| Firsthealth Family Medicine-ellerbe | |
|
112 E Ballard St Ellerbe NC 28338-9730 | |
| (910) 652-2663 | |
| (910) 652-3150 |
| Full Name | Firsthealth Family Medicine-ellerbe |
|---|---|
| Speciality | Family Medicine |
| Location | 112 E Ballard St, Ellerbe, North Carolina |
| Authorized Official Name and Position | Mickey Foster (CEO) |
| Authorized Official Contact | 9107154773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firsthealth Family Medicine-ellerbe Po Box 896208 Charlotte NC 28289-6208 Ph: (910) 652-2663 | Firsthealth Family Medicine-ellerbe 112 E Ballard St Ellerbe NC 28338-9730 Ph: (910) 652-2663 |
| NPI Number | 1336154129 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 06/29/2023 |
| Medicare PECOS PAC ID | 9537481569 |
|---|---|
| Medicare Enrollment ID | O20141202002644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336154129 | NPI | - | NPPES |
| 02AY1 | Other | NC | BCBS |
| CA6647 | Other | NC | RR MEDICARE GROUP # |
| 0225E | Other | NC | BCBS # |
| 1336154129 | Medicaid | NC | |
| 8902804 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9901427 (North Carolina) | Primary |
| Provider Name | Mary T Mandell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891739470 PECOS PAC ID: 3173418761 Enrollment ID: I20040223000052 |
| Provider Name | Martina Dockery Monroe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699779454 PECOS PAC ID: 5698662096 Enrollment ID: I20040301001103 |
| Provider Name | Saul A Salvador |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275580219 PECOS PAC ID: 6507765013 Enrollment ID: I20040727001569 |
| Provider Name | Jolena Beth Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518018688 PECOS PAC ID: 5597736603 Enrollment ID: I20040803000850 |
| Provider Name | Joseph P Isley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447229984 PECOS PAC ID: 6507838901 Enrollment ID: I20040806000843 |
| Provider Name | Ronald J Milewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225079411 PECOS PAC ID: 9234113119 Enrollment ID: I20040820000479 |
| Provider Name | Daniel S Difrischia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942256078 PECOS PAC ID: 2264408764 Enrollment ID: I20040907000710 |
| Provider Name | Steven Paul Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457355406 PECOS PAC ID: 7012983232 Enrollment ID: I20040908001168 |
| Provider Name | Cuong Peter Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750340014 PECOS PAC ID: 0143289199 Enrollment ID: I20041006000683 |
| Provider Name | Akaninyene Sunday Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952358061 PECOS PAC ID: 9537120381 Enrollment ID: I20041025000533 |
| Provider Name | Bohdan W Kopynec |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184619355 PECOS PAC ID: 6103888375 Enrollment ID: I20041029000881 |
| Provider Name | Charlita R Mangrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982693826 PECOS PAC ID: 8820046394 Enrollment ID: I20050111000774 |
| Provider Name | Crystal M Coen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720053143 PECOS PAC ID: 1951352012 Enrollment ID: I20050207000064 |
| Provider Name | Daniel Ray Barnes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417921016 PECOS PAC ID: 8022069079 Enrollment ID: I20050207000812 |
| Provider Name | Leon E Dantzler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285637397 PECOS PAC ID: 0840234613 Enrollment ID: I20050613000882 |
| Provider Name | Angela M Walling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679508253 PECOS PAC ID: 3577508019 Enrollment ID: I20050624000210 |
| Provider Name | Balichand Permashwar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831190776 PECOS PAC ID: 2264468065 Enrollment ID: I20050713000408 |
| Provider Name | Venkata Siva Mannava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588636195 PECOS PAC ID: 1052345493 Enrollment ID: I20050924000027 |
| Provider Name | David C. Luoma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972591725 PECOS PAC ID: 1658396015 Enrollment ID: I20051014000028 |
| Provider Name | Robert Glenn Townsend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225028129 PECOS PAC ID: 1456378462 Enrollment ID: I20051028000807 |
| Provider Name | Nicholas J Lynn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962458356 PECOS PAC ID: 6406877125 Enrollment ID: I20051209000324 |
| Provider Name | Gary G Gammon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427044163 PECOS PAC ID: 7517988181 Enrollment ID: I20051209000734 |
| Provider Name | Lorin E Guillory Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538152525 PECOS PAC ID: 9234151929 Enrollment ID: I20051221001009 |
| Provider Name | Thellie R Ainsley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548381924 PECOS PAC ID: 9335162734 Enrollment ID: I20060111001218 |
| Provider Name | Crystal P Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669490884 PECOS PAC ID: 3375550304 Enrollment ID: I20060315000498 |
| Provider Name | Mark F Medford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033159041 PECOS PAC ID: 7214947324 Enrollment ID: I20060503000284 |
| Provider Name | Chad David Listrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063487130 PECOS PAC ID: 3779595111 Enrollment ID: I20060629000040 |
| Provider Name | Erin Louise Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962470823 PECOS PAC ID: 4284647645 Enrollment ID: I20060801000352 |
| Provider Name | Lauri Patrice Givens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841253135 PECOS PAC ID: 0244235950 Enrollment ID: I20060930000016 |
| Provider Name | Ramey L Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811961048 PECOS PAC ID: 8628075322 Enrollment ID: I20061020000516 |
| Provider Name | Kendall K Garing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881618734 PECOS PAC ID: 5597762088 Enrollment ID: I20061025000583 |
| Provider Name | Eric R Frizzell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144284803 PECOS PAC ID: 7416957261 Enrollment ID: I20070102000157 |
| Provider Name | Charles Ofosu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982637062 PECOS PAC ID: 6002817061 Enrollment ID: I20070118000445 |
| Provider Name | Matthew B Holler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467445429 PECOS PAC ID: 1759383995 Enrollment ID: I20070201000082 |
| Provider Name | Stephen Downer Kicklighter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063421345 PECOS PAC ID: 6901808930 Enrollment ID: I20070205000399 |
| Provider Name | Jerzy A Sopala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629055033 PECOS PAC ID: 3678575537 Enrollment ID: I20070206000024 |
| Provider Name | Steven J Filby |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093827206 PECOS PAC ID: 5395848642 Enrollment ID: I20070307000394 |
| Provider Name | John M Kerr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356325856 PECOS PAC ID: 1951349596 Enrollment ID: I20070313000431 |
| Provider Name | Saqib Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093899494 PECOS PAC ID: 4587769419 Enrollment ID: I20070420000269 |
| Provider Name | Suzanne Lee Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619996121 PECOS PAC ID: 8426154808 Enrollment ID: I20070501000406 |
| Provider Name | Sharon L Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508905480 PECOS PAC ID: 5991803421 Enrollment ID: I20070607000314 |
| Provider Name | William Lee Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619971694 PECOS PAC ID: 7315038353 Enrollment ID: I20070806000755 |
| Provider Name | Thomas W Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700855244 PECOS PAC ID: 6800988940 Enrollment ID: I20070828001117 |
| Provider Name | Aman Arora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700091881 PECOS PAC ID: 9234223512 Enrollment ID: I20070917000800 |
| Provider Name | Cecilia V Ainolhayat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255397105 PECOS PAC ID: 6507951084 Enrollment ID: I20070927001087 |
| Provider Name | Betty B Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841389053 PECOS PAC ID: 6709971013 Enrollment ID: I20071002000411 |
| Provider Name | John E. Flannery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134164197 PECOS PAC ID: 1153410626 Enrollment ID: I20071205000735 |
| Provider Name | John M Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134122500 PECOS PAC ID: 3375632664 Enrollment ID: I20071210000502 |
| Provider Name | Mebrahtom Woldu Tesfai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023297397 PECOS PAC ID: 0941390751 Enrollment ID: I20071217000788 |
| Provider Name | James W John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588628549 PECOS PAC ID: 1153411475 Enrollment ID: I20071226000175 |
| Provider Name | Daniel J Feinstein |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922060045 PECOS PAC ID: 6002895497 Enrollment ID: I20080326000516 |
| Provider Name | Dorothy Margaret Mixa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912968249 PECOS PAC ID: 1759300601 Enrollment ID: I20080402000439 |
| Provider Name | Joseph G Gibbons |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134173933 PECOS PAC ID: 9133162688 Enrollment ID: I20080416000665 |
| Provider Name | Kathleen H Prussian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629136841 PECOS PAC ID: 0941370076 Enrollment ID: I20080602000539 |
| Provider Name | Julie G Baugher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245218999 PECOS PAC ID: 2961574629 Enrollment ID: I20080712000110 |
| Provider Name | Aaron Gavett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124229703 PECOS PAC ID: 6204909500 Enrollment ID: I20080721000032 |
| Provider Name | Amanda H Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801061361 PECOS PAC ID: 4082789466 Enrollment ID: I20080819000919 |
| Provider Name | Artur C Mixa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861650475 PECOS PAC ID: 8527134691 Enrollment ID: I20080915000261 |
| Provider Name | Simbiso Ranga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225204191 PECOS PAC ID: 2860560182 Enrollment ID: I20081014000075 |
| Provider Name | Romain Athus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700877677 PECOS PAC ID: 8123053808 Enrollment ID: I20081017000421 |
| Provider Name | Wesam G Yacoub |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518992239 PECOS PAC ID: 0941369821 Enrollment ID: I20081106000687 |
| Provider Name | Darrell G Simpkins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184661258 PECOS PAC ID: 0840369484 Enrollment ID: I20081110000444 |
| Provider Name | Omar D Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679759401 PECOS PAC ID: 2062573017 Enrollment ID: I20081209000360 |
| Provider Name | Valerie Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194769893 PECOS PAC ID: 1850341116 Enrollment ID: I20090822000121 |
| Provider Name | Jude O Ojie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376742015 PECOS PAC ID: 6103971163 Enrollment ID: I20090827000547 |
| Provider Name | Van Slaughter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285827451 PECOS PAC ID: 2961557525 Enrollment ID: I20090902000687 |
| Provider Name | Stephen K Chiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194924860 PECOS PAC ID: 4880749480 Enrollment ID: I20090903000376 |
| Provider Name | Ononlunose Arhuidese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841523131 PECOS PAC ID: 7517003551 Enrollment ID: I20091006000293 |
| Provider Name | Garnett Marcus Lowry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790775690 PECOS PAC ID: 5395884720 Enrollment ID: I20091125000009 |
| Provider Name | Daniel Crawford Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669460374 PECOS PAC ID: 2163563727 Enrollment ID: I20100105000617 |
| Provider Name | Robert L Deucher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922042662 PECOS PAC ID: 3678585718 Enrollment ID: I20100218000885 |
| Provider Name | Philip G Mondi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316982580 PECOS PAC ID: 9931105806 Enrollment ID: I20100322000334 |
| Provider Name | Thomas R Leonard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194728949 PECOS PAC ID: 6608974944 Enrollment ID: I20100331000833 |
| Provider Name | Jenifir J Bruno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255370045 PECOS PAC ID: 5395871032 Enrollment ID: I20100331001293 |
| Provider Name | Stephen A Szabo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689698771 PECOS PAC ID: 5597840280 Enrollment ID: I20100423000399 |
| Provider Name | John P Shoffeitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831397702 PECOS PAC ID: 9436280807 Enrollment ID: I20100629000213 |
| Provider Name | Mohamed A Ibrahim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245404532 PECOS PAC ID: 7214092667 Enrollment ID: I20100806000396 |
| Provider Name | Katherine T Blackmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518272632 PECOS PAC ID: 9638294002 Enrollment ID: I20100909000488 |
| Provider Name | James R Liffrig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508937970 PECOS PAC ID: 1355537077 Enrollment ID: I20101120000006 |
| Provider Name | Marcia H Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558365403 PECOS PAC ID: 1153458385 Enrollment ID: I20101129000553 |
| Provider Name | Nilima R Mosaly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417166067 PECOS PAC ID: 4385715242 Enrollment ID: I20110222000522 |
| Provider Name | Ovidiu-gabriel Silasi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619915691 PECOS PAC ID: 1557461258 Enrollment ID: I20110620000311 |
| Provider Name | Michael D Nissen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417077827 PECOS PAC ID: 9234307729 Enrollment ID: I20110728000265 |
| Provider Name | George J Shalhoub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194989798 PECOS PAC ID: 9931372539 Enrollment ID: I20111026000767 |
| Provider Name | Thomas J Bice |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013171735 PECOS PAC ID: 8022154418 Enrollment ID: I20111109000040 |
| Provider Name | Prakash Khanal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053561498 PECOS PAC ID: 0547453284 Enrollment ID: I20120221001107 |
| Provider Name | Darrell Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396891776 PECOS PAC ID: 7315000932 Enrollment ID: I20120605000504 |
| Provider Name | Sarah Marie Gore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124286810 PECOS PAC ID: 3173789039 Enrollment ID: I20120720000077 |
| Provider Name | Julia Lynne Mabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861772121 PECOS PAC ID: 3476701210 Enrollment ID: I20120919000691 |
| Provider Name | Richard W Hilliard |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1710116959 PECOS PAC ID: 4082863170 Enrollment ID: I20121004000741 |
| Provider Name | Bharat Subba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780883983 PECOS PAC ID: 5890835268 Enrollment ID: I20121018000406 |
| Provider Name | Mohan Shrestha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568638641 PECOS PAC ID: 5395804355 Enrollment ID: I20121206000525 |
| Provider Name | Robert M Watt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881681500 PECOS PAC ID: 1557535416 Enrollment ID: I20130214000445 |
| Provider Name | Richard E Cunanan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730387630 PECOS PAC ID: 0547455693 Enrollment ID: I20130328000345 |
| Provider Name | Kristen M Bilinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396013769 PECOS PAC ID: 6507024684 Enrollment ID: I20130426000630 |
| Provider Name | Tonya E Eteo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134562382 PECOS PAC ID: 0547408502 Enrollment ID: I20130603000385 |
| Provider Name | Ohigbai Ailende Egwaikhide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932399615 PECOS PAC ID: 6406048867 Enrollment ID: I20130815000337 |
| Provider Name | Mary C Moree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235457714 PECOS PAC ID: 6709029655 Enrollment ID: I20130826000617 |
| Provider Name | Charles Basil Howarth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932165552 PECOS PAC ID: 3577453752 Enrollment ID: I20130827000595 |
| Provider Name | Roberto Sanchez Gutierrez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164625182 PECOS PAC ID: 6608064472 Enrollment ID: I20130904000810 |
| Provider Name | Scott Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285605840 PECOS PAC ID: 9436391547 Enrollment ID: I20130920000049 |
| Provider Name | Neal Arledge Dejong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235387028 PECOS PAC ID: 1557512043 Enrollment ID: I20131009000557 |
| Provider Name | Mariel K Gillham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952620460 PECOS PAC ID: 3678708914 Enrollment ID: I20131023000104 |
| Provider Name | Varshaben Magansinh Songara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396979449 PECOS PAC ID: 5294988622 Enrollment ID: I20131108000852 |
| Provider Name | Sarah Uffindell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023044351 PECOS PAC ID: 9234271149 Enrollment ID: I20131115001412 |
| Provider Name | Steven C Lewis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336222371 PECOS PAC ID: 7517194475 Enrollment ID: I20131220001484 |
| Provider Name | Craig Hamilton Barstow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215114160 PECOS PAC ID: 1557599008 Enrollment ID: I20140108001964 |
| Provider Name | Wendy G Roca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619290731 PECOS PAC ID: 1557590650 Enrollment ID: I20140213000985 |
| Provider Name | Adam R Belanger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568621332 PECOS PAC ID: 0446481139 Enrollment ID: I20140321001013 |
| Provider Name | Tonya Fisher Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245575539 PECOS PAC ID: 3375775372 Enrollment ID: I20140404001523 |
| Provider Name | Benjamin Stribling Alexander |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114945987 PECOS PAC ID: 2961635735 Enrollment ID: I20140501000416 |
| Provider Name | Stephanie A Grotzke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477874972 PECOS PAC ID: 3577793512 Enrollment ID: I20140519001630 |
| Provider Name | Tricia L Reich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841617321 PECOS PAC ID: 7416174719 Enrollment ID: I20140811001107 |
| Provider Name | Paul Vansweden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932428885 PECOS PAC ID: 2961620067 Enrollment ID: I20140903001145 |
| Provider Name | Melanie Blacker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427217595 PECOS PAC ID: 8628214392 Enrollment ID: I20140905002440 |
| Provider Name | Rhonda Michelle Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265776553 PECOS PAC ID: 5698914687 Enrollment ID: I20140930001734 |
| Provider Name | Mary Belle Weitzel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851687487 PECOS PAC ID: 9133349756 Enrollment ID: I20141002001948 |
| Provider Name | Nicole Sarah Mcmahon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174766109 PECOS PAC ID: 2769647361 Enrollment ID: I20141009000926 |
| Provider Name | Marc G Granata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508162207 PECOS PAC ID: 3779715446 Enrollment ID: I20141016001860 |
| Provider Name | Julie Lynn Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033314117 PECOS PAC ID: 2062633779 Enrollment ID: I20141022001265 |
| Provider Name | Tabitha Marie Bedini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003104092 PECOS PAC ID: 7618109950 Enrollment ID: I20141027001771 |
| Provider Name | Warren Charles Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245232123 PECOS PAC ID: 8628156304 Enrollment ID: I20141224000133 |
| Provider Name | Johnny A Dias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659500072 PECOS PAC ID: 0547583346 Enrollment ID: I20141231002072 |
| Provider Name | Warren T Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659500650 PECOS PAC ID: 1456574763 Enrollment ID: I20150304000545 |
| Provider Name | Walda Stacia Pinn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700026127 PECOS PAC ID: 3577880376 Enrollment ID: I20150316000526 |
| Provider Name | Ejaz Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205099553 PECOS PAC ID: 1355526500 Enrollment ID: I20150413000209 |
| Provider Name | Gleybis Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952682973 PECOS PAC ID: 2567689649 Enrollment ID: I20150430000015 |
| Provider Name | Egya Nyameke Chinbuah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689989204 PECOS PAC ID: 6002008620 Enrollment ID: I20150519001116 |
| Provider Name | Carl Pavel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326067950 PECOS PAC ID: 9133359615 Enrollment ID: I20150522000060 |
| Provider Name | Nicole H Odom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659508885 PECOS PAC ID: 1557682473 Enrollment ID: I20150604000293 |
| Provider Name | Rajasekhar Katuru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336437680 PECOS PAC ID: 6507170206 Enrollment ID: I20150807014005 |
| Provider Name | Sujatha Soma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912160375 PECOS PAC ID: 2264607092 Enrollment ID: I20150915003541 |
| Provider Name | David Hosseini Emmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528436524 PECOS PAC ID: 8022327725 Enrollment ID: I20151020002055 |
| Provider Name | Elizabeth C Turney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609196583 PECOS PAC ID: 5092931584 Enrollment ID: I20151118003150 |
| Provider Name | Robin Edwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871756890 PECOS PAC ID: 1153467352 Enrollment ID: I20151120001986 |
| Provider Name | Tamara M Meekins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528354511 PECOS PAC ID: 3678711389 Enrollment ID: I20151122000018 |
| Provider Name | Ravi K Jasti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144649146 PECOS PAC ID: 3476855412 Enrollment ID: I20160107000734 |
| Provider Name | Kathy Juanita Horne Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043698848 PECOS PAC ID: 7810290137 Enrollment ID: I20160120002392 |
| Provider Name | Valencia Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245604875 PECOS PAC ID: 1153626593 Enrollment ID: I20160224000001 |
| Provider Name | Mir M Ikramullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871817817 PECOS PAC ID: 8921244013 Enrollment ID: I20160302001791 |
| Provider Name | Christopher P Jordan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508006222 PECOS PAC ID: 9436393253 Enrollment ID: I20160309002329 |
| Provider Name | Teresa M Synowiez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336507714 PECOS PAC ID: 8729386438 Enrollment ID: I20160413001789 |
| Provider Name | Kelly Edward Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275897027 PECOS PAC ID: 9638497902 Enrollment ID: I20160429001764 |
| Provider Name | Janine Hepler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528424082 PECOS PAC ID: 8527367051 Enrollment ID: I20160504000936 |
| Provider Name | Moushumi Ahmed Shumi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184749426 PECOS PAC ID: 4486735008 Enrollment ID: I20160518001658 |
| Provider Name | Devam Pareshkumar Sheth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104164367 PECOS PAC ID: 1456659044 Enrollment ID: I20160624000580 |
| Provider Name | Alexey Borisovich Melkumov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548609936 PECOS PAC ID: 7113212986 Enrollment ID: I20160818002392 |
| Provider Name | Evelyn Gabuya Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285094045 PECOS PAC ID: 6002114626 Enrollment ID: I20160822001851 |
| Provider Name | Nishith Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518209303 PECOS PAC ID: 8729373980 Enrollment ID: I20160826001027 |
| Provider Name | Patrick Twum-barimah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003253931 PECOS PAC ID: 6709178940 Enrollment ID: I20160831002141 |
| Provider Name | Brian J Sachs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316250871 PECOS PAC ID: 9234307786 Enrollment ID: I20160912002126 |
| Provider Name | Jonathan Diaz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578856159 PECOS PAC ID: 8224255633 Enrollment ID: I20161017000019 |
| Provider Name | Julie Coggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023566544 PECOS PAC ID: 3678852092 Enrollment ID: I20161108000290 |
| Provider Name | David Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356622419 PECOS PAC ID: 8820261332 Enrollment ID: I20161128000392 |
| Provider Name | Jennifer Ann Muzzy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609217603 PECOS PAC ID: 5991931842 Enrollment ID: I20161213001157 |
| Provider Name | Kishore Reddy Rasamallu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568667863 PECOS PAC ID: 1254427388 Enrollment ID: I20161219000068 |
| Provider Name | Bobbi Jean Parsons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578712113 PECOS PAC ID: 5092879320 Enrollment ID: I20161220002548 |
| Provider Name | Joseph Eisele Gillham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053624296 PECOS PAC ID: 7214204221 Enrollment ID: I20170523001428 |
| Provider Name | Leslie Purvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437696150 PECOS PAC ID: 2961779657 Enrollment ID: I20170531001626 |
| Provider Name | Karoline Regina Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154765345 PECOS PAC ID: 0345554911 Enrollment ID: I20170714000237 |
| Provider Name | Casey Ann Crozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427578905 PECOS PAC ID: 3072884865 Enrollment ID: I20170814001044 |
| Provider Name | Christine Monique Lucarelli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730168949 PECOS PAC ID: 5395736565 Enrollment ID: I20170821000130 |
| Provider Name | Teresa L Do |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164842167 PECOS PAC ID: 7719282839 Enrollment ID: I20170911000897 |
| Provider Name | Jessica Lynn Danison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477874618 PECOS PAC ID: 2163640590 Enrollment ID: I20170925002385 |
| Provider Name | Michele Lisa Devita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366992273 PECOS PAC ID: 1557649290 Enrollment ID: I20171002001593 |
| Provider Name | Ann Marie T Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942611280 PECOS PAC ID: 6305062332 Enrollment ID: I20171013002214 |
| Provider Name | Annette Coble Willett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366756322 PECOS PAC ID: 7113292392 Enrollment ID: I20171014000470 |
| Provider Name | Musue Kaneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194006973 PECOS PAC ID: 9234369380 Enrollment ID: I20171018003507 |
| Provider Name | Nimit Patidar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982016317 PECOS PAC ID: 1052687845 Enrollment ID: I20171023002335 |
| Provider Name | Elizabeth Univa Woodley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306355060 PECOS PAC ID: 1850657677 Enrollment ID: I20171113000024 |
| Provider Name | Margaret Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588188155 PECOS PAC ID: 4284990953 Enrollment ID: I20171113002788 |
| Provider Name | Sifiso Rodger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477812782 PECOS PAC ID: 4284898727 Enrollment ID: I20171120001362 |
| Provider Name | Brook P Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033489943 PECOS PAC ID: 8022339803 Enrollment ID: I20171205000871 |
| Provider Name | Nathaniel Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245679422 PECOS PAC ID: 0345475489 Enrollment ID: I20171218001479 |
| Provider Name | Brian Thomas Shahan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497982839 PECOS PAC ID: 0143588921 Enrollment ID: I20171228000566 |
| Provider Name | Richard Warren Dickson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326040643 PECOS PAC ID: 2860553815 Enrollment ID: I20180205001852 |
| Provider Name | Jason Joung Woo Nam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689013054 PECOS PAC ID: 6901024785 Enrollment ID: I20180226002696 |
| Provider Name | Mustafa S Al Lami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689088361 PECOS PAC ID: 7618233156 Enrollment ID: I20180302000236 |
| Provider Name | Michael A Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770091571 PECOS PAC ID: 3870855505 Enrollment ID: I20180316002137 |
| Provider Name | Kenton Dover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063857902 PECOS PAC ID: 7315165016 Enrollment ID: I20180510002333 |
| Provider Name | David Wayne Van Wyck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316173503 PECOS PAC ID: 1557626306 Enrollment ID: I20180525000763 |
| Provider Name | Insaf Ally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750635801 PECOS PAC ID: 2769612738 Enrollment ID: I20180529002173 |
| Provider Name | Karen S. Burgoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487632063 PECOS PAC ID: 5092710509 Enrollment ID: I20180702000399 |
| Provider Name | Patricia Ann Convery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093973075 PECOS PAC ID: 2466609532 Enrollment ID: I20180807000805 |
| Provider Name | Douglas F Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760666879 PECOS PAC ID: 8022235993 Enrollment ID: I20180919004043 |
| Provider Name | Daniel Jonathan Dunlap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528449956 PECOS PAC ID: 8628371135 Enrollment ID: I20180928002182 |
| Provider Name | Addison Di Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366836942 PECOS PAC ID: 3072818236 Enrollment ID: I20181004003031 |
| Provider Name | Hanie Abdel Masih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003202458 PECOS PAC ID: 1153675236 Enrollment ID: I20181107002716 |
| Provider Name | Russell Raymond Miller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386791184 PECOS PAC ID: 2769561919 Enrollment ID: I20181205003060 |
| Provider Name | Jennifer Picerno Bowyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083197115 PECOS PAC ID: 3072857705 Enrollment ID: I20181205003761 |
| Provider Name | Lisa Rachel Lindauer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649436692 PECOS PAC ID: 7618146655 Enrollment ID: I20181210000367 |
| Provider Name | Samuel Michael Costantini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851468771 PECOS PAC ID: 5799964698 Enrollment ID: I20181228000268 |
| Provider Name | Ann Didomenico Schilling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063824324 PECOS PAC ID: 8123364528 Enrollment ID: I20190107000179 |
| Provider Name | Todd L Kelly |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306927900 PECOS PAC ID: 2365527579 Enrollment ID: I20190626000313 |
| Provider Name | Sharon Freeman Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790263473 PECOS PAC ID: 2668708140 Enrollment ID: I20190722000768 |
| Provider Name | Kimberly Sue-hicks Donze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154675866 PECOS PAC ID: 5991959439 Enrollment ID: I20190723000946 |
| Provider Name | Lloyd C Meeks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801094156 PECOS PAC ID: 5799957403 Enrollment ID: I20190729001425 |
| Provider Name | Karen Claudia Kastler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053626192 PECOS PAC ID: 5597944652 Enrollment ID: I20190806000951 |
| Provider Name | Jennifer Roehrs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508120734 PECOS PAC ID: 3678720158 Enrollment ID: I20190806001579 |
| Provider Name | Vindya Jeyaretnam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821445123 PECOS PAC ID: 5890080329 Enrollment ID: I20190812002283 |
| Provider Name | Wayne N. Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396008454 PECOS PAC ID: 0042476871 Enrollment ID: I20190819003174 |
| Provider Name | Alexander H Chatham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275980021 PECOS PAC ID: 1254612849 Enrollment ID: I20190829003350 |
| Provider Name | Amina Moghul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649531559 PECOS PAC ID: 2961715768 Enrollment ID: I20191007000694 |
| Provider Name | Tina Ataian Binazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760845507 PECOS PAC ID: 7719276070 Enrollment ID: I20191008003407 |
| Provider Name | Michelle Cole |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386131027 PECOS PAC ID: 4183976509 Enrollment ID: I20191021000236 |
| Provider Name | Caroline Alice Bolduc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780943035 PECOS PAC ID: 6305062662 Enrollment ID: I20191105003210 |
| Provider Name | Michelle Marie Trexler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063063766 PECOS PAC ID: 2769814037 Enrollment ID: I20191107002643 |
| Provider Name | Nicole M Tilghman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740822451 PECOS PAC ID: 7315370053 Enrollment ID: I20191210002603 |
| Provider Name | Molly J Koczarski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508100132 PECOS PAC ID: 6204269731 Enrollment ID: I20191213001357 |
| Provider Name | Karen Boston |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215572540 PECOS PAC ID: 5597199927 Enrollment ID: I20191218001105 |
| Provider Name | Kathleen A Mason |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497852586 PECOS PAC ID: 5092067413 Enrollment ID: I20191218002145 |
| Provider Name | Heather Linn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780620898 PECOS PAC ID: 0244234284 Enrollment ID: I20200107000009 |
| Provider Name | Jordanna M Hostler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568667970 PECOS PAC ID: 9335374230 Enrollment ID: I20200107002207 |
| Provider Name | James M Kiely |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205911096 PECOS PAC ID: 6608061783 Enrollment ID: I20200108001143 |
| Provider Name | Kelli Marie Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578112959 PECOS PAC ID: 9537594007 Enrollment ID: I20200113000251 |
| Provider Name | Karen Virginia Moody |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992344121 PECOS PAC ID: 7315373321 Enrollment ID: I20200211002993 |
| Provider Name | Jay Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538553177 PECOS PAC ID: 4082922554 Enrollment ID: I20200317002116 |
| Provider Name | Shardul Gadhia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801229604 PECOS PAC ID: 8527284603 Enrollment ID: I20200409000027 |
| Provider Name | Amanda L Dow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407115470 PECOS PAC ID: 5496041162 Enrollment ID: I20200415003111 |
| Provider Name | Ryan Britton Nance |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063808988 PECOS PAC ID: 4981918604 Enrollment ID: I20200416003511 |
| Provider Name | William M Johnstone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326433046 PECOS PAC ID: 1951695758 Enrollment ID: I20200422003390 |
| Provider Name | Tilak Pokharel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255737045 PECOS PAC ID: 2769706993 Enrollment ID: I20200529000563 |
| Provider Name | Priscilla Anne Locklear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982228748 PECOS PAC ID: 8123441599 Enrollment ID: I20200702001451 |
| Provider Name | Lisa Ann Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508850892 PECOS PAC ID: 0648463869 Enrollment ID: I20200709002065 |
| Provider Name | Shannon L Skaug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255825832 PECOS PAC ID: 0840549663 Enrollment ID: I20200806002050 |
| Provider Name | Phillip Deal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467984039 PECOS PAC ID: 0143598680 Enrollment ID: I20200821001910 |
| Provider Name | Felicia Nneoma Urum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245769199 PECOS PAC ID: 8729359534 Enrollment ID: I20200929000561 |
| Provider Name | Nicole Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578084927 PECOS PAC ID: 6800162603 Enrollment ID: I20201008000670 |
| Provider Name | Edwin Y Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386060887 PECOS PAC ID: 7911216411 Enrollment ID: I20201026001147 |
| Provider Name | David C Hostler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699916775 PECOS PAC ID: 2466638549 Enrollment ID: I20201102000159 |
| Provider Name | Adebola Adesanya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124080288 PECOS PAC ID: 0244331775 Enrollment ID: I20210111001375 |
| Provider Name | Rachel M Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376954198 PECOS PAC ID: 9931320892 Enrollment ID: I20210201002327 |
| Provider Name | Steven A Stallard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023540002 PECOS PAC ID: 0042556961 Enrollment ID: I20210216000474 |
| Provider Name | Loni R Belyea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801213160 PECOS PAC ID: 6709157076 Enrollment ID: I20210305000659 |
| Provider Name | Riddhiben P Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558706788 PECOS PAC ID: 0446490593 Enrollment ID: I20210402000621 |
| Provider Name | Kaitlyn J Troftgruben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427575992 PECOS PAC ID: 7416213889 Enrollment ID: I20210407001999 |
| Provider Name | Chelsey A Weinbrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538790571 PECOS PAC ID: 2769813567 Enrollment ID: I20210524000708 |
| Provider Name | Eric P Waddington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457665093 PECOS PAC ID: 6002050226 Enrollment ID: I20210608000112 |
| Provider Name | Pallavi Sindhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467766006 PECOS PAC ID: 2062656093 Enrollment ID: I20210628003584 |
| Provider Name | Gabriel Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679077796 PECOS PAC ID: 3971853391 Enrollment ID: I20210713000024 |
| Provider Name | Samantha Craven Ammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346918422 PECOS PAC ID: 3678970969 Enrollment ID: I20210929002640 |
| Provider Name | Megan Niemyer Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184392839 PECOS PAC ID: 6204234636 Enrollment ID: I20211014002700 |
| Provider Name | Michael Joseph Fine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932552858 PECOS PAC ID: 7315228970 Enrollment ID: I20220318000843 |
| Provider Name | Stephen Hribar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841858859 PECOS PAC ID: 9335474576 Enrollment ID: I20220830002732 |
| Provider Name | Lauren B Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538894068 PECOS PAC ID: 5395129977 Enrollment ID: I20220831000926 |
| Provider Name | Rajnikanth Ravula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306028303 PECOS PAC ID: 3678648805 Enrollment ID: I20220908000532 |
| Provider Name | Kristina M Catania |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053765990 PECOS PAC ID: 7315230398 Enrollment ID: I20221004003546 |
| Provider Name | Jennifer Brooke Rangel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750001764 PECOS PAC ID: 5698142966 Enrollment ID: I20221031001736 |
| Provider Name | Eric S Bishop |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891080842 PECOS PAC ID: 1355730847 Enrollment ID: I20221202002145 |
| Provider Name | Elizabeth Grace Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245791946 PECOS PAC ID: 5193052819 Enrollment ID: I20230118002469 |
| Provider Name | Jennifer E Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053015255 PECOS PAC ID: 9638534118 Enrollment ID: I20230505001905 |
| Provider Name | Christopher B Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831486869 PECOS PAC ID: 9335513084 Enrollment ID: I20230719002341 |
| Provider Name | Claire Marie Repine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568991388 PECOS PAC ID: 1557781275 Enrollment ID: I20230728001064 |
| Provider Name | Katie E Livrago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417636630 PECOS PAC ID: 1850753989 Enrollment ID: I20230821004180 |
| Provider Name | Alain Michael Pagaduan Abellada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649582685 PECOS PAC ID: 8628481116 Enrollment ID: I20230922002528 |
| Provider Name | Robert Mcleroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750772901 PECOS PAC ID: 0446547152 Enrollment ID: I20230923000710 |
| Provider Name | Maura Elizabeth Olcese |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265962559 PECOS PAC ID: 8820330731 Enrollment ID: I20231120003491 |
| Provider Name | Thomas Vincent Carbone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629501325 PECOS PAC ID: 7012333263 Enrollment ID: I20231211003649 |
| Provider Name | Abel J Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740055045 PECOS PAC ID: 9335599489 Enrollment ID: I20240102001864 |
| Provider Name | Natalie M Mannino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366788341 PECOS PAC ID: 5092063230 Enrollment ID: I20240119000747 |
| Provider Name | Scott Evans Ratcliffe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093108797 PECOS PAC ID: 9335485564 Enrollment ID: I20240304003231 |
| Provider Name | Susan O Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205160025 PECOS PAC ID: 6002958212 Enrollment ID: I20240322004069 |