| Mmc - Park Falls Outreach Services | |
|
98 Sherry Ave Park Falls WI 54552-1467 | |
| (715) 762-2484 | |
| Not Available |
| Full Name | Mmc - Park Falls Outreach Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 98 Sherry Ave, Park Falls, Wisconsin |
| Authorized Official Name and Position | Kathleen Bressler (COO, AO) |
| Authorized Official Contact | 7159756018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmc - Park Falls Outreach Services 1000 N Oak Ave Provider Enrollment Shp Fl2 Marshfield WI 54449-5703 Ph: (715) 389-0668 | Mmc - Park Falls Outreach Services 98 Sherry Ave Park Falls WI 54552-1467 Ph: (715) 762-2484 |
| NPI Number | 1194317966 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 9032029871 |
|---|---|
| Medicare Enrollment ID | O20210409000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194317966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Renee A Hoynacke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821106832 PECOS PAC ID: 5294630471 Enrollment ID: I20031201000738 |
| Provider Name | Joan M Kazda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578667655 PECOS PAC ID: 5294632436 Enrollment ID: I20031216000829 |
| Provider Name | Virginia V Harrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487635850 PECOS PAC ID: 6406754381 Enrollment ID: I20040114000294 |
| Provider Name | Mary Lynn Zupanc |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861444366 PECOS PAC ID: 6800798372 Enrollment ID: I20040123001067 |
| Provider Name | Joy G Ngobi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568521037 PECOS PAC ID: 6800798232 Enrollment ID: I20040124000335 |
| Provider Name | Jon M Brandt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336168137 PECOS PAC ID: 7719880012 Enrollment ID: I20040202000367 |
| Provider Name | Nyle C Neta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578575239 PECOS PAC ID: 8820981640 Enrollment ID: I20040205000576 |
| Provider Name | Dorene Binder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659331643 PECOS PAC ID: 5698669661 Enrollment ID: I20040211000019 |
| Provider Name | Sean R Amoli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295752251 PECOS PAC ID: 0446147912 Enrollment ID: I20040301000288 |
| Provider Name | Robert K Breger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003837816 PECOS PAC ID: 6507753118 Enrollment ID: I20040301000655 |
| Provider Name | Robert C Hardie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366552531 PECOS PAC ID: 1951298314 Enrollment ID: I20040301000864 |
| Provider Name | Gregory E Salton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861502023 PECOS PAC ID: 4688561087 Enrollment ID: I20040301001108 |
| Provider Name | Uma Suriyanarayanan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841217809 PECOS PAC ID: 9638066053 Enrollment ID: I20040301001222 |
| Provider Name | Daniel C Bloomgarden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821019639 PECOS PAC ID: 7517854961 Enrollment ID: I20040302000091 |
| Provider Name | Randolph B Waskin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497780134 PECOS PAC ID: 2961390364 Enrollment ID: I20040308000878 |
| Provider Name | Andrew T Pankratz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366538530 PECOS PAC ID: 5395635023 Enrollment ID: I20040317000703 |
| Provider Name | Pieter John Vanderlijn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437188091 PECOS PAC ID: 5698666717 Enrollment ID: I20040320000078 |
| Provider Name | Jill M Viergutz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922195676 PECOS PAC ID: 0446142236 Enrollment ID: I20040326000589 |
| Provider Name | James A Meyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700998069 PECOS PAC ID: 2961496161 Enrollment ID: I20040412000700 |
| Provider Name | Arun Jain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588691489 PECOS PAC ID: 4587653027 Enrollment ID: I20040510000733 |
| Provider Name | Steven J Gerndt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487667549 PECOS PAC ID: 0840102034 Enrollment ID: I20040512000994 |
| Provider Name | Jeffrey C Craig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588619704 PECOS PAC ID: 3476534934 Enrollment ID: I20040528001129 |
| Provider Name | Jonathan K Glazer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750384830 PECOS PAC ID: 1658355276 Enrollment ID: I20040614000261 |
| Provider Name | Shelley R Danielson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265418909 PECOS PAC ID: 8123003209 Enrollment ID: I20040622001403 |
| Provider Name | Somsak Tanawattanacharoen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851487888 PECOS PAC ID: 3476532250 Enrollment ID: I20040715000747 |
| Provider Name | Christine A Block |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932209111 PECOS PAC ID: 7113999111 Enrollment ID: I20040810001124 |
| Provider Name | Robin K Henley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710982723 PECOS PAC ID: 8325012784 Enrollment ID: I20040823000019 |
| Provider Name | Tomislav T Lakic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629057872 PECOS PAC ID: 6901705532 Enrollment ID: I20040823001152 |
| Provider Name | Thomas L Kintzinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588779441 PECOS PAC ID: 1951377902 Enrollment ID: I20040909001265 |
| Provider Name | Balasubramanyan Napa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932211406 PECOS PAC ID: 8527047059 Enrollment ID: I20040914000717 |
| Provider Name | Cary G Tauchman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891800389 PECOS PAC ID: 7719954197 Enrollment ID: I20040915000028 |
| Provider Name | Nicholas P Wyskoarko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205945177 PECOS PAC ID: 5193794766 Enrollment ID: I20040930000024 |
| Provider Name | George Prackup |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740209998 PECOS PAC ID: 1052304987 Enrollment ID: I20041022001157 |
| Provider Name | Stephen J Handrich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265454003 PECOS PAC ID: 5496717621 Enrollment ID: I20041101000128 |
| Provider Name | Brian D Hoerneman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740385384 PECOS PAC ID: 1355254343 Enrollment ID: I20041105000596 |
| Provider Name | Hariprasad S Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174574834 PECOS PAC ID: 7719941491 Enrollment ID: I20041112000528 |
| Provider Name | Joseph J Arias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457463606 PECOS PAC ID: 5799733002 Enrollment ID: I20050104000245 |
| Provider Name | Julene A Diedrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912009911 PECOS PAC ID: 2365493855 Enrollment ID: I20050202000095 |
| Provider Name | David A Polomis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073649703 PECOS PAC ID: 6901857101 Enrollment ID: I20050204000441 |
| Provider Name | Aditya A Sukhwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104881259 PECOS PAC ID: 8527014570 Enrollment ID: I20050323000822 |
| Provider Name | Ramagopal J Tumuluri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063489615 PECOS PAC ID: 0345297974 Enrollment ID: I20050405001094 |
| Provider Name | Thomas R Silbernagel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922097351 PECOS PAC ID: 8426098997 Enrollment ID: I20050504000992 |
| Provider Name | Daryl L Fish |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619077955 PECOS PAC ID: 0244274249 Enrollment ID: I20050610000317 |
| Provider Name | Louay O Danial |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316041676 PECOS PAC ID: 2163466699 Enrollment ID: I20050615000986 |
| Provider Name | Timothy S Phillips |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215954896 PECOS PAC ID: 8820032212 Enrollment ID: I20050616000418 |
| Provider Name | John J Olson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457350944 PECOS PAC ID: 4486626025 Enrollment ID: I20050802000652 |
| Provider Name | Feng Lu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720039571 PECOS PAC ID: 3779511308 Enrollment ID: I20050803000803 |
| Provider Name | Michael Todd Tennier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922084615 PECOS PAC ID: 5799717393 Enrollment ID: I20050902000704 |
| Provider Name | Gillian Marie Battino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073522892 PECOS PAC ID: 0941232250 Enrollment ID: I20050908000038 |
| Provider Name | Kristin M Gerndt |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013017391 PECOS PAC ID: 3173558954 Enrollment ID: I20050929001010 |
| Provider Name | Michael J Michalske |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225253040 PECOS PAC ID: 6507894623 Enrollment ID: I20051129000945 |
| Provider Name | Foluke A Otitoju |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144298167 PECOS PAC ID: 3375565468 Enrollment ID: I20060104000191 |
| Provider Name | Michelle L Henrickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205882990 PECOS PAC ID: 3577587690 Enrollment ID: I20060117000325 |
| Provider Name | Bronwyn Dilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407809072 PECOS PAC ID: 2860416369 Enrollment ID: I20060124000330 |
| Provider Name | Donald S Hart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609854900 PECOS PAC ID: 2961417191 Enrollment ID: I20060209000364 |
| Provider Name | Christopher Previn Peck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912959313 PECOS PAC ID: 2668438482 Enrollment ID: I20060308000803 |
| Provider Name | Carlos X Condado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205028768 PECOS PAC ID: 2860478690 Enrollment ID: I20060313000396 |
| Provider Name | Patricia Ann Hautamaki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528168267 PECOS PAC ID: 8022025899 Enrollment ID: I20060320000500 |
| Provider Name | Staffel Oates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033223375 PECOS PAC ID: 4385630573 Enrollment ID: I20060330000100 |
| Provider Name | Greg A Burnett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588776934 PECOS PAC ID: 5799795290 Enrollment ID: I20060427000765 |
| Provider Name | Robert R Kohl |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689628901 PECOS PAC ID: 7214948561 Enrollment ID: I20060526000087 |
| Provider Name | Nancy Lynn Ontl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922043868 PECOS PAC ID: 3173536737 Enrollment ID: I20060726000314 |
| Provider Name | Brenda J Banaszynski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730104613 PECOS PAC ID: 4486657046 Enrollment ID: I20060821000321 |
| Provider Name | Oghomwen K Sule |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043221385 PECOS PAC ID: 7517961642 Enrollment ID: I20060905000106 |
| Provider Name | Gregory T Richburg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376596684 PECOS PAC ID: 4082618095 Enrollment ID: I20060906000285 |
| Provider Name | Jason E Kanz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518970524 PECOS PAC ID: 0042214066 Enrollment ID: I20060906000324 |
| Provider Name | John S To |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346214715 PECOS PAC ID: 0345134854 Enrollment ID: I20060922000441 |
| Provider Name | Briana M Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316919681 PECOS PAC ID: 7517944523 Enrollment ID: I20061010000074 |
| Provider Name | David A Holz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447341094 PECOS PAC ID: 5092711374 Enrollment ID: I20061010000172 |
| Provider Name | Robin Jean Kalk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093810103 PECOS PAC ID: 0648277236 Enrollment ID: I20061024000281 |
| Provider Name | James A Halminiak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083709448 PECOS PAC ID: 6406855329 Enrollment ID: I20061204000211 |
| Provider Name | Benjamin E Lawler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629188800 PECOS PAC ID: 0345343356 Enrollment ID: I20070313000187 |
| Provider Name | Michael P Zimmerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518909647 PECOS PAC ID: 2365440914 Enrollment ID: I20070516000163 |
| Provider Name | Kevin R Whitney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003928912 PECOS PAC ID: 1759488786 Enrollment ID: I20070525000230 |
| Provider Name | Christopher Felton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669423398 PECOS PAC ID: 0941308332 Enrollment ID: I20070608000073 |
| Provider Name | Mayro R Kubista |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861601247 PECOS PAC ID: 6103924162 Enrollment ID: I20070614000483 |
| Provider Name | Nathan M Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992887848 PECOS PAC ID: 4082713060 Enrollment ID: I20070618000165 |
| Provider Name | Priya Asija |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982817771 PECOS PAC ID: 8729188461 Enrollment ID: I20070711000355 |
| Provider Name | Gregory C Tyler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871695452 PECOS PAC ID: 3971603176 Enrollment ID: I20070717000010 |
| Provider Name | Erin E Verkerke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477612794 PECOS PAC ID: 4789785114 Enrollment ID: I20070728000238 |
| Provider Name | Randy Musack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811043037 PECOS PAC ID: 8820181175 Enrollment ID: I20070904000144 |
| Provider Name | Rachel M Gilbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639389034 PECOS PAC ID: 2961590492 Enrollment ID: I20071117000040 |
| Provider Name | Mary C Nofftz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104820638 PECOS PAC ID: 2365529559 Enrollment ID: I20080412000051 |
| Provider Name | Paul B Jakopin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548365281 PECOS PAC ID: 7113006271 Enrollment ID: I20080501000140 |
| Provider Name | Brennan R Harding |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225018724 PECOS PAC ID: 8224100466 Enrollment ID: I20080703000564 |
| Provider Name | Pneuma Gomez Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912167834 PECOS PAC ID: 4587736657 Enrollment ID: I20080707000365 |
| Provider Name | Christopher Bixler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770575656 PECOS PAC ID: 8224100334 Enrollment ID: I20080707000662 |
| Provider Name | Asegid H Kebede |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598716201 PECOS PAC ID: 7810991833 Enrollment ID: I20080709000181 |
| Provider Name | Matthew J Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700985645 PECOS PAC ID: 5395817175 Enrollment ID: I20080710000748 |
| Provider Name | Jayanth G Vedre |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124225982 PECOS PAC ID: 5496827156 Enrollment ID: I20080712000025 |
| Provider Name | Shana L Vifian Ray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033327184 PECOS PAC ID: 5294808358 Enrollment ID: I20080722000725 |
| Provider Name | Kathryn M Swartz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386609675 PECOS PAC ID: 5294826418 Enrollment ID: I20080808000628 |
| Provider Name | Paul C Samundsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841307113 PECOS PAC ID: 7517033483 Enrollment ID: I20080829000499 |
| Provider Name | Susanne J Schaars |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942381488 PECOS PAC ID: 5294802476 Enrollment ID: I20080930000648 |
| Provider Name | Amy E Nikolai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477716462 PECOS PAC ID: 7810055084 Enrollment ID: I20081017000254 |
| Provider Name | Karla O Arrigoni |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740305374 PECOS PAC ID: 5597824102 Enrollment ID: I20081111000258 |
| Provider Name | Maureen B Hartzheim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164528576 PECOS PAC ID: 0840352035 Enrollment ID: I20081223000040 |
| Provider Name | Duane J Myklejord |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578656955 PECOS PAC ID: 2062577935 Enrollment ID: I20090210000670 |
| Provider Name | Angelene K Timmerman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265475966 PECOS PAC ID: 9032275151 Enrollment ID: I20090225000489 |
| Provider Name | Robert K Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437119781 PECOS PAC ID: 8022192178 Enrollment ID: I20090306000344 |
| Provider Name | Tasha L Ramis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609049105 PECOS PAC ID: 7214084532 Enrollment ID: I20090402000325 |
| Provider Name | Humberto J Vidaillet |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417057167 PECOS PAC ID: 7911054457 Enrollment ID: I20090420000532 |
| Provider Name | Christopher J Bizjak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710099981 PECOS PAC ID: 2668521568 Enrollment ID: I20090526000346 |
| Provider Name | Yolanta T Soroko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386756559 PECOS PAC ID: 0446309231 Enrollment ID: I20090528000034 |
| Provider Name | Vicky A Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811009061 PECOS PAC ID: 6608926324 Enrollment ID: I20090617000733 |
| Provider Name | Paul A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558467704 PECOS PAC ID: 6406884527 Enrollment ID: I20090626000400 |
| Provider Name | Rudolph D Bescherer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447281175 PECOS PAC ID: 5395846943 Enrollment ID: I20090714000467 |
| Provider Name | Philip M Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952351876 PECOS PAC ID: 2567475890 Enrollment ID: I20090716000450 |
| Provider Name | Heather L Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255568895 PECOS PAC ID: 6204989866 Enrollment ID: I20090729000346 |
| Provider Name | Jackie Lynn Yaeger |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1144205618 PECOS PAC ID: 1951453265 Enrollment ID: I20090805000063 |
| Provider Name | Om P Ahuja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861563058 PECOS PAC ID: 9931253788 Enrollment ID: I20090813000619 |
| Provider Name | Randal F Wojciehoski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457489650 PECOS PAC ID: 9032263439 Enrollment ID: I20090819000853 |
| Provider Name | Kip Alan Kircher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013983022 PECOS PAC ID: 5698829968 Enrollment ID: I20090820000699 |
| Provider Name | Jaye J Stricker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750474136 PECOS PAC ID: 4981750726 Enrollment ID: I20090921000523 |
| Provider Name | Cullen T Kehoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013166925 PECOS PAC ID: 5496808289 Enrollment ID: I20091005000667 |
| Provider Name | John T Orth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457580326 PECOS PAC ID: 4385780097 Enrollment ID: I20091012000103 |
| Provider Name | Cynthia M Koehler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568798593 PECOS PAC ID: 7618015553 Enrollment ID: I20091112000478 |
| Provider Name | Kelly S Aue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962739144 PECOS PAC ID: 0749320232 Enrollment ID: I20091214000585 |
| Provider Name | Donn David Dexter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093788515 PECOS PAC ID: 9133261233 Enrollment ID: I20100128000184 |
| Provider Name | Omar Atassi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154380046 PECOS PAC ID: 7517862642 Enrollment ID: I20100219000055 |
| Provider Name | Christine A Albertus |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962513507 PECOS PAC ID: 4183759152 Enrollment ID: I20100316000315 |
| Provider Name | Tae J Gardner |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952565194 PECOS PAC ID: 1355478447 Enrollment ID: I20100421000684 |
| Provider Name | Juan E Mesa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508974874 PECOS PAC ID: 9133256126 Enrollment ID: I20100422001079 |
| Provider Name | Steven D Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619957891 PECOS PAC ID: 2365571684 Enrollment ID: I20100525000980 |
| Provider Name | David M Bihrle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538274006 PECOS PAC ID: 4880723733 Enrollment ID: I20100602000518 |
| Provider Name | Kou K Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417067661 PECOS PAC ID: 0941330773 Enrollment ID: I20100604000849 |
| Provider Name | Swati S Biswas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033209911 PECOS PAC ID: 0143350991 Enrollment ID: I20100604001110 |
| Provider Name | Barbara J Boyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679685820 PECOS PAC ID: 5698805463 Enrollment ID: I20100605000101 |
| Provider Name | Olusolape A Adegbehingbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679756977 PECOS PAC ID: 5890825095 Enrollment ID: I20100615000528 |
| Provider Name | Rana M Nasser |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194825406 PECOS PAC ID: 6507996659 Enrollment ID: I20100616000303 |
| Provider Name | Ronald K Waits |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528167079 PECOS PAC ID: 4385774223 Enrollment ID: I20100618000805 |
| Provider Name | Lonna L Grosskopf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003856618 PECOS PAC ID: 4284765116 Enrollment ID: I20100621000934 |
| Provider Name | David J Henningsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124138375 PECOS PAC ID: 8729119680 Enrollment ID: I20100622000394 |
| Provider Name | Marlon J Navarro |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295822948 PECOS PAC ID: 3173654787 Enrollment ID: I20100625000674 |
| Provider Name | Jacey T Graser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699874016 PECOS PAC ID: 4688706575 Enrollment ID: I20100712000523 |
| Provider Name | Paul F Kramer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912005760 PECOS PAC ID: 4486786290 Enrollment ID: I20100714000522 |
| Provider Name | Michelle H Pedersen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912990425 PECOS PAC ID: 9931231602 Enrollment ID: I20100715000307 |
| Provider Name | Brad W Christopherson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639332992 PECOS PAC ID: 3072675388 Enrollment ID: I20100717000159 |
| Provider Name | Param P Sharma |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376653816 PECOS PAC ID: 2567594187 Enrollment ID: I20100717000265 |
| Provider Name | Kathleen A Weix Klippel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750485066 PECOS PAC ID: 7618000159 Enrollment ID: I20100804000129 |
| Provider Name | Thomas B Prebble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225123508 PECOS PAC ID: 9335273150 Enrollment ID: I20100816001017 |
| Provider Name | Kenneth V Ostermann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851386213 PECOS PAC ID: 9830153618 Enrollment ID: I20100819000548 |
| Provider Name | Adetunji A Adejumo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942532528 PECOS PAC ID: 9638294986 Enrollment ID: I20100910000295 |
| Provider Name | Nicholas J Brahm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245414861 PECOS PAC ID: 5698967735 Enrollment ID: I20101007001317 |
| Provider Name | Maria G Cruz-apolinario |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215926795 PECOS PAC ID: 3173716057 Enrollment ID: I20101023000278 |
| Provider Name | Kevin Gelshenen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225204662 PECOS PAC ID: 7315090701 Enrollment ID: I20101207001187 |
| Provider Name | Caryl Ann Dellinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588833925 PECOS PAC ID: 5395802078 Enrollment ID: I20101217000564 |
| Provider Name | Tina M Schulist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689994196 PECOS PAC ID: 1355539578 Enrollment ID: I20110103000417 |
| Provider Name | Corrie L Boon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962681767 PECOS PAC ID: 0547449498 Enrollment ID: I20110124001107 |
| Provider Name | Thomas J Schuerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841283694 PECOS PAC ID: 0244419034 Enrollment ID: I20110126000208 |
| Provider Name | Brandi L Sparks-luther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487954657 PECOS PAC ID: 7517147259 Enrollment ID: I20110211000665 |
| Provider Name | Kara A Fedie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700843984 PECOS PAC ID: 9739142431 Enrollment ID: I20110222000668 |
| Provider Name | Daniel J Resop |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417938358 PECOS PAC ID: 0244292019 Enrollment ID: I20110225000872 |
| Provider Name | Allyson B Mayeux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871899716 PECOS PAC ID: 5092998369 Enrollment ID: I20110323000799 |
| Provider Name | Steven S Meyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912094665 PECOS PAC ID: 5597940130 Enrollment ID: I20110426000530 |
| Provider Name | Brian J Knabe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437192408 PECOS PAC ID: 1456433184 Enrollment ID: I20110526000164 |
| Provider Name | Yusuf Kasirye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114162666 PECOS PAC ID: 3971781659 Enrollment ID: I20110628000610 |
| Provider Name | Dominee M Manzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568610376 PECOS PAC ID: 5395913974 Enrollment ID: I20110726000669 |
| Provider Name | Brian P Resop |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790075299 PECOS PAC ID: 7810165222 Enrollment ID: I20110728000593 |
| Provider Name | Hector Rey A Manzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205082237 PECOS PAC ID: 8224207386 Enrollment ID: I20110805000156 |
| Provider Name | Kathy L Obermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003100033 PECOS PAC ID: 0941479885 Enrollment ID: I20110809000780 |
| Provider Name | Kryselle C Geroy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245538768 PECOS PAC ID: 0648449504 Enrollment ID: I20110810000055 |
| Provider Name | Eric M Jakubowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326266867 PECOS PAC ID: 5890965032 Enrollment ID: I20110826000300 |
| Provider Name | Bobby P Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982983532 PECOS PAC ID: 9234300559 Enrollment ID: I20110919000266 |
| Provider Name | Nicholas J Abram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437374303 PECOS PAC ID: 4486721875 Enrollment ID: I20111010000168 |
| Provider Name | Justin Willuweit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033492566 PECOS PAC ID: 2567635311 Enrollment ID: I20111024000402 |
| Provider Name | Aaron A Juliar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770866915 PECOS PAC ID: 8628241965 Enrollment ID: I20111101000351 |
| Provider Name | Samantha E Moore |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003191297 PECOS PAC ID: 7719150614 Enrollment ID: I20111108000784 |
| Provider Name | Jaime M Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205112877 PECOS PAC ID: 3779757141 Enrollment ID: I20111121000602 |
| Provider Name | Paula K Mcintyre |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568566776 PECOS PAC ID: 4688849342 Enrollment ID: I20111207000447 |
| Provider Name | Steve M Hoffmeister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376649780 PECOS PAC ID: 9234396698 Enrollment ID: I20120214000113 |
| Provider Name | Jennifer J Rees |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639270242 PECOS PAC ID: 2365601333 Enrollment ID: I20120310000007 |
| Provider Name | Sumithra D Tirunagaram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932412855 PECOS PAC ID: 2769647817 Enrollment ID: I20120622000522 |
| Provider Name | James J Macneal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366692287 PECOS PAC ID: 8921136458 Enrollment ID: I20120808000362 |
| Provider Name | Michelle L Brost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518978519 PECOS PAC ID: 4789833013 Enrollment ID: I20121002000517 |
| Provider Name | Andrea J Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134479819 PECOS PAC ID: 0143479196 Enrollment ID: I20121005000650 |
| Provider Name | Eric D Zellner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588913396 PECOS PAC ID: 2668624040 Enrollment ID: I20121211000211 |
| Provider Name | Maria Charlotte Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932291986 PECOS PAC ID: 1052359940 Enrollment ID: I20130116000382 |
| Provider Name | Steven B Sanford |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1669565156 PECOS PAC ID: 0042279614 Enrollment ID: I20130314000174 |
| Provider Name | Ann M Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326484981 PECOS PAC ID: 2567602055 Enrollment ID: I20130703000644 |
| Provider Name | Tyson T Droessler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043658552 PECOS PAC ID: 5496995342 Enrollment ID: I20130717000411 |
| Provider Name | Sarah D Savu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427361476 PECOS PAC ID: 2769625656 Enrollment ID: I20130824000106 |
| Provider Name | Kathryn J Smrz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972938314 PECOS PAC ID: 5991949000 Enrollment ID: I20130911000342 |
| Provider Name | Andrew B Oebser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497187785 PECOS PAC ID: 5991939472 Enrollment ID: I20131016001824 |
| Provider Name | Jordan L Ashton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932412392 PECOS PAC ID: 0244465649 Enrollment ID: I20131018001838 |
| Provider Name | Khine T Swe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568787653 PECOS PAC ID: 3274768304 Enrollment ID: I20131028000577 |
| Provider Name | Anne M Zenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619303864 PECOS PAC ID: 5991930844 Enrollment ID: I20131030000796 |
| Provider Name | Anna M Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053741207 PECOS PAC ID: 5294962346 Enrollment ID: I20131216001800 |
| Provider Name | Sher Vang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427480516 PECOS PAC ID: 2163650557 Enrollment ID: I20140109001477 |
| Provider Name | Andrew J Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790108793 PECOS PAC ID: 7810127644 Enrollment ID: I20140224000353 |
| Provider Name | Laleh Karimi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518195395 PECOS PAC ID: 9335371533 Enrollment ID: I20140422000097 |
| Provider Name | Todd Joseph Stanhope |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053622761 PECOS PAC ID: 3577736628 Enrollment ID: I20140626000006 |
| Provider Name | Nicholas P. Morley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821317009 PECOS PAC ID: 4688899651 Enrollment ID: I20140707001783 |
| Provider Name | Maria V Bravo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942572060 PECOS PAC ID: 4587880430 Enrollment ID: I20140729002508 |
| Provider Name | Mary C Phung |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265841589 PECOS PAC ID: 8224257993 Enrollment ID: I20140910002123 |
| Provider Name | Cassie K Littlejohn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760881882 PECOS PAC ID: 2769602275 Enrollment ID: I20141006000931 |
| Provider Name | Keshani Bhushan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124250790 PECOS PAC ID: 1052508942 Enrollment ID: I20141006002322 |
| Provider Name | Sarah L Holets |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124380803 PECOS PAC ID: 3779704242 Enrollment ID: I20141027000814 |
| Provider Name | Lisa M Gowey-fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083014492 PECOS PAC ID: 8022239516 Enrollment ID: I20141027001376 |
| Provider Name | Sanjay Kumar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1063528867 PECOS PAC ID: 1153329255 Enrollment ID: I20141106000212 |
| Provider Name | Jason S Duelge |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326032509 PECOS PAC ID: 2769676667 Enrollment ID: I20141108000172 |
| Provider Name | Kirsten Vetterkind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659705507 PECOS PAC ID: 3779706767 Enrollment ID: I20141114000380 |
| Provider Name | Kimberly J Haycraft Schmotter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306800107 PECOS PAC ID: 7810073855 Enrollment ID: I20150210000658 |
| Provider Name | Micah D Zimmerman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285042572 PECOS PAC ID: 0345565180 Enrollment ID: I20150219000131 |
| Provider Name | Shannon Marie Mccrory |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699179531 PECOS PAC ID: 0143546911 Enrollment ID: I20150313001599 |
| Provider Name | Jennifer Jean Delaney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992733166 PECOS PAC ID: 2365493061 Enrollment ID: I20150320001396 |
| Provider Name | Timothy C Kakuschke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043221526 PECOS PAC ID: 8123346038 Enrollment ID: I20150406000140 |
| Provider Name | Dana A Prusinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295129518 PECOS PAC ID: 1153640917 Enrollment ID: I20150429002564 |
| Provider Name | Janice M Drinsinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669866273 PECOS PAC ID: 9032155338 Enrollment ID: I20150601002861 |
| Provider Name | Stephanie J Roth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790176675 PECOS PAC ID: 5294048765 Enrollment ID: I20150714000531 |
| Provider Name | Patrick W Volk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437325925 PECOS PAC ID: 0840504866 Enrollment ID: I20150805006805 |
| Provider Name | Bevan H Ly |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730405143 PECOS PAC ID: 1759697337 Enrollment ID: I20150827000388 |
| Provider Name | Caitlin Ms Yenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730488834 PECOS PAC ID: 3173839735 Enrollment ID: I20150828000059 |
| Provider Name | Aliya Bayanagari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821343625 PECOS PAC ID: 1254574759 Enrollment ID: I20150908003056 |
| Provider Name | Emily C Teetzen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225400435 PECOS PAC ID: 8628378320 Enrollment ID: I20151202001975 |
| Provider Name | Sandra K Matzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417320698 PECOS PAC ID: 2769783760 Enrollment ID: I20151216001917 |
| Provider Name | Carol M Grabowski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669582532 PECOS PAC ID: 8325093909 Enrollment ID: I20160120001936 |
| Provider Name | Jolie M Dirrigle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891151809 PECOS PAC ID: 5698078673 Enrollment ID: I20160126000511 |
| Provider Name | Jason D Randall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235550955 PECOS PAC ID: 2466760095 Enrollment ID: I20160211000035 |
| Provider Name | Dennis A Silver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780726273 PECOS PAC ID: 9234295528 Enrollment ID: I20160415001168 |
| Provider Name | Wing C Yeen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1447474861 PECOS PAC ID: 5991842221 Enrollment ID: I20160511001220 |
| Provider Name | Eric M Blaschke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386957678 PECOS PAC ID: 0941515365 Enrollment ID: I20160513000825 |
| Provider Name | Kari R King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295168490 PECOS PAC ID: 6305072653 Enrollment ID: I20160517001847 |
| Provider Name | Brittany M Nikolay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962850966 PECOS PAC ID: 9335439991 Enrollment ID: I20160609002226 |
| Provider Name | Ryan H Holzhauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508272139 PECOS PAC ID: 9234422353 Enrollment ID: I20160727001944 |
| Provider Name | Anthony C Mueller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386901791 PECOS PAC ID: 0547409658 Enrollment ID: I20160804000674 |
| Provider Name | Jacquelyn R Draxler Rauth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144671660 PECOS PAC ID: 8921392549 Enrollment ID: I20160804001436 |
| Provider Name | Judith Stucki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881653582 PECOS PAC ID: 9638338064 Enrollment ID: I20160808002017 |
| Provider Name | Andrew J Manspeaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851730378 PECOS PAC ID: 2365670619 Enrollment ID: I20160808002603 |
| Provider Name | Muhammad A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427481472 PECOS PAC ID: 7810292802 Enrollment ID: I20160816001531 |
| Provider Name | Nicole J Sederholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942663877 PECOS PAC ID: 2264723535 Enrollment ID: I20160818001464 |
| Provider Name | Sonja Blum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003073636 PECOS PAC ID: 8224212006 Enrollment ID: I20161004001444 |
| Provider Name | Marcia A Jensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518059393 PECOS PAC ID: 0143394247 Enrollment ID: I20161013000011 |
| Provider Name | Haidar Kabbani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144203753 PECOS PAC ID: 0749201994 Enrollment ID: I20161108001423 |
| Provider Name | Lisa A Grams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841691607 PECOS PAC ID: 8325359011 Enrollment ID: I20161123001915 |
| Provider Name | Jacob Stephen Feldman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104137710 PECOS PAC ID: 5799918876 Enrollment ID: I20161202002020 |
| Provider Name | Dee Cha |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396287447 PECOS PAC ID: 3274814223 Enrollment ID: I20170105000621 |
| Provider Name | Zjia A Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164967568 PECOS PAC ID: 5799066775 Enrollment ID: I20170105001944 |
| Provider Name | Rueben Adekunle Adegoke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134380470 PECOS PAC ID: 5799972592 Enrollment ID: I20170110002185 |
| Provider Name | Nicole M Dilger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114377132 PECOS PAC ID: 3072897107 Enrollment ID: I20170308002155 |
| Provider Name | Skyler C Lynn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740573955 PECOS PAC ID: 8123303765 Enrollment ID: I20170323000337 |
| Provider Name | Anne Elizabeth Newbold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255566428 PECOS PAC ID: 1456591122 Enrollment ID: I20170413002217 |
| Provider Name | Stacy Jk Wogernese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912433848 PECOS PAC ID: 7719255322 Enrollment ID: I20170622000327 |
| Provider Name | Arinzechukwu I Uzoechina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467860262 PECOS PAC ID: 2567766769 Enrollment ID: I20170622002965 |
| Provider Name | Rana Raheel Hafeez Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336555390 PECOS PAC ID: 2365711587 Enrollment ID: I20170703000827 |
| Provider Name | Christopher Tl Bender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043637903 PECOS PAC ID: 9830319359 Enrollment ID: I20170718003459 |
| Provider Name | Nicholas M Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689916793 PECOS PAC ID: 7618277658 Enrollment ID: I20170726003739 |
| Provider Name | Christopher J Keto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134446339 PECOS PAC ID: 4981844743 Enrollment ID: I20170731001875 |
| Provider Name | Jared Re Hylton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245559509 PECOS PAC ID: 8022300169 Enrollment ID: I20170801001873 |
| Provider Name | Erin M Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942733845 PECOS PAC ID: 9234400284 Enrollment ID: I20170809001751 |
| Provider Name | James Q Nash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013323187 PECOS PAC ID: 6901022011 Enrollment ID: I20170818000165 |
| Provider Name | Deb K Mojumder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396023818 PECOS PAC ID: 4183928849 Enrollment ID: I20170818001936 |
| Provider Name | Erica Larson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316207046 PECOS PAC ID: 3870865769 Enrollment ID: I20170828003212 |
| Provider Name | Karen J Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033462395 PECOS PAC ID: 4486899564 Enrollment ID: I20170926000193 |
| Provider Name | Rohit Sharma |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1720271570 PECOS PAC ID: 3779609912 Enrollment ID: I20171107002466 |
| Provider Name | Elizabeth B Hathaway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073600110 PECOS PAC ID: 3476457284 Enrollment ID: I20171115000570 |
| Provider Name | Simon Maltais |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1457665911 PECOS PAC ID: 0840486510 Enrollment ID: I20171117000009 |
| Provider Name | Lisa Pagel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194816116 PECOS PAC ID: 7113917402 Enrollment ID: I20171120000002 |
| Provider Name | Heather B Breen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740547702 PECOS PAC ID: 1759681372 Enrollment ID: I20171226001246 |
| Provider Name | Alboury Sow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063790400 PECOS PAC ID: 4082834551 Enrollment ID: I20180112000415 |
| Provider Name | Mohamed Chebaclo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386708931 PECOS PAC ID: 0648280172 Enrollment ID: I20180117000700 |
| Provider Name | Kara T Bos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942596408 PECOS PAC ID: 2466767199 Enrollment ID: I20180118000819 |
| Provider Name | Erin M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235645193 PECOS PAC ID: 2163783416 Enrollment ID: I20180228002387 |
| Provider Name | Eric Michael Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497261333 PECOS PAC ID: 4880955004 Enrollment ID: I20180305001950 |
| Provider Name | Daniel Eggeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336568450 PECOS PAC ID: 5799085544 Enrollment ID: I20180411000255 |
| Provider Name | Miles E Ellsworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841703402 PECOS PAC ID: 0547524415 Enrollment ID: I20180430001759 |
| Provider Name | Benjamin J Graboyes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720424807 PECOS PAC ID: 2264723519 Enrollment ID: I20180615000361 |
| Provider Name | Paula Jo Zemaitis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699949693 PECOS PAC ID: 7113273145 Enrollment ID: I20180705002794 |
| Provider Name | Bradley T Kook |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881037836 PECOS PAC ID: 5294038147 Enrollment ID: I20180711000944 |
| Provider Name | Chad Joseph Giles |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1972949501 PECOS PAC ID: 1153550942 Enrollment ID: I20180713001633 |
| Provider Name | Joseph S Brantman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982090676 PECOS PAC ID: 0749594018 Enrollment ID: I20180716001299 |
| Provider Name | Kevin P Quirke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417306911 PECOS PAC ID: 3870888738 Enrollment ID: I20180717003218 |
| Provider Name | Gregory T Hammons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790725711 PECOS PAC ID: 9032191846 Enrollment ID: I20180718001493 |
| Provider Name | Abuzaid A Medani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528474079 PECOS PAC ID: 5395055271 Enrollment ID: I20180807001704 |
| Provider Name | Brett E Sorge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235558271 PECOS PAC ID: 3375844947 Enrollment ID: I20180808002276 |
| Provider Name | Klaus P Kutschke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598746349 PECOS PAC ID: 1658356001 Enrollment ID: I20180811000005 |
| Provider Name | Raj Purshotam Hiranandani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689089112 PECOS PAC ID: 8123392297 Enrollment ID: I20180813003074 |
| Provider Name | Krzysztof A Rus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154748200 PECOS PAC ID: 0345510897 Enrollment ID: I20180906001908 |
| Provider Name | Kessa A Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700171857 PECOS PAC ID: 5991055956 Enrollment ID: I20180912002511 |
| Provider Name | Brad T Morrow |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659691228 PECOS PAC ID: 0941550917 Enrollment ID: I20180912002732 |
| Provider Name | Prabeer Mann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720420839 PECOS PAC ID: 1951689017 Enrollment ID: I20181015003510 |
| Provider Name | Yaser Fathi Kawar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811289911 PECOS PAC ID: 0749412591 Enrollment ID: I20181029001135 |
| Provider Name | Kaitlin M Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336614213 PECOS PAC ID: 8729331350 Enrollment ID: I20181030000835 |
| Provider Name | David C Gaylord |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144288655 PECOS PAC ID: 6709847759 Enrollment ID: I20181106003255 |
| Provider Name | Daniel C Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124503677 PECOS PAC ID: 5991059289 Enrollment ID: I20181127001145 |
| Provider Name | Shanna R Badje |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174099634 PECOS PAC ID: 5799029427 Enrollment ID: I20181206000030 |
| Provider Name | Shakil Karim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720039019 PECOS PAC ID: 0446201974 Enrollment ID: I20181219000909 |
| Provider Name | Tammy G Buchanan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487627022 PECOS PAC ID: 9335108463 Enrollment ID: I20190104000721 |
| Provider Name | Amir S Gholami |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447425806 PECOS PAC ID: 4981890159 Enrollment ID: I20190109000725 |
| Provider Name | Stephanie J Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649740564 PECOS PAC ID: 9537405576 Enrollment ID: I20190111000084 |
| Provider Name | Jeffrey L Wild |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588820724 PECOS PAC ID: 3072769538 Enrollment ID: I20190214002551 |
| Provider Name | Susan M Ksiazek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548326796 PECOS PAC ID: 9537357199 Enrollment ID: I20190222000122 |
| Provider Name | Cathryn A Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346240975 PECOS PAC ID: 9739178880 Enrollment ID: I20190305000713 |
| Provider Name | Kay Johnson-keys |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043247190 PECOS PAC ID: 4587621271 Enrollment ID: I20190312000165 |
| Provider Name | Melissa A Bohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821562679 PECOS PAC ID: 0941540314 Enrollment ID: I20190321000955 |
| Provider Name | Stefanie N Rinehardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649691361 PECOS PAC ID: 9436373776 Enrollment ID: I20190412000416 |
| Provider Name | Andrew John Miller |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1699822403 PECOS PAC ID: 4587807631 Enrollment ID: I20190423001176 |
| Provider Name | Milan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558756460 PECOS PAC ID: 7315256161 Enrollment ID: I20190429002612 |
| Provider Name | Tyler Qiu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780038851 PECOS PAC ID: 1557604113 Enrollment ID: I20190522001407 |
| Provider Name | Akhter Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699783340 PECOS PAC ID: 8921236449 Enrollment ID: I20190606002446 |
| Provider Name | Heather L Mccarthy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194288381 PECOS PAC ID: 4486987195 Enrollment ID: I20190612002179 |
| Provider Name | Kristin J Baxter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841854536 PECOS PAC ID: 0446583892 Enrollment ID: I20190618000324 |
| Provider Name | Katlyn A Rohr |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225692858 PECOS PAC ID: 7911231121 Enrollment ID: I20190621001436 |
| Provider Name | Charlene M Sealy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609229327 PECOS PAC ID: 3577897503 Enrollment ID: I20190626000071 |
| Provider Name | Jeremiah Josh Libby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184045213 PECOS PAC ID: 3173872041 Enrollment ID: I20190723002893 |
| Provider Name | Michael K Donnelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477789105 PECOS PAC ID: 2062659980 Enrollment ID: I20190725002629 |
| Provider Name | Kimberly M Finlan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831741180 PECOS PAC ID: 3971839648 Enrollment ID: I20190802000092 |
| Provider Name | Barbara Ann Coulter-smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497738033 PECOS PAC ID: 7315982295 Enrollment ID: I20190814000523 |
| Provider Name | Gavin Mark Ambrosi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700299203 PECOS PAC ID: 2567753759 Enrollment ID: I20190823003477 |
| Provider Name | Benjamin Faustich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699092916 PECOS PAC ID: 8123246451 Enrollment ID: I20190829003556 |
| Provider Name | Rachel M Randall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457694309 PECOS PAC ID: 9830491968 Enrollment ID: I20190911001853 |
| Provider Name | Carolyn F Haus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710272984 PECOS PAC ID: 1951619790 Enrollment ID: I20190926000849 |
| Provider Name | Tracy Nims |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639183155 PECOS PAC ID: 6800866427 Enrollment ID: I20190926001082 |
| Provider Name | Yousuf Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609286590 PECOS PAC ID: 1254633605 Enrollment ID: I20191002003210 |
| Provider Name | Carmen Alcala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639583560 PECOS PAC ID: 8325343460 Enrollment ID: I20191011001212 |
| Provider Name | Donna M Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609816453 PECOS PAC ID: 6901702034 Enrollment ID: I20191028000152 |
| Provider Name | Kathryn G Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420130 PECOS PAC ID: 7618301250 Enrollment ID: I20200107001795 |
| Provider Name | Sarah Minasyan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669646451 PECOS PAC ID: 9335104694 Enrollment ID: I20200206000966 |
| Provider Name | Anup Sud |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316972631 PECOS PAC ID: 4486752649 Enrollment ID: I20200227001903 |
| Provider Name | Scott B Bennion |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720287394 PECOS PAC ID: 9537346069 Enrollment ID: I20200319001025 |
| Provider Name | Ann L Lapacinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750850871 PECOS PAC ID: 1850631979 Enrollment ID: I20200413003704 |
| Provider Name | Denise D Mcmahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740825926 PECOS PAC ID: 3173953569 Enrollment ID: I20200427001957 |
| Provider Name | Brian P Cone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578859328 PECOS PAC ID: 7113153354 Enrollment ID: I20200501000839 |
| Provider Name | Janis M Cekan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831737048 PECOS PAC ID: 9335570449 Enrollment ID: I20200505001791 |
| Provider Name | Alejandro Jimenez Restrepo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609058890 PECOS PAC ID: 7911273800 Enrollment ID: I20200526001520 |
| Provider Name | Erin D Zigler-miller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851926034 PECOS PAC ID: 2365864790 Enrollment ID: I20200612000186 |
| Provider Name | Lynda K Vielbig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063040244 PECOS PAC ID: 9436571908 Enrollment ID: I20200630000977 |
| Provider Name | Arshad Aliabd Al-mashhadani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245771476 PECOS PAC ID: 7719250901 Enrollment ID: I20200730003821 |
| Provider Name | Kemal Kucuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053844142 PECOS PAC ID: 7214205764 Enrollment ID: I20200805002483 |
| Provider Name | Allyson Darga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649633157 PECOS PAC ID: 8820389307 Enrollment ID: I20200812003165 |
| Provider Name | Jemstone W Bathe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063945483 PECOS PAC ID: 6709153398 Enrollment ID: I20200817003731 |
| Provider Name | Melissa S Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154959518 PECOS PAC ID: 3779909049 Enrollment ID: I20200817003825 |
| Provider Name | Megan F Peissig |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437774064 PECOS PAC ID: 2860810801 Enrollment ID: I20200908002818 |
| Provider Name | Sami A Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205355351 PECOS PAC ID: 2668892175 Enrollment ID: I20201022002566 |
| Provider Name | Rachel Lynn Davis Houser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699392886 PECOS PAC ID: 4486074838 Enrollment ID: I20201023000884 |
| Provider Name | Brita L Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164033387 PECOS PAC ID: 9931529229 Enrollment ID: I20201027001218 |
| Provider Name | Jeffrey A Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043436132 PECOS PAC ID: 8921108366 Enrollment ID: I20201111001127 |
| Provider Name | Angela E Colby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174139869 PECOS PAC ID: 1759791247 Enrollment ID: I20201112001581 |
| Provider Name | Waleed Mansour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043628589 PECOS PAC ID: 1557661980 Enrollment ID: I20201210002640 |
| Provider Name | Claire M Roehl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558978544 PECOS PAC ID: 5597177725 Enrollment ID: I20201212000185 |
| Provider Name | Bradley Richard Brossard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457968687 PECOS PAC ID: 3577977057 Enrollment ID: I20210125000293 |
| Provider Name | Judith W Cook |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891714606 PECOS PAC ID: 4981639770 Enrollment ID: I20210219001916 |
| Provider Name | Mark Robert Keaton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477530533 PECOS PAC ID: 4486685864 Enrollment ID: I20210309002824 |
| Provider Name | Robert A Frankenthaler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487663944 PECOS PAC ID: 0244275303 Enrollment ID: I20210326001079 |
| Provider Name | James F Gallant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295712974 PECOS PAC ID: 2860680766 Enrollment ID: I20210414001743 |
| Provider Name | Banke Agarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134137011 PECOS PAC ID: 4284779539 Enrollment ID: I20210428001977 |
| Provider Name | Timothy D Hovde |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982193157 PECOS PAC ID: 5698021343 Enrollment ID: I20210520000829 |
| Provider Name | Giancarlo A Garcia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265969984 PECOS PAC ID: 0749680056 Enrollment ID: I20210608001869 |
| Provider Name | Michael A Roegner |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1487000436 PECOS PAC ID: 6901216621 Enrollment ID: I20210624001902 |
| Provider Name | Mark P Ridder |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821542739 PECOS PAC ID: 2163779869 Enrollment ID: I20210701000242 |
| Provider Name | Vanessa G Tseng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336116128 PECOS PAC ID: 0941214142 Enrollment ID: I20210709002948 |
| Provider Name | Omesh G Toolsie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972911865 PECOS PAC ID: 0345643995 Enrollment ID: I20210720004068 |
| Provider Name | Elizabeth G Ethington |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184152894 PECOS PAC ID: 4183994759 Enrollment ID: I20210803000624 |
| Provider Name | Megan G Bisson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184297632 PECOS PAC ID: 6709280951 Enrollment ID: I20210810001661 |
| Provider Name | Eyob Kassaye Haile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609372929 PECOS PAC ID: 2062818818 Enrollment ID: I20210902002367 |
| Provider Name | Jeffrey J Kroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134129521 PECOS PAC ID: 8820192024 Enrollment ID: I20210915003670 |
| Provider Name | Amy M Marvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447820626 PECOS PAC ID: 9638576697 Enrollment ID: I20210920000419 |
| Provider Name | Katie Jopp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588974695 PECOS PAC ID: 8325445026 Enrollment ID: I20210923000082 |
| Provider Name | Syed Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689089674 PECOS PAC ID: 9931327475 Enrollment ID: I20210923003771 |
| Provider Name | Prompan Mingbunjerdsuk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386030609 PECOS PAC ID: 5597062562 Enrollment ID: I20210924000713 |
| Provider Name | Philip A Kramer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821471681 PECOS PAC ID: 3870830839 Enrollment ID: I20210924001115 |
| Provider Name | Laura S Wargowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396322947 PECOS PAC ID: 1052718426 Enrollment ID: I20210928001353 |
| Provider Name | Elsa J Spitzmueller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396419628 PECOS PAC ID: 9931506326 Enrollment ID: I20210928001916 |
| Provider Name | Steven Schwartz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275574832 PECOS PAC ID: 8628142809 Enrollment ID: I20210929002568 |
| Provider Name | Bridget L Flaten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801469143 PECOS PAC ID: 1254739089 Enrollment ID: I20211008002420 |
| Provider Name | Thomas M Leschke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457730988 PECOS PAC ID: 7113205683 Enrollment ID: I20211022001737 |
| Provider Name | Daniel Galban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215432661 PECOS PAC ID: 4284036153 Enrollment ID: I20211026000099 |
| Provider Name | Rachel E Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508353178 PECOS PAC ID: 4789939372 Enrollment ID: I20211105002274 |
| Provider Name | Mariah E Rayburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306518923 PECOS PAC ID: 0143610568 Enrollment ID: I20211129001838 |
| Provider Name | Cheryl R Petrus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184630618 PECOS PAC ID: 3476943812 Enrollment ID: I20211129002412 |
| Provider Name | Judith A Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093484412 PECOS PAC ID: 8224428065 Enrollment ID: I20211209001089 |
| Provider Name | Jamie L Spatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972274181 PECOS PAC ID: 0749671980 Enrollment ID: I20211227000601 |
| Provider Name | Paula A Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750830105 PECOS PAC ID: 8123410826 Enrollment ID: I20220107002153 |
| Provider Name | Guy D Gober |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982602660 PECOS PAC ID: 0547299380 Enrollment ID: I20220216001245 |
| Provider Name | Emily T Cullen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336809342 PECOS PAC ID: 7214322189 Enrollment ID: I20220312000360 |
| Provider Name | David E Eisenhauer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720281330 PECOS PAC ID: 2668652371 Enrollment ID: I20220316001016 |
| Provider Name | Melissa S Skoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700309796 PECOS PAC ID: 7719250869 Enrollment ID: I20220408000493 |
| Provider Name | Christopher W Grant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114212040 PECOS PAC ID: 9931409265 Enrollment ID: I20220426003023 |
| Provider Name | Leah Shevaun Matuszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750040960 PECOS PAC ID: 7214324862 Enrollment ID: I20220428001785 |
| Provider Name | Ivica Vucic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871779371 PECOS PAC ID: 5395872857 Enrollment ID: I20220428002090 |
| Provider Name | Tracie Anne Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003571936 PECOS PAC ID: 9032506613 Enrollment ID: I20220428002691 |
| Provider Name | Stuart Babcock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366463689 PECOS PAC ID: 4880756790 Enrollment ID: I20220519002656 |
| Provider Name | Pamela A Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306988589 PECOS PAC ID: 6608886478 Enrollment ID: I20220526001755 |
| Provider Name | Steven Bullard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235502030 PECOS PAC ID: 1052616521 Enrollment ID: I20220607001171 |
| Provider Name | Andrey Mironenko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174185292 PECOS PAC ID: 1658608229 Enrollment ID: I20220614001889 |
| Provider Name | Roman Krasnov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194211722 PECOS PAC ID: 1759630429 Enrollment ID: I20220620000867 |
| Provider Name | Brian S Rougeux |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285167858 PECOS PAC ID: 4688946544 Enrollment ID: I20220622001085 |
| Provider Name | Sinduja Lakkunarajah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801246921 PECOS PAC ID: 1557690120 Enrollment ID: I20220708000857 |
| Provider Name | Laura Arkoush |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518698620 PECOS PAC ID: 4183004047 Enrollment ID: I20220708003012 |
| Provider Name | Whitney Louise Mcmullin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346983616 PECOS PAC ID: 5698155463 Enrollment ID: I20220711002347 |
| Provider Name | Maleeha Ajmal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548822612 PECOS PAC ID: 2769801976 Enrollment ID: I20220711002588 |
| Provider Name | Kimberly L Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053549873 PECOS PAC ID: 5294889853 Enrollment ID: I20220711003221 |
| Provider Name | Pavel Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922391796 PECOS PAC ID: 9537450549 Enrollment ID: I20220711003232 |
| Provider Name | Danielle Ranee Soltis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114672136 PECOS PAC ID: 2668852336 Enrollment ID: I20220712002123 |
| Provider Name | Michael Christian Mccarty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528327012 PECOS PAC ID: 7517277791 Enrollment ID: I20220712003316 |
| Provider Name | Frederick C Gehrmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861480055 PECOS PAC ID: 9931180353 Enrollment ID: I20220713002217 |
| Provider Name | Haibin Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689236754 PECOS PAC ID: 5991119117 Enrollment ID: I20220713002367 |
| Provider Name | Muhammad B Gilani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750943833 PECOS PAC ID: 9830504158 Enrollment ID: I20220721000828 |
| Provider Name | Philip J Kostka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720646409 PECOS PAC ID: 9830570761 Enrollment ID: I20220722002077 |
| Provider Name | Ahmed Elsayed Ali Hanafy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629537741 PECOS PAC ID: 9133500911 Enrollment ID: I20220726000905 |
| Provider Name | Isaac Chris Boyack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942663414 PECOS PAC ID: 6800278698 Enrollment ID: I20220726001709 |
| Provider Name | Andrea Gosalvez Tejada |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558810192 PECOS PAC ID: 2264780162 Enrollment ID: I20220726002045 |
| Provider Name | Emily E Hulke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962815019 PECOS PAC ID: 9830462712 Enrollment ID: I20220726002251 |
| Provider Name | Carl Liebe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285294348 PECOS PAC ID: 8426383431 Enrollment ID: I20220727000542 |
| Provider Name | Heather M Conn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790155182 PECOS PAC ID: 8325357783 Enrollment ID: I20220727001355 |
| Provider Name | Michelle L Hulman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861131344 PECOS PAC ID: 5496137044 Enrollment ID: I20220729001176 |
| Provider Name | Joshua Andrew Leonard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427511476 PECOS PAC ID: 0244612703 Enrollment ID: I20220729001953 |
| Provider Name | Preeti V Adeshara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447506779 PECOS PAC ID: 2860783420 Enrollment ID: I20220801000046 |
| Provider Name | Casey Terrence Waldvogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578202867 PECOS PAC ID: 8123400470 Enrollment ID: I20220802003910 |
| Provider Name | Brittany D Samson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194276568 PECOS PAC ID: 2567717911 Enrollment ID: I20220803000185 |
| Provider Name | Mohammed M Khadir |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679862296 PECOS PAC ID: 7113218173 Enrollment ID: I20220803003437 |
| Provider Name | Drew T Rupp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851931570 PECOS PAC ID: 5092141150 Enrollment ID: I20220805001100 |
| Provider Name | Michael G Lubahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477127116 PECOS PAC ID: 0143625483 Enrollment ID: I20220809001266 |
| Provider Name | Josephine U Anuforo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366898330 PECOS PAC ID: 5597190322 Enrollment ID: I20220810003698 |
| Provider Name | Jose M Barrera Bermejo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356665012 PECOS PAC ID: 9032341722 Enrollment ID: I20220812000606 |
| Provider Name | Meghan D Asleson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306587035 PECOS PAC ID: 1850774589 Enrollment ID: I20220812002848 |
| Provider Name | Anthony H Devries |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053762088 PECOS PAC ID: 5991076036 Enrollment ID: I20220815001666 |
| Provider Name | Jennifer A Rosicky |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629313085 PECOS PAC ID: 1557744190 Enrollment ID: I20220816000164 |
| Provider Name | James Brand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104571140 PECOS PAC ID: 7012390578 Enrollment ID: I20220816001315 |
| Provider Name | Daniel Alan Jurczyk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043716434 PECOS PAC ID: 5991054694 Enrollment ID: I20220816002307 |
| Provider Name | Kelly M. Spanier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588270557 PECOS PAC ID: 7012390404 Enrollment ID: I20220817003284 |
| Provider Name | Nicole A Krolak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407342561 PECOS PAC ID: 4486084878 Enrollment ID: I20220818003642 |
| Provider Name | Kathleen M Hartman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972102937 PECOS PAC ID: 8325421613 Enrollment ID: I20220819000326 |
| Provider Name | Chidozie C Agu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982952156 PECOS PAC ID: 5395036610 Enrollment ID: I20220823000145 |
| Provider Name | Andrei R Bandarchuk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013323831 PECOS PAC ID: 2365764107 Enrollment ID: I20220823000809 |
| Provider Name | Christopher J Osterbauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427543578 PECOS PAC ID: 6709133796 Enrollment ID: I20220824000510 |
| Provider Name | Rebecca Rose Kemnitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982108122 PECOS PAC ID: 8224382189 Enrollment ID: I20220825001412 |
| Provider Name | Jason D Servi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811554850 PECOS PAC ID: 2163806951 Enrollment ID: I20220827000671 |
| Provider Name | Haytham Yousef Hasan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982050290 PECOS PAC ID: 7618213349 Enrollment ID: I20220829000252 |
| Provider Name | Jessica Lynn Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528797255 PECOS PAC ID: 5698159358 Enrollment ID: I20220829003265 |
| Provider Name | Desirae Alyssa Schuh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831822501 PECOS PAC ID: 9234513920 Enrollment ID: I20220830000664 |
| Provider Name | Abhijit Deshmukh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043276231 PECOS PAC ID: 9537110176 Enrollment ID: I20220831000295 |
| Provider Name | Charles J Bettag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881199750 PECOS PAC ID: 2961759287 Enrollment ID: I20220831001201 |
| Provider Name | Rabia Zahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346734043 PECOS PAC ID: 0143577387 Enrollment ID: I20220831001371 |
| Provider Name | Angelica Christine Lorenzo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356834170 PECOS PAC ID: 3870848468 Enrollment ID: I20220907000053 |
| Provider Name | George Robert Dulabon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649264680 PECOS PAC ID: 4789789322 Enrollment ID: I20220907002911 |
| Provider Name | Kyle M Dennison |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467009233 PECOS PAC ID: 1951785146 Enrollment ID: I20220907003440 |
| Provider Name | Rachel P Chenoweth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366840308 PECOS PAC ID: 6608250808 Enrollment ID: I20220907003866 |
| Provider Name | Muhammad Haseeb Zubair |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922480235 PECOS PAC ID: 3072997105 Enrollment ID: I20220908001611 |
| Provider Name | Anna Leigh Mathy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497420582 PECOS PAC ID: 5294110391 Enrollment ID: I20220909001292 |
| Provider Name | Cameron Fredrick Pearson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689300618 PECOS PAC ID: 4183009202 Enrollment ID: I20220909001966 |
| Provider Name | Chimkama Ibe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366606337 PECOS PAC ID: 1456525914 Enrollment ID: I20220909002742 |
| Provider Name | Caitlin E Timmers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669963799 PECOS PAC ID: 2567727936 Enrollment ID: I20220909003006 |
| Provider Name | Igor V Bulatov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912091646 PECOS PAC ID: 9436376209 Enrollment ID: I20220914001052 |
| Provider Name | Kelsey J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770211302 PECOS PAC ID: 5890170450 Enrollment ID: I20220916003117 |
| Provider Name | Stephanie C Carr |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1992159800 PECOS PAC ID: 2961777065 Enrollment ID: I20220920003406 |
| Provider Name | Eric A Afari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215399068 PECOS PAC ID: 0042502379 Enrollment ID: I20220921002031 |
| Provider Name | Alyssa M Harp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194395756 PECOS PAC ID: 8123429743 Enrollment ID: I20220921003136 |
| Provider Name | Samuel J Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669920930 PECOS PAC ID: 7618211616 Enrollment ID: I20220922000502 |
| Provider Name | Kyle Micheal Gamoke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144958968 PECOS PAC ID: 6608251905 Enrollment ID: I20220922003492 |
| Provider Name | K V R Mohan Rao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477596799 PECOS PAC ID: 7113938655 Enrollment ID: I20220926000526 |
| Provider Name | Trista J Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760126460 PECOS PAC ID: 5092191148 Enrollment ID: I20220927004107 |
| Provider Name | Sophie S Arbefeville |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093986960 PECOS PAC ID: 1153592605 Enrollment ID: I20220928000155 |
| Provider Name | Ashley Marie Stepanovs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942936257 PECOS PAC ID: 5496131484 Enrollment ID: I20220928001935 |
| Provider Name | Anna Jane Smugala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528790276 PECOS PAC ID: 2860878865 Enrollment ID: I20220928002383 |
| Provider Name | Paul A Saconn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255518734 PECOS PAC ID: 2264600196 Enrollment ID: I20220929001093 |
| Provider Name | Britney Papp |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972954857 PECOS PAC ID: 1951670744 Enrollment ID: I20220929001182 |
| Provider Name | Ellen A Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568193910 PECOS PAC ID: 2062898950 Enrollment ID: I20220929002436 |
| Provider Name | Jeffrey K Rossow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366890402 PECOS PAC ID: 7517204126 Enrollment ID: I20220929003724 |
| Provider Name | Cesar A Sanchez Padron |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215467485 PECOS PAC ID: 8729352950 Enrollment ID: I20220930000039 |
| Provider Name | Rula T Al-baghdadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154819761 PECOS PAC ID: 5193101913 Enrollment ID: I20221003001071 |
| Provider Name | Charles Kotulski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902398407 PECOS PAC ID: 0547517617 Enrollment ID: I20221003002336 |
| Provider Name | Duffy M Casey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346478161 PECOS PAC ID: 0345473187 Enrollment ID: I20221004001025 |
| Provider Name | Taylor L Effertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962136580 PECOS PAC ID: 2668858382 Enrollment ID: I20221004002454 |
| Provider Name | Daniel Hyatt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548622996 PECOS PAC ID: 5698066264 Enrollment ID: I20221004003443 |
| Provider Name | Matthew William Oley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376273474 PECOS PAC ID: 4486030020 Enrollment ID: I20221004003993 |
| Provider Name | Erika Jane Stauss |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508516832 PECOS PAC ID: 1052797669 Enrollment ID: I20221005002629 |
| Provider Name | Eric L Lo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497782023 PECOS PAC ID: 8123193208 Enrollment ID: I20221006001018 |
| Provider Name | April Marie Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720708803 PECOS PAC ID: 5597141069 Enrollment ID: I20221006001920 |
| Provider Name | Samer X Kanaan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689864522 PECOS PAC ID: 0143318071 Enrollment ID: I20221007001898 |
| Provider Name | George N Batty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003020413 PECOS PAC ID: 2163675810 Enrollment ID: I20221008000048 |
| Provider Name | Priyanka Timothy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1669824843 PECOS PAC ID: 4587929757 Enrollment ID: I20221011002599 |
| Provider Name | Nicole K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124501283 PECOS PAC ID: 8224404249 Enrollment ID: I20221017001599 |
| Provider Name | Sergejs Stepanovs |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073964615 PECOS PAC ID: 1456619477 Enrollment ID: I20221020002856 |
| Provider Name | Chad J Rosen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164865960 PECOS PAC ID: 1557635133 Enrollment ID: I20221025002273 |
| Provider Name | Margo Lynn Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962122705 PECOS PAC ID: 5496121899 Enrollment ID: I20221025003344 |
| Provider Name | George A Cortas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194802074 PECOS PAC ID: 3476553108 Enrollment ID: I20221027000424 |
| Provider Name | Kelly Theresia Dassow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184359499 PECOS PAC ID: 7416324777 Enrollment ID: I20221031001290 |
| Provider Name | Chhama Sarawagi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023498797 PECOS PAC ID: 9234506478 Enrollment ID: I20221101002131 |
| Provider Name | Mckenna R Rickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114409406 PECOS PAC ID: 5395112551 Enrollment ID: I20221101003161 |
| Provider Name | Barbara T Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245417401 PECOS PAC ID: 3173698701 Enrollment ID: I20221104001357 |
| Provider Name | Santosh Gowda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639259823 PECOS PAC ID: 8921151200 Enrollment ID: I20221110000744 |
| Provider Name | Hannah Nicole Everson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801523121 PECOS PAC ID: 0749657377 Enrollment ID: I20221110001139 |
| Provider Name | Amanda V Olsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407227507 PECOS PAC ID: 0446539910 Enrollment ID: I20221115002101 |
| Provider Name | Emilia Krol |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952531386 PECOS PAC ID: 0143527689 Enrollment ID: I20221117001265 |
| Provider Name | Seth E Bollinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013652932 PECOS PAC ID: 0244608248 Enrollment ID: I20221123000709 |
| Provider Name | Kiara Iris Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336864719 PECOS PAC ID: 5698144244 Enrollment ID: I20221205000355 |
| Provider Name | Gary B. Sinensky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376585067 PECOS PAC ID: 8921284449 Enrollment ID: I20221205001799 |
| Provider Name | Michael P Siegenthaler |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1093863532 PECOS PAC ID: 7012918782 Enrollment ID: I20221219000799 |
| Provider Name | Rebecca Ann Cronk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447974647 PECOS PAC ID: 6002285731 Enrollment ID: I20221219002659 |
| Provider Name | Jennifer L Sperl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750019691 PECOS PAC ID: 9537539226 Enrollment ID: I20221220002558 |
| Provider Name | Devesh B. Vyas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154446664 PECOS PAC ID: 8426066523 Enrollment ID: I20221222002000 |
| Provider Name | Megan Kristine Cannon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710484878 PECOS PAC ID: 2163892738 Enrollment ID: I20221226000126 |
| Provider Name | Krishna S Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225533615 PECOS PAC ID: 2264857580 Enrollment ID: I20230104002064 |
| Provider Name | Ezra Jay Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508517251 PECOS PAC ID: 0446620553 Enrollment ID: I20230106001271 |
| Provider Name | Gregory W Cotter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659363067 PECOS PAC ID: 8325039209 Enrollment ID: I20230111002420 |
| Provider Name | Brian Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487118840 PECOS PAC ID: 5496096984 Enrollment ID: I20230113000966 |
| Provider Name | Faiza Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780337568 PECOS PAC ID: 1456722750 Enrollment ID: I20230125000102 |
| Provider Name | Molly F Mcneely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316654825 PECOS PAC ID: 1052782265 Enrollment ID: I20230126001976 |
| Provider Name | Lia Pender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356068662 PECOS PAC ID: 8527439736 Enrollment ID: I20230126002269 |
| Provider Name | Tia K Mathwich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043798341 PECOS PAC ID: 6507237724 Enrollment ID: I20230126002455 |
| Provider Name | Natalie A Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578113189 PECOS PAC ID: 4587996285 Enrollment ID: I20230127000374 |
| Provider Name | Melissa Lynn Leopold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053782185 PECOS PAC ID: 2961873047 Enrollment ID: I20230127002374 |
| Provider Name | Jeremy Logan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053383729 PECOS PAC ID: 9638101827 Enrollment ID: I20230131001803 |
| Provider Name | Naeem Al Khaliq Chaudhry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174727457 PECOS PAC ID: 3678659828 Enrollment ID: I20230206002089 |
| Provider Name | Kevin S Wippermann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962852673 PECOS PAC ID: 1052783784 Enrollment ID: I20230207000956 |
| Provider Name | Jessica L Hardesty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083842884 PECOS PAC ID: 4587884788 Enrollment ID: I20230223002834 |
| Provider Name | Nicholas M Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245681725 PECOS PAC ID: 6204129885 Enrollment ID: I20230224001014 |
| Provider Name | Jessica Jean Wincentsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164157129 PECOS PAC ID: 9436522018 Enrollment ID: I20230301001738 |
| Provider Name | Timothy Stephens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265922983 PECOS PAC ID: 8527453471 Enrollment ID: I20230308001671 |
| Provider Name | James E Boatman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285615724 PECOS PAC ID: 1153313275 Enrollment ID: I20230308002200 |
| Provider Name | Wilson D Heredia Nunez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255776589 PECOS PAC ID: 9133450067 Enrollment ID: I20230310002147 |
| Provider Name | Amaris A Vesely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437861606 PECOS PAC ID: 6103290200 Enrollment ID: I20230313000470 |
| Provider Name | Lara Charity Stauner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063124642 PECOS PAC ID: 3971977869 Enrollment ID: I20230315002596 |
| Provider Name | Patricia A Rindfleisch |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427324904 PECOS PAC ID: 4284008756 Enrollment ID: I20230323002104 |
| Provider Name | Anna Marie Byrne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003387382 PECOS PAC ID: 9537533948 Enrollment ID: I20230327002607 |
| Provider Name | Kolapo O Dasilva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366766040 PECOS PAC ID: 1355582230 Enrollment ID: I20230329002948 |
| Provider Name | Mackenzie Suzanne Wockenfus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508361460 PECOS PAC ID: 5698149888 Enrollment ID: I20230330001651 |
| Provider Name | Jennifer Nimerick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073622759 PECOS PAC ID: 7214039320 Enrollment ID: I20230404000431 |
| Provider Name | Branden L Enright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619422060 PECOS PAC ID: 4385019140 Enrollment ID: I20230407001930 |
| Provider Name | Abby Sue Millard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841997483 PECOS PAC ID: 1759756539 Enrollment ID: I20230410000482 |
| Provider Name | Sumina Goel |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1639332893 PECOS PAC ID: 0941489538 Enrollment ID: I20230412002617 |
| Provider Name | Michael J Fallon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184623381 PECOS PAC ID: 8426016635 Enrollment ID: I20230414000646 |
| Provider Name | Amanda M Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750091179 PECOS PAC ID: 8729453139 Enrollment ID: I20230417000585 |
| Provider Name | Mohamad Salah El Bash |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235343922 PECOS PAC ID: 3870667538 Enrollment ID: I20230417002085 |
| Provider Name | Ashley W Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073025730 PECOS PAC ID: 4486913944 Enrollment ID: I20230417002557 |
| Provider Name | Carley A Vento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689289258 PECOS PAC ID: 5294153482 Enrollment ID: I20230419000088 |
| Provider Name | Ethan M Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811163199 PECOS PAC ID: 9133398365 Enrollment ID: I20230419001554 |
| Provider Name | James M Perkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205005113 PECOS PAC ID: 8426127432 Enrollment ID: I20230421000286 |
| Provider Name | Belinda A Murphy Denmark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689600785 PECOS PAC ID: 0547200552 Enrollment ID: I20230424001879 |
| Provider Name | Ellie P Skelton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629763743 PECOS PAC ID: 6103281845 Enrollment ID: I20230502000898 |
| Provider Name | Sierra Rae Kind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679272454 PECOS PAC ID: 6406211978 Enrollment ID: I20230505001177 |
| Provider Name | Catherine Anne Hopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093238263 PECOS PAC ID: 1456717818 Enrollment ID: I20230510001798 |
| Provider Name | Christie L Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679287916 PECOS PAC ID: 0749646040 Enrollment ID: I20230511000996 |
| Provider Name | Leslie M Sharpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740228568 PECOS PAC ID: 5395768212 Enrollment ID: I20230515001321 |
| Provider Name | Howard A. Peth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639265283 PECOS PAC ID: 3577694975 Enrollment ID: I20230516003359 |
| Provider Name | Mackenzie Johanna Derrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588362743 PECOS PAC ID: 3476919481 Enrollment ID: I20230517002600 |
| Provider Name | Elsaid Rabie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336427525 PECOS PAC ID: 4183867039 Enrollment ID: I20230519002088 |
| Provider Name | Sergio A Castillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114906468 PECOS PAC ID: 9032194782 Enrollment ID: I20230522001182 |
| Provider Name | Jessica R Rands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326681370 PECOS PAC ID: 9830509595 Enrollment ID: I20230523001651 |
| Provider Name | Spencer L Franchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154771798 PECOS PAC ID: 0941623938 Enrollment ID: I20230523002008 |
| Provider Name | Kristin M Kemp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881653251 PECOS PAC ID: 5193992212 Enrollment ID: I20230523002718 |
| Provider Name | Dustin J Wasylik |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083027346 PECOS PAC ID: 3173833753 Enrollment ID: I20230526001385 |
| Provider Name | Jason B Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669987335 PECOS PAC ID: 8123421815 Enrollment ID: I20230531003035 |
| Provider Name | Oleysa Sypchenko |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588103139 PECOS PAC ID: 0446536742 Enrollment ID: I20230601002841 |
| Provider Name | Tian Xia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437357423 PECOS PAC ID: 2961681713 Enrollment ID: I20230602002603 |
| Provider Name | Jason R Bauer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326029950 PECOS PAC ID: 4587690821 Enrollment ID: I20230608001901 |
| Provider Name | Dana Marie Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396717013 PECOS PAC ID: 6305813528 Enrollment ID: I20230613001089 |
| Provider Name | Timothy J Mathwich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194311761 PECOS PAC ID: 2668830035 Enrollment ID: I20230615003446 |
| Provider Name | Benjamin Lee Alt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649973892 PECOS PAC ID: 5496113771 Enrollment ID: I20230619000655 |
| Provider Name | Morgan A Figueroa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356012561 PECOS PAC ID: 3870983943 Enrollment ID: I20230621000343 |
| Provider Name | Manjot K Jassal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487016424 PECOS PAC ID: 0446558928 Enrollment ID: I20230621000719 |
| Provider Name | Kali R Hackmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548939135 PECOS PAC ID: 2961860952 Enrollment ID: I20230623000951 |
| Provider Name | Oscar F Mandes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386184679 PECOS PAC ID: 1951729672 Enrollment ID: I20230628000523 |
| Provider Name | Kristen M. French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336568179 PECOS PAC ID: 7113140518 Enrollment ID: I20230628000590 |
| Provider Name | Mark O Probasco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356709190 PECOS PAC ID: 0244698926 Enrollment ID: I20230628001746 |
| Provider Name | Daniel Okobi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194257741 PECOS PAC ID: 7012247471 Enrollment ID: I20230628002079 |
| Provider Name | Marissa Lorena Walczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871291906 PECOS PAC ID: 5193184802 Enrollment ID: I20230628003265 |
| Provider Name | Latasha Lynn Newbury |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770133316 PECOS PAC ID: 9739548314 Enrollment ID: I20230629001455 |
| Provider Name | Lauren Elizabeth Grandpre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578982393 PECOS PAC ID: 5890056162 Enrollment ID: I20230630002547 |
| Provider Name | Jeffrey M Quednow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780236562 PECOS PAC ID: 3678932134 Enrollment ID: I20230701000222 |
| Provider Name | Mike Jay Charlier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013571645 PECOS PAC ID: 2365801560 Enrollment ID: I20230706002290 |
| Provider Name | Mark Edward Reinhardt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033382825 PECOS PAC ID: 2466640693 Enrollment ID: I20230712001174 |
| Provider Name | Tekabe Nigussie Birhane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376170605 PECOS PAC ID: 0840650537 Enrollment ID: I20230712004500 |
| Provider Name | Kelsey J Kemnitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285346965 PECOS PAC ID: 9436519048 Enrollment ID: I20230714000298 |
| Provider Name | Luis Manon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154854610 PECOS PAC ID: 8426320227 Enrollment ID: I20230714002872 |
| Provider Name | Artem Sharko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952924987 PECOS PAC ID: 1052771532 Enrollment ID: I20230714003466 |
| Provider Name | Marjan Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770194185 PECOS PAC ID: 7416340666 Enrollment ID: I20230717000345 |
| Provider Name | Joseph Edmund |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821518457 PECOS PAC ID: 8426418872 Enrollment ID: I20230717001403 |
| Provider Name | Hafiz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275986390 PECOS PAC ID: 2365735461 Enrollment ID: I20230717002220 |
| Provider Name | Babar Shahzad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174131395 PECOS PAC ID: 1254707144 Enrollment ID: I20230717002772 |
| Provider Name | Abdallah Qasim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205314036 PECOS PAC ID: 0345592747 Enrollment ID: I20230721001248 |
| Provider Name | Mabelle H Cohen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1770661167 PECOS PAC ID: 6406033380 Enrollment ID: I20230721001955 |
| Provider Name | Kayla E Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023442084 PECOS PAC ID: 1254791247 Enrollment ID: I20230724000188 |
| Provider Name | Sheri Hayes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598939142 PECOS PAC ID: 9638539547 Enrollment ID: I20230724001066 |
| Provider Name | Adrien M Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366860983 PECOS PAC ID: 6103043195 Enrollment ID: I20230724003590 |
| Provider Name | Clare N Duncan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245920875 PECOS PAC ID: 7315308251 Enrollment ID: I20230725003285 |
| Provider Name | Rebecca Renee Gust |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619531225 PECOS PAC ID: 1759624521 Enrollment ID: I20230725003569 |
| Provider Name | Sarah E Dalton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164042479 PECOS PAC ID: 8628409109 Enrollment ID: I20230725003582 |
| Provider Name | Kaitlyn Robin Streachek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104542521 PECOS PAC ID: 2365803061 Enrollment ID: I20230727002256 |
| Provider Name | Phu Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376078360 PECOS PAC ID: 9739457763 Enrollment ID: I20230728001973 |
| Provider Name | Bruce L Mcham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578004974 PECOS PAC ID: 3577833177 Enrollment ID: I20230728002575 |
| Provider Name | Kaitlyn J Hogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811683295 PECOS PAC ID: 2961863451 Enrollment ID: I20230731004044 |
| Provider Name | Javariah I Asghar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1467688804 PECOS PAC ID: 5193911014 Enrollment ID: I20230801001288 |
| Provider Name | Rayan S Suliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063030492 PECOS PAC ID: 5799158879 Enrollment ID: I20230803001033 |
| Provider Name | Gul Nawaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457964389 PECOS PAC ID: 1254720121 Enrollment ID: I20230804003443 |
| Provider Name | Matthew C Stoflet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063039659 PECOS PAC ID: 3678970910 Enrollment ID: I20230806000021 |
| Provider Name | Weijia Wang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790124360 PECOS PAC ID: 4486943081 Enrollment ID: I20230807001737 |
| Provider Name | Dusan P Markovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922620970 PECOS PAC ID: 3274925425 Enrollment ID: I20230807002466 |
| Provider Name | Hailee Jane Richter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134824345 PECOS PAC ID: 4688035678 Enrollment ID: I20230808000508 |
| Provider Name | Holly E Berg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275038739 PECOS PAC ID: 2860740990 Enrollment ID: I20230808002218 |
| Provider Name | Temesgen T Shibre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407465677 PECOS PAC ID: 6406218395 Enrollment ID: I20230809001254 |
| Provider Name | Christian Horazeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629496369 PECOS PAC ID: 7911256888 Enrollment ID: I20230810001542 |
| Provider Name | Rose Philomena Zignego |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649958117 PECOS PAC ID: 2264894062 Enrollment ID: I20230810002171 |
| Provider Name | Claire F Fabian |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851089775 PECOS PAC ID: 8325400096 Enrollment ID: I20230811001138 |
| Provider Name | Jonah Matthew Schuch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154014777 PECOS PAC ID: 1052773629 Enrollment ID: I20230814002358 |
| Provider Name | Sheetal Aatrai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417568965 PECOS PAC ID: 5890167597 Enrollment ID: I20230814002636 |
| Provider Name | Jan A Herholdt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558449538 PECOS PAC ID: 0446341226 Enrollment ID: I20230816003448 |
| Provider Name | Mohammad R Choudhary |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477965739 PECOS PAC ID: 7214303585 Enrollment ID: I20230818001224 |
| Provider Name | Derek R Corporon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417416595 PECOS PAC ID: 4486989449 Enrollment ID: I20230821003092 |
| Provider Name | Munir H Idriss |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1750887444 PECOS PAC ID: 4284969759 Enrollment ID: I20230822003384 |
| Provider Name | Heather D Ebert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336590850 PECOS PAC ID: 8426411406 Enrollment ID: I20230823002524 |
| Provider Name | Felipe M Echeverria Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235740838 PECOS PAC ID: 3678961299 Enrollment ID: I20230823003822 |
| Provider Name | Omar Nihad Al-masri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770212433 PECOS PAC ID: 1052774064 Enrollment ID: I20230823004023 |
| Provider Name | David A Blair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821214735 PECOS PAC ID: 3779527239 Enrollment ID: I20230823004355 |
| Provider Name | Sierra Lynn Ystad |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396439014 PECOS PAC ID: 4789047739 Enrollment ID: I20230824000858 |
| Provider Name | Kasie Lynn Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053017434 PECOS PAC ID: 9234592296 Enrollment ID: I20230824001243 |
| Provider Name | Sandra C Roland |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659321545 PECOS PAC ID: 0446149868 Enrollment ID: I20230827000128 |
| Provider Name | Don Custodio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316152598 PECOS PAC ID: 2062585359 Enrollment ID: I20230828002128 |
| Provider Name | Carli R Gurholt |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1255059333 PECOS PAC ID: 4688037302 Enrollment ID: I20230829001961 |
| Provider Name | Alisa M Berger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619017043 PECOS PAC ID: 8426133141 Enrollment ID: I20230902000020 |
| Provider Name | Vishal Ravella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417574435 PECOS PAC ID: 8527421866 Enrollment ID: I20230903000011 |
| Provider Name | Pooja Srivastava |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891271599 PECOS PAC ID: 3870956113 Enrollment ID: I20230904000150 |
| Provider Name | Amanda A Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952001893 PECOS PAC ID: 4587027719 Enrollment ID: I20230905003950 |
| Provider Name | Lisa N Albanese |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245285923 PECOS PAC ID: 2860516341 Enrollment ID: I20230906000249 |
| Provider Name | Megan M Messerschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558056606 PECOS PAC ID: 4486018686 Enrollment ID: I20230906002819 |
| Provider Name | Magen Lynn Reigel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285319392 PECOS PAC ID: 7911361183 Enrollment ID: I20230907001152 |
| Provider Name | Cynthia A De Meester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558476168 PECOS PAC ID: 4486656501 Enrollment ID: I20230908001217 |
| Provider Name | Alissa Lee Small |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275192668 PECOS PAC ID: 2062876030 Enrollment ID: I20230908001536 |
| Provider Name | Abdul-ghaffaar Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053949305 PECOS PAC ID: 9830514967 Enrollment ID: I20230913003384 |
| Provider Name | Hoai Pham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407030737 PECOS PAC ID: 1658559208 Enrollment ID: I20230913003501 |
| Provider Name | Alison Bennett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144977083 PECOS PAC ID: 6406227735 Enrollment ID: I20230920000727 |
| Provider Name | Omar Abdelmegid |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760943633 PECOS PAC ID: 4688094931 Enrollment ID: I20230920002057 |
| Provider Name | Jenny May E Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720789811 PECOS PAC ID: 8820442155 Enrollment ID: I20230920002974 |
| Provider Name | Harsh Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801888433 PECOS PAC ID: 3971582149 Enrollment ID: I20230922001566 |
| Provider Name | Violet Ellington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770947756 PECOS PAC ID: 4688960743 Enrollment ID: I20230922003351 |
| Provider Name | Florence Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144716648 PECOS PAC ID: 3870841695 Enrollment ID: I20230926000725 |
| Provider Name | Megan M Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851999114 PECOS PAC ID: 7810341518 Enrollment ID: I20230929000111 |
| Provider Name | Frederick B Hernaez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205498227 PECOS PAC ID: 9830507516 Enrollment ID: I20231002000793 |
| Provider Name | Kaitlyn Taylor Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770367666 PECOS PAC ID: 8729432331 Enrollment ID: I20231002001147 |
| Provider Name | Krista Marie Branch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902538804 PECOS PAC ID: 8325492804 Enrollment ID: I20231003000263 |
| Provider Name | Katie Marie Jelinek |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063102911 PECOS PAC ID: 3577917053 Enrollment ID: I20231003000464 |
| Provider Name | Fernando Norona |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164488128 PECOS PAC ID: 3577747708 Enrollment ID: I20231004002528 |
| Provider Name | Taylor N Hayes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093304735 PECOS PAC ID: 8820443773 Enrollment ID: I20231012000757 |
| Provider Name | Benjamin J Usey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730249533 PECOS PAC ID: 5496798746 Enrollment ID: I20231012001601 |
| Provider Name | Robert E Love |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952676157 PECOS PAC ID: 7113229543 Enrollment ID: I20231013001379 |
| Provider Name | Elizabeth M Chacko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912529983 PECOS PAC ID: 6103291232 Enrollment ID: I20231017001125 |
| Provider Name | Lukresse Tatiana Njiojob |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164888004 PECOS PAC ID: 6901251503 Enrollment ID: I20231018000184 |
| Provider Name | Ngassa A Mssika |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932410461 PECOS PAC ID: 5991984189 Enrollment ID: I20231018002782 |
| Provider Name | Brianna R Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801577242 PECOS PAC ID: 5496100950 Enrollment ID: I20231018002806 |
| Provider Name | Susan E Tucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912266768 PECOS PAC ID: 5193022408 Enrollment ID: I20231018003080 |
| Provider Name | Ariana J Frisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629758578 PECOS PAC ID: 1951756428 Enrollment ID: I20231018003314 |
| Provider Name | Jeffrey Rickard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124229521 PECOS PAC ID: 9032285077 Enrollment ID: I20231019001226 |
| Provider Name | Mariam M Ibdaiwi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417452087 PECOS PAC ID: 2365790367 Enrollment ID: I20231020001545 |
| Provider Name | Amy C Roy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629274493 PECOS PAC ID: 4880744465 Enrollment ID: I20231025001801 |
| Provider Name | Paula Marie Gella |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598950362 PECOS PAC ID: 3072969138 Enrollment ID: I20231025002015 |
| Provider Name | Leah Jean Bloechl-gruna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669155198 PECOS PAC ID: 4688020407 Enrollment ID: I20231030002565 |
| Provider Name | Morgan Lynn Kamholz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275044414 PECOS PAC ID: 7719333442 Enrollment ID: I20231031003567 |
| Provider Name | Kellie S Jones Monahan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467568345 PECOS PAC ID: 5991833691 Enrollment ID: I20231031003753 |
| Provider Name | Andrew Kenneth Wolfe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710609474 PECOS PAC ID: 5991152563 Enrollment ID: I20231103003190 |
| Provider Name | Roshini Jagdish Ramwani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801258348 PECOS PAC ID: 2567752876 Enrollment ID: I20231107001905 |
| Provider Name | Nicole M Kraft |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598449936 PECOS PAC ID: 9638526981 Enrollment ID: I20231108003455 |
| Provider Name | Irene Nicole Presnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871915298 PECOS PAC ID: 5193955151 Enrollment ID: I20231111000598 |
| Provider Name | Ernest L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245015171 PECOS PAC ID: 3274981477 Enrollment ID: I20231129000713 |
| Provider Name | Christine A Daub |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528253614 PECOS PAC ID: 4880042092 Enrollment ID: I20231129001266 |
| Provider Name | Robert H Hubers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861413064 PECOS PAC ID: 4284733155 Enrollment ID: I20231206000767 |
| Provider Name | Sharon A Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912151044 PECOS PAC ID: 0244374783 Enrollment ID: I20231206001725 |
| Provider Name | Treve Henwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548233497 PECOS PAC ID: 2860423597 Enrollment ID: I20231206002134 |
| Provider Name | Fahd M Shaukat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649883794 PECOS PAC ID: 7618326315 Enrollment ID: I20231206002745 |
| Provider Name | Ashesh H Sanghvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336185685 PECOS PAC ID: 5193743102 Enrollment ID: I20231212000102 |
| Provider Name | Mark J Mogul |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336113752 PECOS PAC ID: 0042244972 Enrollment ID: I20231213002267 |
| Provider Name | Lanette Rickborn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174985444 PECOS PAC ID: 0941590830 Enrollment ID: I20231213002419 |
| Provider Name | Junhong Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003597063 PECOS PAC ID: 1951750900 Enrollment ID: I20231215001329 |
| Provider Name | David C Okonkwo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457796062 PECOS PAC ID: 2567821598 Enrollment ID: I20231221000307 |
| Provider Name | Carey R Martens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598880833 PECOS PAC ID: 2062503782 Enrollment ID: I20231221001765 |
| Provider Name | Alahna Jo Keil |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104692730 PECOS PAC ID: 2961852611 Enrollment ID: I20231221001892 |
| Provider Name | Kristopher C Wampole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548856156 PECOS PAC ID: 3274983606 Enrollment ID: I20231228000718 |
| Provider Name | Anne Cahill |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326066036 PECOS PAC ID: 5092711465 Enrollment ID: I20240104003050 |
| Provider Name | Maria T Decastro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558326470 PECOS PAC ID: 6305732587 Enrollment ID: I20240105002773 |
| Provider Name | Tracy R Kleingartner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386988566 PECOS PAC ID: 6709237464 Enrollment ID: I20240105004007 |
| Provider Name | Halie Marie Ciokiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104603380 PECOS PAC ID: 4082065305 Enrollment ID: I20240110003681 |
| Provider Name | Harbinder Singh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124061288 PECOS PAC ID: 2668482613 Enrollment ID: I20240110005027 |
| Provider Name | Patricia Sue Benoit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538340492 PECOS PAC ID: 3476904582 Enrollment ID: I20240112001276 |
| Provider Name | Sharon L Besterfeldt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083949028 PECOS PAC ID: 1254783392 Enrollment ID: I20240115000381 |
| Provider Name | Rebecca L Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548741259 PECOS PAC ID: 7416309315 Enrollment ID: I20240116003776 |
| Provider Name | Rebeca J Argiro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467946871 PECOS PAC ID: 5698127371 Enrollment ID: I20240118000900 |
| Provider Name | Vidallah Mulley Nordquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851175699 PECOS PAC ID: 6901258631 Enrollment ID: I20240118002561 |
| Provider Name | Kevin Charles Tolzman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861104911 PECOS PAC ID: 9133571748 Enrollment ID: I20240119000537 |
| Provider Name | Brianne N Snider |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881361780 PECOS PAC ID: 6002291556 Enrollment ID: I20240122001041 |
| Provider Name | Adeloye Omoyemi Soyege |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912774365 PECOS PAC ID: 9537511852 Enrollment ID: I20240122004130 |
| Provider Name | James A Raczek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114945433 PECOS PAC ID: 1658329289 Enrollment ID: I20240123002805 |
| Provider Name | Lisa S Dorn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144604216 PECOS PAC ID: 9335591528 Enrollment ID: I20240124000437 |
| Provider Name | Sierra L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902673528 PECOS PAC ID: 9537512587 Enrollment ID: I20240126000708 |
| Provider Name | Paul A Reder |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871521567 PECOS PAC ID: 5496728958 Enrollment ID: I20240126003025 |
| Provider Name | Maria Fuertes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972778389 PECOS PAC ID: 8426112376 Enrollment ID: I20240130000043 |
| Provider Name | Peter R Bream |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255428355 PECOS PAC ID: 8426187196 Enrollment ID: I20240205000743 |
| Provider Name | Heather Hilda Roen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457610750 PECOS PAC ID: 2860835006 Enrollment ID: I20240205003360 |
| Provider Name | Christina B Schreiner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285874982 PECOS PAC ID: 9032552880 Enrollment ID: I20240208001381 |
| Provider Name | Jamie Christine Hanrahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336606359 PECOS PAC ID: 6507209392 Enrollment ID: I20240208002724 |
| Provider Name | John W Wyllie |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831171180 PECOS PAC ID: 3274592118 Enrollment ID: I20240214000668 |
| Provider Name | Rebecca L Janssen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184887861 PECOS PAC ID: 9830533298 Enrollment ID: I20240214001146 |
| Provider Name | Seth F Tatel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144433467 PECOS PAC ID: 8426214875 Enrollment ID: I20240214001511 |
| Provider Name | Daniel G. Derezinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174629927 PECOS PAC ID: 2769826056 Enrollment ID: I20240214002602 |
| Provider Name | Deborah Jean Furgason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255677217 PECOS PAC ID: 6406290675 Enrollment ID: I20240215001168 |
| Provider Name | Robyne D Camana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477874238 PECOS PAC ID: 0446498281 Enrollment ID: I20240215003738 |
| Provider Name | Bethany F Peri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114137015 PECOS PAC ID: 6800074147 Enrollment ID: I20240216001763 |
| Provider Name | Amanda Rae Butterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558149922 PECOS PAC ID: 2264876283 Enrollment ID: I20240219000835 |
| Provider Name | Linda B Kedrowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710356548 PECOS PAC ID: 4082058862 Enrollment ID: I20240220003455 |
| Provider Name | Vanessa M Larose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730561333 PECOS PAC ID: 3779927413 Enrollment ID: I20240221001089 |
| Provider Name | Luis Dibos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679577639 PECOS PAC ID: 7618032269 Enrollment ID: I20240221002614 |
| Provider Name | Angela M Okon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962821082 PECOS PAC ID: 9436594504 Enrollment ID: I20240228002301 |
| Provider Name | Tierney D Woodward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326803982 PECOS PAC ID: 3173968799 Enrollment ID: I20240305001267 |
| Provider Name | Omid Hajiseyed Javadi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1720032808 PECOS PAC ID: 6507878378 Enrollment ID: I20240318003190 |
| Provider Name | Amanda R Stenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326819814 PECOS PAC ID: 9133566490 Enrollment ID: I20240321002854 |
| Provider Name | Kelly J Koson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629168687 PECOS PAC ID: 0345338125 Enrollment ID: I20240322003032 |
| Provider Name | Kristina Kochanova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912483074 PECOS PAC ID: 6002253234 Enrollment ID: I20240325000995 |
| Provider Name | Jenna Jo Brehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124808761 PECOS PAC ID: 3577900604 Enrollment ID: I20240325001339 |
| Provider Name | Ashley J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730940404 PECOS PAC ID: 6709223779 Enrollment ID: I20240326002748 |
| Provider Name | Mary R Chavez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649665738 PECOS PAC ID: 0244533289 Enrollment ID: I20240327001229 |
| Provider Name | Mohammad Lababidi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447712799 PECOS PAC ID: 8729317458 Enrollment ID: I20240327001248 |
| Provider Name | Timothy N Gorski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780726299 PECOS PAC ID: 1355665688 Enrollment ID: I20240327002333 |
| Provider Name | William Lavigne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083891311 PECOS PAC ID: 4385727643 Enrollment ID: I20240328000489 |
| Provider Name | Abigail L Paspalofski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033560750 PECOS PAC ID: 9537507694 Enrollment ID: I20240409001625 |
| Provider Name | Jenna Renee Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083476592 PECOS PAC ID: 6608214796 Enrollment ID: I20240409002736 |
| Provider Name | Frank D Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255602918 PECOS PAC ID: 5294959540 Enrollment ID: I20240409003761 |
| Provider Name | Keri A Otte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598339178 PECOS PAC ID: 4688013063 Enrollment ID: I20240418000435 |
| Provider Name | Samantha L Willms |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740032051 PECOS PAC ID: 7416396486 Enrollment ID: I20240424000019 |
| Provider Name | Jodi K Mechelke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083309801 PECOS PAC ID: 0941640551 Enrollment ID: I20240430002236 |
| Provider Name | Jamila C Watkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366762395 PECOS PAC ID: 3779706114 Enrollment ID: I20240501001797 |
| Provider Name | Yiting Yang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508122318 PECOS PAC ID: 7315166626 Enrollment ID: I20240508001120 |
| Provider Name | Stephen Kwan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518052356 PECOS PAC ID: 4385614346 Enrollment ID: I20240509000480 |
| Provider Name | Marla M Jordon-perkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386813293 PECOS PAC ID: 3870662042 Enrollment ID: I20240515002911 |
| Provider Name | Elliot A Hwang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477181832 PECOS PAC ID: 7810356664 Enrollment ID: I20240604001806 |
| Provider Name | Mauro C Janoski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154386290 PECOS PAC ID: 7416929708 Enrollment ID: I20240605002119 |
| Provider Name | Ferenc Gyulai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053389783 PECOS PAC ID: 1951596485 Enrollment ID: I20240606003298 |
| Provider Name | Kimberly A Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386252823 PECOS PAC ID: 3870913130 Enrollment ID: I20240610003829 |
| Provider Name | Christopher H Wyatt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861613077 PECOS PAC ID: 4880721695 Enrollment ID: I20240612003830 |
Up North Medical Clinic, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Lawrence Ave, Park Falls, WI 54552 Phone: 715-762-2970 | |
Park Falls Dental Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 Sherry Ave, Park Falls, WI 54552 Phone: 715-762-0200 | |
Valley Spine And Sport, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: N14889 Kaiser Rd, Park Falls, WI 54552 Phone: 608-780-4937 | |
Family Health Center/marshfield Clinic-park Falls Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Sherry Ave, Park Falls, WI 54552 Phone: 715-762-7311 | |
Park Falls Regional Medical Clinic, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 4th Ave S, Park Falls, WI 54552 Phone: 715-762-2970 Fax: 715-762-2975 | |
Northlakes Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 2nd Ave N, Park Falls, WI 54552 Phone: 715-762-2950 Fax: 715-762-3561 |