| Florida Hospital Healthcare Partners, Inc | |
|
301 Memorial Medical Pkwy Daytona Beach FL 32117-5167 | |
| (386) 231-6000 | |
| Not Available |
| Full Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 Memorial Medical Pkwy, Daytona Beach, Florida |
| Authorized Official Name and Position | Ilene Gilbert-droge (PRESIDENT, DIRECTOR) |
| Authorized Official Contact | 3862313905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Hospital Healthcare Partners, Inc 907 Sterthaus Dr Ormond Beach FL 32174-5133 Ph: (386) 671-4519 | Florida Hospital Healthcare Partners, Inc 301 Memorial Medical Pkwy Daytona Beach FL 32117-5167 Ph: (386) 231-6000 |
| NPI Number | 1780100529 |
|---|---|
| Provider Enumeration Date | 08/14/2017 |
| Last Update Date | 08/14/2017 |
| Medicare PECOS PAC ID | 7012266836 |
|---|---|
| Medicare Enrollment ID | O20180831000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780100529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| Provider Name | John S Newman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568456101 PECOS PAC ID: 3577462316 Enrollment ID: I20031231000294 |
| Provider Name | James L. Willis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154322915 PECOS PAC ID: 5597658914 Enrollment ID: I20040207000228 |
| Provider Name | Ralph Duane Cook |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689602161 PECOS PAC ID: 6103718945 Enrollment ID: I20040326000933 |
| Provider Name | Louis M Guzzi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215923180 PECOS PAC ID: 3173511706 Enrollment ID: I20040503001672 |
| Provider Name | Debra C Noel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811073091 PECOS PAC ID: 2769473958 Enrollment ID: I20040518000925 |
| Provider Name | Dilip V Arcot |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225024292 PECOS PAC ID: 5799768743 Enrollment ID: I20040610000682 |
| Provider Name | Hugo J Ramon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649257718 PECOS PAC ID: 1153307871 Enrollment ID: I20040624001424 |
| Provider Name | Gary S Allen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154327872 PECOS PAC ID: 3274508908 Enrollment ID: I20040826001439 |
| Provider Name | Patricio Giovanni Bruno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336120690 PECOS PAC ID: 2062487184 Enrollment ID: I20040831001412 |
| Provider Name | Julie Longfellow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780657965 PECOS PAC ID: 9638145709 Enrollment ID: I20040909000583 |
| Provider Name | Michael S Longfellow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497728679 PECOS PAC ID: 2466428560 Enrollment ID: I20040909000801 |
| Provider Name | Sohail A Kakezai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912975731 PECOS PAC ID: 7810963915 Enrollment ID: I20040909000806 |
| Provider Name | Gilfredo Figueroa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023082955 PECOS PAC ID: 5890761894 Enrollment ID: I20040909000827 |
| Provider Name | Sally J Cullen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679595078 PECOS PAC ID: 6305812397 Enrollment ID: I20040910000062 |
| Provider Name | Tarek Bakdash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871545921 PECOS PAC ID: 2163400953 Enrollment ID: I20041021000330 |
| Provider Name | David Michael Glener |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881642106 PECOS PAC ID: 5698744332 Enrollment ID: I20041023000141 |
| Provider Name | James T Sutton |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043215635 PECOS PAC ID: 6002877925 Enrollment ID: I20041025000321 |
| Provider Name | Brian D Mccomb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679546790 PECOS PAC ID: 2264333111 Enrollment ID: I20050331000562 |
| Provider Name | Sandra M Erickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023086220 PECOS PAC ID: 5092752477 Enrollment ID: I20050418000210 |
| Provider Name | Catherine A Seals |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154400711 PECOS PAC ID: 3678534187 Enrollment ID: I20050606000712 |
| Provider Name | Samir C Guru |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215923396 PECOS PAC ID: 9931138328 Enrollment ID: I20050805000552 |
| Provider Name | Dan Nicolas Tran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215972336 PECOS PAC ID: 9335126044 Enrollment ID: I20050823000828 |
| Provider Name | Albert J Razzetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770541062 PECOS PAC ID: 1456383637 Enrollment ID: I20050912000094 |
| Provider Name | Alejandro Knight |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376564054 PECOS PAC ID: 9133144520 Enrollment ID: I20051014000303 |
| Provider Name | Rikkele Saefkow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265513113 PECOS PAC ID: 2961420096 Enrollment ID: I20051108000261 |
| Provider Name | Carmen A Coiscou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790781532 PECOS PAC ID: 8820004534 Enrollment ID: I20060303000344 |
| Provider Name | Monica Jeanette Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912934902 PECOS PAC ID: 4981600137 Enrollment ID: I20061011000021 |
| Provider Name | Catherine L Benson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477578359 PECOS PAC ID: 9739187816 Enrollment ID: I20061128000352 |
| Provider Name | Meredith Manley Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528072931 PECOS PAC ID: 8224037890 Enrollment ID: I20061208000041 |
| Provider Name | David A Lev |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548274160 PECOS PAC ID: 9537167630 Enrollment ID: I20061213000553 |
| Provider Name | Jorge O Diaz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1487663373 PECOS PAC ID: 1052311867 Enrollment ID: I20061229000323 |
| Provider Name | Divya Pingle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518926021 PECOS PAC ID: 7416849831 Enrollment ID: I20070717000281 |
| Provider Name | Guillermo Sanchez De La Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598962490 PECOS PAC ID: 6103910047 Enrollment ID: I20070921000737 |
| Provider Name | Glenn Immanuel Kolluri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780622480 PECOS PAC ID: 8426143348 Enrollment ID: I20071005000708 |
| Provider Name | Sharon W Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659334563 PECOS PAC ID: 7719977107 Enrollment ID: I20080612000322 |
| Provider Name | Bibi S Eoonous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457540288 PECOS PAC ID: 8527156462 Enrollment ID: I20080715000332 |
| Provider Name | Kristi A Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669468914 PECOS PAC ID: 2365489457 Enrollment ID: I20080814000615 |
| Provider Name | Theresa A Mills |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376612358 PECOS PAC ID: 8921058736 Enrollment ID: I20080818000586 |
| Provider Name | Matthew D Stoverink |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871701888 PECOS PAC ID: 0648345132 Enrollment ID: I20080818000747 |
| Provider Name | Prabhakara Kunamneni |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972545093 PECOS PAC ID: 5698724474 Enrollment ID: I20080827000515 |
| Provider Name | Edward Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902976871 PECOS PAC ID: 4688740152 Enrollment ID: I20080906000183 |
| Provider Name | Lisa Earlywine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750554358 PECOS PAC ID: 4486726429 Enrollment ID: I20080924000659 |
| Provider Name | Elizabeth C Feally |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396909883 PECOS PAC ID: 3870652126 Enrollment ID: I20081031000524 |
| Provider Name | Ameer A Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578764759 PECOS PAC ID: 6103985072 Enrollment ID: I20081106000509 |
| Provider Name | Alaa G Iskandar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679773725 PECOS PAC ID: 8123111754 Enrollment ID: I20081217000250 |
| Provider Name | Mauricio S Kaufman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518905603 PECOS PAC ID: 3779497417 Enrollment ID: I20090223000633 |
| Provider Name | Jennifer Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710974175 PECOS PAC ID: 9335205699 Enrollment ID: I20090311000655 |
| Provider Name | Francisco J Montoya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841285343 PECOS PAC ID: 7618935198 Enrollment ID: I20090626000508 |
| Provider Name | Rosemary A Cirelli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043205552 PECOS PAC ID: 0648276048 Enrollment ID: I20090706000273 |
| Provider Name | Carson C Bauder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528265949 PECOS PAC ID: 0749335735 Enrollment ID: I20090826000834 |
| Provider Name | Ayman N Mijalli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356376610 PECOS PAC ID: 3476587544 Enrollment ID: I20090828000052 |
| Provider Name | Cindy S Vogt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891794228 PECOS PAC ID: 7517004625 Enrollment ID: I20091022000210 |
| Provider Name | Melanie M Rooney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396987103 PECOS PAC ID: 9638218316 Enrollment ID: I20091209000735 |
| Provider Name | Andrea M Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285961219 PECOS PAC ID: 5890830715 Enrollment ID: I20100303000757 |
| Provider Name | Robert Emmanuel Benjamin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992763395 PECOS PAC ID: 9537248562 Enrollment ID: I20100303000989 |
| Provider Name | Samuel J Goss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063443653 PECOS PAC ID: 9739251570 Enrollment ID: I20100303001006 |
| Provider Name | Moises Fraifeld |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689603375 PECOS PAC ID: 1254476195 Enrollment ID: I20100303001047 |
| Provider Name | Julio H Lesmes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821027517 PECOS PAC ID: 4486631116 Enrollment ID: I20100304000369 |
| Provider Name | Miguel Bryce |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1558398784 PECOS PAC ID: 1850436643 Enrollment ID: I20100304000428 |
| Provider Name | Donald J Perry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962474171 PECOS PAC ID: 1355481060 Enrollment ID: I20100315000951 |
| Provider Name | Debra J Diaz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598761793 PECOS PAC ID: 6002945896 Enrollment ID: I20100604000251 |
| Provider Name | Michael Lloyd Blum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134115165 PECOS PAC ID: 3971500752 Enrollment ID: I20100730000553 |
| Provider Name | Enanore E Okumagba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588991855 PECOS PAC ID: 0840332342 Enrollment ID: I20100806000160 |
| Provider Name | Naga S Pullakhandam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053382762 PECOS PAC ID: 0345364634 Enrollment ID: I20100823000967 |
| Provider Name | Mary A Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922325794 PECOS PAC ID: 4183749211 Enrollment ID: I20100914000210 |
| Provider Name | Yasser Hussain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821321134 PECOS PAC ID: 3870618408 Enrollment ID: I20100920000202 |
| Provider Name | David B Post |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467765438 PECOS PAC ID: 9830214485 Enrollment ID: I20100920000371 |
| Provider Name | Jules Schatz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972585917 PECOS PAC ID: 7416939673 Enrollment ID: I20100925000311 |
| Provider Name | Joanne V Davson-sterling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861709610 PECOS PAC ID: 1850584814 Enrollment ID: I20101022000156 |
| Provider Name | Christine Desantis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003845793 PECOS PAC ID: 5890830632 Enrollment ID: I20101029001039 |
| Provider Name | David G Koo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306841044 PECOS PAC ID: 7113076001 Enrollment ID: I20101119000298 |
| Provider Name | Evelyn V Santiago Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053621292 PECOS PAC ID: 7012106701 Enrollment ID: I20110111000891 |
| Provider Name | Flavia Casassola |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891773214 PECOS PAC ID: 4284813528 Enrollment ID: I20110119000722 |
| Provider Name | Juan C Nova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073707469 PECOS PAC ID: 5395926364 Enrollment ID: I20110223001078 |
| Provider Name | Michael W Fountain |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023260205 PECOS PAC ID: 7012198930 Enrollment ID: I20110225000483 |
| Provider Name | Farhaad C Golkar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497947170 PECOS PAC ID: 7315120920 Enrollment ID: I20110318000826 |
| Provider Name | Percilla Azizi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205815669 PECOS PAC ID: 6103801360 Enrollment ID: I20110706000442 |
| Provider Name | Raaid H Mannaa Mannah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255507117 PECOS PAC ID: 1850569997 Enrollment ID: I20110715000643 |
| Provider Name | Adel Y Daas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518049964 PECOS PAC ID: 3779751144 Enrollment ID: I20110729000622 |
| Provider Name | Nelson Kazie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891089744 PECOS PAC ID: 2567631294 Enrollment ID: I20110812000633 |
| Provider Name | Reynaldo J Rueda Rios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588828305 PECOS PAC ID: 0840460838 Enrollment ID: I20110830000726 |
| Provider Name | Thuntanat Rachanakul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346545282 PECOS PAC ID: 6800068594 Enrollment ID: I20110929000723 |
| Provider Name | Lloyd James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023076650 PECOS PAC ID: 6103855275 Enrollment ID: I20111017000671 |
| Provider Name | Carla S White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962437186 PECOS PAC ID: 9436237336 Enrollment ID: I20111122000827 |
| Provider Name | Elias Gizaw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609879006 PECOS PAC ID: 0244289593 Enrollment ID: I20111207000545 |
| Provider Name | Michelle S Hedderich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063641520 PECOS PAC ID: 6103091673 Enrollment ID: I20111212000428 |
| Provider Name | Candace Beth Donley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356627517 PECOS PAC ID: 9638344971 Enrollment ID: I20111214000710 |
| Provider Name | Darlene Hickam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386809150 PECOS PAC ID: 5294895421 Enrollment ID: I20120117000307 |
| Provider Name | Suparna M Rao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144489543 PECOS PAC ID: 0547437873 Enrollment ID: I20120126000782 |
| Provider Name | Victoria Carr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053681015 PECOS PAC ID: 9436319597 Enrollment ID: I20120327000619 |
| Provider Name | Omar Khashaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942467576 PECOS PAC ID: 5294996492 Enrollment ID: I20120416000463 |
| Provider Name | Venkata Ram Prasad Thota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699009043 PECOS PAC ID: 1254595432 Enrollment ID: I20120620000232 |
| Provider Name | Shahid Samy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285610188 PECOS PAC ID: 3971590209 Enrollment ID: I20120627000393 |
| Provider Name | Teresa Ann Conner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639325699 PECOS PAC ID: 3870653827 Enrollment ID: I20120702000231 |
| Provider Name | Isaac Joseph Paff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710110788 PECOS PAC ID: 9931365426 Enrollment ID: I20120727000550 |
| Provider Name | Jennifer M Waddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598992646 PECOS PAC ID: 8022265529 Enrollment ID: I20120905000348 |
| Provider Name | Rajesh Chawla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750512828 PECOS PAC ID: 0244489631 Enrollment ID: I20120928000172 |
| Provider Name | Belinda L Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134450620 PECOS PAC ID: 0042460867 Enrollment ID: I20121101000039 |
| Provider Name | Noel M Barnwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578804209 PECOS PAC ID: 2668619149 Enrollment ID: I20130501000412 |
| Provider Name | Vatsal Inamdar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1902197908 PECOS PAC ID: 7810175429 Enrollment ID: I20130618000257 |
| Provider Name | Sridevi R Davalath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841519311 PECOS PAC ID: 0941498083 Enrollment ID: I20130624000448 |
| Provider Name | Matthew Crawford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891036182 PECOS PAC ID: 3779722764 Enrollment ID: I20130624000568 |
| Provider Name | Rosalind I Torres |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912247347 PECOS PAC ID: 7416198981 Enrollment ID: I20130725000397 |
| Provider Name | Elizabeth T Hacker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093979759 PECOS PAC ID: 2264592237 Enrollment ID: I20130730000028 |
| Provider Name | Jessica Sola-acevedo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467603522 PECOS PAC ID: 0648411686 Enrollment ID: I20130802000267 |
| Provider Name | Marina S Kaufman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235399114 PECOS PAC ID: 8628211240 Enrollment ID: I20130830000074 |
| Provider Name | Diana S Koshy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396052510 PECOS PAC ID: 8628211000 Enrollment ID: I20130904000557 |
| Provider Name | Andre R Da Camara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487816963 PECOS PAC ID: 3971747072 Enrollment ID: I20130911000235 |
| Provider Name | Andres Montanez- Flores |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902039530 PECOS PAC ID: 3173772761 Enrollment ID: I20130918000299 |
| Provider Name | Rosa Perez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033550454 PECOS PAC ID: 7113151663 Enrollment ID: I20131016000777 |
| Provider Name | Amber Lynn Wooden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831527019 PECOS PAC ID: 2163658451 Enrollment ID: I20131114001211 |
| Provider Name | Prakash Motwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750692208 PECOS PAC ID: 0446490908 Enrollment ID: I20131204001129 |
| Provider Name | Jonathan R Schroeder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124343512 PECOS PAC ID: 7416184676 Enrollment ID: I20131213000364 |
| Provider Name | Abid Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871813618 PECOS PAC ID: 7315175999 Enrollment ID: I20140103000548 |
| Provider Name | Jeanine Fernandez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669725891 PECOS PAC ID: 8325281009 Enrollment ID: I20140430001710 |
| Provider Name | Jason Lee Gerboc |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548374325 PECOS PAC ID: 2668412164 Enrollment ID: I20140814000869 |
| Provider Name | Robinson Trevil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922366608 PECOS PAC ID: 6507083458 Enrollment ID: I20140816000253 |
| Provider Name | Elizabeth Rowe Gable |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578971586 PECOS PAC ID: 3274751003 Enrollment ID: I20140820000901 |
| Provider Name | Bryan Co |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114236932 PECOS PAC ID: 2961639828 Enrollment ID: I20140908001555 |
| Provider Name | Alee G Abuaita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578862967 PECOS PAC ID: 9436382421 Enrollment ID: I20140908002699 |
| Provider Name | Sarah Bringas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164831921 PECOS PAC ID: 4587885561 Enrollment ID: I20141015002025 |
| Provider Name | Pratap Chintala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952613887 PECOS PAC ID: 2860632833 Enrollment ID: I20150107000945 |
| Provider Name | Lori Lynn Lauro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184688327 PECOS PAC ID: 5193804334 Enrollment ID: I20150311001008 |
| Provider Name | Diana L Hathaway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225427123 PECOS PAC ID: 7618295536 Enrollment ID: I20150406000344 |
| Provider Name | Manishaben D Thakker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700275302 PECOS PAC ID: 5395065825 Enrollment ID: I20150522001073 |
| Provider Name | Christopher Riccard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740549740 PECOS PAC ID: 8628293974 Enrollment ID: I20150701001367 |
| Provider Name | David Joseph Buczkowske |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134489008 PECOS PAC ID: 6800037110 Enrollment ID: I20150804004440 |
| Provider Name | Benjamin Golden Thomasson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396078200 PECOS PAC ID: 4183948839 Enrollment ID: I20150807014230 |
| Provider Name | Danielle Drtina Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376924563 PECOS PAC ID: 3476868647 Enrollment ID: I20150817002410 |
| Provider Name | Jeffrey D Duncan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639436066 PECOS PAC ID: 3971741216 Enrollment ID: I20150908001265 |
| Provider Name | Rosanne Leger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558680942 PECOS PAC ID: 7315183126 Enrollment ID: I20150915001749 |
| Provider Name | Leanne Stroud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699160606 PECOS PAC ID: 7517274731 Enrollment ID: I20150921000002 |
| Provider Name | Leor Azoulay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588922249 PECOS PAC ID: 3971745274 Enrollment ID: I20150923000648 |
| Provider Name | Brooke B Celis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265691901 PECOS PAC ID: 5496921256 Enrollment ID: I20151006002969 |
| Provider Name | Barrett T Shapiro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245612639 PECOS PAC ID: 6608185640 Enrollment ID: I20151014002006 |
| Provider Name | Visali Kodali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851625164 PECOS PAC ID: 6002125457 Enrollment ID: I20151026000917 |
| Provider Name | Aji V Achuthan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023489309 PECOS PAC ID: 0244533396 Enrollment ID: I20160122001153 |
| Provider Name | Lars Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780813592 PECOS PAC ID: 7012153240 Enrollment ID: I20160125002187 |
| Provider Name | Umair Tariq |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285994863 PECOS PAC ID: 1951606243 Enrollment ID: I20160224002099 |
| Provider Name | Jacob R Atkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336531441 PECOS PAC ID: 7416275854 Enrollment ID: I20160308000333 |
| Provider Name | Ram Bandagi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487828158 PECOS PAC ID: 4587837620 Enrollment ID: I20160620000013 |
| Provider Name | Jason M Lakatos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548609944 PECOS PAC ID: 3375851793 Enrollment ID: I20160920003089 |
| Provider Name | Alexander Greene |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154611101 PECOS PAC ID: 7719289529 Enrollment ID: I20160928001330 |
| Provider Name | Mohamed M Mansour |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225276488 PECOS PAC ID: 5496931123 Enrollment ID: I20161012000558 |
| Provider Name | Kimberly A Lauer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902359581 PECOS PAC ID: 9739467044 Enrollment ID: I20161020000939 |
| Provider Name | Azzat Abdulghani Ali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033344627 PECOS PAC ID: 8729227673 Enrollment ID: I20161117001559 |
| Provider Name | Sabrina Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750637724 PECOS PAC ID: 2668791823 Enrollment ID: I20161129002464 |
| Provider Name | Eltanya A Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942474721 PECOS PAC ID: 4183756208 Enrollment ID: I20161130000534 |
| Provider Name | Abiola Latifat Shitta-bey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538365457 PECOS PAC ID: 9830214378 Enrollment ID: I20170218000214 |
| Provider Name | Michelle R Puleo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619221652 PECOS PAC ID: 4183865967 Enrollment ID: I20170331001857 |
| Provider Name | Rama Krishna |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326297813 PECOS PAC ID: 2860760717 Enrollment ID: I20170616001546 |
| Provider Name | Herman F Fronefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710423132 PECOS PAC ID: 8628346426 Enrollment ID: I20170620002624 |
| Provider Name | Sarah Lower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134657323 PECOS PAC ID: 6507136694 Enrollment ID: I20170722000228 |
| Provider Name | Tomer Z Karas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1649375361 PECOS PAC ID: 0941570915 Enrollment ID: I20170725000023 |
| Provider Name | Ashley M Romero |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295269405 PECOS PAC ID: 6305116328 Enrollment ID: I20170725001885 |
| Provider Name | Benjamin Lindbloom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699065128 PECOS PAC ID: 0446521744 Enrollment ID: I20170804001374 |
| Provider Name | Mitul G Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700297124 PECOS PAC ID: 6507186152 Enrollment ID: I20170828004563 |
| Provider Name | Muthanna Al Hasan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881827699 PECOS PAC ID: 3577709104 Enrollment ID: I20170922001445 |
| Provider Name | Virginia G Franks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174576227 PECOS PAC ID: 0840294807 Enrollment ID: I20171023001785 |
| Provider Name | Matthew Frederick Byron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053837344 PECOS PAC ID: 2466719885 Enrollment ID: I20171120001669 |
| Provider Name | Robert Kraemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306360862 PECOS PAC ID: 3577820315 Enrollment ID: I20171201002582 |
| Provider Name | Megan Christine Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851802250 PECOS PAC ID: 5799044038 Enrollment ID: I20180112002243 |
| Provider Name | Karl-henri Cesar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174996037 PECOS PAC ID: 9739449612 Enrollment ID: I20180214002544 |
| Provider Name | Mona H Wagner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093881666 PECOS PAC ID: 2466350434 Enrollment ID: I20180307002191 |
| Provider Name | Antony Abraham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104114263 PECOS PAC ID: 3577783026 Enrollment ID: I20180404001181 |
| Provider Name | Lloyd A Forbes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700046950 PECOS PAC ID: 4082863329 Enrollment ID: I20180831001662 |
| Provider Name | Dana Marie Oldham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245627710 PECOS PAC ID: 5991055527 Enrollment ID: I20180831002278 |
| Provider Name | Cloressa Marie Dizney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023558988 PECOS PAC ID: 2567714488 Enrollment ID: I20181003003870 |
| Provider Name | Wasim Hamarneh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437480407 PECOS PAC ID: 3274833496 Enrollment ID: I20181126003311 |
| Provider Name | Jason Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548606619 PECOS PAC ID: 1759676521 Enrollment ID: I20181205000497 |
| Provider Name | Grace A Cruz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770993032 PECOS PAC ID: 3971721101 Enrollment ID: I20181206002885 |
| Provider Name | Michael D Choley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265923999 PECOS PAC ID: 7911242078 Enrollment ID: I20181218000603 |
| Provider Name | Alexander Brigantty-vazquez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063914562 PECOS PAC ID: 7719225622 Enrollment ID: I20190218002516 |
| Provider Name | Virginia F Paik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376900738 PECOS PAC ID: 3375848906 Enrollment ID: I20190220000825 |
| Provider Name | Shalini Hemachandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659724573 PECOS PAC ID: 2668712423 Enrollment ID: I20190314001704 |
| Provider Name | Michael A Faille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619401635 PECOS PAC ID: 6507125747 Enrollment ID: I20190321001520 |
| Provider Name | Troy Kirsten Frazier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518430354 PECOS PAC ID: 3870826753 Enrollment ID: I20190607001393 |
| Provider Name | Jedidiah D Polete |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336560028 PECOS PAC ID: 8123251618 Enrollment ID: I20190715002931 |
| Provider Name | Joshua Hickman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194189688 PECOS PAC ID: 3971897083 Enrollment ID: I20190725000160 |
| Provider Name | Vince Faridani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962645671 PECOS PAC ID: 3577798438 Enrollment ID: I20190725002488 |
| Provider Name | Dean C Wright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417927526 PECOS PAC ID: 9638216633 Enrollment ID: I20190730004557 |
| Provider Name | Beshoy Younan Adly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861849010 PECOS PAC ID: 1456688142 Enrollment ID: I20190802001418 |
| Provider Name | Donna R Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154381994 PECOS PAC ID: 4385619246 Enrollment ID: I20190806003879 |
| Provider Name | Christine M Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386205185 PECOS PAC ID: 1456688878 Enrollment ID: I20190808000494 |
| Provider Name | Samuel Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225018104 PECOS PAC ID: 2264428069 Enrollment ID: I20190829003541 |
| Provider Name | Abdulaziz Alburaih |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033340906 PECOS PAC ID: 2567603665 Enrollment ID: I20190924003624 |
| Provider Name | Sun Hee Kim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003464462 PECOS PAC ID: 2769714674 Enrollment ID: I20191025001867 |
| Provider Name | Heather Elizabeth Bisignano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639710437 PECOS PAC ID: 8921330762 Enrollment ID: I20191029001963 |
| Provider Name | Angelic Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275983587 PECOS PAC ID: 3173819158 Enrollment ID: I20191030003156 |
| Provider Name | Shawn D Bowers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144548272 PECOS PAC ID: 0648304147 Enrollment ID: I20191202000649 |
| Provider Name | Priscilla Nunes Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609417336 PECOS PAC ID: 2567895329 Enrollment ID: I20191209001729 |
| Provider Name | Colleen A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861810251 PECOS PAC ID: 6406129311 Enrollment ID: I20191231000387 |
| Provider Name | Avijeet Kumar Dut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912303785 PECOS PAC ID: 8628339850 Enrollment ID: I20200106002232 |
| Provider Name | Allison Beth Boemer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831532217 PECOS PAC ID: 9436397353 Enrollment ID: I20200207001612 |
| Provider Name | Karol Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609281559 PECOS PAC ID: 8628404555 Enrollment ID: I20200212001030 |
| Provider Name | Cassie Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285296574 PECOS PAC ID: 1759718331 Enrollment ID: I20200220000257 |
| Provider Name | Mohammed Ayyash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420239 PECOS PAC ID: 1052748613 Enrollment ID: I20200221000378 |
| Provider Name | Kathrine N Rigney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497385991 PECOS PAC ID: 4789011628 Enrollment ID: I20200305001201 |
| Provider Name | Jennixa Ivette Diaz-torres |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316589120 PECOS PAC ID: 1951730720 Enrollment ID: I20200330001533 |
| Provider Name | Steven Michael Lafond |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447808746 PECOS PAC ID: 5799114427 Enrollment ID: I20200401001925 |
| Provider Name | Jessica Ortiz-colon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407281306 PECOS PAC ID: 6507095189 Enrollment ID: I20200407002183 |
| Provider Name | Alexsander Unger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982093720 PECOS PAC ID: 5890080527 Enrollment ID: I20200409002200 |
| Provider Name | Jennifer Lee Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376189571 PECOS PAC ID: 6002246105 Enrollment ID: I20200413002569 |
| Provider Name | Raja I Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316142755 PECOS PAC ID: 3870644214 Enrollment ID: I20200428001533 |
| Provider Name | Benjamin Samuel Duncan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245571140 PECOS PAC ID: 8325280340 Enrollment ID: I20200507001244 |
| Provider Name | Alexis Ann Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073030573 PECOS PAC ID: 7719238591 Enrollment ID: I20200512002858 |
| Provider Name | Edmond Mala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154842953 PECOS PAC ID: 5991035446 Enrollment ID: I20200610000867 |
| Provider Name | Teng Hui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174052625 PECOS PAC ID: 2769754647 Enrollment ID: I20200618001327 |
| Provider Name | Christina Suhr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134755382 PECOS PAC ID: 8123441052 Enrollment ID: I20200709003199 |
| Provider Name | Peter Zijlstra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598283327 PECOS PAC ID: 5496171324 Enrollment ID: I20200821001863 |
| Provider Name | Brittany Bednov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528422862 PECOS PAC ID: 1052603701 Enrollment ID: I20200826001388 |
| Provider Name | Eugene Bednov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275988511 PECOS PAC ID: 7416241716 Enrollment ID: I20200826002938 |
| Provider Name | Zoe S Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588280325 PECOS PAC ID: 2567889892 Enrollment ID: I20200901000585 |
| Provider Name | Brent Windrow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598375628 PECOS PAC ID: 0840610002 Enrollment ID: I20201009000861 |
| Provider Name | Amin A Jamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912439936 PECOS PAC ID: 5193094597 Enrollment ID: I20201026001312 |
| Provider Name | James Edward Collie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790385029 PECOS PAC ID: 7517378243 Enrollment ID: I20201201001169 |
| Provider Name | Andrea Marie Pagan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275171449 PECOS PAC ID: 4688085244 Enrollment ID: I20201203000481 |
| Provider Name | Epie Nseke Ntuba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477937613 PECOS PAC ID: 7214348804 Enrollment ID: I20201203001489 |
| Provider Name | Henrique Ferreira Vale |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497986673 PECOS PAC ID: 7719200898 Enrollment ID: I20201215000595 |
| Provider Name | Michael J Barnum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154332377 PECOS PAC ID: 5496786105 Enrollment ID: I20201215002884 |
| Provider Name | Blair Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073996914 PECOS PAC ID: 4789990540 Enrollment ID: I20201223001318 |
| Provider Name | Alexis H Von Wiegen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215905948 PECOS PAC ID: 3779571286 Enrollment ID: I20210308001175 |
| Provider Name | Carl Colton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699856757 PECOS PAC ID: 6507810306 Enrollment ID: I20210408002566 |
| Provider Name | Darpan G Bhuva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639433303 PECOS PAC ID: 5890009690 Enrollment ID: I20210416000524 |
| Provider Name | Gena Genovese Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033681234 PECOS PAC ID: 4981937000 Enrollment ID: I20210507001626 |
| Provider Name | Dustin S Elswick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821528381 PECOS PAC ID: 9436427978 Enrollment ID: I20210512001380 |
| Provider Name | Christian Javier Zapateiro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104447838 PECOS PAC ID: 8325447766 Enrollment ID: I20210604000984 |
| Provider Name | Anthony Dicamillo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831483213 PECOS PAC ID: 3476870049 Enrollment ID: I20210607000598 |
| Provider Name | Christopher J Keeler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295963122 PECOS PAC ID: 8426290842 Enrollment ID: I20210610002113 |
| Provider Name | Christopher W Mcninch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720671266 PECOS PAC ID: 6406256494 Enrollment ID: I20210614000536 |
| Provider Name | Valerie Marie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306220108 PECOS PAC ID: 4284043605 Enrollment ID: I20210623001661 |
| Provider Name | Nicole Cavaliere |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821672239 PECOS PAC ID: 6507267523 Enrollment ID: I20210629000908 |
| Provider Name | Anna Stulz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619456332 PECOS PAC ID: 8729330758 Enrollment ID: I20210702001092 |
| Provider Name | David Reid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578050589 PECOS PAC ID: 5799032819 Enrollment ID: I20210706001745 |
| Provider Name | Ali A Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295112191 PECOS PAC ID: 3779985809 Enrollment ID: I20210713001143 |
| Provider Name | Brett Arron |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205882354 PECOS PAC ID: 2961415310 Enrollment ID: I20210726000968 |
| Provider Name | Peter Farag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497135263 PECOS PAC ID: 2365746898 Enrollment ID: I20210728002890 |
| Provider Name | Christopher Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790272060 PECOS PAC ID: 9739437120 Enrollment ID: I20210811001292 |
| Provider Name | Gregory Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043826688 PECOS PAC ID: 4880098821 Enrollment ID: I20210812001584 |
| Provider Name | Bilal Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225529894 PECOS PAC ID: 8527315233 Enrollment ID: I20210812003912 |
| Provider Name | Ashley Megan Concepcion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063094514 PECOS PAC ID: 1658776760 Enrollment ID: I20210826002474 |
| Provider Name | Ashley Breeze Chapman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063900538 PECOS PAC ID: 9133525454 Enrollment ID: I20210910001664 |
| Provider Name | John H Frederick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598027153 PECOS PAC ID: 4486962446 Enrollment ID: I20210914001735 |
| Provider Name | Ram Kaveti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538491626 PECOS PAC ID: 7517150139 Enrollment ID: I20210916000940 |
| Provider Name | Terry P Olivas |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1154404598 PECOS PAC ID: 4789684408 Enrollment ID: I20211001000374 |
| Provider Name | Goutham Talari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932339611 PECOS PAC ID: 3072769512 Enrollment ID: I20211006003049 |
| Provider Name | Roberta Andreatta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023544517 PECOS PAC ID: 7810395381 Enrollment ID: I20211013003271 |
| Provider Name | Christopher J Niles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578559431 PECOS PAC ID: 9234119116 Enrollment ID: I20211028000396 |
| Provider Name | Tricia Deal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124050919 PECOS PAC ID: 9436158045 Enrollment ID: I20211104002881 |
| Provider Name | Vonetta M Pottinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043491269 PECOS PAC ID: 5799834842 Enrollment ID: I20211105001367 |
| Provider Name | Christine Bruno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20211117001447 |
| Provider Name | Jui Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154734051 PECOS PAC ID: 6901172220 Enrollment ID: I20211123003106 |
| Provider Name | Porscha Shantell Kimbro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831780014 PECOS PAC ID: 1951791649 Enrollment ID: I20211213001472 |
| Provider Name | Jared Pieniazek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467912295 PECOS PAC ID: 9032446042 Enrollment ID: I20220110002585 |
| Provider Name | Noelle Lohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407049745 PECOS PAC ID: 6406919711 Enrollment ID: I20220127001671 |
| Provider Name | Shaifali Batra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306208160 PECOS PAC ID: 6507151909 Enrollment ID: I20220201002805 |
| Provider Name | Joanna Lee Mercier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356844229 PECOS PAC ID: 3870986912 Enrollment ID: I20220212000003 |
| Provider Name | Deborah K Gabriel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730156514 PECOS PAC ID: 9335276930 Enrollment ID: I20220414000817 |
| Provider Name | Cindy Leonardi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386975126 PECOS PAC ID: 8022143312 Enrollment ID: I20220511001925 |
| Provider Name | Gary A Paul |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891016572 PECOS PAC ID: 5395861215 Enrollment ID: I20220513000572 |
| Provider Name | Alexandra Phillips |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295471118 PECOS PAC ID: 8022496470 Enrollment ID: I20220526000478 |
| Provider Name | Zohaib Zia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831759216 PECOS PAC ID: 2567798978 Enrollment ID: I20220601001829 |
| Provider Name | Abdul Kareem Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528589140 PECOS PAC ID: 6608137898 Enrollment ID: I20220606000770 |
| Provider Name | Carlos Andres Torres |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457702797 PECOS PAC ID: 8123406998 Enrollment ID: I20220607001725 |
| Provider Name | Joseph A Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427619048 PECOS PAC ID: 5698004604 Enrollment ID: I20220607001946 |
| Provider Name | Mashud Rana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770148249 PECOS PAC ID: 6709111933 Enrollment ID: I20220610000958 |
| Provider Name | Faisal Abdulameer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205286432 PECOS PAC ID: 9133470156 Enrollment ID: I20220614003319 |
| Provider Name | Melanie C Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497428114 PECOS PAC ID: 3274939707 Enrollment ID: I20220629000909 |
| Provider Name | Muhammad Tayyab Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326571761 PECOS PAC ID: 6103206693 Enrollment ID: I20220629003813 |
| Provider Name | Diane Boicourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366089112 PECOS PAC ID: 1951782333 Enrollment ID: I20220715002246 |
| Provider Name | Taranjeet Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396206173 PECOS PAC ID: 7618209768 Enrollment ID: I20220718001738 |
| Provider Name | Nahel N Saied |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649295452 PECOS PAC ID: 7113993064 Enrollment ID: I20220801002599 |
| Provider Name | Sherry Demian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689238347 PECOS PAC ID: 0648653493 Enrollment ID: I20220811003056 |
| Provider Name | Jennifer Mickley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992336515 PECOS PAC ID: 7618306671 Enrollment ID: I20220826001855 |
| Provider Name | Dmitry Aleks Drapach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669487542 PECOS PAC ID: 9032205331 Enrollment ID: I20220830000398 |
| Provider Name | Grace Jowoon Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871910919 PECOS PAC ID: 5193944973 Enrollment ID: I20220830003876 |
| Provider Name | Cristoy Hendralind |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700505120 PECOS PAC ID: 2466836804 Enrollment ID: I20220902000031 |
| Provider Name | Clayton Jeffrey Flechas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003549585 PECOS PAC ID: 5890179055 Enrollment ID: I20220907002423 |
| Provider Name | Michael James Damit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801259288 PECOS PAC ID: 6305137233 Enrollment ID: I20220921001998 |
| Provider Name | Efosa O Osawe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427317528 PECOS PAC ID: 2466765144 Enrollment ID: I20221004001425 |
| Provider Name | Victoria I Zubareva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164164935 PECOS PAC ID: 2163898891 Enrollment ID: I20221020000171 |
| Provider Name | Renide Shelcy Milfort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619604246 PECOS PAC ID: 6305213018 Enrollment ID: I20221109003410 |
| Provider Name | Randal Kris Shipley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720243561 PECOS PAC ID: 0840365805 Enrollment ID: I20221110003102 |
| Provider Name | Rene Danielle Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528796042 PECOS PAC ID: 2769859354 Enrollment ID: I20221111000298 |
| Provider Name | Christian Rubio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497499941 PECOS PAC ID: 6002299344 Enrollment ID: I20230106001037 |
| Provider Name | Victor Vahid Lami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073969523 PECOS PAC ID: 4183055478 Enrollment ID: I20230109000393 |
| Provider Name | Michael B Kelleher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861846545 PECOS PAC ID: 0840581328 Enrollment ID: I20230125003165 |
| Provider Name | Julie Anne Bennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164135703 PECOS PAC ID: 2769854488 Enrollment ID: I20230207000084 |
| Provider Name | Regina Rae Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942930490 PECOS PAC ID: 4789040288 Enrollment ID: I20230524003483 |
| Provider Name | Stacy L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942682984 PECOS PAC ID: 1254645567 Enrollment ID: I20230524003658 |
| Provider Name | Svetlana Krichevsky |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1891255477 PECOS PAC ID: 2567829047 Enrollment ID: I20230530001265 |
| Provider Name | Jessica Renee Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528750296 PECOS PAC ID: 8224496567 Enrollment ID: I20230620001005 |
| Provider Name | Gineen A Cudjoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992180483 PECOS PAC ID: 3072862416 Enrollment ID: I20230719004405 |
| Provider Name | Erin Elizabeth Shehata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891489340 PECOS PAC ID: 6901266014 Enrollment ID: I20230721000414 |
| Provider Name | Alejandro Pelaez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942821343 PECOS PAC ID: 4486075686 Enrollment ID: I20230725000626 |
| Provider Name | Shelby Robert Wise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518594738 PECOS PAC ID: 6800212796 Enrollment ID: I20230803001476 |
| Provider Name | Marcelo Fernando Troya-maldonado |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982125001 PECOS PAC ID: 4587026331 Enrollment ID: I20230811000016 |
| Provider Name | Manuel Alejandro Obando |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699262667 PECOS PAC ID: 0648687251 Enrollment ID: I20230811003278 |
| Provider Name | Shannon Marie Mcbrayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538845946 PECOS PAC ID: 6901268549 Enrollment ID: I20230815001607 |
| Provider Name | Nothando Zibanayi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881221463 PECOS PAC ID: 0345662912 Enrollment ID: I20230815003792 |
| Provider Name | Thomas Krajewski |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902366255 PECOS PAC ID: 4082013784 Enrollment ID: I20230826000032 |
| Provider Name | Alexandra Jean Geary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215617287 PECOS PAC ID: 6103280375 Enrollment ID: I20230907001147 |
| Provider Name | Gaurav Ahluwalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073990727 PECOS PAC ID: 0941549232 Enrollment ID: I20230912002262 |
| Provider Name | Samuel Alejandro Gonzalez Goyri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750933321 PECOS PAC ID: 3779947445 Enrollment ID: I20230913003207 |
| Provider Name | Raj Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861021347 PECOS PAC ID: 2860856291 Enrollment ID: I20230918003201 |
| Provider Name | Melanie Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487336459 PECOS PAC ID: 5294189478 Enrollment ID: I20230921001372 |
| Provider Name | Steven William Paynter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184676520 PECOS PAC ID: 1153216023 Enrollment ID: I20231003003045 |
| Provider Name | James Russell Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043309560 PECOS PAC ID: 7416844626 Enrollment ID: I20231110000122 |
| Provider Name | Anthony Otero Falero |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083104905 PECOS PAC ID: 6507224342 Enrollment ID: I20231205003865 |
| Provider Name | Wassi Hakim Shaikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346771474 PECOS PAC ID: 8527304450 Enrollment ID: I20231220000979 |
| Provider Name | Amanda Lynn Shaikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699271726 PECOS PAC ID: 2062760077 Enrollment ID: I20231220001589 |
| Provider Name | Cindy Portner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629055447 PECOS PAC ID: 3678554219 Enrollment ID: I20240201001888 |
| Provider Name | Dhrumil Vijaykumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013441047 PECOS PAC ID: 8729404140 Enrollment ID: I20240214003505 |
| Provider Name | Jamie Shields Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144093915 PECOS PAC ID: 5991149841 Enrollment ID: I20240219002041 |
| Provider Name | Hansley Bobo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689202517 PECOS PAC ID: 3173983384 Enrollment ID: I20240312001327 |
| Provider Name | Lucas Heldt Manica |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528696788 PECOS PAC ID: 7315361714 Enrollment ID: I20240609000049 |
| Provider Name | Richard Bennett Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679130496 PECOS PAC ID: 1759612120 Enrollment ID: I20240610003908 |
| Provider Name | Matthew Wideroff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134448129 PECOS PAC ID: 8820238934 Enrollment ID: I20240611004733 |
Primecare Acquisition Family Practice Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1890 Lpga Blvd Ste 130, Daytona Beach, FL 32117 Phone: 386-274-2212 Fax: 386-274-1508 | |
Alexandra Crossman Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-589-5741 | |
Kemshol Medical Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 984 Orange Ave, Daytona Beach, FL 32114 Phone: 386-226-3008 Fax: 386-226-3044 | |
Adventhealth Centra Care - Daytona Beach Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1014 W International Speedway Blvd, Daytona Beach, FL 32114 Phone: 407-200-2300 Fax: 407-200-1353 | |
Primary Healthcare Alliance Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 Dunn Ave Ste B, Daytona Beach, FL 32114 Phone: 386-238-9527 Fax: 386-492-5059 | |
Volusia Hospitalist Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-676-0255 Fax: 386-676-2555 | |
Premier Infectious Disease Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 636-333-4500 |