOS PAC ID: 8820216534 Enrollment ID: I20171002001881 |
| Provider Name | Kirsten Mccarthy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558883710 PECOS PAC ID: 5092080846 Enrollment ID: I20171005000040 |
| Provider Name | Viral H Vakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902163868 PECOS PAC ID: 0042515900 Enrollment ID: I20171005000994 |
| Provider Name | Paula M Biagi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437674744 PECOS PAC ID: 6608141379 Enrollment ID: I20171005001096 |
| Provider Name | Tony Huy T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578917316 PECOS PAC ID: 1658652078 Enrollment ID: I20171005001291 |
| Provider Name | Robert Kent Brownawell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063775260 PECOS PAC ID: 2264683606 Enrollment ID: I20171007000160 |
| Provider Name | Nicholas Kim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073837506 PECOS PAC ID: 8820317399 Enrollment ID: I20171009000028 |
| Provider Name | Katherine M Satrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588955199 PECOS PAC ID: 6103121934 Enrollment ID: I20171009000127 |
| Provider Name | Kirsten Skundberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760800882 PECOS PAC ID: 0345515797 Enrollment ID: I20171011000165 |
| Provider Name | Lora M H Wichser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518301241 PECOS PAC ID: 6103132774 Enrollment ID: I20171013001073 |
| Provider Name | Carolyn Firth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255638649 PECOS PAC ID: 3971788258 Enrollment ID: I20171017000098 |
| Provider Name | Catherine A Passe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073050704 PECOS PAC ID: 7517233521 Enrollment ID: I20171018003579 |
| Provider Name | Lindsay B Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720434103 PECOS PAC ID: 0547552341 Enrollment ID: I20171019003033 |
| Provider Name | Nicholas Villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609392695 PECOS PAC ID: 7618243460 Enrollment ID: I20171023000252 |
| Provider Name | Clair Bernard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700300381 PECOS PAC ID: 7012281785 Enrollment ID: I20171023001407 |
| Provider Name | Stephanie A Boysen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982120085 PECOS PAC ID: 3870869563 Enrollment ID: I20171025000451 |
| Provider Name | Steven L Feng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255759403 PECOS PAC ID: 5890093595 Enrollment ID: I20171027001996 |
| 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 | Alexandra Morgan Kramme |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073063970 PECOS PAC ID: 5496011637 Enrollment ID: I20171103002627 |
| Provider Name | Goran Klak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154660488 PECOS PAC ID: 7214173533 Enrollment ID: I20171107001467 |
| 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 | Vanessa Marie Hauge |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386191948 PECOS PAC ID: 3173880929 Enrollment ID: I20171201002787 |
| 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 | Karin L Muldowney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346752359 PECOS PAC ID: 8527325059 Enrollment ID: I20171207002953 |
| Provider Name | Amber Marie Stutz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952748758 PECOS PAC ID: 1759686686 Enrollment ID: I20171222000034 |
| 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 | Julie Glendenning Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548403785 PECOS PAC ID: 7911266580 Enrollment ID: I20180108000634 |
| Provider Name | Linda Marie Rinehart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255716916 PECOS PAC ID: 0648539148 Enrollment ID: I20180108002437 |
| Provider Name | Andrew G Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467839332 PECOS PAC ID: 1456655141 Enrollment ID: I20180110000042 |
| Provider Name | Amrita Goyal-o'leary |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801273545 PECOS PAC ID: 3173818564 Enrollment ID: I20180111001443 |
| Provider Name | Paul Lorenz Bigliardi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720594500 PECOS PAC ID: 9032478300 Enrollment ID: I20180111002074 |
| Provider Name | Denh Altman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629323241 PECOS PAC ID: 6800044868 Enrollment ID: I20180116002774 |
| Provider Name | Lidia Zylowska |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417157231 PECOS PAC ID: 5890826242 Enrollment ID: I20180118001559 |
| 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 | Sonya Grace Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790997393 PECOS PAC ID: 5890831408 Enrollment ID: I20180123001036 |
| Provider Name | Rebecca A Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124533617 PECOS PAC ID: 8729348404 Enrollment ID: I20180130000155 |
| Provider Name | Lucas R. Frohreich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710402706 PECOS PAC ID: 6709146376 Enrollment ID: I20180131001040 |
| Provider Name | Christine N Boline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780190736 PECOS PAC ID: 3870853229 Enrollment ID: I20180205001353 |
| Provider Name | Anil Chauhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336380815 PECOS PAC ID: 5294977567 Enrollment ID: I20180205001833 |
| Provider Name | Kari Ellen Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568982486 PECOS PAC ID: 1052671344 Enrollment ID: I20180206001113 |
| Provider Name | Scott Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700930344 PECOS PAC ID: 2062681059 Enrollment ID: I20180207001598 |
| Provider Name | Amy Reed |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285602805 PECOS PAC ID: 8628064201 Enrollment ID: I20180208002443 |
| Provider Name | Patrick Henry Nachman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912075144 PECOS PAC ID: 5395871016 Enrollment ID: I20180212000012 |
| Provider Name | Joseph J Pariser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437445087 PECOS PAC ID: 9032411939 Enrollment ID: I20180213002132 |
| Provider Name | Kathryn Sullivan Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629500988 PECOS PAC ID: 2163782046 Enrollment ID: I20180214002685 |
| Provider Name | Kendall R Mceachron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053798728 PECOS PAC ID: 2264736024 Enrollment ID: I20180219001986 |
| Provider Name | Flavia Marrero Nelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891722518 PECOS PAC ID: 2466424270 Enrollment ID: I20180220003222 |
| Provider Name | Cristina M Gonzalez Mendez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033557194 PECOS PAC ID: 1658632385 Enrollment ID: I20180221000249 |
| 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 | Linda Hammer Burns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306870829 PECOS PAC ID: 4486711603 Enrollment ID: I20180308001678 |
| Provider Name | Elizabeth Victoria Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255847943 PECOS PAC ID: 5395006274 Enrollment ID: I20180312000800 |
| Provider Name | Michelle M Overbye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548768534 PECOS PAC ID: 1850653429 Enrollment ID: I20180319001630 |
| Provider Name | Kristin A Lentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750783908 PECOS PAC ID: 0345566428 Enrollment ID: I20180320000140 |
| 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 | Nicole Ann Witowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558878363 PECOS PAC ID: 7810259272 Enrollment ID: I20180322001580 |
| 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 | Meghan Kerry Dunnigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376059188 PECOS PAC ID: 5890057087 Enrollment ID: I20180328002038 |
| Provider Name | Rao Watson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386953479 PECOS PAC ID: 2668784349 Enrollment ID: I20180328002734 |
| Provider Name | Mona King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235513250 PECOS PAC ID: 1254647886 Enrollment ID: I20180404002591 |
| Provider Name | Riley J Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437659190 PECOS PAC ID: 1850654641 Enrollment ID: I20180409001188 |
| Provider Name | Melissa A Yunker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861847956 PECOS PAC ID: 3476816893 Enrollment ID: I20180418001361 |
| Provider Name | Ketzela J Marsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568789006 PECOS PAC ID: 2062717176 Enrollment ID: I20180418001530 |
| Provider Name | Rawson James Valentine |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356304075 PECOS PAC ID: 1658321641 Enrollment ID: I20180418001575 |
| Provider Name | Nicholas Kucher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518385848 PECOS PAC ID: 2466722442 Enrollment ID: I20180424000425 |
| Provider Name | Elizabeth Emily Bennett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427347418 PECOS PAC ID: 3476817446 Enrollment ID: I20180430001276 |
| Provider Name | Sahar Lotfi-emran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639523053 PECOS PAC ID: 2961766621 Enrollment ID: I20180503002217 |
| Provider Name | Stephanie L Piche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073013181 PECOS PAC ID: 1658635115 Enrollment ID: I20180509000371 |
| Provider Name | Jan K Czyzyk |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285617407 PECOS PAC ID: 3870764004 Enrollment ID: I20180514002492 |
| Provider Name | Katherine L Malmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306340898 PECOS PAC ID: 4082979125 Enrollment ID: I20180521001494 |
| 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 | Joshua David Roth |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154681369 PECOS PAC ID: 5496998379 Enrollment ID: I20180524002381 |
| Provider Name | Rishi A Nigam |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205268455 PECOS PAC ID: 3375848419 Enrollment ID: I20180524002964 |
| Provider Name | Abdul Haseeb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598032989 PECOS PAC ID: 4082872916 Enrollment ID: I20180531001852 |
| Provider Name | Elena K Geiger Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891210191 PECOS PAC ID: 7315202728 Enrollment ID: I20180605001507 |
| Provider Name | Robben Andrew Schat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164765822 PECOS PAC ID: 6103121124 Enrollment ID: I20180606000910 |
| Provider Name | Joan Beckman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699034140 PECOS PAC ID: 4183840960 Enrollment ID: I20180606001093 |
| Provider Name | Daniel Michael Ihnat |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649245366 PECOS PAC ID: 7315991346 Enrollment ID: I20180611002090 |
| Provider Name | Nattawat Klomjit |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891177275 PECOS PAC ID: 4880949981 Enrollment ID: I20180613001819 |
| 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 | Olufunmilola Okanla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841626132 PECOS PAC ID: 4981959954 Enrollment ID: I20180614001748 |
| Provider Name | Jacquelyn Weber |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689088155 PECOS PAC ID: 4284989286 Enrollment ID: I20180614002891 |
| Provider Name | Bryan D Hinck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467728881 PECOS PAC ID: 6507168556 Enrollment ID: I20180618000771 |
| Provider Name | Najla Hatem El Jurdi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538424536 PECOS PAC ID: 7416202338 Enrollment ID: I20180618002691 |
| Provider Name | Yao Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073933545 PECOS PAC ID: 5698070951 Enrollment ID: I20180619000533 |
| Provider Name | Nirjhar Dutta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104292978 PECOS PAC ID: 6002193950 Enrollment ID: I20180619000551 |
| Provider Name | Kevin H Boegel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669815320 PECOS PAC ID: 7315242435 Enrollment ID: I20180619003651 |
| Provider Name | Rahul Kapur |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295931962 PECOS PAC ID: 2668573247 Enrollment ID: I20180620000002 |
| Provider Name | Jennifer Carroll Fuller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902149933 PECOS PAC ID: 5991920811 Enrollment ID: I20180620000970 |
| Provider Name | Ian Atticus Maher |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598925513 PECOS PAC ID: 1254455892 Enrollment ID: I20180620002354 |
| 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 | Wei-han Wayne Hsiao |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043599327 PECOS PAC ID: 3678715810 Enrollment ID: I20180626001586 |
| Provider Name | Christa Joyce Reader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740771112 PECOS PAC ID: 8123374535 Enrollment ID: I20180627001390 |
| 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 | 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 | Eric Stephen Wise |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518252857 PECOS PAC ID: 6507155207 Enrollment ID: I20180703002320 |
| 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 | Jetter Thomas Robertson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760802508 PECOS PAC ID: 1254636160 Enrollment ID: I20180712000663 |
| Provider Name | Daniel L Cortez |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336414309 PECOS PAC ID: 5092959254 Enrollment ID: I20180713002650 |
| Provider Name | Victoria C Valena |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851360671 PECOS PAC ID: 3971850470 Enrollment ID: I20180714000000 |
| Provider Name | Carolyn Bramante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629334479 PECOS PAC ID: 3375793326 Enrollment ID: I20180716000704 |
| Provider Name | Robert Allen Mcgovern |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003135013 PECOS PAC ID: 5496025785 Enrollment ID: I20180716001522 |
| Provider Name | Prajwal Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629457023 PECOS PAC ID: 0648576496 Enrollment ID: I20180716001658 |
| Provider Name | Christopher Steevens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992094064 PECOS PAC ID: 1951607555 Enrollment ID: I20180720001003 |
| Provider Name | David A Skansberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295817872 PECOS PAC ID: 5193072197 Enrollment ID: I20180723001353 |
| Provider Name | Brian Betts |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114055860 PECOS PAC ID: 9436337540 Enrollment ID: I20180724000546 |
| Provider Name | Gloria Nicole Rider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700199296 PECOS PAC ID: 2769739564 Enrollment ID: I20180725002117 |
| Provider Name | Mark A Welnick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255698221 PECOS PAC ID: 2769771138 Enrollment ID: I20180725002558 |
| Provider Name | Thomas Grant Krumme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467986265 PECOS PAC ID: 9133499411 Enrollment ID: I20180727000576 |
| 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 | Khalid Abdiaziz Mohamood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275950461 PECOS PAC ID: 7214160415 Enrollment ID: I20180730002514 |
| Provider Name | Elliot Mohr Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639512866 PECOS PAC ID: 0749538304 Enrollment ID: I20180730003395 |
| Provider Name | Jennifer Kay Rieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174015986 PECOS PAC ID: 9739437237 Enrollment ID: I20180731001385 |
| Provider Name | David Richard Pearson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679916589 PECOS PAC ID: 1951535103 Enrollment ID: I20180731001946 |
| Provider Name | Matthew G Robertson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942688205 PECOS PAC ID: 3870897630 Enrollment ID: I20180731003270 |
| Provider Name | Robert Ward |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124552096 PECOS PAC ID: 8628341401 Enrollment ID: I20180731003689 |
| Provider Name | Fiona C. He |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730440140 PECOS PAC ID: 8426271032 Enrollment ID: I20180801000440 |
| Provider Name | Cameron Blegen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548791585 PECOS PAC ID: 3375812308 Enrollment ID: I20180801003575 |
| Provider Name | Carolina Sandoval Garcia |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952629859 PECOS PAC ID: 9537392550 Enrollment ID: I20180802000153 |
| 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 | Kayla A Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992236681 PECOS PAC ID: 8628347697 Enrollment ID: I20180802001196 |
| Provider Name | Samuel Amir Shabtaie |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619401130 PECOS PAC ID: 6103198502 Enrollment ID: I20180802001468 |
| Provider Name | Benjamin Satterfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083147128 PECOS PAC ID: 0941572515 Enrollment ID: I20180802001633 |
| Provider Name | Christina Rose Werman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336671205 PECOS PAC ID: 4587933429 Enrollment ID: I20180802002634 |
| Provider Name | Ashish Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669890745 PECOS PAC ID: 4385948702 Enrollment ID: I20180802002911 |
| Provider Name | David Boren Gruner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891138749 PECOS PAC ID: 7012265267 Enrollment ID: I20180803000266 |
| Provider Name | Jennifer Lynn Altnow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437607488 PECOS PAC ID: 6204184427 Enrollment ID: I20180804000005 |
| 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 | Michael Klajda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134650039 PECOS PAC ID: 4284906017 Enrollment ID: I20180810002512 |
| Provider Name | Danqing Hu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578927117 PECOS PAC ID: 0042502551 Enrollment ID: I20180814000017 |
| 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 | Caitlin Claire Chambers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275896003 PECOS PAC ID: 3577867621 Enrollment ID: I20180814001620 |
| Provider Name | Alik Sunil Widge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952535155 PECOS PAC ID: 5799914776 Enrollment ID: I20180814003056 |
| Provider Name | Gabriel Jerome Greseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609367150 PECOS PAC ID: 8921357526 Enrollment ID: I20180815000903 |
| Provider Name | Rachel M. Bialostosky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821525668 PECOS PAC ID: 6103175542 Enrollment ID: I20180820000451 |
| Provider Name | Christopher M Culhane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447784608 PECOS PAC ID: 2961773551 Enrollment ID: I20180821001709 |
| Provider Name | Jennifer Irene Almanza |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457879595 PECOS PAC ID: 8022367291 Enrollment ID: I20180821002815 |
| Provider Name | Damon R Olson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114283173 PECOS PAC ID: 3678796109 Enrollment ID: I20180822003097 |
| Provider Name | Abbie J Metzler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114452471 PECOS PAC ID: 4981973476 Enrollment ID: I20180824001813 |
| Provider Name | Rebecca Rathjen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356749907 PECOS PAC ID: 4183973043 Enrollment ID: I20180827000548 |
| 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 | Ashley Marie Enke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891280137 PECOS PAC ID: 8123377983 Enrollment ID: I20180828001274 |
| Provider Name | Katelyn E Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801389911 PECOS PAC ID: 2769732494 Enrollment ID: I20180830000722 |
| Provider Name | Mohammad Taha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588862346 PECOS PAC ID: 9537354279 Enrollment ID: I20180831000927 |
| Provider Name | Timothy Edmiston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982021549 PECOS PAC ID: 7517267313 Enrollment ID: I20180831001024 |
| 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 | Karen Maudal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780624759 PECOS PAC ID: 5799035994 Enrollment ID: I20180910002420 |
| Provider Name | Nicholas Alexander Cooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801270798 PECOS PAC ID: 9032403530 Enrollment ID: I20180913000078 |
| Provider Name | Brian F Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679950968 PECOS PAC ID: 1153680566 Enrollment ID: I20180919002856 |
| Provider Name | Tracy Ann Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255830774 PECOS PAC ID: 0446501050 Enrollment ID: I20180920002382 |
| Provider Name | Shannon Michael Carroll-rolfe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639658412 PECOS PAC ID: 4183975188 Enrollment ID: I20181001001084 |
| Provider Name | Betlehem Atnafu Semahge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619401270 PECOS PAC ID: 0143595165 Enrollment ID: I20181001001352 |
| Provider Name | Khanh Xong Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841261088 PECOS PAC ID: 5294865713 Enrollment ID: I20181001002908 |
| Provider Name | Katie R Thorsness |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467872119 PECOS PAC ID: 3173839412 Enrollment ID: I20181002001943 |
| Provider Name | Scott Thomas Mcewen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972746568 PECOS PAC ID: 4880900067 Enrollment ID: I20181003000364 |
| Provider Name | Taylor Kristine Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730624479 PECOS PAC ID: 1456603364 Enrollment ID: I20181003003352 |
| Provider Name | Joshua M Speckman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629558408 PECOS PAC ID: 8820340748 Enrollment ID: I20181003003909 |
| Provider Name | Laurent Grignon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538366752 PECOS PAC ID: 9638301849 Enrollment ID: I20181005000882 |
| Provider Name | Luke William Leblanc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346771326 PECOS PAC ID: 9335418474 Enrollment ID: I20181005002352 |
| Provider Name | Yauhen Alexander Tarbunou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265721757 PECOS PAC ID: 8527310267 Enrollment ID: I20181009000832 |
| Provider Name | Tyler D Bold |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063850543 PECOS PAC ID: 9638494289 Enrollment ID: I20181009003003 |
| 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 | Jacob Willem Ijdo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720075872 PECOS PAC ID: 0941338115 Enrollment ID: I20181018000212 |
| Provider Name | Emre Josiah Michelle Mauleon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528540671 PECOS PAC ID: 9739432782 Enrollment ID: I20181022002502 |
| 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 | Carmen Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689928871 PECOS PAC ID: 1658624309 Enrollment ID: I20181025001672 |
| 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 | Richard Kyle Maciver Martin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902381148 PECOS PAC ID: 9133472673 Enrollment ID: I20181030001616 |
| 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 | Karthik Vishwanathan Ramanathan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932547445 PECOS PAC ID: 4183866148 Enrollment ID: I20181108001352 |
| Provider Name | Ashley Erin Trudell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467927954 PECOS PAC ID: 9032463948 Enrollment ID: I20181113000678 |
| Provider Name | Amanda Leigh Schlesinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992144083 PECOS PAC ID: 5395099212 Enrollment ID: I20181113001202 |
| Provider Name | Sydne Muratore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396035028 PECOS PAC ID: 5294030540 Enrollment ID: I20181114002073 |
| Provider Name | Charles J. Ryan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083672000 PECOS PAC ID: 2961587506 Enrollment ID: I20181114002562 |
| 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 | Joan D Lund |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356463418 PECOS PAC ID: 3577707124 Enrollment ID: I20181115001866 |
| Provider Name | Harsh Rai Aggarwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427210673 PECOS PAC ID: 9830327501 Enrollment ID: I20181115002920 |
| Provider Name | Teri R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932634631 PECOS PAC ID: 5496099715 Enrollment ID: I20181127002727 |
| Provider Name | Joshua Allan Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710372032 PECOS PAC ID: 6204126758 Enrollment ID: I20181128001745 |
| Provider Name | Jessica Shaheen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518200914 PECOS PAC ID: 7618272881 Enrollment ID: I20181130001593 |
| Provider Name | Rupesh Ranjan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861766693 PECOS PAC ID: 7214252915 Enrollment ID: I20181201000293 |
| Provider Name | Christopher Erickson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477647261 PECOS PAC ID: 2264525161 Enrollment ID: I20181205001233 |
| Provider Name | Kelly Hoyt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205363645 PECOS PAC ID: 8022352707 Enrollment ID: I20181206001978 |
| Provider Name | Kayleigh Lynn Lawrence |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700353109 PECOS PAC ID: 2163766734 Enrollment ID: I20181208000062 |
| Provider Name | Hilary Brooke Stoffel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295288827 PECOS PAC ID: 9436493020 Enrollment ID: I20181210000549 |
| Provider Name | Molly Jill Shand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174007504 PECOS PAC ID: 3779827282 Enrollment ID: I20181210001628 |
| 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 | Kayla R Ferrie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093221400 PECOS PAC ID: 0143565408 Enrollment ID: I20181214002251 |
| Provider Name | Stephanie Alicia Terezakis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053550228 PECOS PAC ID: 5496807364 Enrollment ID: I20181218001662 |
| Provider Name | Kayley L Szondy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184986010 PECOS PAC ID: 3173868155 Enrollment ID: I20181219001663 |
| Provider Name | Kevin Mcelroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184151110 PECOS PAC ID: 6204106644 Enrollment ID: I20181228000615 |
| Provider Name | Massimo Griselli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659877181 PECOS PAC ID: 1052656527 Enrollment ID: I20190103000407 |
| Provider Name | Adrienne Vargo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477819985 PECOS PAC ID: 2466695358 Enrollment ID: I20190103001859 |
| Provider Name | Danielle Boucher Schneeman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902939226 PECOS PAC ID: 7214273754 Enrollment ID: I20190104000187 |
| Provider Name | Ahmed M.a. Dirweesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619348430 PECOS PAC ID: 2062758477 Enrollment ID: I20190107000521 |
| Provider Name | Nandita Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639434806 PECOS PAC ID: 5991087371 Enrollment ID: I20190111000212 |
| Provider Name | Hollie Beth Pisseri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740301704 PECOS PAC ID: 6204720915 Enrollment ID: I20190123001466 |
| Provider Name | Eric Glen Trembath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689143414 PECOS PAC ID: 8426395443 Enrollment ID: I20190130000048 |
| Provider Name | Lindsay Tessa Moen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346528304 PECOS PAC ID: 0749528073 Enrollment ID: I20190212003151 |
| Provider Name | Kristine Domingo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922426147 PECOS PAC ID: 3173820065 Enrollment ID: I20190219001899 |
| Provider Name | David Thomas Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427348291 PECOS PAC ID: 1951689702 Enrollment ID: I20190220000003 |
| Provider Name | Kamil N. Sayegh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124071865 PECOS PAC ID: 3375577455 Enrollment ID: I20190225001436 |
| Provider Name | Kelsey L Sjogren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124517511 PECOS PAC ID: 4587903091 Enrollment ID: I20190228000001 |
| Provider Name | Alissa Joelle Hoyme |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760956379 PECOS PAC ID: 4284973710 Enrollment ID: I20190228000946 |
| Provider Name | Chimei M Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285118687 PECOS PAC ID: 0941549299 Enrollment ID: I20190304001271 |
| Provider Name | Angela Sandra Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912418567 PECOS PAC ID: 9335488287 Enrollment ID: I20190312000079 |
| Provider Name | Nicholas Roffers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033689674 PECOS PAC ID: 6406195395 Enrollment ID: I20190312001539 |
| Provider Name | Mahsa Abassi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952620858 PECOS PAC ID: 8224278742 Enrollment ID: I20190312001713 |
| Provider Name | Rachel Nicole Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063977957 PECOS PAC ID: 4082954920 Enrollment ID: I20190313000177 |
| Provider Name | Joelle Elizabeth Odden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225382377 PECOS PAC ID: 8123271186 Enrollment ID: I20190319000257 |
| Provider Name | Admatha Winfred |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003105552 PECOS PAC ID: 8325358575 Enrollment ID: I20190325000142 |
| Provider Name | Elinor Florence Chase-andresen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902370620 PECOS PAC ID: 6103166418 Enrollment ID: I20190325001209 |
| Provider Name | Yuka Furuya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558655399 PECOS PAC ID: 4082834684 Enrollment ID: I20190327000096 |
| Provider Name | Oyedele A Adeyi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376008755 PECOS PAC ID: 6406196419 Enrollment ID: I20190328001505 |
| Provider Name | Leah Tisdale |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659845071 PECOS PAC ID: 9234470972 Enrollment ID: I20190408001027 |
| Provider Name | Brandon W Welsh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467730143 PECOS PAC ID: 3274830856 Enrollment ID: I20190408001050 |
| Provider Name | Salma Shaker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164842456 PECOS PAC ID: 8224333646 Enrollment ID: I20190409000459 |
| Provider Name | Daniel J Beisang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649690355 PECOS PAC ID: 7113225889 Enrollment ID: I20190409001640 |
| Provider Name | Kelly Ruth-carlson Weiske |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902304777 PECOS PAC ID: 6608138458 Enrollment ID: I20190410001244 |
| Provider Name | Kelsey Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386103596 PECOS PAC ID: 8022359124 Enrollment ID: I20190417001509 |
| Provider Name | Maureen Stormont Cannon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457810855 PECOS PAC ID: 8123369261 Enrollment ID: I20190418000150 |
| 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 | Scott Robert Gilles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346684750 PECOS PAC ID: 4587968540 Enrollment ID: I20190422000453 |
| Provider Name | Catherine J Steingraeber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801100102 PECOS PAC ID: 9133351844 Enrollment ID: I20190422002373 |
| Provider Name | Vikram J Christian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821430927 PECOS PAC ID: 5092034496 Enrollment ID: I20190423001579 |
| Provider Name | Kayla Charlene James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649648411 PECOS PAC ID: 5890037675 Enrollment ID: I20190426000246 |
| Provider Name | Jonathan R Eklof |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982995973 PECOS PAC ID: 9638320708 Enrollment ID: I20190430002554 |
| Provider Name | Derek Robert Volkel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487117669 PECOS PAC ID: 8628310075 Enrollment ID: I20190503001925 |
| Provider Name | Kathleen Suzanne Mahan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184068298 PECOS PAC ID: 0042585903 Enrollment ID: I20190503002439 |
| Provider Name | Jeffrey Charles Ames |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861810129 PECOS PAC ID: 9739484858 Enrollment ID: I20190506000252 |
| Provider Name | Patricia J Blonigen-heinen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346707049 PECOS PAC ID: 3971845371 Enrollment ID: I20190506001173 |
| Provider Name | Courtney Seaborg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801281944 PECOS PAC ID: 4385986603 Enrollment ID: I20190506002850 |
| Provider Name | Sasan Mosadeghi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811326127 PECOS PAC ID: 1951627439 Enrollment ID: I20190508001719 |
| Provider Name | Tsung-yen Hsieh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548505100 PECOS PAC ID: 9436491677 Enrollment ID: I20190508002007 |
| Provider Name | Sarah Jane Raatz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437536042 PECOS PAC ID: 0840596151 Enrollment ID: I20190509000243 |
| Provider Name | Elliot Dean Backer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336407113 PECOS PAC ID: 8325289390 Enrollment ID: I20190509000439 |
| Provider Name | Joseph Michael Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710320288 PECOS PAC ID: 9436393386 Enrollment ID: I20190514000735 |
| Provider Name | Capritta Marie Roberts |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982099131 PECOS PAC ID: 7618264763 Enrollment ID: I20190514000756 |
| Provider Name | Amanda Torgeson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841639747 PECOS PAC ID: 0941593891 Enrollment ID: I20190514001670 |
| Provider Name | Caroline Halbach |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104211499 PECOS PAC ID: 0143506964 Enrollment ID: I20190514001702 |
| Provider Name | Abdel Ghani El Rafei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184079469 PECOS PAC ID: 2466706585 Enrollment ID: I20190514001775 |
| Provider Name | Raghu Gandhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558776930 PECOS PAC ID: 9133427370 Enrollment ID: I20190515001872 |
| Provider Name | Andrea M Riess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174186084 PECOS PAC ID: 4789927732 Enrollment ID: I20190515001899 |
| 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 | Mckinley C Lawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104137181 PECOS PAC ID: 6103056759 Enrollment ID: I20190522001788 |
| Provider Name | Sophia Grace Burch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235796723 PECOS PAC ID: 8426391814 Enrollment ID: I20190529000776 |
| 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 | Leslie R Morse |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780637405 PECOS PAC ID: 5597784660 Enrollment ID: I20190604000829 |
| Provider Name | Rachel Mary Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295391878 PECOS PAC ID: 5294068318 Enrollment ID: I20190605000377 |
| 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 | Katie Kinzel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801169636 PECOS PAC ID: 7618200577 Enrollment ID: I20190607000354 |
| Provider Name | Kristin Marie Mcbeath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073855367 PECOS PAC ID: 5799095170 Enrollment ID: I20190613001801 |
| Provider Name | Keri Azuar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427060334 PECOS PAC ID: 5092807222 Enrollment ID: I20190614002138 |
| Provider Name | Bobbi Jo B. Krieg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033533955 PECOS PAC ID: 0648503078 Enrollment ID: I20190617002803 |
| Provider Name | Jacob C Deweerth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306265582 PECOS PAC ID: 3173826104 Enrollment ID: I20190618001845 |
| Provider Name | Yoon-hee Kim Cha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922023431 PECOS PAC ID: 3274577259 Enrollment ID: I20190618001899 |
| Provider Name | Leslie L Teng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679916423 PECOS PAC ID: 7012262579 Enrollment ID: I20190619000396 |
| Provider Name | Varun Aggarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801141502 PECOS PAC ID: 4385978725 Enrollment ID: I20190619000498 |
| Provider Name | Anjali Aggarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124432885 PECOS PAC ID: 8022342476 Enrollment ID: I20190619000855 |
| 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 | Darin Ruanpeng |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528472628 PECOS PAC ID: 2163721010 Enrollment ID: I20190620000771 |
| Provider Name | John A Coburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205273083 PECOS PAC ID: 3476797317 Enrollment ID: I20190620001507 |
| Provider Name | Brendan M O'shea |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396972584 PECOS PAC ID: 4385888130 Enrollment ID: I20190621001041 |
| Provider Name | Andrew Caraganis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013271352 PECOS PAC ID: 8123267887 Enrollment ID: I20190621001271 |
| 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 | Paul Oler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063858793 PECOS PAC ID: 2163772831 Enrollment ID: I20190626001655 |
| 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 | Gregory Larrieux |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699118174 PECOS PAC ID: 7315237161 Enrollment ID: I20190627001939 |
| Provider Name | Amrita Kahlon Salunke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285998708 PECOS PAC ID: 3173857984 Enrollment ID: I20190628000136 |
| Provider Name | Robin Rae Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477968634 PECOS PAC ID: 6507143419 Enrollment ID: I20190628003008 |
| Provider Name | Kallie Maass |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447626270 PECOS PAC ID: 4789918301 Enrollment ID: I20190701001891 |
| Provider Name | Nicholas Lee Rudolph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104312834 PECOS PAC ID: 0143561126 Enrollment ID: I20190702000168 |
| Provider Name | Oliver Garrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780035279 PECOS PAC ID: 1254628274 Enrollment ID: I20190702001428 |
| Provider Name | James M Grace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215354204 PECOS PAC ID: 7618270372 Enrollment ID: I20190703000160 |
| Provider Name | Andrea Smiens O'shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588922488 PECOS PAC ID: 7618116823 Enrollment ID: I20190703001927 |
| Provider Name | Matthew R Frank |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568874758 PECOS PAC ID: 4880973221 Enrollment ID: I20190708000124 |
| Provider Name | Christopher Jaeyon Hwang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063807253 PECOS PAC ID: 4284924549 Enrollment ID: I20190708001478 |
| Provider Name | Megan R Boyington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346622248 PECOS PAC ID: 2264767680 Enrollment ID: I20190708002046 |
| Provider Name | Narendran Neelakantachar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235419631 PECOS PAC ID: 0446544092 Enrollment ID: I20190710000451 |
| 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 | Chiamaka P Nwankiti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437566437 PECOS PAC ID: 2961794631 Enrollment ID: I20190711003600 |
| Provider Name | Allyson Carol Maynard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962069864 PECOS PAC ID: 3173858214 Enrollment ID: I20190712000028 |
| Provider Name | Monique Maria Montenegro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467957290 PECOS PAC ID: 3779831748 Enrollment ID: I20190712000605 |
| Provider Name | William Hoyt Amundson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225304215 PECOS PAC ID: 2769795228 Enrollment ID: I20190715001651 |
| Provider Name | Benjamin Crawshaw |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1356630065 PECOS PAC ID: 0749428936 Enrollment ID: I20190715001809 |
| Provider Name | Jessika Ralph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871835025 PECOS PAC ID: 0143565796 Enrollment ID: I20190715001936 |
| Provider Name | Clare Muyskens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811552813 PECOS PAC ID: 5395070288 Enrollment ID: I20190715002833 |
| Provider Name | Joseph Maakaron |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417397316 PECOS PAC ID: 7517107444 Enrollment ID: I20190716000707 |
| Provider Name | Elizabeth Sarah Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568962124 PECOS PAC ID: 8820323652 Enrollment ID: I20190716001232 |
| Provider Name | Michael Knudsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093058240 PECOS PAC ID: 3678877495 Enrollment ID: I20190717000935 |
| Provider Name | Katherine Theisen Anderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952744526 PECOS PAC ID: 3779818497 Enrollment ID: I20190717001160 |
| Provider Name | David M Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750721593 PECOS PAC ID: 5597075135 Enrollment ID: I20190717001219 |
| Provider Name | Khalid A Azzam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811128416 PECOS PAC ID: 0042436917 Enrollment ID: I20190717002624 |
| Provider Name | Aahd F Kubbara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942564398 PECOS PAC ID: 3870889033 Enrollment ID: I20190717004048 |
| Provider Name | Dana Alexandra Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902294358 PECOS PAC ID: 9638487325 Enrollment ID: I20190718000212 |
| Provider Name | Cassandra Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730673229 PECOS PAC ID: 1355682436 Enrollment ID: I20190718001580 |
| Provider Name | Tamer Mahmoud Shaker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356751986 PECOS PAC ID: 3779818364 Enrollment ID: I20190718002989 |
| Provider Name | Catherine Ann Burrows |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083276976 PECOS PAC ID: 3072849645 Enrollment ID: I20190722000060 |
| Provider Name | Leif E Jensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205053832 PECOS PAC ID: 3678602992 Enrollment ID: I20190722000668 |
| Provider Name | Alissa R Bauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932594710 PECOS PAC ID: 3072812486 Enrollment ID: I20190722002105 |
| Provider Name | Nicholas J Lange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285650952 PECOS PAC ID: 3971780701 Enrollment ID: I20190724001386 |
| Provider Name | Andrew S Venteicher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326334889 PECOS PAC ID: 2264690957 Enrollment ID: I20190725000150 |
| 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 | Larissa Taylor Shiue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053815787 PECOS PAC ID: 7810245891 Enrollment ID: I20190730003144 |
| 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 | Daniel Burczak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245735703 PECOS PAC ID: 6507113560 Enrollment ID: I20190731004162 |
| 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 | Jacob Scott Ankeny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841518032 PECOS PAC ID: 4486880911 Enrollment ID: I20190802000435 |
| Provider Name | Arpana Rayannavar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689964900 PECOS PAC ID: 8628229655 Enrollment ID: I20190805001932 |
| Provider Name | Nolan C Cirillo-penn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093210262 PECOS PAC ID: 4486902541 Enrollment ID: I20190807000047 |
| Provider Name | Chee Lor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861999195 PECOS PAC ID: 9032467147 Enrollment ID: I20190808000102 |
| Provider Name | Hossein Nazari |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619355617 PECOS PAC ID: 1759643232 Enrollment ID: I20190808000243 |
| Provider Name | Nicholas W Ely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770089757 PECOS PAC ID: 0446507842 Enrollment ID: I20190808001255 |
| Provider Name | Emily M Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124515986 PECOS PAC ID: 2567710270 Enrollment ID: I20190808001353 |
| Provider Name | Brandon R Edlund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255821377 PECOS PAC ID: 3072851922 Enrollment ID: I20190808002149 |
| Provider Name | Michael Kasprzak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235575754 PECOS PAC ID: 6709188675 Enrollment ID: I20190808002955 |
| Provider Name | Julia Heneghan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497199046 PECOS PAC ID: 5597068254 Enrollment ID: I20190809000010 |
| Provider Name | Robert Conrad Jacobs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780926097 PECOS PAC ID: 3375845092 Enrollment ID: I20190809001975 |
| Provider Name | Robyn Cox |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720404890 PECOS PAC ID: 5294953865 Enrollment ID: I20190812003105 |
| Provider Name | Scott Lawrence Mcnairy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912096728 PECOS PAC ID: 9739416736 Enrollment ID: I20190814001761 |
| Provider Name | Risa G Bache-wiig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417453366 PECOS PAC ID: 1456608892 Enrollment ID: I20190814004032 |
| 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 | Katherine E Hawkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336409978 PECOS PAC ID: 4880992346 Enrollment ID: I20190820001530 |
| 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 | Joseph Resch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568858132 PECOS PAC ID: 0244507382 Enrollment ID: I20190820003823 |
| Provider Name | Amelia Rose Solei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861059719 PECOS PAC ID: 9537497169 Enrollment ID: I20190821000991 |
| Provider Name | Amy Jean Glaser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992887582 PECOS PAC ID: 2567790108 Enrollment ID: I20190821001317 |
| Provider Name | Matthew Mansh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760879654 PECOS PAC ID: 2062707524 Enrollment ID: I20190821002999 |
| Provider Name | Samantha Jane Barker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295894277 PECOS PAC ID: 1052414547 Enrollment ID: I20190822000588 |
| Provider Name | Tyler John Schmidt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134624604 PECOS PAC ID: 0648528471 Enrollment ID: I20190822001048 |
| Provider Name | Jaskanwal Deep Sara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710417779 PECOS PAC ID: 8426321779 Enrollment ID: I20190822003673 |
| Provider Name | Audrey Wells Gurule |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1417122862 PECOS PAC ID: 4587702238 Enrollment ID: I20190823000017 |
| Provider Name | Courtney Elizabeth Pickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811541865 PECOS PAC ID: 7911235346 Enrollment ID: I20190823000489 |
| Provider Name | Joseph Stephen Renier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093210049 PECOS PAC ID: 1951658251 Enrollment ID: I20190827004184 |
| 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 | Autumn Michelle Phenow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154980068 PECOS PAC ID: 7911235866 Enrollment ID: I20190829004029 |
| Provider Name | Susan E Orlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740782549 PECOS PAC ID: 3476804071 Enrollment ID: I20190903000763 |
| 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 | Sharon Marie Raasch |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649352204 PECOS PAC ID: 8729317300 Enrollment ID: I20190906001312 |
| Provider Name | Emma Murphy Venteicher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588226872 PECOS PAC ID: 7416286638 Enrollment ID: I20190912001140 |
| Provider Name | Nakita Grace Natala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699114975 PECOS PAC ID: 9133439276 Enrollment ID: I20190912002114 |
| Provider Name | Amanda S Delaney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154778942 PECOS PAC ID: 8123311222 Enrollment ID: I20190912003145 |
| 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 | Kathleen D Moore |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477037257 PECOS PAC ID: 3779813662 Enrollment ID: I20190918003428 |
| Provider Name | Jessica Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861041212 PECOS PAC ID: 5890025704 Enrollment ID: I20190919000454 |
| Provider Name | Brenda K Lundeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083658157 PECOS PAC ID: 2365772290 Enrollment ID: I20190919001257 |
| Provider Name | Sheree Joanne Pechacek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215589536 PECOS PAC ID: 5799015632 Enrollment ID: I20190919001907 |
| Provider Name | James D Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750878948 PECOS PAC ID: 5496005316 Enrollment ID: I20190923001469 |
| Provider Name | Matthew Tyler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619310497 PECOS PAC ID: 8426312794 Enrollment ID: I20190924003265 |
| Provider Name | Paul Joseph Smaciarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497303911 PECOS PAC ID: 2860722345 Enrollment ID: I20190926000100 |
| Provider Name | Frances A Tepolt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407290604 PECOS PAC ID: 7719234251 Enrollment ID: I20190926000871 |
| Provider Name | Paul S Stadem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679060750 PECOS PAC ID: 3971852146 Enrollment ID: I20190926002284 |
| Provider Name | Sara E Mcdonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689235467 PECOS PAC ID: 8123358363 Enrollment ID: I20191001001917 |
| Provider Name | Kristin Alecia Verhoeven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659923688 PECOS PAC ID: 0840520045 Enrollment ID: I20191002000858 |
| Provider Name | Krystal L Balster |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265082937 PECOS PAC ID: 4981934007 Enrollment ID: I20191002002040 |
| Provider Name | Shauna Hsiaosan Yuan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679659098 PECOS PAC ID: 4981893674 Enrollment ID: I20191002002370 |
| Provider Name | Brandon K Mccafferty |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255744579 PECOS PAC ID: 7416277603 Enrollment ID: I20191007001586 |
| Provider Name | Lisa Ann Philion Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386731958 PECOS PAC ID: 4880925775 Enrollment ID: I20191007003392 |
| Provider Name | Alexander Beaumont Herman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346635224 PECOS PAC ID: 7113294141 Enrollment ID: I20191009002895 |
| Provider Name | Laura Jean Padhye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104323781 PECOS PAC ID: 8527315118 Enrollment ID: I20191010000542 |
| Provider Name | Srinivasa Reddy Vaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184863938 PECOS PAC ID: 3971775974 Enrollment ID: I20191010001272 |
| Provider Name | Kristin Cora Greathouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184053233 PECOS PAC ID: 4183955768 Enrollment ID: I20191011002435 |
| Provider Name | Sun Hsieh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821358862 PECOS PAC ID: 7517184682 Enrollment ID: I20191015000625 |
| Provider Name | Susan L Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457506677 PECOS PAC ID: 0840356713 Enrollment ID: I20191016000828 |
| Provider Name | Victoria Rosina Pechacek |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437718673 PECOS PAC ID: 2668703901 Enrollment ID: I20191017000870 |
| Provider Name | Carrie Oatman Macoskey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174538656 PECOS PAC ID: 9335470541 Enrollment ID: I20191018000812 |
| 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 | Hailey N Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881245504 PECOS PAC ID: 1355673344 Enrollment ID: I20191023003533 |
| Provider Name | Kaeley T Whiting Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679079511 PECOS PAC ID: 7911255534 Enrollment ID: I20191029002547 |
| Provider Name | Brian Howard Roscoe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518488311 PECOS PAC ID: 3779815337 Enrollment ID: I20191031000511 |
| Provider Name | Jewels Sky Lindholm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932742160 PECOS PAC ID: 2264764786 Enrollment ID: I20191031003117 |
| Provider Name | Shahnaz Sultan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790868925 PECOS PAC ID: 2769409903 Enrollment ID: I20191031003179 |
| Provider Name | Stephen Kelly Jacobsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679843585 PECOS PAC ID: 5496043663 Enrollment ID: I20191106000741 |
| Provider Name | Rachel Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578055315 PECOS PAC ID: 9537591854 Enrollment ID: I20191107000392 |
| Provider Name | Glen H Rebman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487181558 PECOS PAC ID: 4385998715 Enrollment ID: I20191107002271 |
| Provider Name | Merav Heettner Silverman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104484104 PECOS PAC ID: 5395177588 Enrollment ID: I20191108000750 |
| Provider Name | Jens Tamang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013559145 PECOS PAC ID: 0345672515 Enrollment ID: I20191111000592 |
| Provider Name | Devin Michael Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316594914 PECOS PAC ID: 1153753223 Enrollment ID: I20191111001156 |
| Provider Name | Anthony J Christnovich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972923423 PECOS PAC ID: 0749585651 Enrollment ID: I20191112000010 |
| Provider Name | Brent Dennis Bissen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558904904 PECOS PAC ID: 3375975352 Enrollment ID: I20191112003391 |
| Provider Name | Lindsey K Wagenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548818370 PECOS PAC ID: 6002248994 Enrollment ID: I20191114001468 |
| Provider Name | Willis H Navarro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871538421 PECOS PAC ID: 6103978325 Enrollment ID: I20191118003173 |
| Provider Name | Amy C Klopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508007378 PECOS PAC ID: 5698822393 Enrollment ID: I20191120000485 |
| Provider Name | Kavisha Milesh Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346506961 PECOS PAC ID: 7315177052 Enrollment ID: I20191121000654 |
| Provider Name | Marit Leigh Throntveit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992340194 PECOS PAC ID: 4880026384 Enrollment ID: I20191121003215 |
| Provider Name | Susan M Culican |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164440640 PECOS PAC ID: 8426189960 Enrollment ID: I20191127000311 |
| 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 | Corinne Emma Romitti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023650876 PECOS PAC ID: 0446683056 Enrollment ID: I20191211002125 |
| Provider Name | Melissa Moy Chin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730721895 PECOS PAC ID: 3173956786 Enrollment ID: I20191211002134 |
| Provider Name | Douglas Michael Whiteside |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346280971 PECOS PAC ID: 6103852850 Enrollment ID: I20191212001290 |
| Provider Name | Huseyin Tore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538504303 PECOS PAC ID: 5799080925 Enrollment ID: I20191212002239 |
| Provider Name | Emily J Zimmerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376738997 PECOS PAC ID: 7618301128 Enrollment ID: I20191216001770 |
| Provider Name | Rachel Stenach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649734864 PECOS PAC ID: 0446684989 Enrollment ID: I20191217000175 |
| Provider Name | Kathleen Van Zeeland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326509381 PECOS PAC ID: 2466793609 Enrollment ID: I20191219001317 |
| Provider Name | Lisa Stepanov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508416215 PECOS PAC ID: 2567896780 Enrollment ID: I20191221000628 |
| Provider Name | Heidi Phuyal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265898472 PECOS PAC ID: 3072947183 Enrollment ID: I20191226000975 |
| 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 | Megan M Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083258289 PECOS PAC ID: 3971937707 Enrollment ID: I20200102001093 |
| Provider Name | Robert Hosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023338282 PECOS PAC ID: 1153624051 Enrollment ID: I20200107002156 |
| Provider Name | Alicia Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245875111 PECOS PAC ID: 8325473838 Enrollment ID: I20200110000316 |
| Provider Name | Mia P Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245761931 PECOS PAC ID: 0446525125 Enrollment ID: I20200116001580 |
| 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 | Emily Ann Snowberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881245793 PECOS PAC ID: 3678908415 Enrollment ID: I20200124000366 |
| Provider Name | Lisa Sun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659790038 PECOS PAC ID: 2961757729 Enrollment ID: I20200128000002 |
| 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 | Kelly A Tate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790323756 PECOS PAC ID: 8628404217 Enrollment ID: I20200129002518 |
| Provider Name | Lindsay Nutting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194362343 PECOS PAC ID: 0244666808 Enrollment ID: I20200130002057 |
| Provider Name | Ashley Ashbacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083984850 PECOS PAC ID: 7315373719 Enrollment ID: I20200203002329 |
| Provider Name | Jamie Leigh Engebretson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205169190 PECOS PAC ID: 1850727082 Enrollment ID: I20200207000526 |
| Provider Name | Yvonne Tora Mcintosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376101352 PECOS PAC ID: 8426484437 Enrollment ID: I20200211002886 |
| Provider Name | Marjorie R Keyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972869527 PECOS PAC ID: 2860775566 Enrollment ID: I20200220003058 |
| Provider Name | Laura C Battaglia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366074197 PECOS PAC ID: 4183051659 Enrollment ID: I20200221001129 |
| Provider Name | Amanda Wenzel Kalstabakken |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649819665 PECOS PAC ID: 9830526292 Enrollment ID: I20200224002554 |
| Provider Name | Katherine Archbold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093115925 PECOS PAC ID: 9638506918 Enrollment ID: I20200226001357 |
| 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 | Sandra Germain Malone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174645220 PECOS PAC ID: 1759718703 Enrollment ID: I20200303002625 |
| Provider Name | Dreylana Shatori Hill Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871936906 PECOS PAC ID: 7911229281 Enrollment ID: I20200304001417 |
| Provider Name | Donovan Dewayne Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699069930 PECOS PAC ID: 4688893027 Enrollment ID: I20200313000852 |
| Provider Name | Megan Marie Oconnor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114379401 PECOS PAC ID: 3072941525 Enrollment ID: I20200316000552 |
| Provider Name | Meri Ellen Parady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710541586 PECOS PAC ID: 4688002181 Enrollment ID: I20200317000074 |
| Provider Name | Michelle Marie Lembcke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235763186 PECOS PAC ID: 8729416060 Enrollment ID: I20200319000914 |
| Provider Name | Kathleen Ann Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467574715 PECOS PAC ID: 3971931262 Enrollment ID: I20200320000261 |
| Provider Name | Stephanie Schwinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417985219 PECOS PAC ID: 8820139108 Enrollment ID: I20200321000408 |
| Provider Name | Megan Anne Dowdal-osborn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023109436 PECOS PAC ID: 4183052350 Enrollment ID: I20200323000185 |
| Provider Name | Hillary Casey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275914715 PECOS PAC ID: 1355779398 Enrollment ID: I20200325001332 |
| Provider Name | Alexandra Laurel Alexander |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184006173 PECOS PAC ID: 2567891500 Enrollment ID: I20200326002331 |
| Provider Name | Nora L Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699166348 PECOS PAC ID: 6709215627 Enrollment ID: I20200327002979 |
| Provider Name | Mary Jane Voss |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396393781 PECOS PAC ID: 5092144873 Enrollment ID: I20200330001815 |
| 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 | Angela Pana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932596970 PECOS PAC ID: 6608205166 Enrollment ID: I20200403001338 |
| Provider Name | Ryan Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952796252 PECOS PAC ID: 8022314756 Enrollment ID: I20200413001493 |
| Provider Name | Jason Nellis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457612350 PECOS PAC ID: 7315162146 Enrollment ID: I20200415000135 |
| Provider Name | Rasha El Rifai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235424276 PECOS PAC ID: 3779877089 Enrollment ID: I20200415000964 |
| Provider Name | Katherine Canada Trumbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194155804 PECOS PAC ID: 4688897853 Enrollment ID: I20200416000071 |
| Provider Name | Kelly Jean Killian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013478775 PECOS PAC ID: 9931539632 Enrollment ID: I20200421000860 |
| Provider Name | Greta I Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841821436 PECOS PAC ID: 3274963640 Enrollment ID: I20200427000950 |
| 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 | Matthew Krafft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477965135 PECOS PAC ID: 4385947928 Enrollment ID: I20200505000901 |
| 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 | Nicole Kaul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205487980 PECOS PAC ID: 1153752019 Enrollment ID: I20200508000085 |
| Provider Name | Can Ozutemiz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396195517 PECOS PAC ID: 3678846037 Enrollment ID: I20200508002157 |
| Provider Name | Jason S Goldberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093161655 PECOS PAC ID: 8628356656 Enrollment ID: I20200508002187 |
| Provider Name | Jennifer L Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538587175 PECOS PAC ID: 6800199597 Enrollment ID: I20200509000212 |
| Provider Name | Abir Naguib Abdallah |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295086643 PECOS PAC ID: 8820376825 Enrollment ID: I20200511001238 |
| Provider Name | Tahsin Khundkar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811347859 PECOS PAC ID: 2163767435 Enrollment ID: I20200514001035 |
| Provider Name | William G Tenbrink |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710419403 PECOS PAC ID: 9032450648 Enrollment ID: I20200514001579 |
| Provider Name | Luke Adam Monteagudo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992187173 PECOS PAC ID: 2860756723 Enrollment ID: I20200514002803 |
| 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 | William Dobyns |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1538282736 PECOS PAC ID: 6204952682 Enrollment ID: I20200522002005 |
| Provider Name | Hem Hemantbhai Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316352446 PECOS PAC ID: 6204189673 Enrollment ID: I20200522002295 |
| Provider Name | Khushabu Kasabwala |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427476662 PECOS PAC ID: 5890032825 Enrollment ID: I20200527000453 |
| Provider Name | Jessica Mary Solie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629160999 PECOS PAC ID: 9335560440 Enrollment ID: I20200528000120 |
| Provider Name | Christina L Gillmor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093160491 PECOS PAC ID: 4880989748 Enrollment ID: I20200528000606 |
| Provider Name | Sabine P Schmid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407060916 PECOS PAC ID: 9739288606 Enrollment ID: I20200603002707 |
| Provider Name | Rahel Nardos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912111592 PECOS PAC ID: 6103999354 Enrollment ID: I20200603002776 |
| Provider Name | Prasanth Ravipati |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285048256 PECOS PAC ID: 2264653831 Enrollment ID: I20200608000480 |
| Provider Name | Andrew Nguyen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952721706 PECOS PAC ID: 2860793155 Enrollment ID: I20200608000494 |
| Provider Name | Amy Beckman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164809166 PECOS PAC ID: 1456655786 Enrollment ID: I20200615000808 |
| Provider Name | Amit Kulkarni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417374406 PECOS PAC ID: 2668605494 Enrollment ID: I20200615003423 |
| Provider Name | Evan Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952930976 PECOS PAC ID: 1355763699 Enrollment ID: I20200616000027 |
| Provider Name | Muhammad Affan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285049213 PECOS PAC ID: 3779905021 Enrollment ID: I20200616000186 |
| 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 | Charles John Billington |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1003235367 PECOS PAC ID: 7012339245 Enrollment ID: I20200617000817 |
| 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 | Lahn Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306223763 PECOS PAC ID: 8527480615 Enrollment ID: I20200618000646 |
| Provider Name | Ashok Jethwa |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386088615 PECOS PAC ID: 8729381439 Enrollment ID: I20200619000222 |
| 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 | Cynthia Lynn Nicholson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619381381 PECOS PAC ID: 6507171592 Enrollment ID: I20200623000776 |
| Provider Name | Rachel Stork Poeppelman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831537083 PECOS PAC ID: 8022312701 Enrollment ID: I20200623002716 |
| Provider Name | Adam P Bregman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1972947877 PECOS PAC ID: 5395047948 Enrollment ID: I20200624002749 |
| 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 | Pitcha Chompoopong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629420542 PECOS PAC ID: 1557783230 Enrollment ID: I20200625002125 |
| 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 | Aditya Chandorkar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578903506 PECOS PAC ID: 7517232499 Enrollment ID: I20200626001266 |
| Provider Name | Asitha D Jayawardena |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689093460 PECOS PAC ID: 6901108596 Enrollment ID: I20200626001664 |
| Provider Name | Mary Julia Thomson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205273174 PECOS PAC ID: 9931400116 Enrollment ID: I20200629000986 |
| Provider Name | Aubree Rae Bruhnding |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093169773 PECOS PAC ID: 6901191071 Enrollment ID: I20200630002439 |
| Provider Name | Takumi Yamada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205135381 PECOS PAC ID: 3173791951 Enrollment ID: I20200630002958 |
| Provider Name | Mohamad R Hemu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366970931 PECOS PAC ID: 3072883420 Enrollment ID: I20200701000835 |
| Provider Name | Joel E Bershok |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497891311 PECOS PAC ID: 3476976655 Enrollment ID: I20200707000435 |
| Provider Name | Laura Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811512601 PECOS PAC ID: 1557784741 Enrollment ID: I20200707000502 |
| Provider Name | Margy Elise Mccullough-hicks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861805004 PECOS PAC ID: 9436460029 Enrollment ID: I20200714000070 |
| Provider Name | Kara Wheeler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396134763 PECOS PAC ID: 1456654797 Enrollment ID: I20200714002319 |
| Provider Name | Daniel Patrick Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437537131 PECOS PAC ID: 1759687320 Enrollment ID: I20200715000620 |
| Provider Name | Jacob George Manske |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801277918 PECOS PAC ID: 6305136540 Enrollment ID: I20200715003275 |
| Provider Name | Mohanad Mahmoud Elfishawi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396266052 PECOS PAC ID: 9830438589 Enrollment ID: I20200716000186 |
| 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 | Becca Marie Mahnesmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912527268 PECOS PAC ID: 8527482967 Enrollment ID: I20200720000494 |
| 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 | Heli Bhatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144660598 PECOS PAC ID: 2961791074 Enrollment ID: I20200721001413 |
| 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 | Alayna M Mccawley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639701204 PECOS PAC ID: 6204250186 Enrollment ID: I20200724000887 |
| 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 | Rachel Beck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710481742 PECOS PAC ID: 1557625159 Enrollment ID: I20200803001135 |
| 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 | Andrew J Redmann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235572306 PECOS PAC ID: 4688815988 Enrollment ID: I20200807000795 |
| 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 | Lucinda Daley Jolstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871150565 PECOS PAC ID: 7719303338 Enrollment ID: I20200813001436 |
| 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 | William Kirke Rogers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407020241 PECOS PAC ID: 4688802283 Enrollment ID: I20200814000739 |
| Provider Name | Shanthi Balani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770992331 PECOS PAC ID: 3870851231 Enrollment ID: I20200817001262 |
| Provider Name | Subodh K Regmi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922599737 PECOS PAC ID: 4789925215 Enrollment ID: I20200820000062 |
| Provider Name | Ying Gibbens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548721434 PECOS PAC ID: 8426383944 Enrollment ID: I20200820001299 |
| Provider Name | Matthew Theodore Stuart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851824163 PECOS PAC ID: 6002232048 Enrollment ID: I20200820001976 |
| Provider Name | Jesse Neil Bach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144849985 PECOS PAC ID: 3476979378 Enrollment ID: I20200821000819 |
| Provider Name | Caroline Jasper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184234692 PECOS PAC ID: 5698192599 Enrollment ID: I20200824001567 |
| 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 | Jeffrey J Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255864823 PECOS PAC ID: 5496172942 Enrollment ID: I20200828000507 |
| 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 | Rachel Koski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760802052 PECOS PAC ID: 0446675706 Enrollment ID: I20200831003210 |
| Provider Name | Matthew F Pullen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841633898 PECOS PAC ID: 8527359637 Enrollment ID: I20200902000631 |
| Provider Name | Allyson Stevenson-king |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568817146 PECOS PAC ID: 0244573939 Enrollment ID: I20200902000632 |
| Provider Name | Stephanie Frey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992353882 PECOS PAC ID: 8729405972 Enrollment ID: I20200902001008 |
| 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 | Dawn Mae Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528676871 PECOS PAC ID: 8820416662 Enrollment ID: I20200910003459 |
| Provider Name | Anne M White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578983672 PECOS PAC ID: 2860810611 Enrollment ID: I20200911000091 |
| Provider Name | Kimberley Monden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922301258 PECOS PAC ID: 6305025420 Enrollment ID: I20200911001126 |
| Provider Name | Liam Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396935482 PECOS PAC ID: 7113182007 Enrollment ID: I20200914000410 |
| 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 | Kathryn N Barr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417565540 PECOS PAC ID: 8729406343 Enrollment ID: I20200915000522 |
| Provider Name | Sydney Alexis Schack-farnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124636816 PECOS PAC ID: 7517385842 Enrollment ID: I20200917001899 |
| Provider Name | Katelyn O'keefe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083075865 PECOS PAC ID: 4789002049 Enrollment ID: I20200918000022 |
| 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 | Lindsey Sloan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073991840 PECOS PAC ID: 5991083933 Enrollment ID: I20200923000430 |
| 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 | Ibrahim A Elemo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831478627 PECOS PAC ID: 0345465894 Enrollment ID: I20201001000532 |
| Provider Name | Molly K Cirillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245843101 PECOS PAC ID: 9931528569 Enrollment ID: I20201001001427 |
| Provider Name | Heidi Rose Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639784754 PECOS PAC ID: 4789003211 Enrollment ID: I20201001001731 |
| Provider Name | Kelsey Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841803970 PECOS PAC ID: 3173942653 Enrollment ID: I20201002000008 |
| Provider Name | Matthew Enriquez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104236405 PECOS PAC ID: 7810114360 Enrollment ID: I20201005001983 |
| Provider Name | Alanna Marie Wallerstein |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245846542 PECOS PAC ID: 1254750458 Enrollment ID: I20201007000251 |
| Provider Name | Jill Foster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578511994 PECOS PAC ID: 3274715065 Enrollment ID: I20201016000302 |
| 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 | Michael Farrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083665913 PECOS PAC ID: 1951383983 Enrollment ID: I20201029001397 |
| Provider Name | Andrew Adams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902932684 PECOS PAC ID: 7214124494 Enrollment ID: I20201030000139 |
| 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 | Jeremy O'keefe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093371775 PECOS PAC ID: 9436483054 Enrollment ID: I20201104000572 |
| Provider Name | Kelly J Lamb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568993996 PECOS PAC ID: 6901156843 Enrollment ID: I20201105000203 |
| Provider Name | Margot Zarin-pass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356795926 PECOS PAC ID: 7810241973 Enrollment ID: I20201113000637 |
| Provider Name | Caroline Minkus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376953323 PECOS PAC ID: 2961707518 Enrollment ID: I20201113001930 |
| Provider Name | Lauren Fontana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609293661 PECOS PAC ID: 4587943998 Enrollment ID: I20201116002646 |
| Provider Name | Huda Sheheitli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023500584 PECOS PAC ID: 6305257775 Enrollment ID: I20201117000456 |
| Provider Name | Kristin Orgill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134592165 PECOS PAC ID: 2163724840 Enrollment ID: I20201123001760 |
| Provider Name | Randy Wayne Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730747221 PECOS PAC ID: 9830500701 Enrollment ID: I20201125000062 |
| Provider Name | Sarah Halloran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629531363 PECOS PAC ID: 4486985157 Enrollment ID: I20201127000106 |
| Provider Name | Melinda M Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255945903 PECOS PAC ID: 8325459142 Enrollment ID: I20201201000435 |
| Provider Name | Mary H Brixius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427656891 PECOS PAC ID: 2961813563 Enrollment ID: I20201203001949 |
| Provider Name | Margaret Olubunmi Daramola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114126117 PECOS PAC ID: 4789729278 Enrollment ID: I20201207001203 |
| Provider Name | Michelle Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285250399 PECOS PAC ID: 9638581762 Enrollment ID: I20201215001563 |
| Provider Name | Ellen Renne Larkin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184225898 PECOS PAC ID: 1355753484 Enrollment ID: I20201215001605 |
| Provider Name | Jordan Krentz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063016616 PECOS PAC ID: 0749692671 Enrollment ID: I20201216003039 |
| Provider Name | Sarah J Dougherty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104426881 PECOS PAC ID: 1355753971 Enrollment ID: I20201223000869 |
| Provider Name | Emily K Ongaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962009548 PECOS PAC ID: 0345653762 Enrollment ID: I20210104001195 |
| 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 | Mitchell Allen Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659911089 PECOS PAC ID: 3678986619 Enrollment ID: I20210112000109 |
| Provider Name | Rebecca Ann Vold |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205188406 PECOS PAC ID: 2668885633 Enrollment ID: I20210112001208 |
| Provider Name | Jodi Renee Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023616208 PECOS PAC ID: 1254744279 Enrollment ID: I20210113000473 |
| 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 | Sarah Backman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194192393 PECOS PAC ID: 9830503424 Enrollment ID: I20210121002328 |
| Provider Name | Leah A Kiefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154925782 PECOS PAC ID: 6002220654 Enrollment ID: I20210122001491 |
| 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 M Fox |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447662705 PECOS PAC ID: 1153675046 Enrollment ID: I20210127003451 |
| Provider Name | Fang Bu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962635193 PECOS PAC ID: 5294083457 Enrollment ID: I20210201002069 |
| Provider Name | Leah Christine Henke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326492182 PECOS PAC ID: 6002107075 Enrollment ID: I20210201002309 |
| Provider Name | Allison Bjork |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801499298 PECOS PAC ID: 2567876428 Enrollment ID: I20210204001051 |
| Provider Name | Laken Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780286054 PECOS PAC ID: 9830503671 Enrollment ID: I20210205001752 |
| Provider Name | Jenna Triana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922493618 PECOS PAC ID: 1153611298 Enrollment ID: I20210206000133 |
| Provider Name | Irene M Ottoson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619568912 PECOS PAC ID: 0749694529 Enrollment ID: I20210208001110 |
| Provider Name | Lindsey Ann Sahli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528664067 PECOS PAC ID: 8921413519 Enrollment ID: I20210211002699 |
| Provider Name | Bikash Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750541132 PECOS PAC ID: 6103096672 Enrollment ID: I20210216003365 |
| Provider Name | Mccartney E Renn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164027710 PECOS PAC ID: 6709291115 Enrollment ID: I20210217001948 |
| Provider Name | Rachel Oludiji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588282545 PECOS PAC ID: 1557776804 Enrollment ID: I20210218000843 |
| Provider Name | Lucas Kuzj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639632441 PECOS PAC ID: 9234464017 Enrollment ID: I20210222000750 |
| Provider Name | Desiree Lynn Demcak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639767718 PECOS PAC ID: 1850706995 Enrollment ID: I20210223000895 |
| Provider Name | Victoria Shear |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710589023 PECOS PAC ID: 2466867304 Enrollment ID: I20210226000971 |
| Provider Name | Peter Kang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992723191 PECOS PAC ID: 6507810629 Enrollment ID: I20210301002358 |
| Provider Name | Kellie Jean Rusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780297218 PECOS PAC ID: 7618383563 Enrollment ID: I20210302000091 |
| Provider Name | Claire Ryden Maxey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104421627 PECOS PAC ID: 3870909518 Enrollment ID: I20210304001068 |
| Provider Name | Joslyn Mary Kahn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831384700 PECOS PAC ID: 6204242829 Enrollment ID: I20210305001866 |
| 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 | Arjun Gupta |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1851710651 PECOS PAC ID: 1254608599 Enrollment ID: I20210311002866 |
| Provider Name | Alexandra Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306447339 PECOS PAC ID: 3375959547 Enrollment ID: I20210312001481 |
| Provider Name | Katie Lynn Adler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639516867 PECOS PAC ID: 4183030273 Enrollment ID: I20210316001340 |
| Provider Name | Caleb P Skipper |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356751564 PECOS PAC ID: 5092080119 Enrollment ID: I20210318001400 |
| Provider Name | Elizabeth Christine Ester |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124264353 PECOS PAC ID: 4587071568 Enrollment ID: I20210319000497 |
| Provider Name | Cody Carlson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1720636764 PECOS PAC ID: 6406263300 Enrollment ID: I20210319001763 |
| Provider Name | Allison Groenewold Ho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780031195 PECOS PAC ID: 1759674898 Enrollment ID: I20210319001923 |
| Provider Name | Melissa Boehner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679090526 PECOS PAC ID: 0648536391 Enrollment ID: I20210322001746 |
| Provider Name | Ioana Moisini |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083930689 PECOS PAC ID: 8527371970 Enrollment ID: I20210323000821 |
| Provider Name | Alyssa Mason |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467037572 PECOS PAC ID: 4587071287 Enrollment ID: I20210325000094 |
| Provider Name | Jennifer Marie Stong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922561307 PECOS PAC ID: 7315276730 Enrollment ID: I20210326001335 |
| Provider Name | Maisha Inaya Giles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174947238 PECOS PAC ID: 8224445705 Enrollment ID: I20210330000288 |
| Provider Name | Hannah Catherine Erickson Herd |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700313681 PECOS PAC ID: 1850708181 Enrollment ID: I20210401001437 |
| Provider Name | Gia Xiong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548847361 PECOS PAC ID: 5991112021 Enrollment ID: I20210407001840 |
| Provider Name | Alison Marie Baumgartner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316538655 PECOS PAC ID: 0840607990 Enrollment ID: I20210407002587 |
| 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 | Taylor M Grootwassink |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811572936 PECOS PAC ID: 5890103972 Enrollment ID: I20210412000225 |
| Provider Name | Renita Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447838388 PECOS PAC ID: 9638587611 Enrollment ID: I20210412000934 |
| Provider Name | Kyle Maurer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053773671 PECOS PAC ID: 4981998549 Enrollment ID: I20210416001117 |
| Provider Name | Amanda R Terwey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457946428 PECOS PAC ID: 4082022629 Enrollment ID: I20210420000319 |
| Provider Name | Jenna Rae Eisold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609408210 PECOS PAC ID: 8527476167 Enrollment ID: I20210420000338 |
| Provider Name | Emily L Halverson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194250035 PECOS PAC ID: 6507110293 Enrollment ID: I20210420001245 |
| 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 | Jacob Torrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356704365 PECOS PAC ID: 3072859487 Enrollment ID: I20210429002733 |
| Provider Name | Lisa Marie Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114504123 PECOS PAC ID: 6406265495 Enrollment ID: I20210504000173 |
| Provider Name | Eliana Nicole Stienessen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154957108 PECOS PAC ID: 8325457328 Enrollment ID: I20210504000478 |
| Provider Name | Saari Anne Mccornack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518437912 PECOS PAC ID: 0941619944 Enrollment ID: I20210504000561 |
| Provider Name | Meagan O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740862333 PECOS PAC ID: 9537578414 Enrollment ID: I20210505000960 |
| Provider Name | Jesse Hoffmeister |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083050660 PECOS PAC ID: 8224323712 Enrollment ID: I20210511000049 |
| Provider Name | Mariel Leigh Goettsch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902158132 PECOS PAC ID: 8325457963 Enrollment ID: I20210511001540 |
| 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 | Mackenzie Ann Funke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629619580 PECOS PAC ID: 9931518495 Enrollment ID: I20210513000133 |
| Provider Name | Felicia T Hansell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447785167 PECOS PAC ID: 1557625480 Enrollment ID: I20210513000882 |
| Provider Name | Megan Peterson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730761032 PECOS PAC ID: 0749699221 Enrollment ID: I20210513001053 |
| Provider Name | Alexander Matthew Clayton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073976080 PECOS PAC ID: 8224320213 Enrollment ID: I20210513002394 |
| Provider Name | Adam Charles Cerise |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871904680 PECOS PAC ID: 4880819861 Enrollment ID: I20210514000776 |
| Provider Name | Molly Dewitt-foy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497147946 PECOS PAC ID: 3476855685 Enrollment ID: I20210517001792 |
| Provider Name | Murray Philip Luber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861456824 PECOS PAC ID: 8022289206 Enrollment ID: I20210518001350 |
| Provider Name | Matthew A Walczak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790368793 PECOS PAC ID: 4981003282 Enrollment ID: I20210518002082 |
| 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 | Mehmet Levent Guler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255839692 PECOS PAC ID: 2466715222 Enrollment ID: I20210525001634 |
| Provider Name | Earl Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902268105 PECOS PAC ID: 6002108016 Enrollment ID: I20210527001280 |
| Provider Name | Melissa E Hardy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952804734 PECOS PAC ID: 4587901848 Enrollment ID: I20210527001870 |
| Provider Name | Timothy Colin O'keefe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689253304 PECOS PAC ID: 8729487418 Enrollment ID: I20210601000144 |
| Provider Name | Yasoda Meesala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548551039 PECOS PAC ID: 3870711468 Enrollment ID: I20210608001938 |
| Provider Name | Matthew Christman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235105412 PECOS PAC ID: 4183056088 Enrollment ID: I20210608002143 |
| 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 | Logan Helland |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598176836 PECOS PAC ID: 4981829181 Enrollment ID: I20210609001885 |
| Provider Name | Hannah Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427583137 PECOS PAC ID: 8820365620 Enrollment ID: I20210610000271 |
| Provider Name | Matthew Charles Bouche |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033785027 PECOS PAC ID: 7214337476 Enrollment ID: I20210610001063 |
| Provider Name | Garrett Michael Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336645811 PECOS PAC ID: 7113263666 Enrollment ID: I20210610002702 |
| Provider Name | Raneem Rajjoub |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205363710 PECOS PAC ID: 2668719600 Enrollment ID: I20210615000024 |
| Provider Name | Serin Edwin Erayil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982084240 PECOS PAC ID: 4082973821 Enrollment ID: I20210616000018 |
| Provider Name | Elizabeth M Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558858761 PECOS PAC ID: 6002160231 Enrollment ID: I20210617001026 |
| 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 | Patrice Andre Vinsard Espinoza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861916207 PECOS PAC ID: 6204100746 Enrollment ID: I20210618000343 |
| 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 | Barbara Gina Chrysler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568050623 PECOS PAC ID: 0244631646 Enrollment ID: I20210623000654 |
| 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 | Azmath Mohammed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811284425 PECOS PAC ID: 9830320357 Enrollment ID: I20210628003242 |
| 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 | Jennifer Anklan Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356906846 PECOS PAC ID: 0941602387 Enrollment ID: I20210708000715 |
| Provider Name | Phillip L Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437500261 PECOS PAC ID: 6002101086 Enrollment ID: I20210708001965 |
| Provider Name | Alyssa Marie Oliversen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710556212 PECOS PAC ID: 1355743543 Enrollment ID: I20210709002750 |
| Provider Name | Robert Thomas Galvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598119331 PECOS PAC ID: 0345574687 Enrollment ID: I20210713003968 |
| Provider Name | Akinbowale Ayeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639782626 PECOS PAC ID: 1951703867 Enrollment ID: I20210715000855 |
| Provider Name | Hanwen Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609443266 PECOS PAC ID: 2264834043 Enrollment ID: I20210715004085 |
| Provider Name | Azza Mohammad-elbagi Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861807547 PECOS PAC ID: 8325268162 Enrollment ID: I20210715004118 |
| Provider Name | Emmanuel Antonarakis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568528768 PECOS PAC ID: 9931225950 Enrollment ID: I20210719002577 |
| Provider Name | Sandeep Sainathan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245486364 PECOS PAC ID: 3870897705 Enrollment ID: I20210720001018 |
| Provider Name | Hamed Ahmadi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750700654 PECOS PAC ID: 5698992535 Enrollment ID: I20210720003932 |
| Provider Name | Deepthi Malepati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841652146 PECOS PAC ID: 2961795414 Enrollment ID: I20210721002432 |
| Provider Name | Alice Bonnell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083878904 PECOS PAC ID: 2466620927 Enrollment ID: I20210721002625 |
| Provider Name | Kurtis J Swanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457748907 PECOS PAC ID: 1850641986 Enrollment ID: I20210722001106 |
| Provider Name | Joelle Joy Bellows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558931840 PECOS PAC ID: 4183027402 Enrollment ID: I20210724000026 |
| 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 | Neil A Hanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285808014 PECOS PAC ID: 6507059052 Enrollment ID: I20210727001757 |
| 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 | Arianna Lee Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033702642 PECOS PAC ID: 0345643193 Enrollment ID: I20210730001884 |
| Provider Name | Saydra Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396179529 PECOS PAC ID: 3870880776 Enrollment ID: I20210730002200 |
| 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 | Allison Lien Tran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093385742 PECOS PAC ID: 4082018544 Enrollment ID: I20210804003830 |
| Provider Name | Hind Alameddine |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255781704 PECOS PAC ID: 2860809613 Enrollment ID: I20210812002351 |
| 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 | Marcy Beth Jensen Halvorson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922628791 PECOS PAC ID: 4385048248 Enrollment ID: I20210813003053 |
| Provider Name | Emma Grace Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306412424 PECOS PAC ID: 1153725023 Enrollment ID: I20210815000030 |
| Provider Name | Tiffany Kaye Grunewald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265506513 PECOS PAC ID: 5597169474 Enrollment ID: I20210816000111 |
| Provider Name | Michael Thomas Churchwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306075270 PECOS PAC ID: 9032341276 Enrollment ID: I20210816000986 |
| 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 | Tyler Kemnitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548841513 PECOS PAC ID: 4284039082 Enrollment ID: I20210817001692 |
| Provider Name | Christa Weigel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801221908 PECOS PAC ID: 9133524952 Enrollment ID: I20210817002861 |
| Provider Name | Thomas Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720374721 PECOS PAC ID: 4486972742 Enrollment ID: I20210818000244 |
| Provider Name | Alyssa Ann Steffen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063085439 PECOS PAC ID: 5890190573 Enrollment ID: I20210818001352 |
| 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 | Ajay Prakash |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386023612 PECOS PAC ID: 8527393578 Enrollment ID: I20210824001505 |
| 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 | Abby Fredrickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376063370 PECOS PAC ID: 0547685125 Enrollment ID: I20210830002352 |
| Provider Name | Tayler Lenzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144817149 PECOS PAC ID: 1355747304 Enrollment ID: I20210831001736 |
| Provider Name | Nathan R Hendrickson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306227632 PECOS PAC ID: 5496060170 Enrollment ID: I20210901000786 |
| Provider Name | Brooke Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679070205 PECOS PAC ID: 4688070519 Enrollment ID: I20210901001546 |
| Provider Name | Michelle Stoffel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487040127 PECOS PAC ID: 2668740234 Enrollment ID: I20210902001775 |
| Provider Name | David B Peter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740635523 PECOS PAC ID: 1153616172 Enrollment ID: I20210903001233 |
| Provider Name | Randi L.s. Lassiter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619239613 PECOS PAC ID: 7214179308 Enrollment ID: I20210903002425 |
| 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 | Kelsi Autumn Kephart |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568977163 PECOS PAC ID: 2062818701 Enrollment ID: I20210907000164 |
| Provider Name | Lindsey Kathryn Yaw |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194278762 PECOS PAC ID: 2365709367 Enrollment ID: I20210908002525 |
| Provider Name | Chinyere Ihunnah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821683525 PECOS PAC ID: 8729496351 Enrollment ID: I20210909000044 |
| Provider Name | Katherine Reinholz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518565530 PECOS PAC ID: 3375959323 Enrollment ID: I20210910000807 |
| Provider Name | Chad Mikel Stratton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417397308 PECOS PAC ID: 1850797184 Enrollment ID: I20210910002098 |
| Provider Name | Jordan John Mcgowan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972270981 PECOS PAC ID: 5597161836 Enrollment ID: I20210910002650 |
| 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 | Kacie Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801419700 PECOS PAC ID: 4789080805 Enrollment ID: I20210914003654 |
| 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 | Hannah R Moen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952078610 PECOS PAC ID: 8921405564 Enrollment ID: I20210923001909 |
| Provider Name | Devon L. Stevens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891133823 PECOS PAC ID: 4284970781 Enrollment ID: I20210923002938 |
| Provider Name | Erica Anne Svoboda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841874575 PECOS PAC ID: 0547667115 Enrollment ID: I20210923003005 |
| Provider Name | Ian Spicer Ramsay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538837430 PECOS PAC ID: 2860899366 Enrollment ID: I20210927001464 |
| Provider Name | Kejela Haji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407430473 PECOS PAC ID: 8820495260 Enrollment ID: I20210927003284 |
| Provider Name | Mahad Hassan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245658012 PECOS PAC ID: 4082039003 Enrollment ID: I20210929000703 |
| Provider Name | Michael Dohm |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548252976 PECOS PAC ID: 3375574643 Enrollment ID: I20210929003786 |
| Provider Name | Stephanie Link |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639846629 PECOS PAC ID: 1355748575 Enrollment ID: I20210930000296 |
| 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 | Rebecca Ruth Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285204677 PECOS PAC ID: 2961800040 Enrollment ID: I20211004001247 |
| Provider Name | Megan Mae Schlager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609540905 PECOS PAC ID: 0749688869 Enrollment ID: I20211004002624 |
| Provider Name | Kelly Dickinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164873477 PECOS PAC ID: 6608274659 Enrollment ID: I20211006001272 |
| 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 | Ramtin Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225244221 PECOS PAC ID: 8325193527 Enrollment ID: I20211007003342 |
| Provider Name | Shannon Andrews |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548559206 PECOS PAC ID: 4284859695 Enrollment ID: I20211008001201 |
| Provider Name | Ann Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437699113 PECOS PAC ID: 5294133930 Enrollment ID: I20211011000022 |
| Provider Name | Courtney Lauren Marie Eskridge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649840240 PECOS PAC ID: 1850799560 Enrollment ID: I20211011002660 |
| 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 | Curt Pinchuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275532871 PECOS PAC ID: 2668420399 Enrollment ID: I20211012003245 |
| Provider Name | Gladys Ayiera Ndege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659045391 PECOS PAC ID: 7719385293 Enrollment ID: I20211014000025 |
| Provider Name | Azie J Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265012629 PECOS PAC ID: 1557769858 Enrollment ID: I20211015002568 |
| Provider Name | David E Karges |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326060021 PECOS PAC ID: 7810997160 Enrollment ID: I20211015002622 |
| 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 | Shayla Renee Mclean |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043226871 PECOS PAC ID: 1658769815 Enrollment ID: I20211021001071 |
| Provider Name | Timothy J Darby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245906494 PECOS PAC ID: 8921496878 Enrollment ID: I20211026000476 |
| Provider Name | Fnu Shakuntulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710437470 PECOS PAC ID: 0941539860 Enrollment ID: I20211026001653 |
| Provider Name | Jennifer Ann Leaser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225708910 PECOS PAC ID: 7719375526 Enrollment ID: I20211028000483 |
| Provider Name | Jason Ho |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215297411 PECOS PAC ID: 7618303843 Enrollment ID: I20211028001169 |
| Provider Name | Daniel S Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114536547 PECOS PAC ID: 6800200445 Enrollment ID: I20211103002593 |
| Provider Name | Benjamin Bloemke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790184372 PECOS PAC ID: 6901026806 Enrollment ID: I20211108001162 |
| Provider Name | Lauren Haisley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124671045 PECOS PAC ID: 5193150563 Enrollment ID: I20211108002162 |
| Provider Name | Delorianne Ross Sander |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1124798780 PECOS PAC ID: 1759770092 Enrollment ID: I20211108002240 |
| Provider Name | Mary Monica Streater |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962025924 PECOS PAC ID: 6709275860 Enrollment ID: I20211110001774 |
| Provider Name | Swetha Padmini Karturi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841546009 PECOS PAC ID: 4183859838 Enrollment ID: I20211115002957 |
| Provider Name | Duong Tu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679776272 PECOS PAC ID: 7315267242 Enrollment ID: I20211116001155 |
| Provider Name | Sahar Koubar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477866580 PECOS PAC ID: 7810218179 Enrollment ID: I20211117001247 |
| Provider Name | Tom Paul Vadakara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255771689 PECOS PAC ID: 9335439496 Enrollment ID: I20211117002613 |
| Provider Name | Brenda Shua Her |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972009603 PECOS PAC ID: 4082961420 Enrollment ID: I20211117002755 |
| Provider Name | Claire Pauline Slayter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083376305 PECOS PAC ID: 6709276223 Enrollment ID: I20211123003312 |
| Provider Name | Kathryn Ann Catania |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609472364 PECOS PAC ID: 9638569197 Enrollment ID: I20211124001549 |
| Provider Name | Dillon C Euler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396946554 PECOS PAC ID: 4587980446 Enrollment ID: I20211129000283 |
| Provider Name | Mary Elizabeth Amundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003439241 PECOS PAC ID: 5890185243 Enrollment ID: I20211130000261 |
| Provider Name | Rachel Marie Yonkovich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174040133 PECOS PAC ID: 8527458801 Enrollment ID: I20211130001580 |
| Provider Name | Anna Ruth Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023771243 PECOS PAC ID: 4587054812 Enrollment ID: I20211201000340 |
| Provider Name | Svetoslav Plamenov Hristov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336333590 PECOS PAC ID: 5890819841 Enrollment ID: I20211203000437 |
| Provider Name | Jason B Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255596037 PECOS PAC ID: 0749356137 Enrollment ID: I20211204000273 |
| Provider Name | Samantha Rose Callisto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679954929 PECOS PAC ID: 0446640411 Enrollment ID: I20211206002003 |
| Provider Name | Lewis Benedict |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417269457 PECOS PAC ID: 3870619786 Enrollment ID: I20211206002523 |
| Provider Name | Andrew Dahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003436106 PECOS PAC ID: 6103241070 Enrollment ID: I20211207000399 |
| Provider Name | Marie Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518526532 PECOS PAC ID: 8921498882 Enrollment ID: I20211208000833 |
| Provider Name | Michael A Schirado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104852185 PECOS PAC ID: 4789661026 Enrollment ID: I20211210001482 |
| Provider Name | Jessica Knight-perry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912206103 PECOS PAC ID: 1658522842 Enrollment ID: I20211210001548 |
| Provider Name | Sabine Karam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700183571 PECOS PAC ID: 4082004734 Enrollment ID: I20211213000087 |
| Provider Name | Stacey Miron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205365707 PECOS PAC ID: 1759771355 Enrollment ID: I20211213002489 |
| Provider Name | Marissa Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20211213002759 |
| Provider Name | Christine Rae Koch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346811270 PECOS PAC ID: 2466842091 Enrollment ID: I20211214000540 |
| Provider Name | Alyssa Jayne Youngquist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548927791 PECOS PAC ID: 4789074329 Enrollment ID: I20211214001178 |
| Provider Name | Matthew H Wheelwright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063975894 PECOS PAC ID: 9234463217 Enrollment ID: I20211215000068 |
| Provider Name | Byron Kendall Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20211218000127 |
| Provider Name | Brittany Lynn Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487311254 PECOS PAC ID: 7012308455 Enrollment ID: I20211220001605 |
| Provider Name | Courtney Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720572449 PECOS PAC ID: 8325394174 Enrollment ID: I20211221001026 |
| Provider Name | Jose M Jimenez Vega |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619208980 PECOS PAC ID: 2769785336 Enrollment ID: I20211221001380 |
| Provider Name | Mackenzie Stice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629632799 PECOS PAC ID: 7810221496 Enrollment ID: I20211221001471 |
| Provider Name | David M Hanrahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033347125 PECOS PAC ID: 2163835398 Enrollment ID: I20211221002802 |
| Provider Name | Sulakshna Dhamija |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629383153 PECOS PAC ID: 0244474112 Enrollment ID: I20211222001077 |
| Provider Name | Carolynn Hanzal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881232031 PECOS PAC ID: 8224427166 Enrollment ID: I20211222001096 |
| 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 | Amy Jeanne Secott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528356300 PECOS PAC ID: 9335530377 Enrollment ID: I20211229001322 |
| Provider Name | Alicia Bellefeuille |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205594405 PECOS PAC ID: 3072904770 Enrollment ID: I20220106000144 |
| Provider Name | Kara L Herr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245801737 PECOS PAC ID: 3375934078 Enrollment ID: I20220106000426 |
| Provider Name | Hetal Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841283199 PECOS PAC ID: 7012958580 Enrollment ID: I20220106000431 |
| 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 | Stephanie Margaret Lee Janson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215510979 PECOS PAC ID: 6507258035 Enrollment ID: I20220113001322 |
| Provider Name | Megan Marie Bresnahan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982784039 PECOS PAC ID: 8527450915 Enrollment ID: I20220114001182 |
| Provider Name | Chase Kerber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285153502 PECOS PAC ID: 9638435332 Enrollment ID: I20220119000758 |
| Provider Name | Musaddiq Tariq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326465436 PECOS PAC ID: 7012338924 Enrollment ID: I20220125000874 |
| Provider Name | Adam Stivala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467738617 PECOS PAC ID: 7315376910 Enrollment ID: I20220125002548 |
| Provider Name | Ryan Tyler Biernath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376149146 PECOS PAC ID: 9133511058 Enrollment ID: I20220126000758 |
| Provider Name | Kevin O Turner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184874125 PECOS PAC ID: 9739327719 Enrollment ID: I20220126002648 |
| Provider Name | Tina N Ozbeki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841687365 PECOS PAC ID: 8820303605 Enrollment ID: I20220127002652 |
| Provider Name | Meera Srikanthan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841637220 PECOS PAC ID: 4385872217 Enrollment ID: I20220131002165 |
| Provider Name | Katrina Lee Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801557145 PECOS PAC ID: 5991198772 Enrollment ID: I20220201000682 |
| Provider Name | Monica Campo Patino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326255787 PECOS PAC ID: 1759567019 Enrollment ID: I20220202000165 |
| Provider Name | Cathryn Cheney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447918149 PECOS PAC ID: 7810380482 Enrollment ID: I20220202002118 |
| Provider Name | Kiley Rae Pronschinske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811658727 PECOS PAC ID: 9739572363 Enrollment ID: I20220203001030 |
| Provider Name | Danielle Marie Orsello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972261972 PECOS PAC ID: 0143613794 Enrollment ID: I20220203001672 |
| Provider Name | Alec T Schumacher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427430321 PECOS PAC ID: 1658781372 Enrollment ID: I20220204000558 |
| Provider Name | Bethany Schluter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316612443 PECOS PAC ID: 3274926753 Enrollment ID: I20220204000668 |
| Provider Name | Stephanie Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649944042 PECOS PAC ID: 7012300528 Enrollment ID: I20220204001853 |
| Provider Name | Andrea Laurel Dupre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679159990 PECOS PAC ID: 0446643860 Enrollment ID: I20220208001493 |
| Provider Name | Chaithanya Bhaskar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306193925 PECOS PAC ID: 2163730631 Enrollment ID: I20220216000291 |
| Provider Name | Jessica Parker Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073080727 PECOS PAC ID: 7214320134 Enrollment ID: I20220216002451 |
| Provider Name | Sanjay Saluja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053374462 PECOS PAC ID: 0840241279 Enrollment ID: I20220217001713 |
| 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 | Sara Alcorn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871813204 PECOS PAC ID: 8729238431 Enrollment ID: I20220224001450 |
| 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 | Nicole Carpentier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457002321 PECOS PAC ID: 9830584846 Enrollment ID: I20220309001966 |
| Provider Name | Amanda R Bresnahan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891032827 PECOS PAC ID: 6901291897 Enrollment ID: I20220310002002 |
| Provider Name | Megan Kayla Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750909388 PECOS PAC ID: 1658766365 Enrollment ID: I20220316000977 |
| Provider Name | Sarah Christine Christopherson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447819263 PECOS PAC ID: 4880089481 Enrollment ID: I20220317001798 |
| Provider Name | Mary Okafo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164985990 PECOS PAC ID: 4688917016 Enrollment ID: I20220317002784 |
| Provider Name | Rylie Fourre |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689329385 PECOS PAC ID: 0446645881 Enrollment ID: I20220321002263 |
| Provider Name | Jonathan Edward Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033606587 PECOS PAC ID: 4486049863 Enrollment ID: I20220322000928 |
| Provider Name | Daniel Hugh Oleary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851748685 PECOS PAC ID: 1557606837 Enrollment ID: I20220323001716 |
| Provider Name | Gwendolyn Roberson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558504191 PECOS PAC ID: 4880901198 Enrollment ID: I20220324002449 |
| Provider Name | Deborah Jean Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275095143 PECOS PAC ID: 1052706199 Enrollment ID: I20220328001026 |
| Provider Name | Madison Marie Mueller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477145209 PECOS PAC ID: 4284020223 Enrollment ID: I20220331000772 |
| Provider Name | Shawn A Mahmud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770937518 PECOS PAC ID: 9436407251 Enrollment ID: I20220331002257 |
| Provider Name | Alireza Nathani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932593175 PECOS PAC ID: 8628320009 Enrollment ID: I20220331002701 |
| Provider Name | Britt Engrav |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154450971 PECOS PAC ID: 4981090826 Enrollment ID: I20220401001769 |
| Provider Name | Megan E Lindsey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265814560 PECOS PAC ID: 7719287812 Enrollment ID: I20220404000403 |
| Provider Name | Timothy Richard Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194094045 PECOS PAC ID: 7911393756 Enrollment ID: I20220405000645 |
| Provider Name | Allison Jamie Rao |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649685348 PECOS PAC ID: 4880985969 Enrollment ID: I20220405002330 |
| 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 | Emma Vansickle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730755604 PECOS PAC ID: 0547656050 Enrollment ID: I20220411001043 |
| Provider Name | Renee Zasada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730840976 PECOS PAC ID: 9537555834 Enrollment ID: I20220414001056 |
| Provider Name | Carly Marie Wagner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457692428 PECOS PAC ID: 5890931232 Enrollment ID: I20220414001874 |
| Provider Name | Everett H Gu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588004535 PECOS PAC ID: 5395055396 Enrollment ID: I20220418001627 |
| Provider Name | Melissa Boggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629527635 PECOS PAC ID: 4789080094 Enrollment ID: I20220418002319 |
| Provider Name | Madeline Anne Squires |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487307765 PECOS PAC ID: 9234526328 Enrollment ID: I20220419002461 |
| Provider Name | Praveen Hariharan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215458351 PECOS PAC ID: 4486928942 Enrollment ID: I20220419002675 |
| Provider Name | Christopher Loftus |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376907683 PECOS PAC ID: 9234420647 Enrollment ID: I20220420000815 |
| Provider Name | Fahma Osman Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538789276 PECOS PAC ID: 5698197317 Enrollment ID: I20220420002164 |
| Provider Name | Jessica Namoi Schultz |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1124405543 PECOS PAC ID: 2769787696 Enrollment ID: I20220421000728 |
| Provider Name | Ruchi Gupta Mahajan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194272476 PECOS PAC ID: 8224425228 Enrollment ID: I20220421000994 |
| Provider Name | Meredith Kavalier |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720513641 PECOS PAC ID: 8123398971 Enrollment ID: I20220421001108 |
| Provider Name | Srikrishna Vulava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821301367 PECOS PAC ID: 7517108889 Enrollment ID: I20220425001085 |
| Provider Name | Millicent Boa Amponsem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659858769 PECOS PAC ID: 1658615570 Enrollment ID: I20220425002618 |
| 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 | Nicole Howard Claeson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801555438 PECOS PAC ID: 5092102897 Enrollment ID: I20220426001485 |
| Provider Name | Anja Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336818368 PECOS PAC ID: 8224425038 Enrollment ID: I20220426001791 |
| Provider Name | Adam Raphael Lipschultz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588198311 PECOS PAC ID: 2961812227 Enrollment ID: I20220428001219 |
| Provider Name | Amber Scheierl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720678147 PECOS PAC ID: 1254728868 Enrollment ID: I20220429001372 |
| Provider Name | Michael Patrick Greenwood |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023379419 PECOS PAC ID: 8426272261 Enrollment ID: I20220503000424 |
| 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 | Chenthuran Deivaraju |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477832517 PECOS PAC ID: 3274853098 Enrollment ID: I20220503001370 |
| Provider Name | Christina Lauren Warner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871056531 PECOS PAC ID: 9739422205 Enrollment ID: I20220504001525 |
| Provider Name | Anastasios C Polimenakos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649283516 PECOS PAC ID: 0547332975 Enrollment ID: I20220506002176 |
| Provider Name | Kelash Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326499542 PECOS PAC ID: 2466739560 Enrollment ID: I20220510001986 |
| Provider Name | Francine Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336532514 PECOS PAC ID: 6305154253 Enrollment ID: I20220511002565 |
| Provider Name | Daniel Kuehler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871020313 PECOS PAC ID: 1153692702 Enrollment ID: I20220512000838 |
| Provider Name | Ellen Diego |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538553136 PECOS PAC ID: 0143522433 Enrollment ID: I20220512002778 |
| Provider Name | Wassef Chanbour |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134735848 PECOS PAC ID: 6406233451 Enrollment ID: I20220513001247 |
| 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 | Muhannad A Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215596358 PECOS PAC ID: 7214265040 Enrollment ID: I20220519002053 |
| Provider Name | Abdullah Al-abcha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669958724 PECOS PAC ID: 9830576495 Enrollment ID: I20220519002399 |
| Provider Name | Kevin Y Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518359298 PECOS PAC ID: 3173850310 Enrollment ID: I20220520002335 |
| 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 | Adam D Baim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922592963 PECOS PAC ID: 3779960240 Enrollment ID: I20220523001346 |
| Provider Name | Zako Mohamed Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720653652 PECOS PAC ID: 7810374279 Enrollment ID: I20220524002908 |
| Provider Name | Brian Berg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578650065 PECOS PAC ID: 9638556095 Enrollment ID: I20220524002912 |
| Provider Name | Venus Vakhshori |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023490380 PECOS PAC ID: 9133408610 Enrollment ID: I20220526000568 |
| Provider Name | Molly Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164872305 PECOS PAC ID: 9537547914 Enrollment ID: I20220526001981 |
| Provider Name | Jacob C Cogan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710341714 PECOS PAC ID: 5193103414 Enrollment ID: I20220527000672 |
| Provider Name | Abdulfatah Issak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720406325 PECOS PAC ID: 1254551617 Enrollment ID: I20220531000216 |
| Provider Name | Dylan Stevens |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316442114 PECOS PAC ID: 1254667512 Enrollment ID: I20220531001974 |
| 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 | Stephanie Mae Wick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164919957 PECOS PAC ID: 8921348921 Enrollment ID: I20220604000265 |
| Provider Name | Ivan Kamikovski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073953030 PECOS PAC ID: 9032597935 Enrollment ID: I20220606001377 |
| 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 | Arnes Huskic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174987275 PECOS PAC ID: 2466751284 Enrollment ID: I20220607002112 |
| Provider Name | Amy Kaufman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114304839 PECOS PAC ID: 9032412317 Enrollment ID: I20220607002914 |
| 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 | Krista Yucuis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083192223 PECOS PAC ID: 7113305624 Enrollment ID: I20220610002137 |
| Provider Name | Samuel Benjamin Wopperer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427519248 PECOS PAC ID: 0143608679 Enrollment ID: I20220611000335 |
| Provider Name | Alexandra Paige Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942863998 PECOS PAC ID: 5799012985 Enrollment ID: I20220613000303 |
| 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 | Vishnuvardhan Ganesan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952833428 PECOS PAC ID: 3375922891 Enrollment ID: I20220614000173 |
| Provider Name | Tamara Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417364944 PECOS PAC ID: 6103046891 Enrollment ID: I20220614001076 |
| Provider Name | Vania Rashidi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790289288 PECOS PAC ID: 3072992452 Enrollment ID: I20220614003150 |
| Provider Name | Robert T Christie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104358027 PECOS PAC ID: 5991075186 Enrollment ID: I20220616002330 |
| 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 | Sara Liu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912439555 PECOS PAC ID: 8527345354 Enrollment ID: I20220621001174 |
| 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 | Seth Laporte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528621109 PECOS PAC ID: 8729313085 Enrollment ID: I20220625000594 |
| Provider Name | Cade D Arries |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831627702 PECOS PAC ID: 4082985353 Enrollment ID: I20220628002556 |
| Provider Name | Mo Valerie Paylen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508490558 PECOS PAC ID: 3577942168 Enrollment ID: I20220628003168 |
| Provider Name | Eamonn Maher |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982130746 PECOS PAC ID: 3173895257 Enrollment ID: I20220629001049 |
| Provider Name | Ariana Del Korpela |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013655935 PECOS PAC ID: 2062892540 Enrollment ID: I20220629003270 |
| Provider Name | Daniel Edwin Peck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114344041 PECOS PAC ID: 7517235500 Enrollment ID: I20220629003314 |
| 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 | Sheetal Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942682133 PECOS PAC ID: 8729380324 Enrollment ID: I20220701000981 |
| Provider Name | Lionel S Wininger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124552963 PECOS PAC ID: 5799046553 Enrollment ID: I20220705001012 |
| Provider Name | Bilal Alturkmani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649627621 PECOS PAC ID: 2264723105 Enrollment ID: I20220705001248 |
| Provider Name | Ligogo Cesar Muholeza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033848817 PECOS PAC ID: 3870973183 Enrollment ID: I20220705001368 |
| Provider Name | Bo Seo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508596610 PECOS PAC ID: 4284014325 Enrollment ID: I20220706003521 |
| Provider Name | Hareesh Singam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457770471 PECOS PAC ID: 5698993699 Enrollment ID: I20220707003091 |
| Provider Name | Kiersten Joy Hansen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417203647 PECOS PAC ID: 7416337365 Enrollment ID: I20220708002670 |
| Provider Name | Alicia M Reichenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568070209 PECOS PAC ID: 4981084613 Enrollment ID: I20220712000632 |
| Provider Name | John Alexander Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861997025 PECOS PAC ID: 9335493063 Enrollment ID: I20220712002341 |
| 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 | Mary Lee Froehle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588756746 PECOS PAC ID: 0648651018 Enrollment ID: I20220715001921 |
| Provider Name | Bethany Kozak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770213209 PECOS PAC ID: 4981085222 Enrollment ID: I20220719000632 |
| Provider Name | Tyler Schauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043940786 PECOS PAC ID: 9133500473 Enrollment ID: I20220719000732 |
| Provider Name | Kanishk Agnihotri |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023427820 PECOS PAC ID: 2365718640 Enrollment ID: I20220719000901 |
| Provider Name | Michael Florie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700441102 PECOS PAC ID: 3678952884 Enrollment ID: I20220719003112 |
| Provider Name | David Brauer |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1962841049 PECOS PAC ID: 7113235730 Enrollment ID: I20220719003763 |
| Provider Name | Jacob J Ristow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285162883 PECOS PAC ID: 4981976669 Enrollment ID: I20220721002071 |
| Provider Name | Eileen Shea Hedberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285367821 PECOS PAC ID: 1355722240 Enrollment ID: I20220725000884 |
| Provider Name | Tyler W Looysen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134614381 PECOS PAC ID: 2860734449 Enrollment ID: I20220725002258 |
| Provider Name | Kristine Ruth Strobl-reichel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942949722 PECOS PAC ID: 0042691834 Enrollment ID: I20220726001369 |
| Provider Name | Mounika Muttineni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659934651 PECOS PAC ID: 3678809647 Enrollment ID: I20220726001748 |
| 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 | Anna E Grosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366191066 PECOS PAC ID: 0446632004 Enrollment ID: I20220729001813 |
| 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 | Rheanne Maravelas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629429758 PECOS PAC ID: 1658650700 Enrollment ID: I20220802001664 |
| Provider Name | Brian Lefchak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265939961 PECOS PAC ID: 0244578078 Enrollment ID: I20220802004061 |
| Provider Name | Elizabeth Catherine Mcmahon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609508795 PECOS PAC ID: 6608258900 Enrollment ID: I20220803002014 |
| Provider Name | Charanya Nalligoundanur Pasupathi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841853900 PECOS PAC ID: 6002144342 Enrollment ID: I20220803002505 |
| Provider Name | Eleanor Monson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619607348 PECOS PAC ID: 7012399348 Enrollment ID: I20220803003033 |
| Provider Name | Rachel Dalton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669111704 PECOS PAC ID: 8527440783 Enrollment ID: I20220804000491 |
| Provider Name | Samantha Mussehl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477283653 PECOS PAC ID: 3375925597 Enrollment ID: I20220804003361 |
| Provider Name | Aastha Chauhan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891146197 PECOS PAC ID: 9335432269 Enrollment ID: I20220808000253 |
| Provider Name | Donna J Coetzee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275198228 PECOS PAC ID: 7911234232 Enrollment ID: I20220808000876 |
| Provider Name | Thomas Briese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609303130 PECOS PAC ID: 4183993413 Enrollment ID: I20220808001311 |
| Provider Name | Avery Marie Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811457914 PECOS PAC ID: 6608109111 Enrollment ID: I20220808003285 |
| Provider Name | Erick Enrique Jimenez Granados |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487036851 PECOS PAC ID: 6800194358 Enrollment ID: I20220809001342 |
| Provider Name | Kimberly Kay Phillips |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144302894 PECOS PAC ID: 1456733302 Enrollment ID: I20220809002053 |
| Provider Name | Mark D Kovacs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437385507 PECOS PAC ID: 3072738285 Enrollment ID: I20220809003262 |
| Provider Name | Paolo Goffredo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881071546 PECOS PAC ID: 4587978085 Enrollment ID: I20220810000196 |
| Provider Name | Michelle Tiwalade Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962965236 PECOS PAC ID: 0840673778 Enrollment ID: I20220810001349 |
| Provider Name | Elizabeth Panetta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437754603 PECOS PAC ID: 2365825221 Enrollment ID: I20220810002869 |
| Provider Name | Kayla L Tilkens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881258572 PECOS PAC ID: 1759615941 Enrollment ID: I20220811002127 |
| Provider Name | Cody Pratt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881035095 PECOS PAC ID: 6800115437 Enrollment ID: I20220811002194 |
| Provider Name | Amel A Badr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528262904 PECOS PAC ID: 8820156466 Enrollment ID: I20220812000686 |
| Provider Name | Allison Abell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306333844 PECOS PAC ID: 4981959400 Enrollment ID: I20220815001252 |
| Provider Name | Benjamin Al-haddad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174917322 PECOS PAC ID: 3375864218 Enrollment ID: I20220817002313 |
| Provider Name | Akinbolaji Akingbola |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1295228450 PECOS PAC ID: 1850642711 Enrollment ID: I20220818000649 |
| Provider Name | Mary Beth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396477329 PECOS PAC ID: 2961885207 Enrollment ID: I20220818001641 |
| Provider Name | Lisa J Lovse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962056291 PECOS PAC ID: 0648508481 Enrollment ID: I20220822000734 |
| Provider Name | Aubree Mcgee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366815060 PECOS PAC ID: 3072996156 Enrollment ID: I20220823001792 |
| Provider Name | Roman Becicka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083007322 PECOS PAC ID: 4789958638 Enrollment ID: I20220823003889 |
| Provider Name | Lauren Anna Buckley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952856056 PECOS PAC ID: 5991030132 Enrollment ID: I20220825001623 |
| Provider Name | Rachael Lauren Mangaudis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194229500 PECOS PAC ID: 1951659085 Enrollment ID: I20220826000993 |
| Provider Name | Brianna Yund |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912632597 PECOS PAC ID: 4880078591 Enrollment ID: I20220830002030 |
| Provider Name | Riley C Simpson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851027585 PECOS PAC ID: 5890179444 Enrollment ID: I20220830004015 |
| Provider Name | Yanli Ding |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154680957 PECOS PAC ID: 7810129962 Enrollment ID: I20220831000605 |
| Provider Name | Tushar Murli Advani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881918415 PECOS PAC ID: 9739461484 Enrollment ID: I20220831000942 |
| 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 | Molly Helene Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164169751 PECOS PAC ID: 4284018565 Enrollment ID: I20220906001749 |
| Provider Name | Elizabeth Ann Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932828480 PECOS PAC ID: 7810371903 Enrollment ID: I20220909000462 |
| Provider Name | Teija Madhusoodanan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902338791 PECOS PAC ID: 2365712973 Enrollment ID: I20220912002302 |
| Provider Name | Susan May Dodge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447992367 PECOS PAC ID: 0547645582 Enrollment ID: I20220912003427 |
| Provider Name | Samuel B Wood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740840784 PECOS PAC ID: 1456736412 Enrollment ID: I20220913000424 |
| Provider Name | Rebecca Giglio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730815333 PECOS PAC ID: 4183009145 Enrollment ID: I20220913003213 |
| Provider Name | Mary E Hanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366947913 PECOS PAC ID: 4183976517 Enrollment ID: I20220915003001 |
| Provider Name | Christine S Lambert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972980142 PECOS PAC ID: 6406155019 Enrollment ID: I20220916000312 |
| Provider Name | Nathan Mebrahtu Mesfin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417305400 PECOS PAC ID: 0648563338 Enrollment ID: I20220916002765 |
| Provider Name | Melissa Caceres |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487221909 PECOS PAC ID: 0840692026 Enrollment ID: I20220919001602 |
| Provider Name | Allison S Aguado |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1750595138 PECOS PAC ID: 6002063682 Enrollment ID: I20220920002407 |
| Provider Name | Madhav Vijaykumar Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316384704 PECOS PAC ID: 4082919287 Enrollment ID: I20220920003187 |
| Provider Name | Laura Renee Hofkens |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235229873 PECOS PAC ID: 5395120661 Enrollment ID: I20220922002214 |
| Provider Name | Elizabeth S Aby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033503040 PECOS PAC ID: 8729343983 Enrollment ID: I20220922003089 |
| 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 | Mickey Amos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942929658 PECOS PAC ID: 2769868587 Enrollment ID: I20221003000932 |
| Provider Name | Jacob Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326792946 PECOS PAC ID: 4284010927 Enrollment ID: I20221003002346 |
| Provider Name | Ryan Glen Etchison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326571696 PECOS PAC ID: 3971927237 Enrollment ID: I20221003002786 |
| Provider Name | Melissa A Gunderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700445301 PECOS PAC ID: 5698003259 Enrollment ID: I20221004003490 |
| Provider Name | Sara Van Dyk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659911584 PECOS PAC ID: 3173909611 Enrollment ID: I20221006000495 |
| 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 | Kari Jensen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730210899 PECOS PAC ID: 0941686307 Enrollment ID: I20221007002433 |
| 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 | Tammam Beydoun |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1033349014 PECOS PAC ID: 0840501524 Enrollment ID: I20221009000018 |
| Provider Name | Jasvinder Autar Singh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619409240 PECOS PAC ID: 5496159808 Enrollment ID: I20221010001785 |
| Provider Name | Jeris Marrin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538461751 PECOS PAC ID: 2264818533 Enrollment ID: I20221011000598 |
| Provider Name | Sara Elizabeth Lieven |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215656897 PECOS PAC ID: 9335525609 Enrollment ID: I20221011000654 |
| Provider Name | Zackary W Eliason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700507670 PECOS PAC ID: 1254707326 Enrollment ID: I20221013002608 |
| Provider Name | Rachel Pamela Fox Jacobsen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386119451 PECOS PAC ID: 0042686081 Enrollment ID: I20221017002539 |
| Provider Name | Bradley Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316107642 PECOS PAC ID: 6305007451 Enrollment ID: I20221018000568 |
| Provider Name | Anthony Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942923347 PECOS PAC ID: 8921474818 Enrollment ID: I20221018001121 |
| Provider Name | Jessica L Reilly |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639602006 PECOS PAC ID: 1254707904 Enrollment ID: I20221020001080 |
| Provider Name | Syed Mujtaba Rizvi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568619237 PECOS PAC ID: 4688983638 Enrollment ID: I20221021002618 |
| Provider Name | Diana Oramas Mogrovejo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982080982 PECOS PAC ID: 0941510945 Enrollment ID: I20221027000793 |
| Provider Name | Ryan L Rahm-knigge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720670029 PECOS PAC ID: 2365819778 Enrollment ID: I20221027001400 |
| Provider Name | Rachel Halford |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447798145 PECOS PAC ID: 0446627863 Enrollment ID: I20221027001832 |
| Provider Name | Mayur Sharma |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942637095 PECOS PAC ID: 8820227671 Enrollment ID: I20221027002007 |
| Provider Name | Stephanie Levasseur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417323049 PECOS PAC ID: 4385952951 Enrollment ID: I20221028001068 |
| Provider Name | Jennifer Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326766478 PECOS PAC ID: 0648647982 Enrollment ID: I20221031000631 |
| Provider Name | Phillip Lee Van |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639330533 PECOS PAC ID: 9335380161 Enrollment ID: I20221031000664 |
| Provider Name | Holly Marie Taylor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720704539 PECOS PAC ID: 4789051814 Enrollment ID: I20221102002968 |
| Provider Name | Allison M Logemann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174057749 PECOS PAC ID: 4981957925 Enrollment ID: I20221103000624 |
| Provider Name | Brent Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558760835 PECOS PAC ID: 6103293162 Enrollment ID: I20221103001386 |
| Provider Name | Claire A Eidenschink |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699446500 PECOS PAC ID: 7517334519 Enrollment ID: I20221103003146 |
| Provider Name | Kelsey Marie Kuhlman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003532995 PECOS PAC ID: 0446627475 Enrollment ID: I20221104000935 |
| Provider Name | Molly Marie Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528784394 PECOS PAC ID: 5496122392 Enrollment ID: I20221107000894 |
| Provider Name | Roxanne Dujour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255642856 PECOS PAC ID: 2769507029 Enrollment ID: I20221108001957 |
| Provider Name | Jamie Sarah Dupre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760117493 PECOS PAC ID: 9234507724 Enrollment ID: I20221114002292 |
| 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 | Benjamin Patrick O'fallon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437870128 PECOS PAC ID: 0345618823 Enrollment ID: I20221115002384 |
| Provider Name | Megan Elizabeth Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457943847 PECOS PAC ID: 1557739950 Enrollment ID: I20221116000034 |
| Provider Name | Julia Elise Sobaszkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376262725 PECOS PAC ID: 8123496544 Enrollment ID: I20221116001101 |
| Provider Name | Sara Beth Pournoor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972227544 PECOS PAC ID: 4587032917 Enrollment ID: I20221116001172 |
| Provider Name | Alison Hockenberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700435609 PECOS PAC ID: 8820466253 Enrollment ID: I20221116001249 |
| Provider Name | Robert Sean Tanouye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376837625 PECOS PAC ID: 6103136478 Enrollment ID: I20221117001812 |
| Provider Name | Amy Dobbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891418505 PECOS PAC ID: 6901274224 Enrollment ID: I20221117001842 |
| Provider Name | Felicia Ware |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730896309 PECOS PAC ID: 6507234705 Enrollment ID: I20221118002309 |
| 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 | Juan Carlos Samayoa Escobar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629411970 PECOS PAC ID: 8123319860 Enrollment ID: I20221123001024 |
| Provider Name | Lilia Bacu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407230030 PECOS PAC ID: 7911214044 Enrollment ID: I20221123001730 |
| Provider Name | Jonathan Lee Poquiz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346815792 PECOS PAC ID: 1557739489 Enrollment ID: I20221123002437 |
| Provider Name | Meghan Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023435104 PECOS PAC ID: 0749658615 Enrollment ID: I20221128000008 |
| Provider Name | Kaitlyn Day |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962110106 PECOS PAC ID: 3577931211 Enrollment ID: I20221130001253 |
| Provider Name | Casey Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528455326 PECOS PAC ID: 4587969753 Enrollment ID: I20221201001901 |
| Provider Name | Ellen Burch Scofield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821716887 PECOS PAC ID: 1658749213 Enrollment ID: I20221201002887 |
| Provider Name | Ijeoma Jane Ugochukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710596903 PECOS PAC ID: 1254700743 Enrollment ID: I20221205002106 |
| Provider Name | Ramneesh Baweja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548525413 PECOS PAC ID: 8729344874 Enrollment ID: I20221209000826 |
| Provider Name | Jeremiah Brewer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679968697 PECOS PAC ID: 8426366378 Enrollment ID: I20221209000873 |
| Provider Name | Amanda Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578926861 PECOS PAC ID: 6800188657 Enrollment ID: I20221209001514 |
| Provider Name | Erica Battista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912615568 PECOS PAC ID: 8729457916 Enrollment ID: I20221209001993 |
| Provider Name | Laura Mary Tess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154039865 PECOS PAC ID: 1850760042 Enrollment ID: I20221209002296 |
| Provider Name | Anders Wallock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982294542 PECOS PAC ID: 2062881113 Enrollment ID: I20221212001416 |
| Provider Name | Lilian Omodi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124799499 PECOS PAC ID: 1759750821 Enrollment ID: I20221212002479 |
| Provider Name | Leonardo Brito De Almeida |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013224427 PECOS PAC ID: 3274779947 Enrollment ID: I20221212003061 |
| 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 | Nabil Karroum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104985118 PECOS PAC ID: 0749185973 Enrollment ID: I20221214001485 |
| Provider Name | Lauren Prest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881012235 PECOS PAC ID: 3971804147 Enrollment ID: I20221220000161 |
| Provider Name | Cara Leuchtenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679033195 PECOS PAC ID: 4688907769 Enrollment ID: I20221220000689 |
| Provider Name | Usama Sabzwari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811055684 PECOS PAC ID: 3072515584 Enrollment ID: I20221221001417 |
| Provider Name | Emily Felzenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063684702 PECOS PAC ID: 5890872329 Enrollment ID: I20221222002211 |
| 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 | Lillie Dodd Carlile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881050342 PECOS PAC ID: 0840660239 Enrollment ID: I20221229001004 |
| Provider Name | Rick Anthony Huewe-vogen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437875853 PECOS PAC ID: 2264802545 Enrollment ID: I20230102000080 |
| Provider Name | Matthew Jonathan Wesley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265894489 PECOS PAC ID: 3173812773 Enrollment ID: I20230103001998 |
| Provider Name | Chesney Burgweger Siems |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083101059 PECOS PAC ID: 8820344021 Enrollment ID: I20230105001418 |
| Provider Name | Ming Yuan Lien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588010177 PECOS PAC ID: 7719257617 Enrollment ID: I20230109002085 |
| Provider Name | Long Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588010870 PECOS PAC ID: 6406197136 Enrollment ID: I20230111001192 |
| Provider Name | Collin M Cousins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003310020 PECOS PAC ID: 7911300926 Enrollment ID: I20230117000063 |
| 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 | Andria C Twingstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174268643 PECOS PAC ID: 1557732054 Enrollment ID: I20230119003200 |
| Provider Name | Zainab Al-lawati |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588219737 PECOS PAC ID: 8527476399 Enrollment ID: I20230125000393 |
| Provider Name | Matthew Rich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538656467 PECOS PAC ID: 5496002420 Enrollment ID: I20230125001218 |
| Provider Name | Kalpana Vennila Gopalswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558789453 PECOS PAC ID: 1759686629 Enrollment ID: I20230126000515 |
| Provider Name | Kathryn Rose Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477128528 PECOS PAC ID: 4880065853 Enrollment ID: I20230131000167 |
| Provider Name | Steven Shuo Qi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548616428 PECOS PAC ID: 5597048330 Enrollment ID: I20230201000471 |
| Provider Name | Ajay Dhadwal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629206032 PECOS PAC ID: 6800921362 Enrollment ID: I20230201001619 |
| Provider Name | Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427311745 PECOS PAC ID: 2860724317 Enrollment ID: I20230202002687 |
| Provider Name | Kimberly Jo Lundeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437731361 PECOS PAC ID: 8527467125 Enrollment ID: I20230208000057 |
| Provider Name | Sydni Rabaey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497423594 PECOS PAC ID: 6204208689 Enrollment ID: I20230213000419 |
| Provider Name | Rachael W Starcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164914503 PECOS PAC ID: 8123374659 Enrollment ID: I20230214000667 |
| Provider Name | Sashi Niranjan Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578068987 PECOS PAC ID: 6507119039 Enrollment ID: I20230215000632 |
| Provider Name | Julie Arldt Mcalister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437535432 PECOS PAC ID: 9739496258 Enrollment ID: I20230216000939 |
| Provider Name | Claire Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033722129 PECOS PAC ID: 7214357623 Enrollment ID: I20230217000651 |
| 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 | Ancy S Mohan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134650419 PECOS PAC ID: 5092085191 Enrollment ID: I20230301002479 |
| Provider Name | Nicholas David Longfellow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801406467 PECOS PAC ID: 8123447620 Enrollment ID: I20230309002016 |
| Provider Name | Nicole Motz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356049860 PECOS PAC ID: 2668845736 Enrollment ID: I20230310001934 |
| Provider Name | Zachary Thomas Eenhuis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487144762 PECOS PAC ID: 3971976051 Enrollment ID: I20230310002297 |
| Provider Name | Robert Daniel Odze |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205873999 PECOS PAC ID: 4385686708 Enrollment ID: I20230313002715 |
| Provider Name | Oluwaseun Basit Ogunbona |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790282713 PECOS PAC ID: 2163766106 Enrollment ID: I20230314001326 |
| Provider Name | Olivia Jacobs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184349508 PECOS PAC ID: 2961876859 Enrollment ID: I20230315002637 |
| Provider Name | Isadora L Felling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558077024 PECOS PAC ID: 3072987718 Enrollment ID: I20230321001750 |
| Provider Name | Sevak Keshishyan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841586013 PECOS PAC ID: 4587910930 Enrollment ID: I20230322001585 |
| Provider Name | Samantha Rae Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679230577 PECOS PAC ID: 5799159257 Enrollment ID: I20230323001863 |
| Provider Name | Tolulope Oluwadamilola Odebunmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891258653 PECOS PAC ID: 9133453756 Enrollment ID: I20230323002656 |
| Provider Name | Kayla Rene Promes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740981158 PECOS PAC ID: 9032583422 Enrollment ID: I20230327001415 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20230327002546 |
| Provider Name | Tristan R Lawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295260552 PECOS PAC ID: 4082986385 Enrollment ID: I20230328000764 |
| Provider Name | Asyvia Powell-brawner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679031900 PECOS PAC ID: 4385973700 Enrollment ID: I20230328002457 |
| Provider Name | Jennifer F Wiseman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497877740 PECOS PAC ID: 4385018662 Enrollment ID: I20230328002821 |
| Provider Name | Aiham H Jbeli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912326950 PECOS PAC ID: 0749407740 Enrollment ID: I20230329000533 |
| Provider Name | Sydney Grohman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336854835 PECOS PAC ID: 7113391350 Enrollment ID: I20230329002710 |
| Provider Name | Nora N Ekeanya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154749844 PECOS PAC ID: 8628370467 Enrollment ID: I20230329003318 |
| Provider Name | Patrick Marshall Osborn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588701866 PECOS PAC ID: 2961560602 Enrollment ID: I20230330000116 |
| Provider Name | Ryan J Martinez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710476478 PECOS PAC ID: 8123376241 Enrollment ID: I20230331000642 |
| 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 | Pedro Francisco Monsalve Diaz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447710504 PECOS PAC ID: 1052786175 Enrollment ID: I20230403002339 |
| Provider Name | Maddie Marie Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760100424 PECOS PAC ID: 2860867769 Enrollment ID: I20230406001520 |
| Provider Name | Emily Claire Quigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548974447 PECOS PAC ID: 2769857416 Enrollment ID: I20230411000858 |
| Provider Name | Matthew Jason Wright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053800177 PECOS PAC ID: 7315290731 Enrollment ID: I20230413002386 |
| Provider Name | Dongming Cai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679756720 PECOS PAC ID: 1658554845 Enrollment ID: I20230414000904 |
| Provider Name | Jeffrey Kubiak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184187627 PECOS PAC ID: 1850620162 Enrollment ID: I20230414002080 |
| Provider Name | Kevin Klee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750888459 PECOS PAC ID: 6800147687 Enrollment ID: I20230414002116 |
| Provider Name | Lance Briard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063132561 PECOS PAC ID: 5799154688 Enrollment ID: I20230417001848 |
| Provider Name | Jennifer Michelle Vanhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760191944 PECOS PAC ID: 6002281300 Enrollment ID: I20230418001515 |
| Provider Name | Abraham Jamil Matar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760845226 PECOS PAC ID: 9133584329 Enrollment ID: I20230421001364 |
| Provider Name | Brennah Mae Fulton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134820160 PECOS PAC ID: 2365807591 Enrollment ID: I20230424000339 |
| Provider Name | Elizabeth Hannah Frykman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811696057 PECOS PAC ID: 0547625626 Enrollment ID: I20230424002760 |
| Provider Name | Sandhyarani Dasaraju |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659804094 PECOS PAC ID: 8022473172 Enrollment ID: I20230425002666 |
| Provider Name | Elisabeth Annette Olson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285868547 PECOS PAC ID: 4789049842 Enrollment ID: I20230425003056 |
| Provider Name | Christopher Hesh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740642354 PECOS PAC ID: 7618275140 Enrollment ID: I20230427001547 |
| Provider Name | Naveen Premnath |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205380375 PECOS PAC ID: 3779829056 Enrollment ID: I20230429000018 |
| 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 | Mackenzie A Zorn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992450720 PECOS PAC ID: 0840655585 Enrollment ID: I20230502000819 |
| Provider Name | Minghao Zhong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467637025 PECOS PAC ID: 6103081575 Enrollment ID: I20230502001097 |
| Provider Name | Bhavadharini Ramu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699906941 PECOS PAC ID: 4082901947 Enrollment ID: I20230502001355 |
| Provider Name | Benjamin Michael Manning |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104352541 PECOS PAC ID: 8123414935 Enrollment ID: I20230502001370 |
| Provider Name | Colie Marie Purpur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477262459 PECOS PAC ID: 2769847433 Enrollment ID: I20230502002240 |
| Provider Name | Mary Patricia Mccarthy Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093400715 PECOS PAC ID: 7416312194 Enrollment ID: I20230502002653 |
| Provider Name | Karlyn Stoltman Messer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659878775 PECOS PAC ID: 9133470743 Enrollment ID: I20230503003260 |
| Provider Name | Cameron S Mcdonald-hyman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457845828 PECOS PAC ID: 4789930785 Enrollment ID: I20230504001392 |
| Provider Name | Kyle Aaron Kitzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689162067 PECOS PAC ID: 0244581049 Enrollment ID: I20230504002903 |
| Provider Name | Aayush Gabrani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881126399 PECOS PAC ID: 9436514916 Enrollment ID: I20230505002029 |
| Provider Name | Ruben Alexanian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760748354 PECOS PAC ID: 3375776800 Enrollment ID: I20230508001029 |
| 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 E Czulinski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801240130 PECOS PAC ID: 9335505627 Enrollment ID: I20230511000216 |
| Provider Name | Anna R Spiczka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134729486 PECOS PAC ID: 7911363239 Enrollment ID: I20230511001768 |
| Provider Name | Michael Cole |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982132528 PECOS PAC ID: 0749550937 Enrollment ID: I20230511002973 |
| Provider Name | Alisha Kamboj |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023578358 PECOS PAC ID: 1254673106 Enrollment ID: I20230512001593 |
| Provider Name | Ilhwan Yeo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811247653 PECOS PAC ID: 3678799145 Enrollment ID: I20230512002443 |
| Provider Name | Binoy Yohannan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1750778510 PECOS PAC ID: 6204188246 Enrollment ID: I20230516000796 |
| Provider Name | Meredith Wise |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548793136 PECOS PAC ID: 5496027013 Enrollment ID: I20230516001384 |
| Provider Name | Induruwa Nelani Pathirana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063796779 PECOS PAC ID: 8426335209 Enrollment ID: I20230516003671 |
| Provider Name | Andrea Lewis Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316633993 PECOS PAC ID: 7911363940 Enrollment ID: I20230517003554 |
| Provider Name | Julie Nowariak |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942998539 PECOS PAC ID: 2264898121 Enrollment ID: I20230518001513 |
| Provider Name | Sierra N Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134815640 PECOS PAC ID: 5991161887 Enrollment ID: I20230518003046 |
| Provider Name | Byoung Uk Park |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912490178 PECOS PAC ID: 4385000207 Enrollment ID: I20230519000648 |
| Provider Name | Erin Katzmark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346633823 PECOS PAC ID: 6901124403 Enrollment ID: I20230519001538 |
| 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 | Muayad Mamdooh Alali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558736405 PECOS PAC ID: 8123321189 Enrollment ID: I20230522000856 |
| Provider Name | Katie Elizabeth Farrens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497456792 PECOS PAC ID: 9335505056 Enrollment ID: I20230522002289 |
| Provider Name | Ryan Bailey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487180238 PECOS PAC ID: 3971872243 Enrollment ID: I20230522002526 |
| Provider Name | James P Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710472063 PECOS PAC ID: 4688926090 Enrollment ID: I20230522002890 |
| Provider Name | Emily Anne Hause |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811429871 PECOS PAC ID: 9739412149 Enrollment ID: I20230524000695 |
| Provider Name | Bar Ferents |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023570652 PECOS PAC ID: 0143686709 Enrollment ID: I20230524001167 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1124540604 PECOS PAC ID: 3072979657 Enrollment ID: I20230524002289 |
| 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 | Roy Garret Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093403248 PECOS PAC ID: 1153788567 Enrollment ID: I20230530002993 |
| 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 | Logan Kathleen White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558002063 PECOS PAC ID: 9830576875 Enrollment ID: I20230601000709 |
| Provider Name | Colleen Starkey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265105027 PECOS PAC ID: 9638536972 Enrollment ID: I20230601001609 |
| Provider Name | Milind Bhagat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245646108 PECOS PAC ID: 8022309137 Enrollment ID: I20230602000066 |
| Provider Name | Heba Al-rayess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962921163 PECOS PAC ID: 1951664200 Enrollment ID: I20230605001793 |
| Provider Name | Michael Sean Mulvihill |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1508109604 PECOS PAC ID: 7618334707 Enrollment ID: I20230605003112 |
| Provider Name | Katlin F Vanderhoef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982232161 PECOS PAC ID: 7618334632 Enrollment ID: I20230607001632 |
| Provider Name | Erin Elizabeth Mchugh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477087484 PECOS PAC ID: 6406213339 Enrollment ID: I20230607002154 |
| Provider Name | Ciersten Burks |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629565940 PECOS PAC ID: 4486901402 Enrollment ID: I20230607003430 |
| 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 | Sasha Zheng Prisco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255785002 PECOS PAC ID: 9436435856 Enrollment ID: I20230613001888 |
| Provider Name | Kari Malia Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700499662 PECOS PAC ID: 9032538491 Enrollment ID: I20230613002065 |
| Provider Name | Caroline Demro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427744820 PECOS PAC ID: 7719344308 Enrollment ID: I20230613003262 |
| Provider Name | Sean J Condon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346869930 PECOS PAC ID: 0446670384 Enrollment ID: I20230614000168 |
| Provider Name | Randal Rovinski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932620473 PECOS PAC ID: 6002180700 Enrollment ID: I20230614000604 |
| Provider Name | John Frank Galatowitsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922637461 PECOS PAC ID: 0648692129 Enrollment ID: I20230614004067 |
| Provider Name | Kolin Elliott Rubel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639608102 PECOS PAC ID: 1052683992 Enrollment ID: I20230619001295 |
| Provider Name | Manaswita Tappata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346860616 PECOS PAC ID: 2466870811 Enrollment ID: I20230622000563 |
| Provider Name | Sophia Sarah Rose Frank |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447875349 PECOS PAC ID: 2365800372 Enrollment ID: I20230623001777 |
| Provider Name | Christopher Graham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962864538 PECOS PAC ID: 1355614322 Enrollment ID: I20230626002505 |
| Provider Name | Marisa Bartley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1104480359 PECOS PAC ID: 9638405442 Enrollment ID: I20230626002715 |
| Provider Name | Auralie Chandra Haven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902580053 PECOS PAC ID: 1153789995 Enrollment ID: I20230626003371 |
| Provider Name | Ismail Elbaz Younes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811419344 PECOS PAC ID: 8022389238 Enrollment ID: I20230628000373 |
| Provider Name | Aisha Jonette Walker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891315982 PECOS PAC ID: 6204247141 Enrollment ID: I20230628001122 |
| Provider Name | Gaurav Sanjay Suryawanshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164042446 PECOS PAC ID: 8123445418 Enrollment ID: I20230628002507 |
| Provider Name | Clay Matthew Hoerig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609222389 PECOS PAC ID: 4880053511 Enrollment ID: I20230628004248 |
| Provider Name | Kristi Marie Frederick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588348650 PECOS PAC ID: 9638538234 Enrollment ID: I20230629001969 |
| Provider Name | Rhoda Leichter |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548286958 PECOS PAC ID: 5799794103 Enrollment ID: I20230704000123 |
| Provider Name | Aaron Boraas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497449722 PECOS PAC ID: 9234598350 Enrollment ID: I20230707002524 |
| Provider Name | James Austin Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437687167 PECOS PAC ID: 3476823915 Enrollment ID: I20230708000431 |
| Provider Name | Stephanie Cabler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972918175 PECOS PAC ID: 4284903238 Enrollment ID: I20230710001436 |
| Provider Name | Nimo Ali, |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922700657 PECOS PAC ID: 6800255738 Enrollment ID: I20230710002358 |
| Provider Name | Jordan Mattson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639527856 PECOS PAC ID: 2466745831 Enrollment ID: I20230711000640 |
| Provider Name | Abigail Wild |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639855075 PECOS PAC ID: 3072972876 Enrollment ID: I20230711001239 |
| Provider Name | James Arthur Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306378344 PECOS PAC ID: 1850660705 Enrollment ID: I20230711003910 |
| Provider Name | David Y Balser |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003303801 PECOS PAC ID: 6002164456 Enrollment ID: I20230711004230 |
| Provider Name | Sonya S Brady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053095638 PECOS PAC ID: 9931568714 Enrollment ID: I20230711004350 |
| Provider Name | Kristin Cromwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619653466 PECOS PAC ID: 3072973890 Enrollment ID: I20230712001389 |
| Provider Name | Danielle Wissink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396421236 PECOS PAC ID: 1850751686 Enrollment ID: I20230712001974 |
| 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 | Marlena R Mueller |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922504281 PECOS PAC ID: 5294083077 Enrollment ID: I20230712004336 |
| Provider Name | Aparna Das |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447602297 PECOS PAC ID: 2264727866 Enrollment ID: I20230713001348 |
| Provider Name | Jonathan Cudnik |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285920538 PECOS PAC ID: 7113173337 Enrollment ID: I20230713002135 |
| 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 | Marta Agnieszka Michalska-smith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568996304 PECOS PAC ID: 7012284482 Enrollment ID: I20230719001722 |
| Provider Name | Mickey Mason Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093431918 PECOS PAC ID: 4385004365 Enrollment ID: I20230721003211 |
| Provider Name | Mengxuan Tang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316472137 PECOS PAC ID: 6103162938 Enrollment ID: I20230725001265 |
| Provider Name | Tyler Szorcsik |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477286623 PECOS PAC ID: 4284095183 Enrollment ID: I20230725001526 |
| Provider Name | Carter Philip Kasianov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396422622 PECOS PAC ID: 4183085061 Enrollment ID: I20230726000697 |
| Provider Name | Kelsey Marie Jensen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538725981 PECOS PAC ID: 5698002368 Enrollment ID: I20230727000076 |
| Provider Name | Morgan Hobbs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013693589 PECOS PAC ID: 4688035447 Enrollment ID: I20230727000188 |
| Provider Name | Michael Marcotte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326046889 PECOS PAC ID: 5890751457 Enrollment ID: I20230727000647 |
| Provider Name | Matthew Charles Mcvay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336593300 PECOS PAC ID: 3971903352 Enrollment ID: I20230727001817 |
| Provider Name | James Malaney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154009645 PECOS PAC ID: 9638530223 Enrollment ID: I20230728002603 |
| Provider Name | Trevor Frybarger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457955106 PECOS PAC ID: 0244691897 Enrollment ID: I20230731001429 |
| Provider Name | Adam S Nygard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871021816 PECOS PAC ID: 3173895232 Enrollment ID: I20230801001541 |
| Provider Name | Molly A Wingfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649709411 PECOS PAC ID: 1052683133 Enrollment ID: I20230802000432 |
| Provider Name | Amber Michelle Koch |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699497750 PECOS PAC ID: 2567823990 Enrollment ID: I20230802001303 |
| Provider Name | Bethany Birkelo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871942821 PECOS PAC ID: 3375927288 Enrollment ID: I20230803000501 |
| Provider Name | Anne Kathryn Wieck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932887742 PECOS PAC ID: 8729449806 Enrollment ID: I20230806000036 |
| Provider Name | Dominic Jamil Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215566609 PECOS PAC ID: 9234553660 Enrollment ID: I20230808000983 |
| Provider Name | Juan O Mariscal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124524475 PECOS PAC ID: 1254682644 Enrollment ID: I20230808001000 |
| 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 | Sara J Choo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609567452 PECOS PAC ID: 8921460759 Enrollment ID: I20230810003696 |
| Provider Name | Nancy Y Her |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750957395 PECOS PAC ID: 2466814199 Enrollment ID: I20230814000312 |
| Provider Name | Lisa Cherullo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326137159 PECOS PAC ID: 7315929635 Enrollment ID: I20230815001249 |
| Provider Name | Martina Burn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033565775 PECOS PAC ID: 0840584678 Enrollment ID: I20230815001933 |
| Provider Name | Jack Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104356500 PECOS PAC ID: 2668744426 Enrollment ID: I20230816003429 |
| Provider Name | Blaine Robert Boverhuis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275210338 PECOS PAC ID: 5991167363 Enrollment ID: I20230816003745 |
| Provider Name | Rashedat B Oshodi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104448638 PECOS PAC ID: 6204298532 Enrollment ID: I20230817002119 |
| Provider Name | Noel Slesinger Roy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881373835 PECOS PAC ID: 2163884230 Enrollment ID: I20230822001657 |
| Provider Name | Anna Alyce Munson Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538841267 PECOS PAC ID: 8426410507 Enrollment ID: I20230822001705 |
| Provider Name | Jennifer Anne Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326203829 PECOS PAC ID: 5294148805 Enrollment ID: I20230823000686 |
| Provider Name | Emily Digravina Moccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891472924 PECOS PAC ID: 7719340876 Enrollment ID: I20230823001478 |
| Provider Name | Rachel Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770265647 PECOS PAC ID: 8224491212 Enrollment ID: I20230823003200 |
| 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 | Lucas Gockel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477267979 PECOS PAC ID: 0648633586 Enrollment ID: I20230825000898 |
| Provider Name | Micaela J Lichtenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487336343 PECOS PAC ID: 6901269778 Enrollment ID: I20230825002404 |
| Provider Name | Katlyn Elizabeth Dahlstrom |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093082752 PECOS PAC ID: 4688910896 Enrollment ID: I20230830001970 |
| Provider Name | Mihir Milind Joshi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760844179 PECOS PAC ID: 4385047257 Enrollment ID: I20230830002111 |
| Provider Name | Pilar Dritz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043984669 PECOS PAC ID: 7315342748 Enrollment ID: I20230830002693 |
| Provider Name | Leann Rose Ottomeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952935512 PECOS PAC ID: 3971742750 Enrollment ID: I20230831002915 |
| Provider Name | Zuzanna Kuchta Nahum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962182428 PECOS PAC ID: 7719340165 Enrollment ID: I20230831003949 |
| Provider Name | Michael A Lew |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720427768 PECOS PAC ID: 6204070964 Enrollment ID: I20230901001106 |
| Provider Name | Adrianne Leonardelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750968319 PECOS PAC ID: 3173986437 Enrollment ID: I20230905000616 |
| 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 | Chengying Ruan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871377499 PECOS PAC ID: 9537523691 Enrollment ID: I20230908000901 |
| Provider Name | Laura Modl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093402273 PECOS PAC ID: 4688038268 Enrollment ID: I20230914004100 |
| Provider Name | Michael Keegan Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467746818 PECOS PAC ID: 7113146861 Enrollment ID: I20230917000036 |
| Provider Name | Corrie Elizabeth Campion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841075728 PECOS PAC ID: 3779947098 Enrollment ID: I20230919003484 |
| Provider Name | Andrew J Sheehan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326500117 PECOS PAC ID: 2860720471 Enrollment ID: I20230920003034 |
| 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 | Karen Kay Powell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376961409 PECOS PAC ID: 7113147562 Enrollment ID: I20230925003166 |
| Provider Name | June Sigman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003877192 PECOS PAC ID: 3870676216 Enrollment ID: I20230926001266 |
| Provider Name | Madison Kalenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396522512 PECOS PAC ID: 1850745753 Enrollment ID: I20230926003730 |
| Provider Name | Angela Lisa Tuchtenhagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427739432 PECOS PAC ID: 9032563853 Enrollment ID: I20230928000301 |
| Provider Name | Ryan William Nelson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1649634221 PECOS PAC ID: 9830577410 Enrollment ID: I20230928002073 |
| Provider Name | Lindsay Barriere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235753831 PECOS PAC ID: 7517311202 Enrollment ID: I20230928003965 |
| Provider Name | Holly Brandenburg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285412783 PECOS PAC ID: 5496109985 Enrollment ID: I20231003000911 |
| Provider Name | Satoshi Miyairi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275140378 PECOS PAC ID: 6305224239 Enrollment ID: I20231005000324 |
| Provider Name | Colleen Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992583181 PECOS PAC ID: 7618322710 Enrollment ID: I20231010001573 |
| Provider Name | Titi Taiwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033851209 PECOS PAC ID: 1153776877 Enrollment ID: I20231016000744 |
| Provider Name | Jade Matraca Blaser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316574866 PECOS PAC ID: 1759736457 Enrollment ID: I20231016002922 |
| Provider Name | Hannah Marie James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083494694 PECOS PAC ID: 3173978624 Enrollment ID: I20231018002545 |
| Provider Name | Carrie Ann Warns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164205365 PECOS PAC ID: 4082060512 Enrollment ID: I20231019002236 |
| Provider Name | Samantha Macy Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104517291 PECOS PAC ID: 1052767597 Enrollment ID: I20231019002794 |
| Provider Name | Lauren Ashley Hindt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821778804 PECOS PAC ID: 4587010996 Enrollment ID: I20231020002307 |
| Provider Name | Molly Devlin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497252092 PECOS PAC ID: 3476909896 Enrollment ID: I20231020002419 |
| Provider Name | John Rhodes Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679954192 PECOS PAC ID: 2860703832 Enrollment ID: I20231020002874 |
| Provider Name | Neal Rajan Godse |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326579350 PECOS PAC ID: 5991073363 Enrollment ID: I20231023001322 |
| Provider Name | Andrew Thomas Thornton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043878713 PECOS PAC ID: 9234463282 Enrollment ID: I20231023002118 |
| Provider Name | Molly Laduch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588344220 PECOS PAC ID: 8921454018 Enrollment ID: I20231025003191 |
| Provider Name | Kali Jo Templin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932982410 PECOS PAC ID: 8729434675 Enrollment ID: I20231027003106 |
| Provider Name | Jessica Lee Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750002929 PECOS PAC ID: 4789030545 Enrollment ID: I20231031000443 |
| Provider Name | Johnathone Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851915557 PECOS PAC ID: 8820419468 Enrollment ID: I20231102002333 |
| Provider Name | Elaine K Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750426979 PECOS PAC ID: 0143677609 Enrollment ID: I20231106002696 |
| Provider Name | Lulwa El Zein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508532060 PECOS PAC ID: 3375926959 Enrollment ID: I20231107002171 |
| Provider Name | Ali Novin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124674635 PECOS PAC ID: 3678909744 Enrollment ID: I20231109001018 |
| Provider Name | April Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538426432 PECOS PAC ID: 4284006503 Enrollment ID: I20231109003663 |
| 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 | Amelia Anne Rooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861926925 PECOS PAC ID: 7214200724 Enrollment ID: I20231113002779 |
| Provider Name | Kyrsten Theodotou |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528498714 PECOS PAC ID: 0749637684 Enrollment ID: I20231114002288 |
| Provider Name | Kathaleen Jo Stone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376045575 PECOS PAC ID: 2466800750 Enrollment ID: I20231127003294 |
| Provider Name | Jungjin Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528488376 PECOS PAC ID: 7618228891 Enrollment ID: I20231128000498 |
| 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 | Jay Geerdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568190825 PECOS PAC ID: 1254715972 Enrollment ID: I20231129003237 |
| Provider Name | Alex Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619466992 PECOS PAC ID: 4284988619 Enrollment ID: I20231204001983 |
| Provider Name | Erica Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518428192 PECOS PAC ID: 4880041342 Enrollment ID: I20231205002659 |
| Provider Name | Bradley Spence |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437642360 PECOS PAC ID: 8527319474 Enrollment ID: I20231206000698 |
| Provider Name | Kerith Lijewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093708588 PECOS PAC ID: 2961483763 Enrollment ID: I20231208001704 |
| Provider Name | Kendal Hayley Pearson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770269417 PECOS PAC ID: 6103275441 Enrollment ID: I20231212000745 |
| Provider Name | Sana Aaron Zekri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013371624 PECOS PAC ID: 1951735323 Enrollment ID: I20231215002123 |
| Provider Name | Colleen M Mcguire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376718403 PECOS PAC ID: 2567635626 Enrollment ID: I20231215002641 |
| Provider Name | Bryan Jarred Cole |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053726117 PECOS PAC ID: 0244680130 Enrollment ID: I20231218004003 |
| Provider Name | Nicole Grages |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609180496 PECOS PAC ID: 0345690103 Enrollment ID: I20231220002644 |
| Provider Name | Timothy Leland Shih |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023351830 PECOS PAC ID: 1850600032 Enrollment ID: I20231220003189 |
| Provider Name | Jeffrey Scott Davies |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124178108 PECOS PAC ID: 3375950975 Enrollment ID: I20231221000331 |
| Provider Name | Andria Botzet |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477093953 PECOS PAC ID: 2769832302 Enrollment ID: I20231222001980 |
| Provider Name | Rachel Anne Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407638828 PECOS PAC ID: 3072963529 Enrollment ID: I20231222002640 |
| Provider Name | Jessica Ritchey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962959684 PECOS PAC ID: 8325498843 Enrollment ID: I20231226001329 |
| Provider Name | Kelle Anne-kasner Kirk |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477800928 PECOS PAC ID: 6002266459 Enrollment ID: I20231227001282 |
| Provider Name | Stephen John Palmer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396927869 PECOS PAC ID: 9537519913 Enrollment ID: I20231227002147 |
| Provider Name | Nicole Marie-ange Overby |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689184079 PECOS PAC ID: 0749630168 Enrollment ID: I20231228000321 |
| Provider Name | Logan Kovacs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942972112 PECOS PAC ID: 0648620070 Enrollment ID: I20231228000665 |
| Provider Name | Owen Karcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023404852 PECOS PAC ID: 7810347242 Enrollment ID: I20231228000686 |
| Provider Name | Kathleen Ann Widmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366227910 PECOS PAC ID: 0446600704 Enrollment ID: I20231228001999 |
| Provider Name | Mavel Gutierrez-jaramillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649443680 PECOS PAC ID: 0547431249 Enrollment ID: I20231229001651 |
| Provider Name | Abby Girard |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891054789 PECOS PAC ID: 7618327883 Enrollment ID: I20231229002339 |
| Provider Name | Victoria Sattarova |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497314421 PECOS PAC ID: 2860727104 Enrollment ID: I20231229002604 |
| Provider Name | Matthew Brent Merriman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043385503 PECOS PAC ID: 4981054178 Enrollment ID: I20240101000095 |
| Provider Name | Jacques Bertrand Duce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780958512 PECOS PAC ID: 9133576952 Enrollment ID: I20240101000264 |
| 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 | Ashley Marie O'hearn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659874782 PECOS PAC ID: 1052761103 Enrollment ID: I20240102001909 |
| Provider Name | Jon Butala |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568872216 PECOS PAC ID: 9234589235 Enrollment ID: I20240102003864 |
| Provider Name | Sara L Parizek |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083848287 PECOS PAC ID: 8729439781 Enrollment ID: I20240104000868 |
| Provider Name | Marinda L Rebhahn |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972675544 PECOS PAC ID: 5092166975 Enrollment ID: I20240104002164 |
| Provider Name | Kristy Cynthia Collier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700491883 PECOS PAC ID: 6305256991 Enrollment ID: I20240104004304 |
| Provider Name | Brooke Allan Topalof |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346390523 PECOS PAC ID: 9931550589 Enrollment ID: I20240108004144 |
| Provider Name | Maria Andersen Keeler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174765242 PECOS PAC ID: 4385095850 Enrollment ID: I20240109002353 |
| Provider Name | Allison Merriman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235402074 PECOS PAC ID: 3173974649 Enrollment ID: I20240109002445 |
| Provider Name | Jocelyn Kehr Sparby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336768738 PECOS PAC ID: 1850742339 Enrollment ID: I20240109002960 |
| Provider Name | Kathryn A Eberley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346888609 PECOS PAC ID: 6800247396 Enrollment ID: I20240109003196 |
| Provider Name | Kimberly Mitlyng |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477981397 PECOS PAC ID: 1951752443 Enrollment ID: I20240109003323 |
| Provider Name | Kristen English |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871901884 PECOS PAC ID: 1052769635 Enrollment ID: I20240110002114 |
| Provider Name | Molly Meierding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548824915 PECOS PAC ID: 6406262179 Enrollment ID: I20240110002689 |
| Provider Name | Jessica Feider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912453440 PECOS PAC ID: 0345698007 Enrollment ID: I20240110004101 |
| Provider Name | Rachel Jenny Munson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518569847 PECOS PAC ID: 5890146195 Enrollment ID: I20240111001689 |
| Provider Name | Anthony Arthur Duhn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407462849 PECOS PAC ID: 3476904780 Enrollment ID: I20240111001921 |
| Provider Name | Allison Flaherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386983807 PECOS PAC ID: 6305294083 Enrollment ID: I20240111002785 |
| Provider Name | Angela Weber Haag |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437789864 PECOS PAC ID: 7315394004 Enrollment ID: I20240111002884 |
| Provider Name | Natasha Marie Gunderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306474036 PECOS PAC ID: 6002263969 Enrollment ID: I20240111003292 |
| Provider Name | Leslie Hong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821396086 PECOS PAC ID: 8325330202 Enrollment ID: I20240111003422 |
| Provider Name | Josette Croud |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265108625 PECOS PAC ID: 3577911106 Enrollment ID: I20240114000010 |
| Provider Name | Hanna Kristen Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497344428 PECOS PAC ID: 0143672279 Enrollment ID: I20240115000109 |
| Provider Name | Jennifer Connor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689739179 PECOS PAC ID: 1557713526 Enrollment ID: I20240116002634 |
| Provider Name | Shelby Ann Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932977667 PECOS PAC ID: 2365894185 Enrollment ID: I20240117003344 |
| Provider Name | Clayton Chen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598837569 PECOS PAC ID: 7214114099 Enrollment ID: I20240117003392 |
| Provider Name | Tai J Mendenhall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346356938 PECOS PAC ID: 4789036476 Enrollment ID: I20240118001221 |
| 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 | Khadra Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104276070 PECOS PAC ID: 4880046242 Enrollment ID: I20240122001894 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20240122003058 |
| 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 | Luke T Bushman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346716420 PECOS PAC ID: 3870946064 Enrollment ID: I20240124000806 |
| Provider Name | Grace Louise Hanssens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477323509 PECOS PAC ID: 3173976313 Enrollment ID: I20240124002564 |
| Provider Name | Chelsey Backer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841665304 PECOS PAC ID: 9234545971 Enrollment ID: I20240124003696 |
| Provider Name | Walid Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417374372 PECOS PAC ID: 5496045767 Enrollment ID: I20240124003931 |
| Provider Name | Britt Emily Pennington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750051470 PECOS PAC ID: 4082067848 Enrollment ID: I20240129000111 |
| Provider Name | George V Chesteen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083053573 PECOS PAC ID: 8729333646 Enrollment ID: I20240129001598 |
| Provider Name | Ian Jun Okazaki |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841304409 PECOS PAC ID: 5496883548 Enrollment ID: I20240129004366 |
| Provider Name | Reed D Klompenhower |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821867912 PECOS PAC ID: 5294188785 Enrollment ID: I20240131004273 |
| Provider Name | Lisa J Lippold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306382007 PECOS PAC ID: 8224481536 Enrollment ID: I20240201003914 |
| Provider Name | Patrick Stephen Robinson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215424585 PECOS PAC ID: 0648623934 Enrollment ID: I20240202002254 |
| Provider Name | Andrew Najafalipour |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558910158 PECOS PAC ID: 4385087485 Enrollment ID: I20240206001196 |
| Provider Name | Khoa Dang Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20240206001525 |
| Provider Name | Laura Hope Menne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639811862 PECOS PAC ID: 6204279342 Enrollment ID: I20240206002750 |
| Provider Name | Lynanne Evenson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639645898 PECOS PAC ID: 2466895511 Enrollment ID: I20240206003223 |
| Provider Name | Victor Hugo Figueroa Arenas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003677535 PECOS PAC ID: 4587007398 Enrollment ID: I20240208002899 |
| Provider Name | Kathryn Strandell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073997631 PECOS PAC ID: 4385087196 Enrollment ID: I20240208002955 |
| Provider Name | Ethan Bassett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710277769 PECOS PAC ID: 0648589051 Enrollment ID: I20240212002506 |
| Provider Name | Abigail Laurel Burris |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396267282 PECOS PAC ID: 5395188759 Enrollment ID: I20240213002241 |
| Provider Name | Dominique Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083369490 PECOS PAC ID: 4688022205 Enrollment ID: I20240214000160 |
| Provider Name | Bradley John Otto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841649084 PECOS PAC ID: 6800189697 Enrollment ID: I20240214000194 |
| Provider Name | Nicole White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346677937 PECOS PAC ID: 7214385962 Enrollment ID: I20240214001448 |
| Provider Name | Alison Vail |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427627017 PECOS PAC ID: 1153765441 Enrollment ID: I20240214002483 |
| Provider Name | Shee Xiong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932657624 PECOS PAC ID: 4385091073 Enrollment ID: I20240214003692 |
| Provider Name | Emily Groshens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275395105 PECOS PAC ID: 9234573445 Enrollment ID: I20240215002652 |
| Provider Name | Angelina Marie Mcdowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760267652 PECOS PAC ID: 2062856123 Enrollment ID: I20240216000030 |
| Provider Name | Donald Baracskay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760564207 PECOS PAC ID: 3072406891 Enrollment ID: I20240217000713 |
| Provider Name | Rebecca Prosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295971422 PECOS PAC ID: 8426429325 Enrollment ID: I20240220002677 |
| Provider Name | Boris Abrams Haymson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689436461 PECOS PAC ID: 5799129458 Enrollment ID: I20240221001690 |
| Provider Name | Brittany Heaton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619488145 PECOS PAC ID: 2264889195 Enrollment ID: I20240221004366 |
| Provider Name | Jenna Mae Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447737903 PECOS PAC ID: 5193160620 Enrollment ID: I20240223003095 |
| Provider Name | Jennifer Mcgill-steskal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760245112 PECOS PAC ID: 5193160646 Enrollment ID: I20240223003767 |
| 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 | Erin Hoffman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366751026 PECOS PAC ID: 8224473475 Enrollment ID: I20240228001195 |
| Provider Name | Serena Marie Marez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790238152 PECOS PAC ID: 7719322718 Enrollment ID: I20240229002413 |
| Provider Name | Terri Meldahl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205523586 PECOS PAC ID: 7810332780 Enrollment ID: I20240301000497 |
| Provider Name | Kyle Sterrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568166205 PECOS PAC ID: 0749626273 Enrollment ID: I20240307000144 |
| Provider Name | Angela Sharette Jones Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851156129 PECOS PAC ID: 9739525155 Enrollment ID: I20240307003391 |
| Provider Name | Benjamin Kline |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114468238 PECOS PAC ID: 2365888633 Enrollment ID: I20240308000902 |
| Provider Name | Laura Elizabeth Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215702683 PECOS PAC ID: 6406292630 Enrollment ID: I20240311002635 |
| Provider Name | Nida Akram |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154883122 PECOS PAC ID: 0648500736 Enrollment ID: I20240312002249 |
| Provider Name | Babatunde Safiriyu Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669073029 PECOS PAC ID: 3274979265 Enrollment ID: I20240313000858 |
| Provider Name | Darron Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649767658 PECOS PAC ID: 6406181452 Enrollment ID: I20240313001700 |
| Provider Name | Michael J Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144676685 PECOS PAC ID: 2163709692 Enrollment ID: I20240313003182 |
| Provider Name | Thelma Mckenzi Meier |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083489637 PECOS PAC ID: 5395181267 Enrollment ID: I20240313003929 |
| Provider Name | Yu-hui Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215591524 PECOS PAC ID: 4789918368 Enrollment ID: I20240321001714 |
| Provider Name | Madeline Goodson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689437915 PECOS PAC ID: 5597102764 Enrollment ID: I20240322003679 |
| Provider Name | Syed Muhammed Bilal Naqvi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598865818 PECOS PAC ID: 3577525369 Enrollment ID: I20240326001216 |
| Provider Name | Sabo Uba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508106873 PECOS PAC ID: 4385889849 Enrollment ID: I20240326002926 |
| Provider Name | Anne Marie Mackinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568228120 PECOS PAC ID: 0345687265 Enrollment ID: I20240327000337 |
| Provider Name | Kishore Raja Kishore Raja Raja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255822268 PECOS PAC ID: 9537561428 Enrollment ID: I20240327003145 |
| Provider Name | Nicole Diane Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275392003 PECOS PAC ID: 7214375831 Enrollment ID: I20240402001999 |
| Provider Name | Craig Byersdorfer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679697056 PECOS PAC ID: 6901076389 Enrollment ID: I20240402002768 |
| Provider Name | Angela Lyn Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679749279 PECOS PAC ID: 2062589344 Enrollment ID: I20240403001682 |
| Provider Name | Silvia Dolores Orengo-nania |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861481228 PECOS PAC ID: 7315131489 Enrollment ID: I20240404002626 |
| Provider Name | Tierra Simmons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306306006 PECOS PAC ID: 5496100117 Enrollment ID: I20240405001207 |
| Provider Name | Ece Meram |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932697091 PECOS PAC ID: 6305193293 Enrollment ID: I20240405002877 |
| Provider Name | Lucas Reid Neuburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518555192 PECOS PAC ID: 2365880523 Enrollment ID: I20240405003608 |
| Provider Name | Alexa Rachel Weingarden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205367794 PECOS PAC ID: 1254799398 Enrollment ID: I20240410001316 |
| Provider Name | Yan Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952965071 PECOS PAC ID: 9931437746 Enrollment ID: I20240410001321 |
| Provider Name | Truong Huy Nguyen Do |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023540952 PECOS PAC ID: 6103196084 Enrollment ID: I20240410002046 |
| Provider Name | Meghan L Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831956473 PECOS PAC ID: 3678911591 Enrollment ID: I20240410002825 |
| Provider Name | Bryce Allyn Jorgensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629562921 PECOS PAC ID: 5193164879 Enrollment ID: I20240415000598 |
| Provider Name | Russell Daniel Pluhm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093378499 PECOS PAC ID: 1153758529 Enrollment ID: I20240416001128 |
| Provider Name | Jeffrey Stephen Mella |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407411622 PECOS PAC ID: 8628305711 Enrollment ID: I20240417002593 |
| Provider Name | Victor C Montalvan Ayala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629635503 PECOS PAC ID: 7911368808 Enrollment ID: I20240418000063 |
| Provider Name | Jennifer Lyn Zick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255952073 PECOS PAC ID: 1850718453 Enrollment ID: I20240418000345 |
| Provider Name | Jacob Joseph Stuppy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063093094 PECOS PAC ID: 3072915081 Enrollment ID: I20240419000833 |
| Provider Name | Shari Lu Landreville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689310294 PECOS PAC ID: 9133503667 Enrollment ID: I20240419002307 |
| Provider Name | Salvador Gonzalez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699348110 PECOS PAC ID: 1355746082 Enrollment ID: I20240424000326 |
| Provider Name | Sheryl L Henderson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356386189 PECOS PAC ID: 3476733221 Enrollment ID: I20240424000464 |
| Provider Name | Morenike Fanu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720548365 PECOS PAC ID: 5597105593 Enrollment ID: I20240424001676 |
| Provider Name | Andrea Mary Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730709593 PECOS PAC ID: 5395168884 Enrollment ID: I20240424003932 |
| Provider Name | Hyacinth Escutin Hruby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306611967 PECOS PAC ID: 8628418522 Enrollment ID: I20240425001424 |
| Provider Name | Michael Clifton |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1811429939 PECOS PAC ID: 2961884788 Enrollment ID: I20240425003908 |
| Provider Name | Leisa Katherine Krull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023881935 PECOS PAC ID: 0941640502 Enrollment ID: I20240430000618 |
| Provider Name | Mario Ricardo Funes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679065205 PECOS PAC ID: 9335589647 Enrollment ID: I20240503001720 |
| Provider Name | Alexis Josephine Swenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568028777 PECOS PAC ID: 9638509714 Enrollment ID: I20240508003833 |
| Provider Name | Isabelle Tonsfeldt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851029219 PECOS PAC ID: 1052752474 Enrollment ID: I20240515003312 |
| Provider Name | Nina Mena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306280664 PECOS PAC ID: 9133465222 Enrollment ID: I20240515003810 |
| Provider Name | Mamatha Kadiyala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851382584 PECOS PAC ID: 6002848041 Enrollment ID: I20240516001329 |
| Provider Name | Joseph Fotos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710114186 PECOS PAC ID: 8426360835 Enrollment ID: I20240517002517 |
| Provider Name | Alexis Linares Morales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346096401 PECOS PAC ID: 7517309552 Enrollment ID: I20240522003548 |
| Provider Name | Tonya King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144756586 PECOS PAC ID: 0446513220 Enrollment ID: I20240529002569 |
| Provider Name | Robert Dellavalle |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003881756 PECOS PAC ID: 6002942174 Enrollment ID: I20240603002137 |
| Provider Name | Ida Steingas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346997442 PECOS PAC ID: 2668914938 Enrollment ID: I20240603002148 |
| Provider Name | Lauren Fullerton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134621600 PECOS PAC ID: 7214479344 Enrollment ID: I20240605000036 |
| Provider Name | Todd Costantini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396900064 PECOS PAC ID: 3779732987 Enrollment ID: I20240607001121 |
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 |