| Florida Hospital Physician Group | |
|
14055 Riveredge Dr Ste 250 Tampa FL 33637-2141 | |
| (838) 929-5449 | |
| (813) 929-5465 |
| Full Name | Florida Hospital Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 14055 Riveredge Dr Ste 250, Tampa, Florida |
| Authorized Official Name and Position | Christopher Jenkins (PRESIDENT/CEO) |
| Authorized Official Contact | 8139295449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Hospital Physician Group 12470 Telecom Dr Ste 100 Temple Terrace FL 33637-0904 Ph: (838) 929-5449 | Florida Hospital Physician Group 14055 Riveredge Dr Ste 250 Tampa FL 33637-2141 Ph: (838) 929-5449 |
| NPI Number | 1174955256 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 03/10/2021 |
| Medicare PECOS PAC ID | 2365679057 |
|---|---|
| Medicare Enrollment ID | O20131231000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174955256 | NPI | - | NPPES |
| Provider Name | Mark Lee Craft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689657926 PECOS PAC ID: 5496669178 Enrollment ID: I20031117000781 |
| Provider Name | Muhanad Mustafa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457381022 PECOS PAC ID: 0143126037 Enrollment ID: I20031210001181 |
| Provider Name | Karen A Corkery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891848768 PECOS PAC ID: 4789584079 Enrollment ID: I20040112000367 |
| Provider Name | Esther C Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114922960 PECOS PAC ID: 1153223961 Enrollment ID: I20040122000864 |
| Provider Name | Urmila J Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629067764 PECOS PAC ID: 4880597467 Enrollment ID: I20040130000386 |
| Provider Name | Robert Craig Kuykendall |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518995448 PECOS PAC ID: 3072416478 Enrollment ID: I20040202000403 |
| Provider Name | Edward Scanlan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861475196 PECOS PAC ID: 4981591989 Enrollment ID: I20040303001014 |
| Provider Name | James E Lefler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174582464 PECOS PAC ID: 5496646432 Enrollment ID: I20040322000282 |
| Provider Name | Andrew D Tagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831161140 PECOS PAC ID: 2062304835 Enrollment ID: I20040326000463 |
| Provider Name | David E Lammermeier |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841220480 PECOS PAC ID: 0446142251 Enrollment ID: I20040326000746 |
| Provider Name | Michael J Carmichael |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194755751 PECOS PAC ID: 3072416379 Enrollment ID: I20040326000973 |
| Provider Name | Michele Hornstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972542256 PECOS PAC ID: 1759374184 Enrollment ID: I20040403000023 |
| Provider Name | Jose O Delgado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801889688 PECOS PAC ID: 6507850138 Enrollment ID: I20040414001150 |
| Provider Name | Oscar Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124022546 PECOS PAC ID: 0840285847 Enrollment ID: I20040419000973 |
| Provider Name | Lisa M. Ferreira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619928652 PECOS PAC ID: 7911993357 Enrollment ID: I20040422000046 |
| Provider Name | Mohammad Munir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023080363 PECOS PAC ID: 9032105986 Enrollment ID: I20040424000136 |
| Provider Name | Rafael C Haciski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235212267 PECOS PAC ID: 8527057470 Enrollment ID: I20040507000215 |
| Provider Name | Michael Lance Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013947514 PECOS PAC ID: 8325946080 Enrollment ID: I20040515000013 |
| Provider Name | Paul Arnold |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841294501 PECOS PAC ID: 2668463977 Enrollment ID: I20040524000891 |
| Provider Name | Richard Oh Han |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154426385 PECOS PAC ID: 0840273314 Enrollment ID: I20040608000395 |
| Provider Name | Nelly D Chambers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265435143 PECOS PAC ID: 1355324260 Enrollment ID: I20040611000114 |
| Provider Name | Patrick J Grablin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699777516 PECOS PAC ID: 5890776595 Enrollment ID: I20040617001631 |
| Provider Name | John Adam Dietrick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124103528 PECOS PAC ID: 9638082571 Enrollment ID: I20040618000641 |
| Provider Name | John Paul Gonzalvo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992797617 PECOS PAC ID: 7618953415 Enrollment ID: I20040624000541 |
| Provider Name | Jill Hechtman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386633774 PECOS PAC ID: 8022094895 Enrollment ID: I20040624001010 |
| Provider Name | Lama L Tolaymat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457327421 PECOS PAC ID: 1254319486 Enrollment ID: I20040713000569 |
| Provider Name | Gregory A Berland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265427405 PECOS PAC ID: 5597744797 Enrollment ID: I20040720000091 |
| Provider Name | Luis H Serentill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922050590 PECOS PAC ID: 1759361744 Enrollment ID: I20040723000139 |
| Provider Name | Raviender Bukkapatnam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861455768 PECOS PAC ID: 8123098522 Enrollment ID: I20040730000896 |
| Provider Name | Edwin Sebastian Menor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619913191 PECOS PAC ID: 4082686852 Enrollment ID: I20040811000971 |
| Provider Name | Shelly W Holmstrom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427061043 PECOS PAC ID: 1951378470 Enrollment ID: I20040914000944 |
| Provider Name | Laura M Cruse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043322019 PECOS PAC ID: 1658340914 Enrollment ID: I20041002000048 |
| Provider Name | Sherri Lynne Dunkelberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104897321 PECOS PAC ID: 9335101070 Enrollment ID: I20041103001088 |
| Provider Name | Tiffany Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437433968 PECOS PAC ID: 7113980020 Enrollment ID: I20041110001054 |
| Provider Name | Edward C Santoian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285739425 PECOS PAC ID: 4688578958 Enrollment ID: I20041115001128 |
| Provider Name | Kenneth H Yamamura |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1083603989 PECOS PAC ID: 0143285833 Enrollment ID: I20041122000897 |
| Provider Name | Kuchakulla N Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255325171 PECOS PAC ID: 1850382326 Enrollment ID: I20041123000890 |
| Provider Name | Paul L Chakola |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346448727 PECOS PAC ID: 2567426950 Enrollment ID: I20041130000439 |
| Provider Name | Michael I Weiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922094986 PECOS PAC ID: 1456318898 Enrollment ID: I20041216000745 |
| Provider Name | Mazen Kattih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770566531 PECOS PAC ID: 2365400785 Enrollment ID: I20041230000486 |
| Provider Name | Julian R Belisle |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427086172 PECOS PAC ID: 7911956800 Enrollment ID: I20050118000823 |
| Provider Name | Marc B Bloom |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1053337394 PECOS PAC ID: 8820047715 Enrollment ID: I20050118000871 |
| Provider Name | Richard C Morrison |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1508880204 PECOS PAC ID: 5092764985 Enrollment ID: I20050118000901 |
| Provider Name | Linda Pappalardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366484107 PECOS PAC ID: 9830148600 Enrollment ID: I20050119000417 |
| Provider Name | Beverly Roetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730273632 PECOS PAC ID: 1658322086 Enrollment ID: I20050203000021 |
| Provider Name | Habib H Karkavandian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003869504 PECOS PAC ID: 7618929324 Enrollment ID: I20050210000516 |
| Provider Name | Ned John Panara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922082130 PECOS PAC ID: 1850345208 Enrollment ID: I20050309000612 |
| Provider Name | Kristina Marie Mclean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669426656 PECOS PAC ID: 4981642907 Enrollment ID: I20050420000994 |
| Provider Name | Dipti D Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558348862 PECOS PAC ID: 4385684588 Enrollment ID: I20050506000455 |
| Provider Name | Pao Chu Hsu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790723849 PECOS PAC ID: 6305886078 Enrollment ID: I20050512000169 |
| Provider Name | Eladio J Dieguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881631877 PECOS PAC ID: 5991746794 Enrollment ID: I20050520000796 |
| Provider Name | Yasser A Saloum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841241056 PECOS PAC ID: 2062457799 Enrollment ID: I20050623000217 |
| Provider Name | Kimberly M Smith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1285746248 PECOS PAC ID: 9931145638 Enrollment ID: I20050705000305 |
| Provider Name | Debbie Patricia Spencer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679569966 PECOS PAC ID: 9830127943 Enrollment ID: I20050730000033 |
| Provider Name | Angelo M Fernandes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316980071 PECOS PAC ID: 8729017041 Enrollment ID: I20050808000417 |
| Provider Name | Jerry W Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982607875 PECOS PAC ID: 2961390760 Enrollment ID: I20050818000271 |
| Provider Name | Hiren B Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104874395 PECOS PAC ID: 1254362650 Enrollment ID: I20050825000557 |
| Provider Name | Elizabeth A John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467557207 PECOS PAC ID: 9830120062 Enrollment ID: I20050829000060 |
| Provider Name | May B Porciuncula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679649404 PECOS PAC ID: 6103857164 Enrollment ID: I20050830000143 |
| Provider Name | Narsing Rao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841368636 PECOS PAC ID: 9739111477 Enrollment ID: I20050902000200 |
| Provider Name | Ehijele A Omoike |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578598454 PECOS PAC ID: 7719919281 Enrollment ID: I20050906000474 |
| Provider Name | Stanimir Stantchev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255324091 PECOS PAC ID: 4981637485 Enrollment ID: I20050915000202 |
| Provider Name | Masood Hamid Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588687248 PECOS PAC ID: 3870526932 Enrollment ID: I20050920000143 |
| Provider Name | Gabriel A Gonzales Portillo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811992357 PECOS PAC ID: 4385676824 Enrollment ID: I20051004000284 |
| Provider Name | Debra Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366441230 PECOS PAC ID: 0941225122 Enrollment ID: I20051006000604 |
| Provider Name | Elizabeth Bramlett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417997545 PECOS PAC ID: 6204851306 Enrollment ID: I20051007000580 |
| Provider Name | Ajay P Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881687747 PECOS PAC ID: 0840215810 Enrollment ID: I20051008000210 |
| Provider Name | Jimmie J Wilbur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194743575 PECOS PAC ID: 1759306608 Enrollment ID: I20051010000662 |
| Provider Name | Larry W Horton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023092681 PECOS PAC ID: 1557301637 Enrollment ID: I20051019000162 |
| Provider Name | Natasha Flemens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831136233 PECOS PAC ID: 0244128387 Enrollment ID: I20051028000859 |
| Provider Name | Richard F Kay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841381720 PECOS PAC ID: 5799704227 Enrollment ID: I20051115000070 |
| Provider Name | Christine A Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407893431 PECOS PAC ID: 3173542628 Enrollment ID: I20051115000201 |
| Provider Name | Mel F Garrovillo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578590014 PECOS PAC ID: 5991766164 Enrollment ID: I20051116000098 |
| Provider Name | Perumalswamy Rajaram |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770597569 PECOS PAC ID: 4284655101 Enrollment ID: I20051207000636 |
| Provider Name | Herma L Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770568339 PECOS PAC ID: 2466473392 Enrollment ID: I20051207000719 |
| Provider Name | Laszlo Miskolczi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609982669 PECOS PAC ID: 1951323419 Enrollment ID: I20051227000372 |
| Provider Name | Bettina C Prator |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346412913 PECOS PAC ID: 7517980006 Enrollment ID: I20060111000244 |
| Provider Name | Amir A Noorani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710979364 PECOS PAC ID: 6204859689 Enrollment ID: I20060111001052 |
| Provider Name | Javier E Rojas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982623567 PECOS PAC ID: 7113941964 Enrollment ID: I20060119000217 |
| Provider Name | Sharon G Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508891045 PECOS PAC ID: 4981618022 Enrollment ID: I20060127000719 |
| Provider Name | Rashmi Nanda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043273097 PECOS PAC ID: 8729093109 Enrollment ID: I20060207000810 |
| Provider Name | Querubin P Mendoza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568458149 PECOS PAC ID: 4688575418 Enrollment ID: I20060208000395 |
| Provider Name | David S Fine |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942243266 PECOS PAC ID: 7911912183 Enrollment ID: I20060208000722 |
| Provider Name | Michelle M Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689634735 PECOS PAC ID: 5193730208 Enrollment ID: I20060210000377 |
| Provider Name | Lynn M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255361101 PECOS PAC ID: 0143123380 Enrollment ID: I20060508000392 |
| Provider Name | Eric A Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194774596 PECOS PAC ID: 6406868728 Enrollment ID: I20060630000286 |
| Provider Name | Michele D Pescasio |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1285610915 PECOS PAC ID: 7315950581 Enrollment ID: I20060711000419 |
| Provider Name | Danielle Lee Albritton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114969151 PECOS PAC ID: 8325051071 Enrollment ID: I20060724000238 |
| Provider Name | Cynthia L Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407808207 PECOS PAC ID: 5496785479 Enrollment ID: I20060823000063 |
| Provider Name | John M Cox |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1548216369 PECOS PAC ID: 4082617428 Enrollment ID: I20060824000340 |
| Provider Name | Manuel F Rosado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699709675 PECOS PAC ID: 3779586151 Enrollment ID: I20060825000102 |
| Provider Name | Maria Villa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356390868 PECOS PAC ID: 5890791164 Enrollment ID: I20061010000090 |
| Provider Name | Kevin Powell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700809050 PECOS PAC ID: 8820095490 Enrollment ID: I20061025000328 |
| Provider Name | Samantha E Kwon |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1891802526 PECOS PAC ID: 7012914138 Enrollment ID: I20061103000108 |
| Provider Name | Brenda Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942275581 PECOS PAC ID: 5092617019 Enrollment ID: I20061116000307 |
| Provider Name | Hugar D Mcnamee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881639490 PECOS PAC ID: 2961400817 Enrollment ID: I20061201000274 |
| Provider Name | Jorge Ruiz Llanes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538182381 PECOS PAC ID: 2668471657 Enrollment ID: I20061221000174 |
| Provider Name | Alamelu Murugappan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033219100 PECOS PAC ID: 7416988290 Enrollment ID: I20070205000029 |
| Provider Name | Saji Koshy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982623286 PECOS PAC ID: 2062514656 Enrollment ID: I20070228000593 |
| Provider Name | Narmo L Ortiz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467439174 PECOS PAC ID: 5496858268 Enrollment ID: I20070315000278 |
| Provider Name | Omar Cardenas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093763690 PECOS PAC ID: 7517060338 Enrollment ID: I20070316000055 |
| Provider Name | Cesar R Gamero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932132180 PECOS PAC ID: 0042315525 Enrollment ID: I20070411000187 |
| Provider Name | Amy Tight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568518710 PECOS PAC ID: 4082719356 Enrollment ID: I20070414000074 |
| Provider Name | Ravindra R Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427044064 PECOS PAC ID: 7214033877 Enrollment ID: I20070428000108 |
| Provider Name | Sharad Ishwerbhai Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326046962 PECOS PAC ID: 0446290118 Enrollment ID: I20070428000109 |
| Provider Name | Khizzar Shaukat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215972161 PECOS PAC ID: 6709787690 Enrollment ID: I20070505000107 |
| Provider Name | Syed Irfan Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801905898 PECOS PAC ID: 7810093622 Enrollment ID: I20070510000230 |
| Provider Name | Terri L Mcendree |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932165099 PECOS PAC ID: 9335245141 Enrollment ID: I20070510000252 |
| Provider Name | Slobodan Jazarevic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982641494 PECOS PAC ID: 7416966908 Enrollment ID: I20070517000351 |
| Provider Name | Paul A Armstrong |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639143506 PECOS PAC ID: 9436256385 Enrollment ID: I20070529000621 |
| Provider Name | Darshan B Thakkar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134205164 PECOS PAC ID: 4183721046 Enrollment ID: I20070530000051 |
| Provider Name | Svetlana Y Rogozina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568576437 PECOS PAC ID: 3971555640 Enrollment ID: I20070530000484 |
| Provider Name | Robert L Feldman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1346345550 PECOS PAC ID: 7810967338 Enrollment ID: I20070627000495 |
| Provider Name | Ali Nasser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457387888 PECOS PAC ID: 1052360740 Enrollment ID: I20070627000572 |
| Provider Name | Poonam Warman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871508549 PECOS PAC ID: 7315030616 Enrollment ID: I20070831000448 |
| Provider Name | Lareesa M Ferdinand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982767323 PECOS PAC ID: 7113011453 Enrollment ID: I20070918000468 |
| Provider Name | Vijay Ferris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104872662 PECOS PAC ID: 1153416698 Enrollment ID: I20070928000523 |
| Provider Name | Michele Lee Fluke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417036831 PECOS PAC ID: 6406944701 Enrollment ID: I20071120000669 |
| Provider Name | Imran Q Samnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801829098 PECOS PAC ID: 7810085040 Enrollment ID: I20071121000253 |
| Provider Name | Kelly K Jago |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558331587 PECOS PAC ID: 0345337341 Enrollment ID: I20071205000401 |
| Provider Name | Ailis Marrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538355599 PECOS PAC ID: 2668562083 Enrollment ID: I20071221000099 |
| Provider Name | Rainer Q Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972794790 PECOS PAC ID: 5597845842 Enrollment ID: I20071228000084 |
| Provider Name | Xavier F Cannella |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215017207 PECOS PAC ID: 6709966641 Enrollment ID: I20080104000526 |
| Provider Name | David T Goldsberry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720061260 PECOS PAC ID: 3476633314 Enrollment ID: I20080104000565 |
| Provider Name | Deborah Jane Cantero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568644235 PECOS PAC ID: 9436238979 Enrollment ID: I20080508000370 |
| Provider Name | Gina D Hope |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205038411 PECOS PAC ID: 2062582877 Enrollment ID: I20080605000620 |
| Provider Name | Suzanne Desrosiers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366515546 PECOS PAC ID: 6002986551 Enrollment ID: I20080610000386 |
| Provider Name | Mark L Glickfeld |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710909833 PECOS PAC ID: 6800895384 Enrollment ID: I20080627000233 |
| Provider Name | Geetha Kanajam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629099973 PECOS PAC ID: 9537146626 Enrollment ID: I20080708000017 |
| Provider Name | Nektarios S Demetriou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154443521 PECOS PAC ID: 3971696345 Enrollment ID: I20080721000409 |
| Provider Name | Kousalya Sara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407048028 PECOS PAC ID: 5395810238 Enrollment ID: I20080812000618 |
| Provider Name | Adela Marie Oliva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164535670 PECOS PAC ID: 2163597527 Enrollment ID: I20080819000696 |
| Provider Name | Regina Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700968484 PECOS PAC ID: 5092882316 Enrollment ID: I20080927000197 |
| Provider Name | Shweta Ekka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720264575 PECOS PAC ID: 8022185248 Enrollment ID: I20080930000164 |
| Provider Name | Keven Murcell Hoddinott |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003801333 PECOS PAC ID: 8426079021 Enrollment ID: I20081006000691 |
| Provider Name | Sooyoung P Chung |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871521708 PECOS PAC ID: 6709789191 Enrollment ID: I20081015000576 |
| Provider Name | Scarlett Y Monroy Alba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740493980 PECOS PAC ID: 9537228978 Enrollment ID: I20081030000327 |
| Provider Name | Sharona B Ross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114189503 PECOS PAC ID: 6204995087 Enrollment ID: I20081107000620 |
| Provider Name | Annette S Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316920978 PECOS PAC ID: 0749385045 Enrollment ID: I20090116000111 |
| Provider Name | Joy S Viars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932353430 PECOS PAC ID: 4385708015 Enrollment ID: I20090126000166 |
| Provider Name | Charmaine Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003066713 PECOS PAC ID: 7416011051 Enrollment ID: I20090127000468 |
| Provider Name | Robert B Rosequist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699771071 PECOS PAC ID: 7618058892 Enrollment ID: I20090127000574 |
| Provider Name | Ketheeswaran Kathiripillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972549368 PECOS PAC ID: 9537249982 Enrollment ID: I20090128000372 |
| Provider Name | Adnan Muhammad |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1942242938 PECOS PAC ID: 0143240234 Enrollment ID: I20090204000067 |
| Provider Name | Katherine S Bencze |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104886035 PECOS PAC ID: 6002970183 Enrollment ID: I20090204000569 |
| Provider Name | Linda D Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801884945 PECOS PAC ID: 8921163809 Enrollment ID: I20090209000539 |
| Provider Name | Dana M Buccinna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477708006 PECOS PAC ID: 0547325110 Enrollment ID: I20090213000349 |
| Provider Name | Francisco A Schwartz-fernandes |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1821244500 PECOS PAC ID: 2769547272 Enrollment ID: I20090217000601 |
| Provider Name | Rachel B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609877794 PECOS PAC ID: 7719043934 Enrollment ID: I20090312000444 |
| Provider Name | Matthew Acton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578732772 PECOS PAC ID: 0648337550 Enrollment ID: I20090320000187 |
| Provider Name | Marie E Povey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447225602 PECOS PAC ID: 3274690581 Enrollment ID: I20090331000245 |
| Provider Name | Kristin Parchmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851424493 PECOS PAC ID: 9931259132 Enrollment ID: I20090610000054 |
| Provider Name | David A Decker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548344633 PECOS PAC ID: 8820149347 Enrollment ID: I20090623000750 |
| Provider Name | Mary A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346475399 PECOS PAC ID: 2062564180 Enrollment ID: I20090720000508 |
| Provider Name | Brenda H Digeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194959601 PECOS PAC ID: 6507919958 Enrollment ID: I20090801000004 |
| Provider Name | Lisa M Sanches |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114008802 PECOS PAC ID: 2163575432 Enrollment ID: I20090804000363 |
| Provider Name | Randolph A Knight |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487761557 PECOS PAC ID: 8729132766 Enrollment ID: I20090811000164 |
| Provider Name | Charolette L Vozdecky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831326669 PECOS PAC ID: 1355495938 Enrollment ID: I20090817000282 |
| Provider Name | David Ethier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114966926 PECOS PAC ID: 3375698772 Enrollment ID: I20090909000311 |
| Provider Name | Aldo Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568694370 PECOS PAC ID: 0446397376 Enrollment ID: I20091027000295 |
| Provider Name | Bhavik M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730310137 PECOS PAC ID: 4789723727 Enrollment ID: I20091203000535 |
| Provider Name | Milton Fitzgerald Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275695306 PECOS PAC ID: 3971547134 Enrollment ID: I20091211000175 |
| Provider Name | Thomas A John |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497837033 PECOS PAC ID: 1052453990 Enrollment ID: I20100115000242 |
| Provider Name | James M Irwin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669418901 PECOS PAC ID: 9537129119 Enrollment ID: I20100119000595 |
| Provider Name | Glenn I Lura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790747897 PECOS PAC ID: 1153463799 Enrollment ID: I20100120000820 |
| Provider Name | Francisco J Gomez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255397089 PECOS PAC ID: 3779502984 Enrollment ID: I20100206000009 |
| Provider Name | Debra C Brakefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922084300 PECOS PAC ID: 0749324127 Enrollment ID: I20100223000686 |
| Provider Name | John P Leone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457354490 PECOS PAC ID: 1153466826 Enrollment ID: I20100305000158 |
| Provider Name | Michel M Murr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750393088 PECOS PAC ID: 4587709902 Enrollment ID: I20100309000687 |
| Provider Name | Mohamad I Saleh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295784551 PECOS PAC ID: 0345224150 Enrollment ID: I20100315000625 |
| Provider Name | Ruben E Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932178308 PECOS PAC ID: 4789719592 Enrollment ID: I20100318000626 |
| Provider Name | Fred Howard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447228614 PECOS PAC ID: 1557370921 Enrollment ID: I20100318000664 |
| Provider Name | John P Deveikis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124061775 PECOS PAC ID: 0941109375 Enrollment ID: I20100327000249 |
| Provider Name | Pamela C Barany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205801529 PECOS PAC ID: 1850297946 Enrollment ID: I20100327000631 |
| Provider Name | James Lee Nielsen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1295735710 PECOS PAC ID: 1355422767 Enrollment ID: I20100330000374 |
| Provider Name | James Lonquist |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1881694446 PECOS PAC ID: 9537240940 Enrollment ID: I20100330000402 |
| Provider Name | David Ashley Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336164326 PECOS PAC ID: 8628104668 Enrollment ID: I20100330000497 |
| Provider Name | Neil G Powell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114977477 PECOS PAC ID: 9537244884 Enrollment ID: I20100426000374 |
| Provider Name | Carol S Cox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023021789 PECOS PAC ID: 7214064831 Enrollment ID: I20100429000854 |
| Provider Name | Cassandra A Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124342563 PECOS PAC ID: 3577691161 Enrollment ID: I20100430000550 |
| Provider Name | Rakesh P Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497748719 PECOS PAC ID: 6103954557 Enrollment ID: I20100506000118 |
| Provider Name | Shelly L Gerlach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851575419 PECOS PAC ID: 2365524790 Enrollment ID: I20100513000566 |
| Provider Name | Shantell Major |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205158771 PECOS PAC ID: 4688703358 Enrollment ID: I20100519000357 |
| Provider Name | Jaima Peyton Woodiwiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902822323 PECOS PAC ID: 7911036512 Enrollment ID: I20100519000781 |
| Provider Name | Caroline C Honculada |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104843051 PECOS PAC ID: 1052440823 Enrollment ID: I20100603000891 |
| Provider Name | Christopher W Lay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891721403 PECOS PAC ID: 6204966294 Enrollment ID: I20100618000172 |
| Provider Name | Linda L Diedriech |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033154554 PECOS PAC ID: 2860522869 Enrollment ID: I20100618000266 |
| Provider Name | Norman S Abbott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679582142 PECOS PAC ID: 4981736675 Enrollment ID: I20100715000534 |
| Provider Name | Michael Lloyd Blum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134115165 PECOS PAC ID: 3971500752 Enrollment ID: I20100730000553 |
| Provider Name | Michelle E Wood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053394171 PECOS PAC ID: 9537292818 Enrollment ID: I20100806000707 |
| Provider Name | Terri L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053547695 PECOS PAC ID: 2769515923 Enrollment ID: I20100809000758 |
| Provider Name | Jeffrey David Wartman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295730414 PECOS PAC ID: 7517857683 Enrollment ID: I20100817001432 |
| Provider Name | Narendra S Sastry |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1598746711 PECOS PAC ID: 4880788140 Enrollment ID: I20100830000235 |
| Provider Name | Barry Zalman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417988205 PECOS PAC ID: 1456475011 Enrollment ID: I20100902001027 |
| Provider Name | Sage P Naran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407971807 PECOS PAC ID: 9234254459 Enrollment ID: I20100913000022 |
| Provider Name | Anthony V Deiorio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649212879 PECOS PAC ID: 6507981339 Enrollment ID: I20100916000302 |
| Provider Name | Dwight D Landmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073550315 PECOS PAC ID: 1850287350 Enrollment ID: I20100916000387 |
| Provider Name | Amir Quefatieh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801831755 PECOS PAC ID: 2264575562 Enrollment ID: I20100916000697 |
| Provider Name | Brandy S Medhurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275861627 PECOS PAC ID: 3577688373 Enrollment ID: I20100916001180 |
| Provider Name | Arthi Sanjeevi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497768550 PECOS PAC ID: 9537168406 Enrollment ID: I20100917000044 |
| Provider Name | Brendan C Omalley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689641748 PECOS PAC ID: 2860578622 Enrollment ID: I20101004000359 |
| Provider Name | Glenda F Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760521132 PECOS PAC ID: 3779679311 Enrollment ID: I20101004001328 |
| Provider Name | Faiyaaz Mustansir Jhaveri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134138019 PECOS PAC ID: 8921290008 Enrollment ID: I20101007000573 |
| Provider Name | Donald W Liebelt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710969076 PECOS PAC ID: 7214908540 Enrollment ID: I20101015000781 |
| 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 | Paul R Levine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942298922 PECOS PAC ID: 2769387679 Enrollment ID: I20101022001322 |
| Provider Name | Laurence Neufeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083694640 PECOS PAC ID: 7214827047 Enrollment ID: I20101026001076 |
| Provider Name | Shari A Burbank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922165208 PECOS PAC ID: 3779550165 Enrollment ID: I20101116000494 |
| Provider Name | Margaret Ann Colleran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457356677 PECOS PAC ID: 9537293261 Enrollment ID: I20101124000711 |
| Provider Name | Vijay B Narasimha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790861532 PECOS PAC ID: 6901906890 Enrollment ID: I20101124000956 |
| Provider Name | Robert N Gallinaro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538107909 PECOS PAC ID: 9739375718 Enrollment ID: I20101202000656 |
| Provider Name | Kristen G Marsonek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306147616 PECOS PAC ID: 9032307673 Enrollment ID: I20101222000944 |
| Provider Name | Jessica Herrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922301381 PECOS PAC ID: 1557559077 Enrollment ID: I20101228000990 |
| Provider Name | Michael D Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740427079 PECOS PAC ID: 8022163708 Enrollment ID: I20101230000922 |
| Provider Name | Barbara A. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841591534 PECOS PAC ID: 9436348778 Enrollment ID: I20110118000830 |
| Provider Name | Humberto A Coto |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306882824 PECOS PAC ID: 3577465475 Enrollment ID: I20110120000903 |
| Provider Name | Laurence R Ferber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679540744 PECOS PAC ID: 3476733692 Enrollment ID: I20110204000767 |
| Provider Name | Alan J Iezzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952590028 PECOS PAC ID: 6002866902 Enrollment ID: I20110209000518 |
| Provider Name | Thomas E Carson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427058791 PECOS PAC ID: 7517908353 Enrollment ID: I20110221000438 |
| Provider Name | Susan B Purvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265678932 PECOS PAC ID: 3779764709 Enrollment ID: I20110224000356 |
| Provider Name | Francisco J Delgado |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255579397 PECOS PAC ID: 6709069362 Enrollment ID: I20110321000467 |
| Provider Name | Mark A Casebolt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881633402 PECOS PAC ID: 9234033838 Enrollment ID: I20110504000122 |
| Provider Name | Martin Fernando Britos Bray |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598781924 PECOS PAC ID: 8921008632 Enrollment ID: I20110511000134 |
| Provider Name | Mitchell B Ohara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285705004 PECOS PAC ID: 6709070907 Enrollment ID: I20110513000222 |
| Provider Name | Salman Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174709968 PECOS PAC ID: 7214083294 Enrollment ID: I20110520000261 |
| Provider Name | Mario I Canedo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548336175 PECOS PAC ID: 7113105214 Enrollment ID: I20110620000391 |
| Provider Name | Karen Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770502684 PECOS PAC ID: 0042498008 Enrollment ID: I20110623000003 |
| Provider Name | Ronniel Mercado |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013240035 PECOS PAC ID: 3274711189 Enrollment ID: I20110623000714 |
| Provider Name | Kevin L Klein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386633279 PECOS PAC ID: 3577542984 Enrollment ID: I20110624000057 |
| Provider Name | James O Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811977333 PECOS PAC ID: 9931188349 Enrollment ID: I20110627000165 |
| Provider Name | Keyur A Chavda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124218128 PECOS PAC ID: 8820276454 Enrollment ID: I20110629000426 |
| Provider Name | John Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396936936 PECOS PAC ID: 7618093584 Enrollment ID: I20110630000193 |
| Provider Name | Renee M Bassaly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235399130 PECOS PAC ID: 2365620747 Enrollment ID: I20110707000571 |
| Provider Name | Eduardo E Pascual |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790700417 PECOS PAC ID: 4789852716 Enrollment ID: I20110719000320 |
| Provider Name | Juliette Segree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588967673 PECOS PAC ID: 8628256138 Enrollment ID: I20110804000516 |
| Provider Name | Belinda B Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386891760 PECOS PAC ID: 6002085511 Enrollment ID: I20110817000538 |
| Provider Name | Pavitar S Cheema |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710996855 PECOS PAC ID: 9436329992 Enrollment ID: I20110819000477 |
| Provider Name | Alejandro Remigio Rodriguez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740489376 PECOS PAC ID: 3577733989 Enrollment ID: I20110823000154 |
| Provider Name | Alejandro Ramirez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184870719 PECOS PAC ID: 0042480261 Enrollment ID: I20110825000737 |
| Provider Name | George Rankin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366427387 PECOS PAC ID: 6507830882 Enrollment ID: I20110830000672 |
| Provider Name | Craig Randall Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144509860 PECOS PAC ID: 0547213456 Enrollment ID: I20110901000591 |
| Provider Name | Rajani P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710936695 PECOS PAC ID: 8820269004 Enrollment ID: I20110920000144 |
| Provider Name | Rodolfo S Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649230061 PECOS PAC ID: 4981507464 Enrollment ID: I20110921000845 |
| Provider Name | Paula Bryant Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164516449 PECOS PAC ID: 2668491267 Enrollment ID: I20111006000576 |
| Provider Name | Imran Ashraf Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811054539 PECOS PAC ID: 5395849889 Enrollment ID: I20111011000199 |
| Provider Name | Cynthia L Boucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700169505 PECOS PAC ID: 5496927352 Enrollment ID: I20111019000144 |
| Provider Name | Michael A Munz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093712572 PECOS PAC ID: 1850283581 Enrollment ID: I20111021000224 |
| Provider Name | Ihtasham Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932374469 PECOS PAC ID: 5193887990 Enrollment ID: I20111116000942 |
| Provider Name | Jayapriya D Raj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447440854 PECOS PAC ID: 5294923025 Enrollment ID: I20111201000710 |
| Provider Name | John Anthony Ferlita |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730258781 PECOS PAC ID: 8628243102 Enrollment ID: I20111212000587 |
| Provider Name | Raul Olivera |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982872057 PECOS PAC ID: 0143495507 Enrollment ID: I20111213000701 |
| Provider Name | Juan Carlos Gutierrez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194978932 PECOS PAC ID: 0749456101 Enrollment ID: I20120105000935 |
| Provider Name | Jeanne Lufkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477849206 PECOS PAC ID: 2365609385 Enrollment ID: I20120202000732 |
| Provider Name | Augustine E Agocha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003863135 PECOS PAC ID: 6800998063 Enrollment ID: I20120207000663 |
| Provider Name | Juan A Garcia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477629004 PECOS PAC ID: 7517125636 Enrollment ID: I20120221000740 |
| Provider Name | Alexandra M Molinares-sosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801042635 PECOS PAC ID: 4789843301 Enrollment ID: I20120316000417 |
| Provider Name | Salvador Ramos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740402965 PECOS PAC ID: 7315091675 Enrollment ID: I20120321000682 |
| Provider Name | Dwarka Nath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003966870 PECOS PAC ID: 3375703291 Enrollment ID: I20120329000472 |
| Provider Name | Randy M Kiriluk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639100191 PECOS PAC ID: 5294647301 Enrollment ID: I20120410000466 |
| Provider Name | Amanda N Ballo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508131996 PECOS PAC ID: 0840451209 Enrollment ID: I20120411000338 |
| Provider Name | Sohrab Shafii |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467466219 PECOS PAC ID: 9537321765 Enrollment ID: I20120503000418 |
| Provider Name | Eric J. Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285698530 PECOS PAC ID: 5395907257 Enrollment ID: I20120510000398 |
| Provider Name | Jonathan W Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205090974 PECOS PAC ID: 4587828264 Enrollment ID: I20120608000198 |
| Provider Name | Laura E Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871859439 PECOS PAC ID: 8426212572 Enrollment ID: I20120621000208 |
| Provider Name | Robert J Oliva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740393255 PECOS PAC ID: 7113180233 Enrollment ID: I20120627000053 |
| Provider Name | Ren Bernardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639304389 PECOS PAC ID: 3971774415 Enrollment ID: I20120731000339 |
| Provider Name | Giovanni Ricardo Jubiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538464102 PECOS PAC ID: 0749436038 Enrollment ID: I20120801000595 |
| Provider Name | Mala Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265546154 PECOS PAC ID: 5092720649 Enrollment ID: I20120803000294 |
| Provider Name | Jaime E Sanchez |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1114126919 PECOS PAC ID: 3678729894 Enrollment ID: I20120803000356 |
| Provider Name | Lisa S Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528211042 PECOS PAC ID: 5799848453 Enrollment ID: I20120808000201 |
| Provider Name | Jessica Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255603692 PECOS PAC ID: 0042466955 Enrollment ID: I20120808000892 |
| Provider Name | Jermaine Ralph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336302223 PECOS PAC ID: 4789723842 Enrollment ID: I20120815000030 |
| Provider Name | Sarah E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679840326 PECOS PAC ID: 3375791379 Enrollment ID: I20120917000743 |
| Provider Name | Niki F Hector |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346471828 PECOS PAC ID: 5294984597 Enrollment ID: I20121002000206 |
| Provider Name | Gregory A Dawkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235336819 PECOS PAC ID: 5496936643 Enrollment ID: I20121008000013 |
| Provider Name | Robert H Swietarski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790763332 PECOS PAC ID: 3274503115 Enrollment ID: I20121010000042 |
| Provider Name | Olufunke Omodele Abiose |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538360680 PECOS PAC ID: 7810146602 Enrollment ID: I20121011000712 |
| Provider Name | Marco Fiore Urizar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720238074 PECOS PAC ID: 4587813217 Enrollment ID: I20121012000369 |
| Provider Name | Craig W Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982605523 PECOS PAC ID: 0244480572 Enrollment ID: I20121023000530 |
| Provider Name | Sherri C Ricottone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699026948 PECOS PAC ID: 7012167877 Enrollment ID: I20121101000432 |
| Provider Name | Aya Dawn Olejeme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144348434 PECOS PAC ID: 9234298423 Enrollment ID: I20121116000239 |
| Provider Name | Tej Kumar K Atluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710180880 PECOS PAC ID: 4183758238 Enrollment ID: I20121116000376 |
| Provider Name | Darnella C Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346593159 PECOS PAC ID: 9335390483 Enrollment ID: I20121119000331 |
| Provider Name | Mitaben N Hajirawala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144588310 PECOS PAC ID: 4385896869 Enrollment ID: I20121207000221 |
| Provider Name | Elizabeth Liu Sirban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962782383 PECOS PAC ID: 1658524566 Enrollment ID: I20121228000377 |
| Provider Name | Margarette Lespinasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609112408 PECOS PAC ID: 6901059468 Enrollment ID: I20130111000147 |
| Provider Name | Deowattie P John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619226974 PECOS PAC ID: 6204080914 Enrollment ID: I20130205000430 |
| Provider Name | Nancy L. Dahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861743122 PECOS PAC ID: 4587818018 Enrollment ID: I20130208000053 |
| Provider Name | Allison L Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043593197 PECOS PAC ID: 3173778156 Enrollment ID: I20130222000280 |
| Provider Name | Verona I Girod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710224902 PECOS PAC ID: 9234384090 Enrollment ID: I20130227000406 |
| Provider Name | Syeda Kareem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801027818 PECOS PAC ID: 8729223805 Enrollment ID: I20130320000133 |
| Provider Name | Amy M Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598004715 PECOS PAC ID: 1951546928 Enrollment ID: I20130321000404 |
| Provider Name | Karen L Steinbrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710241229 PECOS PAC ID: 2062657513 Enrollment ID: I20130404000079 |
| Provider Name | Tariq Hamid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144482522 PECOS PAC ID: 0840469557 Enrollment ID: I20130426000239 |
| Provider Name | Saif Nazar Abdullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255503033 PECOS PAC ID: 2264600923 Enrollment ID: I20130520000135 |
| Provider Name | Ashwini Reddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982673000 PECOS PAC ID: 8527095421 Enrollment ID: I20130523000285 |
| Provider Name | Manohar K Chenchugalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508982273 PECOS PAC ID: 3274603626 Enrollment ID: I20130611000195 |
| Provider Name | Thomas Adam Oliver |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861617755 PECOS PAC ID: 7113170234 Enrollment ID: I20130619000470 |
| Provider Name | Leo A Choe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508175530 PECOS PAC ID: 4880833888 Enrollment ID: I20130624000673 |
| Provider Name | Michael L Caselnova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689696833 PECOS PAC ID: 6103989009 Enrollment ID: I20130625000598 |
| Provider Name | Jacob A Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689915860 PECOS PAC ID: 9638319403 Enrollment ID: I20130628000486 |
| Provider Name | Saravanan Karuppiah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821249277 PECOS PAC ID: 3173764552 Enrollment ID: I20130726000755 |
| Provider Name | Michele Brengs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457798068 PECOS PAC ID: 4486895752 Enrollment ID: I20130729000869 |
| Provider Name | Scott E Merritt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255596508 PECOS PAC ID: 9830369677 Enrollment ID: I20130730000631 |
| Provider Name | Christina Catherine Gomez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851522825 PECOS PAC ID: 1658512793 Enrollment ID: I20130801000089 |
| Provider Name | Mihaela Satalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548581630 PECOS PAC ID: 8729220603 Enrollment ID: I20130805000877 |
| Provider Name | Zinovy Micheal Katz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922213933 PECOS PAC ID: 2769513340 Enrollment ID: I20130807000453 |
| Provider Name | Laxmi Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487948089 PECOS PAC ID: 2466628516 Enrollment ID: I20130807000952 |
| Provider Name | Adeel H Mikael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114238581 PECOS PAC ID: 8527200203 Enrollment ID: I20130808000420 |
| Provider Name | Rozales Antonio Swanson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932174349 PECOS PAC ID: 0244423283 Enrollment ID: I20130820000659 |
| Provider Name | Ahmet Aksu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700974284 PECOS PAC ID: 4385654136 Enrollment ID: I20130910000404 |
| Provider Name | Mona Carol Mccullough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437348422 PECOS PAC ID: 7416191168 Enrollment ID: I20130918000691 |
| Provider Name | Claudette L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700851623 PECOS PAC ID: 9032353545 Enrollment ID: I20130924000591 |
| Provider Name | Kalpesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093733867 PECOS PAC ID: 8224061726 Enrollment ID: I20131007000879 |
| Provider Name | Joyce M Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861578346 PECOS PAC ID: 1052545936 Enrollment ID: I20131008001291 |
| Provider Name | Raja Ramesh Gummalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952618951 PECOS PAC ID: 1456586635 Enrollment ID: I20131023001707 |
| Provider Name | Jill M Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437582392 PECOS PAC ID: 3779718770 Enrollment ID: I20131029001185 |
| Provider Name | Cory L Obrien |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952584682 PECOS PAC ID: 8729213608 Enrollment ID: I20131030001814 |
| Provider Name | Sarah D Mehuron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255620084 PECOS PAC ID: 1355576182 Enrollment ID: I20131031001661 |
| Provider Name | Lorilee K Santiago-plato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861749533 PECOS PAC ID: 3072749027 Enrollment ID: I20131121000159 |
| Provider Name | Sandra G Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346584976 PECOS PAC ID: 6204062045 Enrollment ID: I20131126001234 |
| Provider Name | Romeena Tejiram Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679810212 PECOS PAC ID: 9830325596 Enrollment ID: I20131202001263 |
| Provider Name | Parul Aneja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124287511 PECOS PAC ID: 0345435194 Enrollment ID: I20131205000371 |
| Provider Name | Alberto Maldonado Molina |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1689641631 PECOS PAC ID: 2567369648 Enrollment ID: I20131227001272 |
| Provider Name | Stephanie Nicole Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497186936 PECOS PAC ID: 0345477030 Enrollment ID: I20131231000276 |
| Provider Name | Ali Yousef Alsamarah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215167440 PECOS PAC ID: 1456502822 Enrollment ID: I20140128001472 |
| Provider Name | Michael R Magner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922194653 PECOS PAC ID: 9638310469 Enrollment ID: I20140206000805 |
| Provider Name | Ezekiel A. Osuntogun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386804334 PECOS PAC ID: 0547490385 Enrollment ID: I20140224000689 |
| Provider Name | Dawn E Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619146768 PECOS PAC ID: 5698950905 Enrollment ID: I20140318001015 |
| Provider Name | Zofia Kletter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477978674 PECOS PAC ID: 3577795913 Enrollment ID: I20140417000146 |
| Provider Name | Countiss Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770906620 PECOS PAC ID: 9133351349 Enrollment ID: I20140422000557 |
| Provider Name | Sabeeha F Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912916909 PECOS PAC ID: 6608870118 Enrollment ID: I20140507001565 |
| Provider Name | Zwadie C.k. March |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750638706 PECOS PAC ID: 2567685613 Enrollment ID: I20140519001697 |
| Provider Name | Barrie A Mccrimmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851717524 PECOS PAC ID: 5193948909 Enrollment ID: I20140523001759 |
| Provider Name | Dema Adnan Abdelmajid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174943237 PECOS PAC ID: 4082838404 Enrollment ID: I20140604002325 |
| Provider Name | Mazen Albeldawi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811161680 PECOS PAC ID: 6800011818 Enrollment ID: I20140708001115 |
| Provider Name | Monica C Griffin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649265208 PECOS PAC ID: 6608091566 Enrollment ID: I20140709000458 |
| Provider Name | Keely Elizabeth Fischbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407155666 PECOS PAC ID: 9436375409 Enrollment ID: I20140728002031 |
| Provider Name | Naga Uk Thatimatla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841503281 PECOS PAC ID: 6002065026 Enrollment ID: I20140822000929 |
| Provider Name | Ryan Matthew Mellor |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104182427 PECOS PAC ID: 0244473056 Enrollment ID: I20140823000129 |
| Provider Name | Saima Rafiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851680805 PECOS PAC ID: 9234357476 Enrollment ID: I20140829000197 |
| Provider Name | Jeronimo Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316350697 PECOS PAC ID: 8123246311 Enrollment ID: I20140829001896 |
| Provider Name | Zeguang Ren |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770640856 PECOS PAC ID: 8224257613 Enrollment ID: I20140917001456 |
| Provider Name | John Isaak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265725519 PECOS PAC ID: 9436398971 Enrollment ID: I20140918000576 |
| Provider Name | Anthony Roosevelt Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093002768 PECOS PAC ID: 7517186695 Enrollment ID: I20140923000998 |
| Provider Name | Bina B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447564562 PECOS PAC ID: 0143464313 Enrollment ID: I20140924001548 |
| Provider Name | Gabriel Pantol |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679733364 PECOS PAC ID: 5991857005 Enrollment ID: I20141001000602 |
| Provider Name | Samia S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831415017 PECOS PAC ID: 6002046778 Enrollment ID: I20141001001176 |
| Provider Name | Aftab Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902807381 PECOS PAC ID: 6204860786 Enrollment ID: I20141006001633 |
| Provider Name | Bronwyn Tulloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114356144 PECOS PAC ID: 9537389945 Enrollment ID: I20141007002591 |
| Provider Name | Kristin Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104233220 PECOS PAC ID: 9739309006 Enrollment ID: I20141008002171 |
| Provider Name | Michelle J Lutchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154370849 PECOS PAC ID: 1951306695 Enrollment ID: I20141015000289 |
| Provider Name | Carlos M Santos De Jesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912212119 PECOS PAC ID: 6406077445 Enrollment ID: I20141016001277 |
| Provider Name | Sachin S Vaikunth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023217825 PECOS PAC ID: 9638368020 Enrollment ID: I20141023000865 |
| Provider Name | Jad Ghandour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659684272 PECOS PAC ID: 4183850316 Enrollment ID: I20141119000697 |
| Provider Name | Andrew Philip Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710388871 PECOS PAC ID: 3971826041 Enrollment ID: I20141222000049 |
| Provider Name | Rodrigo A Torres |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255625083 PECOS PAC ID: 4880917780 Enrollment ID: I20141230000566 |
| Provider Name | Patrick Mella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982915781 PECOS PAC ID: 7113240045 Enrollment ID: I20141230001547 |
| Provider Name | Kelly M. Bolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417353665 PECOS PAC ID: 3375866148 Enrollment ID: I20141231000689 |
| Provider Name | Paru Dilip Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376837112 PECOS PAC ID: 5597993774 Enrollment ID: I20150109000861 |
| Provider Name | Imran Humayun Mirza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558500587 PECOS PAC ID: 5890947600 Enrollment ID: I20150126001852 |
| Provider Name | Roxann Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710327622 PECOS PAC ID: 0941524573 Enrollment ID: I20150130000615 |
| Provider Name | Lidia M Sepulveda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457643462 PECOS PAC ID: 6406171016 Enrollment ID: I20150202001293 |
| Provider Name | Memory Kashumba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740622182 PECOS PAC ID: 5294050761 Enrollment ID: I20150205000525 |
| Provider Name | John Schmittner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275891913 PECOS PAC ID: 6103863238 Enrollment ID: I20150205001183 |
| Provider Name | Rosamma Babyjoseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952704082 PECOS PAC ID: 9931424215 Enrollment ID: I20150209000167 |
| Provider Name | Olamiju Olaleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891113932 PECOS PAC ID: 2062630437 Enrollment ID: I20150213000580 |
| Provider Name | Dana Marie Manzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235534488 PECOS PAC ID: 7911222963 Enrollment ID: I20150213001225 |
| Provider Name | Stacy Nichole Taylor-hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255383881 PECOS PAC ID: 6002829264 Enrollment ID: I20150316002346 |
| Provider Name | Gustava T Zimmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912325333 PECOS PAC ID: 8022335652 Enrollment ID: I20150319001703 |
| Provider Name | Salman M Muddassir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578608220 PECOS PAC ID: 2567538358 Enrollment ID: I20150423000151 |
| Provider Name | Jeffrey Arlin Rumbaugh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528093705 PECOS PAC ID: 2668452053 Enrollment ID: I20150507000836 |
| Provider Name | Renee M Jones-march |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598012627 PECOS PAC ID: 8628397742 Enrollment ID: I20150512000274 |
| Provider Name | Rohit Vasan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083893010 PECOS PAC ID: 3173842184 Enrollment ID: I20150514002789 |
| Provider Name | Mukesh B Satodiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043331531 PECOS PAC ID: 6002906658 Enrollment ID: I20150518000914 |
| Provider Name | Andrey Lima |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538475835 PECOS PAC ID: 2264752674 Enrollment ID: I20150527001603 |
| Provider Name | Shafqat Mahmood Cheema |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659540375 PECOS PAC ID: 9436201332 Enrollment ID: I20150608002380 |
| Provider Name | Laura Russell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902948318 PECOS PAC ID: 8628290079 Enrollment ID: I20150616001678 |
| Provider Name | Carlos F Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407113582 PECOS PAC ID: 2860704558 Enrollment ID: I20150709000876 |
| Provider Name | Haane G Massarotti |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1518194083 PECOS PAC ID: 9739326638 Enrollment ID: I20150713000516 |
| Provider Name | Petra M Caselnova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538468715 PECOS PAC ID: 5294048328 Enrollment ID: I20150720000851 |
| Provider Name | Belinda Joy Gavino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750711636 PECOS PAC ID: 4981918968 Enrollment ID: I20150804005720 |
| Provider Name | Brenton D Mccoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053746479 PECOS PAC ID: 2567776586 Enrollment ID: I20150805006846 |
| Provider Name | Klive M Forde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629331772 PECOS PAC ID: 5496970592 Enrollment ID: I20150810001464 |
| Provider Name | Farhana Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033484266 PECOS PAC ID: 8921313099 Enrollment ID: I20150818005977 |
| Provider Name | Lisa K Muchler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164676607 PECOS PAC ID: 5496819385 Enrollment ID: I20150820009879 |
| Provider Name | Jill A Young |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760861538 PECOS PAC ID: 1557676475 Enrollment ID: I20150820011164 |
| Provider Name | Kaye Kristen Rozecki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952650681 PECOS PAC ID: 9739495052 Enrollment ID: I20150901003392 |
| Provider Name | Giselle Ann Alfafara Racho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780940692 PECOS PAC ID: 7911213830 Enrollment ID: I20150908001853 |
| Provider Name | Jacqueline S Fernandes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629038880 PECOS PAC ID: 7911146402 Enrollment ID: I20150916002303 |
| Provider Name | Ravikanth Vydyula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942443551 PECOS PAC ID: 6507036498 Enrollment ID: I20151005001498 |
| Provider Name | Katherine Adelufosi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306250386 PECOS PAC ID: 6103135561 Enrollment ID: I20151026001347 |
| Provider Name | Vanessa Escobar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578858577 PECOS PAC ID: 0648580605 Enrollment ID: I20151104001316 |
| Provider Name | Jean S Delbrune |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609939735 PECOS PAC ID: 7315978574 Enrollment ID: I20151109000950 |
| Provider Name | Bhavik K Vala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104075316 PECOS PAC ID: 6204024607 Enrollment ID: I20151112001942 |
| Provider Name | Tarih F Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013273754 PECOS PAC ID: 6305009267 Enrollment ID: I20151113000683 |
| Provider Name | Sarkis Morales Vidal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811211899 PECOS PAC ID: 4587858592 Enrollment ID: I20151116001594 |
| Provider Name | Rhonel Lanique Citterbart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962797092 PECOS PAC ID: 7214106236 Enrollment ID: I20151118000794 |
| Provider Name | Alan Gerber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205810975 PECOS PAC ID: 1254415912 Enrollment ID: I20151208003066 |
| Provider Name | Dorothy T Lee Evenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023019650 PECOS PAC ID: 4284775206 Enrollment ID: I20151221000848 |
| Provider Name | Sally Y Dawood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295001113 PECOS PAC ID: 5395046106 Enrollment ID: I20151221002543 |
| Provider Name | Antony Denard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831416411 PECOS PAC ID: 9335441112 Enrollment ID: I20160111002515 |
| Provider Name | Donald W Ayres |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134229610 PECOS PAC ID: 5991797862 Enrollment ID: I20160209002134 |
| Provider Name | Melinda Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619371051 PECOS PAC ID: 2365769627 Enrollment ID: I20160219001723 |
| Provider Name | Melissa Klafter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619368503 PECOS PAC ID: 9638474018 Enrollment ID: I20160223000968 |
| Provider Name | Fredrick Cadet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093106239 PECOS PAC ID: 0840595781 Enrollment ID: I20160301001997 |
| Provider Name | Allen Paul Chudzinski |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1750526273 PECOS PAC ID: 8527253624 Enrollment ID: I20160316001469 |
| Provider Name | Michelle Christina Tophkhane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669854477 PECOS PAC ID: 1153628813 Enrollment ID: I20160323000800 |
| Provider Name | Viviane L Goncalves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013386572 PECOS PAC ID: 0446558761 Enrollment ID: I20160419002201 |
| Provider Name | William J Kras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083088330 PECOS PAC ID: 9739488222 Enrollment ID: I20160505000151 |
| Provider Name | Royal D Thompson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174516736 PECOS PAC ID: 6002870490 Enrollment ID: I20160506001397 |
| Provider Name | Michelle A Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467823302 PECOS PAC ID: 8123327475 Enrollment ID: I20160509000863 |
| Provider Name | Amber B Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821457342 PECOS PAC ID: 0446549059 Enrollment ID: I20160523000293 |
| Provider Name | Haseeb Shahid Hashmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760605190 PECOS PAC ID: 4385745298 Enrollment ID: I20160525001127 |
| Provider Name | Lindsey Dambly Sperry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700228921 PECOS PAC ID: 6507157369 Enrollment ID: I20160624002053 |
| Provider Name | Thomas A Graham |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417184136 PECOS PAC ID: 2668616541 Enrollment ID: I20160627001369 |
| Provider Name | Rishi Ramlogan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205007804 PECOS PAC ID: 7416115811 Enrollment ID: I20160708001664 |
| Provider Name | Alberto J Sabucedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033418512 PECOS PAC ID: 4587956545 Enrollment ID: I20160712001545 |
| Provider Name | Lucas B Meadors |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063840999 PECOS PAC ID: 2769774785 Enrollment ID: I20160712003204 |
| Provider Name | Jesus C Lanza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134421407 PECOS PAC ID: 4688856412 Enrollment ID: I20160713000362 |
| Provider Name | Ahmed R Abdelkarim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215171103 PECOS PAC ID: 8729217666 Enrollment ID: I20160718002420 |
| Provider Name | Sierra L Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235510793 PECOS PAC ID: 6305146655 Enrollment ID: I20160725001015 |
| Provider Name | Ronoel Penalver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083054324 PECOS PAC ID: 3870726623 Enrollment ID: I20160809000690 |
| Provider Name | Sarah Drapela |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720436181 PECOS PAC ID: 3476848367 Enrollment ID: I20160816002533 |
| Provider Name | Joyce Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386058717 PECOS PAC ID: 7012138118 Enrollment ID: I20160817001609 |
| Provider Name | Emill Levasseur-sanchez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053745703 PECOS PAC ID: 5698060135 Enrollment ID: I20160823003097 |
| Provider Name | Ankit Thakorbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255774535 PECOS PAC ID: 8628363751 Enrollment ID: I20160829000187 |
| Provider Name | Rose A Melvin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700285913 PECOS PAC ID: 2365737335 Enrollment ID: I20160830001505 |
| Provider Name | Jennifer Toro Galarza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720411598 PECOS PAC ID: 9335435023 Enrollment ID: I20160906002468 |
| Provider Name | Brett A Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710277249 PECOS PAC ID: 3971805508 Enrollment ID: I20160907000536 |
| Provider Name | Aceela M Kaif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548527807 PECOS PAC ID: 6800182429 Enrollment ID: I20160908001126 |
| Provider Name | Khayam Shaukat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639117120 PECOS PAC ID: 1456246636 Enrollment ID: I20160914001286 |
| Provider Name | Robert F Lapuma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386986453 PECOS PAC ID: 4880981356 Enrollment ID: I20160927001809 |
| Provider Name | Melanie A Lenard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154788016 PECOS PAC ID: 9436454501 Enrollment ID: I20160928000498 |
| Provider Name | Samantha Bonilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174978175 PECOS PAC ID: 1355639543 Enrollment ID: I20161003002541 |
| Provider Name | Daniela Anahita Kloos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427491414 PECOS PAC ID: 6406144617 Enrollment ID: I20161004000584 |
| Provider Name | Amanda Michelle Burns |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104117084 PECOS PAC ID: 8325284540 Enrollment ID: I20161005003101 |
| Provider Name | Mehul Suman Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346504123 PECOS PAC ID: 4587964135 Enrollment ID: I20161010001942 |
| Provider Name | Farhan Rehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750722708 PECOS PAC ID: 8426350034 Enrollment ID: I20161011001281 |
| Provider Name | Lara M Wittine |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1245307941 PECOS PAC ID: 0244231132 Enrollment ID: I20161014000953 |
| Provider Name | Jorge M Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952444648 PECOS PAC ID: 8022306596 Enrollment ID: I20161017000713 |
| Provider Name | Justin Whisenant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164602926 PECOS PAC ID: 9436205093 Enrollment ID: I20161025001815 |
| Provider Name | Axel E Martinez Irizarry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689860421 PECOS PAC ID: 6103971353 Enrollment ID: I20161103002134 |
| Provider Name | Roxene S Riles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518416510 PECOS PAC ID: 8628357035 Enrollment ID: I20161107002329 |
| Provider Name | Sandy Caterine Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982050332 PECOS PAC ID: 4284913161 Enrollment ID: I20161116002689 |
| 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 | John Anthony Forcella |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639317639 PECOS PAC ID: 5890837595 Enrollment ID: I20161118000884 |
| Provider Name | Sharon L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720299449 PECOS PAC ID: 8527213339 Enrollment ID: I20161119000263 |
| Provider Name | Rubayat Rahman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073723458 PECOS PAC ID: 5092860221 Enrollment ID: I20161119000325 |
| Provider Name | Naeem Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023453297 PECOS PAC ID: 7618107020 Enrollment ID: I20161212000840 |
| Provider Name | Iswanto Sucandy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396903696 PECOS PAC ID: 0941458228 Enrollment ID: I20161212002245 |
| Provider Name | Ines J Rodriguez-capote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255789194 PECOS PAC ID: 6002196615 Enrollment ID: I20161216000674 |
| Provider Name | Mia Isadora Loyola Fronteras |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275893158 PECOS PAC ID: 5799901252 Enrollment ID: I20161220000869 |
| Provider Name | Monica Belinda Bueso |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073710323 PECOS PAC ID: 4587821186 Enrollment ID: I20161227000200 |
| Provider Name | Justin Ray Frank Lawandales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356794044 PECOS PAC ID: 7911288998 Enrollment ID: I20170105001737 |
| Provider Name | Theresa Lynn Anderson Bennati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386017929 PECOS PAC ID: 9335420314 Enrollment ID: I20170105001903 |
| Provider Name | Mazhar Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558653238 PECOS PAC ID: 4880826882 Enrollment ID: I20170111002993 |
| Provider Name | Roma J. Tremblay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588115109 PECOS PAC ID: 4789966144 Enrollment ID: I20170119000336 |
| Provider Name | Ayorinde Ogunbameru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134416522 PECOS PAC ID: 6901023514 Enrollment ID: I20170123000350 |
| Provider Name | Ronald Salazar Manalo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992065049 PECOS PAC ID: 2961668785 Enrollment ID: I20170123000600 |
| Provider Name | Elisa Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255375689 PECOS PAC ID: 1557336849 Enrollment ID: I20170124000267 |
| Provider Name | Deborah Renelus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275844482 PECOS PAC ID: 2365605086 Enrollment ID: I20170125002749 |
| Provider Name | Marium Tariq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033498068 PECOS PAC ID: 6608094735 Enrollment ID: I20170128000300 |
| Provider Name | Victor M Feldbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497931166 PECOS PAC ID: 7810011244 Enrollment ID: I20170130003024 |
| Provider Name | Joanne Pierre-louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407225014 PECOS PAC ID: 4183906993 Enrollment ID: I20170130003094 |
| Provider Name | Stephanie M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578006839 PECOS PAC ID: 7719269570 Enrollment ID: I20170131002123 |
| Provider Name | Hassan Jadid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104171925 PECOS PAC ID: 4789818501 Enrollment ID: I20170215001575 |
| Provider Name | Mark Christopher Roque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467802892 PECOS PAC ID: 8729363361 Enrollment ID: I20170323000489 |
| Provider Name | Tamara Lopez Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023478880 PECOS PAC ID: 8628353018 Enrollment ID: I20170327002813 |
| Provider Name | Shieloh Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932647096 PECOS PAC ID: 1658657713 Enrollment ID: I20170404002525 |
| Provider Name | Kathryn H Leenhouts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457331142 PECOS PAC ID: 6204733546 Enrollment ID: I20170405000697 |
| Provider Name | Kimberly Samson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346785763 PECOS PAC ID: 5092091959 Enrollment ID: I20170410000480 |
| Provider Name | Jayson A Sack |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467687434 PECOS PAC ID: 2961788708 Enrollment ID: I20170411000844 |
| Provider Name | Michelle Marie Vanskoy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053755892 PECOS PAC ID: 4587899919 Enrollment ID: I20170522000009 |
| Provider Name | Maleeha F Haq |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649569799 PECOS PAC ID: 1052618485 Enrollment ID: I20170522001972 |
| Provider Name | Myrna Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568997609 PECOS PAC ID: 1254609464 Enrollment ID: I20170612002586 |
| Provider Name | Stephanie E Maciver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669748398 PECOS PAC ID: 1052689023 Enrollment ID: I20170615000704 |
| Provider Name | Allison Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982154373 PECOS PAC ID: 2466720263 Enrollment ID: I20170620002534 |
| Provider Name | Raymond Weiand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871537027 PECOS PAC ID: 4385657329 Enrollment ID: I20170705002129 |
| Provider Name | Sharif-uz-zaman Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508193715 PECOS PAC ID: 2769630375 Enrollment ID: I20170712003644 |
| Provider Name | Dina Laveaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619411089 PECOS PAC ID: 7315220878 Enrollment ID: I20170714001915 |
| Provider Name | Nyla Hazratjee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942443619 PECOS PAC ID: 1456508480 Enrollment ID: I20170717000431 |
| Provider Name | Alexander L Kushnir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477970705 PECOS PAC ID: 5496025728 Enrollment ID: I20170719003436 |
| Provider Name | Xinmeng Zhao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972919439 PECOS PAC ID: 5597035469 Enrollment ID: I20170726000310 |
| Provider Name | Mohit Sirohi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013208057 PECOS PAC ID: 6204127897 Enrollment ID: I20170727000585 |
| Provider Name | Shannon Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922458835 PECOS PAC ID: 8426328147 Enrollment ID: I20170727002956 |
| Provider Name | Adam D Beeble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720473564 PECOS PAC ID: 5395037162 Enrollment ID: I20170728000459 |
| Provider Name | Vernadeth Cruz Manuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902213648 PECOS PAC ID: 0547531576 Enrollment ID: I20170809000653 |
| Provider Name | Ryan James Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003221292 PECOS PAC ID: 0345512273 Enrollment ID: I20170828000601 |
| Provider Name | Eduardo Hernandez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881900454 PECOS PAC ID: 7315210135 Enrollment ID: I20170830001097 |
| Provider Name | Gregory E Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083654206 PECOS PAC ID: 1759318793 Enrollment ID: I20170831002888 |
| Provider Name | Paula Jean Knapp-baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528167145 PECOS PAC ID: 8224059464 Enrollment ID: I20170901001277 |
| Provider Name | Nicole D Figueredo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609038702 PECOS PAC ID: 3971642562 Enrollment ID: I20170905003047 |
| Provider Name | Lindsay Heather Hamid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164944203 PECOS PAC ID: 2769755297 Enrollment ID: I20170906000645 |
| Provider Name | Wanda I Chacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407226194 PECOS PAC ID: 2567735905 Enrollment ID: I20170906001760 |
| Provider Name | Stylianos Tsintzilonis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669632170 PECOS PAC ID: 7113179839 Enrollment ID: I20170907001504 |
| Provider Name | Jesse W Ping |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609286079 PECOS PAC ID: 6002031275 Enrollment ID: I20170908000703 |
| Provider Name | Miguel Angel Davila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376958504 PECOS PAC ID: 9931472099 Enrollment ID: I20170912001319 |
| Provider Name | Gina Brazylle Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407101611 PECOS PAC ID: 5395039267 Enrollment ID: I20170914000424 |
| Provider Name | Khine Swe Zin Min |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114210226 PECOS PAC ID: 3375866718 Enrollment ID: I20170918001546 |
| Provider Name | Mark L Mudano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487759650 PECOS PAC ID: 1355306119 Enrollment ID: I20170919004079 |
| Provider Name | Niraj Kumar Jani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558604371 PECOS PAC ID: 7214224666 Enrollment ID: I20170921003154 |
| Provider Name | Jared Wallen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144596974 PECOS PAC ID: 6608141536 Enrollment ID: I20171003006813 |
| Provider Name | Jennifer Lea Seminerio-diehl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245495878 PECOS PAC ID: 8921153818 Enrollment ID: I20171009000030 |
| Provider Name | Pamela A Couture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679953327 PECOS PAC ID: 5799097739 Enrollment ID: I20171010001144 |
| Provider Name | Ryan Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493867 PECOS PAC ID: 8921373168 Enrollment ID: I20171013001566 |
| Provider Name | Yasmine Mohamed Ibrahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487069506 PECOS PAC ID: 8820213796 Enrollment ID: I20171023000284 |
| Provider Name | Joaquim M Farinhas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134212376 PECOS PAC ID: 1456338938 Enrollment ID: I20171025000637 |
| Provider Name | Sue-wei Luu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669819512 PECOS PAC ID: 8022251370 Enrollment ID: I20171104000071 |
| Provider Name | Kate L Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467970228 PECOS PAC ID: 0941566806 Enrollment ID: I20171108002940 |
| Provider Name | Nicole M Ferreira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679098404 PECOS PAC ID: 8921364431 Enrollment ID: I20171115002579 |
| Provider Name | Nicole Lee Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821372798 PECOS PAC ID: 2860621489 Enrollment ID: I20171201000943 |
| Provider Name | Paul David Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861508111 PECOS PAC ID: 4789965013 Enrollment ID: I20171202000278 |
| Provider Name | Amar A Dalsania |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497976732 PECOS PAC ID: 9234275314 Enrollment ID: I20171206003397 |
| Provider Name | Amy E Burk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154785806 PECOS PAC ID: 3173880754 Enrollment ID: I20171207000466 |
| Provider Name | Albert C Flowers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558656264 PECOS PAC ID: 6204073711 Enrollment ID: I20171209000302 |
| Provider Name | Adolph Walter Flowers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053637447 PECOS PAC ID: 8022238781 Enrollment ID: I20171218000653 |
| Provider Name | Aileen A Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124465893 PECOS PAC ID: 0749501997 Enrollment ID: I20171218000742 |
| Provider Name | Elmer L Valin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851404891 PECOS PAC ID: 9931224821 Enrollment ID: I20171226001461 |
| Provider Name | Shandell Nicole Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912453580 PECOS PAC ID: 2466711940 Enrollment ID: I20180108001841 |
| Provider Name | Yasmin Panjwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194266080 PECOS PAC ID: 2163781584 Enrollment ID: I20180110002688 |
| Provider Name | Jennifer J Haas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427561372 PECOS PAC ID: 4486913449 Enrollment ID: I20180119001037 |
| Provider Name | Tashrique Alam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821473299 PECOS PAC ID: 1658630637 Enrollment ID: I20180119001637 |
| Provider Name | Daniel L Dries |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255367306 PECOS PAC ID: 4880662329 Enrollment ID: I20180131002018 |
| Provider Name | Nicole Borst |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659429173 PECOS PAC ID: 2860707940 Enrollment ID: I20180207002760 |
| Provider Name | Mohamed A Ahmed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396881496 PECOS PAC ID: 4183522816 Enrollment ID: I20180212001201 |
| Provider Name | Shreya Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417462680 PECOS PAC ID: 2163783895 Enrollment ID: I20180221000387 |
| Provider Name | Gene A Posca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053721514 PECOS PAC ID: 3678865268 Enrollment ID: I20180305001267 |
| Provider Name | Danielle Wildmon Hanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912450982 PECOS PAC ID: 1850652835 Enrollment ID: I20180308001118 |
| Provider Name | Chinwe I Nwosu-blair |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497021455 PECOS PAC ID: 6406155415 Enrollment ID: I20180319001385 |
| Provider Name | Chiquita Berg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184612814 PECOS PAC ID: 6406877794 Enrollment ID: I20180328002073 |
| Provider Name | Antony Abraham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104114263 PECOS PAC ID: 3577783026 Enrollment ID: I20180404001181 |
| Provider Name | Carrie B Hanson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235173113 PECOS PAC ID: 8921097510 Enrollment ID: I20180411002329 |
| Provider Name | Subha Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588192082 PECOS PAC ID: 1850655861 Enrollment ID: I20180427001139 |
| Provider Name | Angela Pachla Bryson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417482001 PECOS PAC ID: 4183988124 Enrollment ID: I20180430000017 |
| Provider Name | Chaturi S Fernando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457623951 PECOS PAC ID: 7315105947 Enrollment ID: I20180501001234 |
| Provider Name | Cynthia Leo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124529193 PECOS PAC ID: 9032473343 Enrollment ID: I20180512000020 |
| Provider Name | Tina S Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134616006 PECOS PAC ID: 1355605510 Enrollment ID: I20180516001054 |
| Provider Name | Sarah Jacquoline Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003321209 PECOS PAC ID: 1254696131 Enrollment ID: I20180523002673 |
| Provider Name | Andrea Michele Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295235398 PECOS PAC ID: 9638434574 Enrollment ID: I20180524002694 |
| Provider Name | Elizabeth R Kentra Gorey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649212341 PECOS PAC ID: 8921177197 Enrollment ID: I20180601000580 |
| Provider Name | Edline Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477906139 PECOS PAC ID: 3173878329 Enrollment ID: I20180612002812 |
| Provider Name | Raven S Ali-muhammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376085084 PECOS PAC ID: 9436404001 Enrollment ID: I20180622000690 |
| Provider Name | Jena Lindsey Repking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689176661 PECOS PAC ID: 9436405842 Enrollment ID: I20180627001239 |
| Provider Name | Katie E Peterson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295176063 PECOS PAC ID: 5890042212 Enrollment ID: I20180717001574 |
| Provider Name | Tryphaena Manoharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841679180 PECOS PAC ID: 2264789320 Enrollment ID: I20180719002796 |
| Provider Name | Nishit K Jailwala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508251315 PECOS PAC ID: 9739436437 Enrollment ID: I20180726002376 |
| Provider Name | Marilyn Alethea Gargasz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316462823 PECOS PAC ID: 2567719164 Enrollment ID: I20180726002892 |
| Provider Name | Amanda J Wirth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619370053 PECOS PAC ID: 5294084968 Enrollment ID: I20180814003451 |
| Provider Name | Jennifer Dawn Botkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780171157 PECOS PAC ID: 4880943497 Enrollment ID: I20180815001202 |
| Provider Name | Kyaw Z Minn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902289127 PECOS PAC ID: 7911298351 Enrollment ID: I20180821000608 |
| Provider Name | Kelly Marie Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679923825 PECOS PAC ID: 1850685553 Enrollment ID: I20180823003588 |
| Provider Name | Veshal Malhotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023428380 PECOS PAC ID: 1153646021 Enrollment ID: I20180824000497 |
| Provider Name | Ashish D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851779565 PECOS PAC ID: 0648520270 Enrollment ID: I20180831002134 |
| Provider Name | Agnes Sharon Berlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982015012 PECOS PAC ID: 4981906161 Enrollment ID: I20180907000477 |
| Provider Name | Guy Trevor Rockafellow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366949018 PECOS PAC ID: 5991056798 Enrollment ID: I20180918001467 |
| Provider Name | Stephanie Banafshe Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093198368 PECOS PAC ID: 4082965660 Enrollment ID: I20180920001086 |
| Provider Name | Jennifer Pernas Boucher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598151938 PECOS PAC ID: 8426322157 Enrollment ID: I20180920003371 |
| Provider Name | Sarah Victoria Marisia Mallett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417335696 PECOS PAC ID: 5193025179 Enrollment ID: I20181001000511 |
| Provider Name | Paul Nava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457863227 PECOS PAC ID: 6608128673 Enrollment ID: I20181003000977 |
| Provider Name | Jennifer Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811373202 PECOS PAC ID: 7214245349 Enrollment ID: I20181008001428 |
| Provider Name | Diana Theresa Burchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275030629 PECOS PAC ID: 4486907003 Enrollment ID: I20181030000439 |
| Provider Name | Blandine Francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235620196 PECOS PAC ID: 6901159227 Enrollment ID: I20181101003234 |
| Provider Name | Kathryn Kuhns Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609354497 PECOS PAC ID: 7012260243 Enrollment ID: I20181105002012 |
| Provider Name | Aviraj Saund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033598826 PECOS PAC ID: 1254684483 Enrollment ID: I20181105002209 |
| Provider Name | Heather Lynn Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053894832 PECOS PAC ID: 9638423734 Enrollment ID: I20181107003623 |
| Provider Name | Patricia Jean Pamas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104313469 PECOS PAC ID: 7113278276 Enrollment ID: I20181109002289 |
| Provider Name | Lisa Marie Peto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720485170 PECOS PAC ID: 8628348364 Enrollment ID: I20181110000089 |
| Provider Name | Mary Rose Tricamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952795122 PECOS PAC ID: 1355668211 Enrollment ID: I20181112002374 |
| Provider Name | Hind Kettani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982832952 PECOS PAC ID: 3870773419 Enrollment ID: I20181114003354 |
| Provider Name | Matthew Hernandez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053755579 PECOS PAC ID: 4486965282 Enrollment ID: I20181121002482 |
| Provider Name | Oliver George Abela |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659690337 PECOS PAC ID: 5597907881 Enrollment ID: I20181128002980 |
| Provider Name | Daihla Perard Bastien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396130597 PECOS PAC ID: 0941544142 Enrollment ID: I20181128002993 |
| Provider Name | Santhia Mirtyl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609368950 PECOS PAC ID: 2466796479 Enrollment ID: I20181203000929 |
| Provider Name | Mallika Devarapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871972992 PECOS PAC ID: 0840599015 Enrollment ID: I20181212002967 |
| Provider Name | Jessica King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528507779 PECOS PAC ID: 4587909924 Enrollment ID: I20181213000448 |
| Provider Name | Sara Nicole Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700252996 PECOS PAC ID: 1759626591 Enrollment ID: I20181221002370 |
| Provider Name | Amit K Tandon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881911717 PECOS PAC ID: 4082854195 Enrollment ID: I20181231000066 |
| Provider Name | Abraham Tareq Yacoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790172567 PECOS PAC ID: 2961722376 Enrollment ID: I20190103000809 |
| Provider Name | Jeremy J Olloqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346632270 PECOS PAC ID: 2860783289 Enrollment ID: I20190104002093 |
| Provider Name | Ersin Turkcan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508241407 PECOS PAC ID: 3678871761 Enrollment ID: I20190107003312 |
| Provider Name | Iliana Dole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023588050 PECOS PAC ID: 4981940814 Enrollment ID: I20190114000897 |
| Provider Name | Mythily Srigananathan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780194621 PECOS PAC ID: 0244576858 Enrollment ID: I20190117002552 |
| Provider Name | Melissa Jewell Carter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841398690 PECOS PAC ID: 2668643610 Enrollment ID: I20190131000242 |
| Provider Name | Mounica Banala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457746117 PECOS PAC ID: 6608183942 Enrollment ID: I20190201001617 |
| Provider Name | Nicole Rosenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366950685 PECOS PAC ID: 5496000754 Enrollment ID: I20190208002992 |
| Provider Name | Luis Vaca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407055114 PECOS PAC ID: 8628296639 Enrollment ID: I20190212000530 |
| Provider Name | Jennelyn Ipo Moneda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962984104 PECOS PAC ID: 3375881451 Enrollment ID: I20190214003059 |
| Provider Name | Priya Sharma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629369590 PECOS PAC ID: 3577869478 Enrollment ID: I20190219002356 |
| Provider Name | Pamela S Hodges |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396734448 PECOS PAC ID: 1850353459 Enrollment ID: I20190221001799 |
| Provider Name | Selvi Kuppuswamy Kumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841693611 PECOS PAC ID: 1759609175 Enrollment ID: I20190227000211 |
| Provider Name | Larry Joseph Manganello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215417068 PECOS PAC ID: 6507105046 Enrollment ID: I20190228001195 |
| Provider Name | Anna Viktorovna Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659849446 PECOS PAC ID: 3779822887 Enrollment ID: I20190307002771 |
| Provider Name | Baoquang Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447411525 PECOS PAC ID: 4385962240 Enrollment ID: I20190308001672 |
| Provider Name | Stephanie Lynn Cormier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639691843 PECOS PAC ID: 1759621436 Enrollment ID: I20190315000430 |
| Provider Name | Ophelia O Dacostagreen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053826297 PECOS PAC ID: 0941540231 Enrollment ID: I20190325000277 |
| Provider Name | Feras Adnan Shalabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932556024 PECOS PAC ID: 5991098766 Enrollment ID: I20190412001949 |
| Provider Name | Sheena Chatha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588997787 PECOS PAC ID: 1254581523 Enrollment ID: I20190423002152 |
| Provider Name | Georges El Hayek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386980506 PECOS PAC ID: 1355683277 Enrollment ID: I20190425000303 |
| Provider Name | Jennifer H Weitlauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154895514 PECOS PAC ID: 5496097271 Enrollment ID: I20190426000376 |
| Provider Name | Diego Mauricio Ayo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518197805 PECOS PAC ID: 8921387002 Enrollment ID: I20190506002795 |
| Provider Name | Linda Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225304579 PECOS PAC ID: 4587947494 Enrollment ID: I20190605000453 |
| Provider Name | Irina Moullette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578927687 PECOS PAC ID: 4587997143 Enrollment ID: I20190613001171 |
| Provider Name | Khalil Wasfi Zahra |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467483198 PECOS PAC ID: 0840288411 Enrollment ID: I20190614000928 |
| Provider Name | Tima I Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992281414 PECOS PAC ID: 2466786439 Enrollment ID: I20190625001534 |
| Provider Name | Paula J Buchwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306303177 PECOS PAC ID: 3072847060 Enrollment ID: I20190625002524 |
| Provider Name | Juliann Lazzaro |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841512688 PECOS PAC ID: 6204974033 Enrollment ID: I20190627002406 |
| Provider Name | Cheryl D Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043779713 PECOS PAC ID: 9931433661 Enrollment ID: I20190628001204 |
| Provider Name | Miranda Y Balster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922584929 PECOS PAC ID: 8325373640 Enrollment ID: I20190709002424 |
| Provider Name | Eric B Feinberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114000775 PECOS PAC ID: 2769403872 Enrollment ID: I20190710000654 |
| Provider Name | Aimal Nikamal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205290020 PECOS PAC ID: 7012203920 Enrollment ID: I20190711001430 |
| Provider Name | Victor Manuel Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609230119 PECOS PAC ID: 2163784414 Enrollment ID: I20190715001502 |
| Provider Name | Ronald D Troxell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851754824 PECOS PAC ID: 1759616352 Enrollment ID: I20190717003955 |
| Provider Name | Shawna R Edge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609436203 PECOS PAC ID: 6002142684 Enrollment ID: I20190722000376 |
| Provider Name | Jesse C Suarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740637768 PECOS PAC ID: 1456687912 Enrollment ID: I20190723000620 |
| Provider Name | Amber Shepard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033563580 PECOS PAC ID: 5294029187 Enrollment ID: I20190729003045 |
| Provider Name | Waseem J David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295197416 PECOS PAC ID: 0345580528 Enrollment ID: I20190802000275 |
| Provider Name | Leila Kissick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831347699 PECOS PAC ID: 5294964284 Enrollment ID: I20190802003034 |
| Provider Name | James Pilkington |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871913905 PECOS PAC ID: 4880921618 Enrollment ID: I20190815003642 |
| Provider Name | Rameez Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588011852 PECOS PAC ID: 4284928003 Enrollment ID: I20190827000904 |
| Provider Name | Thushy Siva |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427477546 PECOS PAC ID: 1658677323 Enrollment ID: I20190829000523 |
| Provider Name | Tiffany Smiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679137541 PECOS PAC ID: 5799014551 Enrollment ID: I20190904002709 |
| Provider Name | Mary C Scoigletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891884169 PECOS PAC ID: 5597722603 Enrollment ID: I20190906001329 |
| Provider Name | Janise A Brewington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770584807 PECOS PAC ID: 7810078110 Enrollment ID: I20190916003564 |
| Provider Name | Matthew Richard Moralle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134462906 PECOS PAC ID: 3072843978 Enrollment ID: I20190919000046 |
| Provider Name | Sudhir Kalaskar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528301280 PECOS PAC ID: 4587971320 Enrollment ID: I20190926001608 |
| Provider Name | Denice Suzanne Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851955710 PECOS PAC ID: 5496085656 Enrollment ID: I20191001002404 |
| Provider Name | Maxine Pittaway Bosko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033565023 PECOS PAC ID: 0840579496 Enrollment ID: I20191004001073 |
| Provider Name | Melissa Latoya Bradshaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801259536 PECOS PAC ID: 8729319579 Enrollment ID: I20191009003254 |
| Provider Name | Silvia Gesheva Baxter |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912297920 PECOS PAC ID: 4789983677 Enrollment ID: I20191010000020 |
| Provider Name | Soma Sinha Roy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467409193 PECOS PAC ID: 0648280610 Enrollment ID: I20191017000417 |
| Provider Name | Christos C Christolias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750728051 PECOS PAC ID: 0446526057 Enrollment ID: I20191028001226 |
| Provider Name | Soumya Sunny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659925550 PECOS PAC ID: 8123350840 Enrollment ID: I20191030001991 |
| Provider Name | Harmony Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295293173 PECOS PAC ID: 9436481819 Enrollment ID: I20191105000710 |
| Provider Name | Kimberly Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457359192 PECOS PAC ID: 9931298395 Enrollment ID: I20191106001961 |
| Provider Name | Pamela Perenich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043879661 PECOS PAC ID: 6002248168 Enrollment ID: I20191112002243 |
| Provider Name | Clare Rinberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386073062 PECOS PAC ID: 1355773227 Enrollment ID: I20191114000759 |
| Provider Name | Jennilee L Pino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811538440 PECOS PAC ID: 5698107183 Enrollment ID: I20191121002790 |
| Provider Name | Amy Elizabeth Debella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366092348 PECOS PAC ID: 2466884812 Enrollment ID: I20191122002503 |
| Provider Name | Marie Sonite Alsaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962061788 PECOS PAC ID: 6103259460 Enrollment ID: I20191127002465 |
| Provider Name | Pavan Dilip Kapadia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740549252 PECOS PAC ID: 8224461298 Enrollment ID: I20191204003082 |
| Provider Name | Hamid Mumtaz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1023020500 PECOS PAC ID: 0345212254 Enrollment ID: I20191206000158 |
| Provider Name | Marina Ostapenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699337303 PECOS PAC ID: 9133552847 Enrollment ID: I20191211001821 |
| Provider Name | Kimberly Kay Kaufmann |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235387606 PECOS PAC ID: 7214093756 Enrollment ID: I20191212000509 |
| Provider Name | Karsha Sajnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376907584 PECOS PAC ID: 5597037382 Enrollment ID: I20191231000731 |
| Provider Name | Kiet T La |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083147862 PECOS PAC ID: 1052687837 Enrollment ID: I20200107002367 |
| Provider Name | Kelly L Raff-anunciato |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760465926 PECOS PAC ID: 0941197586 Enrollment ID: I20200108000128 |
| Provider Name | Meghan Lucille Ardizzone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336630045 PECOS PAC ID: 8123453792 Enrollment ID: I20200109000848 |
| Provider Name | Jamia Washington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578959557 PECOS PAC ID: 8022312602 Enrollment ID: I20200110000224 |
| Provider Name | Jan Lorraine C David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922497155 PECOS PAC ID: 1557796075 Enrollment ID: I20200110000601 |
| Provider Name | Nakita Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447899224 PECOS PAC ID: 9234564097 Enrollment ID: I20200124001183 |
| Provider Name | Er'real Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396388500 PECOS PAC ID: 4082040639 Enrollment ID: I20200130001942 |
| Provider Name | Erica Danielle Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417598244 PECOS PAC ID: 2163858523 Enrollment ID: I20200203000677 |
| Provider Name | Jacqueline Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205494549 PECOS PAC ID: 2668808015 Enrollment ID: I20200204001465 |
| Provider Name | Darlene Crook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477101590 PECOS PAC ID: 4284602798 Enrollment ID: I20200205002002 |
| Provider Name | Jill Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386096337 PECOS PAC ID: 0143509604 Enrollment ID: I20200220002072 |
| Provider Name | Swati Chalavarya |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699030734 PECOS PAC ID: 4284911272 Enrollment ID: I20200221001365 |
| Provider Name | Hibah Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982056800 PECOS PAC ID: 4981979374 Enrollment ID: I20200227001371 |
| Provider Name | Jorge Duenas Giuria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508403676 PECOS PAC ID: 5092143982 Enrollment ID: I20200306000831 |
| Provider Name | Ali Mohammad Sobh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558993659 PECOS PAC ID: 1850729385 Enrollment ID: I20200317001054 |
| Provider Name | Maria Gloria Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083928055 PECOS PAC ID: 1759719289 Enrollment ID: I20200317001102 |
| Provider Name | Jennifer G Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467091660 PECOS PAC ID: 2062841729 Enrollment ID: I20200331002127 |
| Provider Name | Laura Unger Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962049502 PECOS PAC ID: 8123457363 Enrollment ID: I20200409000290 |
| Provider Name | Farah Lakhani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831747914 PECOS PAC ID: 5991134140 Enrollment ID: I20200409000516 |
| Provider Name | Barbara Anne Mcswigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831733385 PECOS PAC ID: 3173954203 Enrollment ID: I20200505002776 |
| Provider Name | Lindsey B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194237651 PECOS PAC ID: 1052742186 Enrollment ID: I20200505002948 |
| Provider Name | Antonide Arthus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275028201 PECOS PAC ID: 5799034716 Enrollment ID: I20200514000495 |
| Provider Name | Stephanie Marr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326696147 PECOS PAC ID: 4183055510 Enrollment ID: I20200519000234 |
| Provider Name | Matthew Joiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013543594 PECOS PAC ID: 9537590807 Enrollment ID: I20200521000447 |
| Provider Name | Mackenzie Rose Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043840929 PECOS PAC ID: 8921429929 Enrollment ID: I20200529001143 |
| Provider Name | Judith Jean-pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801395207 PECOS PAC ID: 7012257660 Enrollment ID: I20200629000908 |
| Provider Name | Pragnesh Rajnikant Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780786236 PECOS PAC ID: 4486653599 Enrollment ID: I20200702000882 |
| Provider Name | Gloria Beatrice Nakalema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942859285 PECOS PAC ID: 1153744933 Enrollment ID: I20200713001847 |
| Provider Name | Ryan Mitchell Brink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861925521 PECOS PAC ID: 9335563857 Enrollment ID: I20200716003025 |
| Provider Name | Evan J Lindbergh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386173102 PECOS PAC ID: 2466876917 Enrollment ID: I20200716004052 |
| Provider Name | Andrew W Agnew |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770964488 PECOS PAC ID: 8022327758 Enrollment ID: I20200724001398 |
| Provider Name | Kerry Dawn Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699301184 PECOS PAC ID: 0648695783 Enrollment ID: I20200806000259 |
| Provider Name | Ashley Marie Compagni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447870993 PECOS PAC ID: 7214352178 Enrollment ID: I20200810001006 |
| Provider Name | Joseph Salhab |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669897583 PECOS PAC ID: 0345574059 Enrollment ID: I20200810002612 |
| Provider Name | Arun Matthew Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316477946 PECOS PAC ID: 9931525557 Enrollment ID: I20200813001350 |
| Provider Name | Sarah Jane Mascaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568098762 PECOS PAC ID: 5496171977 Enrollment ID: I20200813003744 |
| Provider Name | Adeeb N Mustafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588194633 PECOS PAC ID: 4385060821 Enrollment ID: I20200814001509 |
| Provider Name | Irving Enrique Perez Guzman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437599255 PECOS PAC ID: 9830515253 Enrollment ID: I20200817001563 |
| Provider Name | Samantha M.e. Laqua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851884811 PECOS PAC ID: 9931453644 Enrollment ID: I20200820000444 |
| Provider Name | Sherif Elgamal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477078822 PECOS PAC ID: 1951667617 Enrollment ID: I20200826001250 |
| Provider Name | Brent Munroe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902117922 PECOS PAC ID: 7113230533 Enrollment ID: I20200831000098 |
| Provider Name | Jerry Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629509567 PECOS PAC ID: 8123356722 Enrollment ID: I20200901001654 |
| Provider Name | Steven M Pouls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063513687 PECOS PAC ID: 2860483443 Enrollment ID: I20200902000128 |
| Provider Name | Isabel Cristina Prieto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548503691 PECOS PAC ID: 6800213075 Enrollment ID: I20200902001698 |
| Provider Name | Raymond Geoffrey Elmore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881724961 PECOS PAC ID: 1355472499 Enrollment ID: I20200904000584 |
| Provider Name | Yelena Laber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780779017 PECOS PAC ID: 1052459773 Enrollment ID: I20200914001462 |
| Provider Name | Kevin J Caceres |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053739391 PECOS PAC ID: 1850628272 Enrollment ID: I20200914001981 |
| Provider Name | Devang Jani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841723939 PECOS PAC ID: 4385062405 Enrollment ID: I20200922000582 |
| Provider Name | Sagar Patil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508108630 PECOS PAC ID: 9931529997 Enrollment ID: I20201014000615 |
| Provider Name | Rohan N Khurana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003278169 PECOS PAC ID: 5698069789 Enrollment ID: I20201023000638 |
| Provider Name | Julie Ramos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275567000 PECOS PAC ID: 4587667829 Enrollment ID: I20201029000113 |
| Provider Name | Harold Eugene Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124026869 PECOS PAC ID: 7113947409 Enrollment ID: I20201111001572 |
| Provider Name | Stela Karkatselos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295342277 PECOS PAC ID: 7113347121 Enrollment ID: I20201119001154 |
| Provider Name | Uma Mahesh Gudur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790215903 PECOS PAC ID: 8820400781 Enrollment ID: I20201217000603 |
| Provider Name | Ronald S Chamberlain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063421766 PECOS PAC ID: 0648242032 Enrollment ID: I20201217001476 |
| Provider Name | Courtney Anne Sink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518501337 PECOS PAC ID: 6305259805 Enrollment ID: I20201230000275 |
| Provider Name | Todd E Ignarski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801841663 PECOS PAC ID: 0042111627 Enrollment ID: I20210106002743 |
| Provider Name | Stephanie Nicole Cochran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558777649 PECOS PAC ID: 5890108039 Enrollment ID: I20210108000218 |
| Provider Name | Ion Botnaru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174796080 PECOS PAC ID: 0446326961 Enrollment ID: I20210108001083 |
| Provider Name | Syed Salman Aslam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508826033 PECOS PAC ID: 1153393368 Enrollment ID: I20210108001560 |
| Provider Name | Andrea V Morgan Bedasse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982804233 PECOS PAC ID: 3072646199 Enrollment ID: I20210114000413 |
| Provider Name | Chyanne Dix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811508567 PECOS PAC ID: 8527471333 Enrollment ID: I20210114002198 |
| Provider Name | Jehad S Saleh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891272076 PECOS PAC ID: 2264845098 Enrollment ID: I20210115000062 |
| Provider Name | Leah R Chunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366038762 PECOS PAC ID: 5193139897 Enrollment ID: I20210120001921 |
| Provider Name | Robin Joseph |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467986406 PECOS PAC ID: 6103181920 Enrollment ID: I20210121001034 |
| Provider Name | Marisha Sirdar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770016966 PECOS PAC ID: 5193097228 Enrollment ID: I20210205000118 |
| Provider Name | Tanya Baca |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205032588 PECOS PAC ID: 5597020586 Enrollment ID: I20210210002531 |
| Provider Name | Briana E Oliveros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760071914 PECOS PAC ID: 3072928662 Enrollment ID: I20210211002491 |
| Provider Name | Michelle Margerum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497284491 PECOS PAC ID: 9638449903 Enrollment ID: I20210217000064 |
| Provider Name | Diego Kriger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174972012 PECOS PAC ID: 7113251448 Enrollment ID: I20210303002863 |
| Provider Name | Teresa D Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528658945 PECOS PAC ID: 1052727716 Enrollment ID: I20210304001892 |
| Provider Name | Gabriela E Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225621030 PECOS PAC ID: 9638585227 Enrollment ID: I20210305000613 |
| Provider Name | Danielle J Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609477348 PECOS PAC ID: 9234546805 Enrollment ID: I20210326000314 |
| Provider Name | Genci Shkembi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760864375 PECOS PAC ID: 0042524779 Enrollment ID: I20210329000166 |
| Provider Name | Riaz Baba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841570173 PECOS PAC ID: 0143448233 Enrollment ID: I20210405001860 |
| Provider Name | Jacqueline Michelle Falcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629662697 PECOS PAC ID: 9830506054 Enrollment ID: I20210405002044 |
| Provider Name | Wasim Al Assad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508111642 PECOS PAC ID: 3971734658 Enrollment ID: I20210407000994 |
| Provider Name | Erin Theresa Dorrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336788165 PECOS PAC ID: 4385052364 Enrollment ID: I20210412000855 |
| Provider Name | Matthew L Mccowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821694977 PECOS PAC ID: 9830507037 Enrollment ID: I20210427002045 |
| Provider Name | Zedeena Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528528171 PECOS PAC ID: 1355774050 Enrollment ID: I20210503000358 |
| Provider Name | Kalyani Meduri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558513168 PECOS PAC ID: 6406032051 Enrollment ID: I20210507001777 |
| Provider Name | Peter S Jeon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356755391 PECOS PAC ID: 6709178080 Enrollment ID: I20210514000805 |
| Provider Name | Irma Urrutia-potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447363890 PECOS PAC ID: 5799702197 Enrollment ID: I20210518001206 |
| Provider Name | Kristen Beatrice Joniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033791363 PECOS PAC ID: 7113327446 Enrollment ID: I20210608002801 |
| Provider Name | Melody Mutange-canelas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134796022 PECOS PAC ID: 7810397742 Enrollment ID: I20210615002371 |
| Provider Name | Marco Antonio Rajo Andrade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013335488 PECOS PAC ID: 2466773619 Enrollment ID: I20210622001821 |
| Provider Name | Jerry Lynn Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073158630 PECOS PAC ID: 4981005154 Enrollment ID: I20210624003013 |
| Provider Name | Roseline Cajuste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760009104 PECOS PAC ID: 0042612533 Enrollment ID: I20210706003517 |
| Provider Name | Mohamed Gharib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720575137 PECOS PAC ID: 7012319387 Enrollment ID: I20210708002389 |
| Provider Name | Firas Alzaiem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043714470 PECOS PAC ID: 2860820735 Enrollment ID: I20210719003568 |
| Provider Name | Dennis J Finneran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619464179 PECOS PAC ID: 0648673160 Enrollment ID: I20210721002947 |
| Provider Name | Alain Delgado Fuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770076283 PECOS PAC ID: 3678976826 Enrollment ID: I20210726001310 |
| Provider Name | Craig Melbourne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326499674 PECOS PAC ID: 9931470382 Enrollment ID: I20210727002062 |
| Provider Name | Andrew Robert Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427558873 PECOS PAC ID: 7719380773 Enrollment ID: I20210728001808 |
| Provider Name | Trinh Duong Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174028047 PECOS PAC ID: 3476802331 Enrollment ID: I20210728002064 |
| Provider Name | Mircea Cercega |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710916515 PECOS PAC ID: 7113058173 Enrollment ID: I20210730001258 |
| Provider Name | Heather Babcock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255828760 PECOS PAC ID: 6608270483 Enrollment ID: I20210802003377 |
| Provider Name | Adam J Salomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063909422 PECOS PAC ID: 1153725718 Enrollment ID: I20210804003448 |
| Provider Name | Jason Abdallah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093071565 PECOS PAC ID: 3779727946 Enrollment ID: I20210806000039 |
| Provider Name | Carla Ortega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801392535 PECOS PAC ID: 0244568343 Enrollment ID: I20210809001909 |
| Provider Name | Slobodanka Lukanovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700363033 PECOS PAC ID: 6103178819 Enrollment ID: I20210810003782 |
| Provider Name | Oliver Fowler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538656095 PECOS PAC ID: 9638573751 Enrollment ID: I20210811000814 |
| Provider Name | Kellie S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992006506 PECOS PAC ID: 1759568744 Enrollment ID: I20210811004517 |
| Provider Name | Jennifer Rae Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720653108 PECOS PAC ID: 5294139135 Enrollment ID: I20210813002179 |
| Provider Name | Andrew Cappiello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023512027 PECOS PAC ID: 7517294457 Enrollment ID: I20210818002003 |
| Provider Name | Mary Margaret Omeara |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699789354 PECOS PAC ID: 5395140057 Enrollment ID: I20210819000551 |
| Provider Name | Karl Albert Kasischke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194188060 PECOS PAC ID: 5698170256 Enrollment ID: I20210819000865 |
| Provider Name | Libia M Pava |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548794282 PECOS PAC ID: 1153674510 Enrollment ID: I20210820001157 |
| Provider Name | Merna Amin Armanious |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649698861 PECOS PAC ID: 1355662347 Enrollment ID: I20210824001672 |
| Provider Name | Sandeep Chennadi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376869768 PECOS PAC ID: 9133411770 Enrollment ID: I20210825002230 |
| Provider Name | Craig Novack |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285121764 PECOS PAC ID: 0042615304 Enrollment ID: I20210827002155 |
| Provider Name | Aaron Hanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528509866 PECOS PAC ID: 5193096204 Enrollment ID: I20210827002444 |
| Provider Name | Neelima Zureikat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942430236 PECOS PAC ID: 4789817537 Enrollment ID: I20210828000278 |
| Provider Name | Lizeth Jr Banuchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548798150 PECOS PAC ID: 8426453481 Enrollment ID: I20210830001263 |
| Provider Name | Ahmed Allawi |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1245768365 PECOS PAC ID: 4183990229 Enrollment ID: I20210831003528 |
| Provider Name | Samuel T. Fawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295945996 PECOS PAC ID: 8729179353 Enrollment ID: I20210901000969 |
| Provider Name | Laura Mitchell Mones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134514094 PECOS PAC ID: 6709164254 Enrollment ID: I20210901001483 |
| Provider Name | Kowshik Sen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356839666 PECOS PAC ID: 6507262326 Enrollment ID: I20210902001538 |
| Provider Name | Alexander D Lake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720575418 PECOS PAC ID: 0143551580 Enrollment ID: I20210907000727 |
| Provider Name | Denise Sherman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447365424 PECOS PAC ID: 2769446780 Enrollment ID: I20210907001318 |
| Provider Name | Ruel Augusto Morales-rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245836824 PECOS PAC ID: 1153728043 Enrollment ID: I20210920001899 |
| Provider Name | Arismendy E Perez Tavera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215441225 PECOS PAC ID: 9133526098 Enrollment ID: I20210921001067 |
| Provider Name | Johanna Henriquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700047214 PECOS PAC ID: 8224296439 Enrollment ID: I20210923000341 |
| Provider Name | Ashley Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467126433 PECOS PAC ID: 3274931142 Enrollment ID: I20211006002481 |
| Provider Name | Maher A Khalaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679050983 PECOS PAC ID: 7719385640 Enrollment ID: I20211007001580 |
| Provider Name | Kelsey Mckinney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649943523 PECOS PAC ID: 3577961242 Enrollment ID: I20211011001188 |
| Provider Name | Amy Marie Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457026775 PECOS PAC ID: 3375931637 Enrollment ID: I20211019003327 |
| Provider Name | Ramzi Zureikat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851529119 PECOS PAC ID: 1153577358 Enrollment ID: I20211021003173 |
| Provider Name | Barlow St Clair Lynch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841277027 PECOS PAC ID: 6709888399 Enrollment ID: I20211022001073 |
| Provider Name | Jaime Renee Howland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831700368 PECOS PAC ID: 7416345186 Enrollment ID: I20211029000148 |
| Provider Name | Brandy Michelle Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386312940 PECOS PAC ID: 4789072349 Enrollment ID: I20211101001706 |
| Provider Name | Anna Marie Teresa Sikorsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720758139 PECOS PAC ID: 6709274392 Enrollment ID: I20211101003001 |
| Provider Name | Faizah Syed-ali Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346918257 PECOS PAC ID: 3577716406 Enrollment ID: I20211112001664 |
| Provider Name | Jessegnia A Velasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326581224 PECOS PAC ID: 5092097535 Enrollment ID: I20211115001140 |
| Provider Name | Dany Ghassan El-hajjar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063401057 PECOS PAC ID: 2961465182 Enrollment ID: I20211116002027 |
| Provider Name | Nina Theodora Camperlengo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609890128 PECOS PAC ID: 7113182387 Enrollment ID: I20211116002879 |
| Provider Name | Christine Bruno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20211117001447 |
| Provider Name | Mili Hitesh Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780171520 PECOS PAC ID: 4587995139 Enrollment ID: I20211118001679 |
| Provider Name | Michael W Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134217045 PECOS PAC ID: 4981604857 Enrollment ID: I20211122002410 |
| Provider Name | Rosa Taveras Delgado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891161675 PECOS PAC ID: 6002198363 Enrollment ID: I20211220002008 |
| Provider Name | Evisencia Mathurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407472129 PECOS PAC ID: 7911398904 Enrollment ID: I20211230000806 |
| Provider Name | Rutvik Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982131835 PECOS PAC ID: 5890186613 Enrollment ID: I20220104002854 |
| Provider Name | Brendan O'donnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750611190 PECOS PAC ID: 4082849450 Enrollment ID: I20220106002865 |
| Provider Name | Sharon Rachapudi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447601653 PECOS PAC ID: 2769776228 Enrollment ID: I20220107001152 |
| Provider Name | Cinthya Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457922155 PECOS PAC ID: 6507258233 Enrollment ID: I20220110000820 |
| Provider Name | Jared Pieniazek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467912295 PECOS PAC ID: 9032446042 Enrollment ID: I20220110002585 |
| Provider Name | Hiroko Beck |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356485742 PECOS PAC ID: 5698917888 Enrollment ID: I20220110002733 |
| Provider Name | Kristen Allison Doner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942894431 PECOS PAC ID: 9133511066 Enrollment ID: I20220126001237 |
| Provider Name | Lyuba Bacin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760022495 PECOS PAC ID: 9638562200 Enrollment ID: I20220202002124 |
| Provider Name | Erik James Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902393473 PECOS PAC ID: 9032515549 Enrollment ID: I20220208001189 |
| Provider Name | Anas A Alsaleh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538391065 PECOS PAC ID: 0941442966 Enrollment ID: I20220210002068 |
| Provider Name | Kirsten Lynn Dunning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639769805 PECOS PAC ID: 5092109892 Enrollment ID: I20220221001223 |
| Provider Name | Nicholas Mavromates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376048660 PECOS PAC ID: 6305198276 Enrollment ID: I20220225001082 |
| Provider Name | Rita Mcgauvran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063481554 PECOS PAC ID: 4486648920 Enrollment ID: I20220301002337 |
| Provider Name | Ulrika Brassart Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598423154 PECOS PAC ID: 9638563067 Enrollment ID: I20220301002890 |
| Provider Name | Arlene Brewster Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619628674 PECOS PAC ID: 6507250628 Enrollment ID: I20220304002077 |
| Provider Name | Hazel Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669952362 PECOS PAC ID: 9436400751 Enrollment ID: I20220322003380 |
| Provider Name | Daniela Londono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548748395 PECOS PAC ID: 4587050307 Enrollment ID: I20220404002640 |
| Provider Name | Scott B Hankinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386610178 PECOS PAC ID: 5193700045 Enrollment ID: I20220412001457 |
| Provider Name | Paul S Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619483799 PECOS PAC ID: 0042607293 Enrollment ID: I20220419000128 |
| Provider Name | Sara Chalifoux |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326451774 PECOS PAC ID: 5799101515 Enrollment ID: I20220426002676 |
| Provider Name | Clyde William Renfroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275288060 PECOS PAC ID: 0840687471 Enrollment ID: I20220428001005 |
| Provider Name | Abirammy Sundaramoorthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922310580 PECOS PAC ID: 7416183983 Enrollment ID: I20220429000959 |
| Provider Name | Natesha A Vaillancourt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124161559 PECOS PAC ID: 9335308857 Enrollment ID: I20220502001504 |
| Provider Name | Cristin Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235731670 PECOS PAC ID: 2860879889 Enrollment ID: I20220512002676 |
| Provider Name | Cristan Anderson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1194955005 PECOS PAC ID: 3870630429 Enrollment ID: I20220516000042 |
| Provider Name | Joy Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699318428 PECOS PAC ID: 2961819966 Enrollment ID: I20220517003209 |
| Provider Name | Alexander Paul Troum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629425533 PECOS PAC ID: 7012244247 Enrollment ID: I20220518000647 |
| Provider Name | Robin Wood Stuckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669110698 PECOS PAC ID: 9830578780 Enrollment ID: I20220623000416 |
| Provider Name | Allan Lambkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598242166 PECOS PAC ID: 6406108273 Enrollment ID: I20220623000672 |
| Provider Name | Daniel Wandrey |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1790903359 PECOS PAC ID: 2365615135 Enrollment ID: I20220630002428 |
| Provider Name | Dean Bosley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134560709 PECOS PAC ID: 5294967089 Enrollment ID: I20220701000653 |
| Provider Name | Ancy Lukose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326671074 PECOS PAC ID: 4082094206 Enrollment ID: I20220706002417 |
| Provider Name | Kim-phung Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1982990065 PECOS PAC ID: 6709188139 Enrollment ID: I20220706003656 |
| Provider Name | Omari Hodge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538470646 PECOS PAC ID: 2062690340 Enrollment ID: I20220708003512 |
| Provider Name | Kaleah Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720694201 PECOS PAC ID: 6002296910 Enrollment ID: I20220709000918 |
| Provider Name | Luv Hajirawala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336535129 PECOS PAC ID: 5395025647 Enrollment ID: I20220713000499 |
| Provider Name | Gabriella M Muller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194285619 PECOS PAC ID: 3274860150 Enrollment ID: I20220715001084 |
| Provider Name | Jessica Zulney Navarro Motta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538629555 PECOS PAC ID: 2365823762 Enrollment ID: I20220716000414 |
| Provider Name | Syed Muzzammiluddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255983110 PECOS PAC ID: 5193133072 Enrollment ID: I20220718000427 |
| Provider Name | Francis Nuthalapaty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457319170 PECOS PAC ID: 3476592494 Enrollment ID: I20220718000702 |
| Provider Name | Ahmad Emara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477013613 PECOS PAC ID: 2860726452 Enrollment ID: I20220718000722 |
| Provider Name | Laraey King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538622691 PECOS PAC ID: 6305171919 Enrollment ID: I20220720002372 |
| Provider Name | Elena Carolina Caldeira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295397974 PECOS PAC ID: 7911388962 Enrollment ID: I20220721002345 |
| Provider Name | Jonathon Yoder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528520566 PECOS PAC ID: 9638550510 Enrollment ID: I20220725000310 |
| Provider Name | Stephanie Heiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699328427 PECOS PAC ID: 2163759945 Enrollment ID: I20220726003472 |
| Provider Name | Motaz Moussa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306178256 PECOS PAC ID: 9931494010 Enrollment ID: I20220727003872 |
| Provider Name | James Vernace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184121063 PECOS PAC ID: 7810225596 Enrollment ID: I20220729000126 |
| Provider Name | Kenson Belizaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073180352 PECOS PAC ID: 3173916038 Enrollment ID: I20220730000401 |
| Provider Name | Joseph J Poon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144882101 PECOS PAC ID: 8123358744 Enrollment ID: I20220801000007 |
| Provider Name | Melanie Nukala |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578828612 PECOS PAC ID: 8224337498 Enrollment ID: I20220801000584 |
| Provider Name | Cherri Anne Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093453466 PECOS PAC ID: 7113309634 Enrollment ID: I20220801000711 |
| Provider Name | Richard Bravo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215432919 PECOS PAC ID: 3274934153 Enrollment ID: I20220802002880 |
| Provider Name | Andrea Claire Miser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528562584 PECOS PAC ID: 3870975030 Enrollment ID: I20220804000600 |
| Provider Name | Maruthsakhi Molugu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285193128 PECOS PAC ID: 0446632426 Enrollment ID: I20220808002419 |
| Provider Name | Tamara Sealy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225477094 PECOS PAC ID: 6103138862 Enrollment ID: I20220809000077 |
| Provider Name | Ann Marie Wells Holloway |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790028876 PECOS PAC ID: 1850652777 Enrollment ID: I20220810001367 |
| Provider Name | Christopher James Yanichko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366904310 PECOS PAC ID: 1456688431 Enrollment ID: I20220811002731 |
| Provider Name | Travis William Dailey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629462734 PECOS PAC ID: 6709269319 Enrollment ID: I20220815002479 |
| Provider Name | Joshua Joseph Digregorio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386107233 PECOS PAC ID: 7113255746 Enrollment ID: I20220816002779 |
| Provider Name | Thomas Auld |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447614227 PECOS PAC ID: 6002219052 Enrollment ID: I20220816003885 |
| Provider Name | Vamsi Nukala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669737706 PECOS PAC ID: 6204149800 Enrollment ID: I20220817000444 |
| Provider Name | Shama Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083174502 PECOS PAC ID: 0042615585 Enrollment ID: I20220829003111 |
| Provider Name | Dlse Hirmiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215674387 PECOS PAC ID: 2668856337 Enrollment ID: I20220829003813 |
| Provider Name | Jared Rocky Funston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285019703 PECOS PAC ID: 1355674318 Enrollment ID: I20220831001902 |
| Provider Name | Zaynab Rasheed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437688538 PECOS PAC ID: 2769755032 Enrollment ID: I20220901002230 |
| Provider Name | Stephanie Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295499572 PECOS PAC ID: 0749664092 Enrollment ID: I20220906000430 |
| Provider Name | Frederick Lim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346774775 PECOS PAC ID: 4486038684 Enrollment ID: I20220907004024 |
| Provider Name | Hailey D Bess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427781988 PECOS PAC ID: 8123403151 Enrollment ID: I20220912002783 |
| Provider Name | Magdeley Mordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932757101 PECOS PAC ID: 4284019118 Enrollment ID: I20220913004076 |
| Provider Name | Hala Al Jiboury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356626402 PECOS PAC ID: 7214164045 Enrollment ID: I20221011000650 |
| Provider Name | Rebecca Ann Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861128803 PECOS PAC ID: 1355717554 Enrollment ID: I20221012003441 |
| Provider Name | Camille Lee Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639825300 PECOS PAC ID: 6709252893 Enrollment ID: I20221013003651 |
| Provider Name | Amir Mohammed Bhuiyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447719216 PECOS PAC ID: 8224404967 Enrollment ID: I20221020000723 |
| Provider Name | Ling Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205582806 PECOS PAC ID: 4082080783 Enrollment ID: I20221020003451 |
| Provider Name | Betty Albo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619409653 PECOS PAC ID: 6002180601 Enrollment ID: I20221021001412 |
| Provider Name | Ahmed Ali Alhassani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376163733 PECOS PAC ID: 6103293220 Enrollment ID: I20221102002699 |
| Provider Name | Kelly Ryan Holbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710601828 PECOS PAC ID: 4284002601 Enrollment ID: I20221116000857 |
| Provider Name | Vasilios Lambrinos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598960551 PECOS PAC ID: 9133381189 Enrollment ID: I20221119000538 |
| Provider Name | Byron Holloway |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316284953 PECOS PAC ID: 8022379940 Enrollment ID: I20221205002178 |
| Provider Name | Allison Michelle Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578292637 PECOS PAC ID: 2365811437 Enrollment ID: I20221212002208 |
| Provider Name | Darshan Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336466200 PECOS PAC ID: 1052532496 Enrollment ID: I20221214002015 |
| Provider Name | Daniella Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124744289 PECOS PAC ID: 3779953278 Enrollment ID: I20221227001900 |
| Provider Name | Sunil Bharwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699967877 PECOS PAC ID: 9537242250 Enrollment ID: I20221228001719 |
| Provider Name | April Marie Fogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093439226 PECOS PAC ID: 2668842089 Enrollment ID: I20221229002098 |
| Provider Name | Jennifer Bramon Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720750581 PECOS PAC ID: 0244623155 Enrollment ID: I20221230001937 |
| Provider Name | Joanna Partyka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396401261 PECOS PAC ID: 5698145639 Enrollment ID: I20230109000055 |
| Provider Name | Geraldine V Sultana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982314050 PECOS PAC ID: 2466823091 Enrollment ID: I20230118003104 |
| Provider Name | Lance Lorraine Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295474633 PECOS PAC ID: 9234500778 Enrollment ID: I20230120001457 |
| Provider Name | Kelsey Reis Metzmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831845973 PECOS PAC ID: 0840661989 Enrollment ID: I20230127000496 |
| Provider Name | Faheem Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174085740 PECOS PAC ID: 1951636547 Enrollment ID: I20230209000534 |
| Provider Name | Farah Lazarre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699264663 PECOS PAC ID: 0446501332 Enrollment ID: I20230223001420 |
| Provider Name | Sarah Mcandrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679921548 PECOS PAC ID: 3971899956 Enrollment ID: I20230223002816 |
| Provider Name | Margrethe Pulido-kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750014171 PECOS PAC ID: 8426421363 Enrollment ID: I20230224000265 |
| Provider Name | Corin Agoris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801389226 PECOS PAC ID: 5698025203 Enrollment ID: I20230302002745 |
| Provider Name | Debra Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013325810 PECOS PAC ID: 3375859259 Enrollment ID: I20230314002089 |
| Provider Name | Sinan Abdul-wahab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679033385 PECOS PAC ID: 8729462445 Enrollment ID: I20230324000631 |
| Provider Name | Taylor Bertschy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528329364 PECOS PAC ID: 7113174244 Enrollment ID: I20230327001837 |
| Provider Name | Tereasa Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326757667 PECOS PAC ID: 4981079902 Enrollment ID: I20230405001002 |
| Provider Name | Joshua Zeus Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265025183 PECOS PAC ID: 8426423948 Enrollment ID: I20230413002001 |
| Provider Name | Richard Klucznik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235129958 PECOS PAC ID: 2567503709 Enrollment ID: I20230413002166 |
| Provider Name | Nangalya Tirthala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497986897 PECOS PAC ID: 9537315270 Enrollment ID: I20230526001298 |
| Provider Name | Lisa Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497453443 PECOS PAC ID: 7618335118 Enrollment ID: I20230615000189 |
| Provider Name | William Bradfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932145216 PECOS PAC ID: 9133148133 Enrollment ID: I20230622003670 |
| Provider Name | Alba Vanessa Rivera Burgos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659069979 PECOS PAC ID: 5294194643 Enrollment ID: I20230704000393 |
| Provider Name | Maher Salam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114002680 PECOS PAC ID: 3476552613 Enrollment ID: I20230707001039 |
| Provider Name | Mladen Grigorov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336609403 PECOS PAC ID: 9739505561 Enrollment ID: I20230714000660 |
| Provider Name | Stacy May Mcclelland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629766985 PECOS PAC ID: 7618337841 Enrollment ID: I20230719000849 |
| Provider Name | Shayan Faiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790305308 PECOS PAC ID: 4082074943 Enrollment ID: I20230724003490 |
| Provider Name | Christine Jokisch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952833782 PECOS PAC ID: 8527429299 Enrollment ID: I20230727000937 |
| Provider Name | Christina Teixeira- Conceicao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922596105 PECOS PAC ID: 5193072023 Enrollment ID: I20230728002011 |
| Provider Name | Monica Mansour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427679513 PECOS PAC ID: 3971924937 Enrollment ID: I20230728002674 |
| Provider Name | Sukoluhle Musindire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851080204 PECOS PAC ID: 1850752460 Enrollment ID: I20230730000080 |
| Provider Name | Andrew Mehlman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043743776 PECOS PAC ID: 2365867462 Enrollment ID: I20230731001509 |
| Provider Name | Hossein Tohidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053949073 PECOS PAC ID: 6608290135 Enrollment ID: I20230802002016 |
| Provider Name | Alexandra Nicole Witt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669009783 PECOS PAC ID: 0547687576 Enrollment ID: I20230803002344 |
| Provider Name | Christopher Polonio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972126530 PECOS PAC ID: 6103298484 Enrollment ID: I20230804001305 |
| Provider Name | Manuel Calcagno Casasnovas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023647344 PECOS PAC ID: 6406218429 Enrollment ID: I20230808002544 |
| Provider Name | Chrispin Okechi Otondi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144727082 PECOS PAC ID: 9638531411 Enrollment ID: I20230810001150 |
| Provider Name | Aya Elalem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891322053 PECOS PAC ID: 1355703919 Enrollment ID: I20230814001779 |
| Provider Name | Diana Revenco |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386810091 PECOS PAC ID: 3072762954 Enrollment ID: I20230814002691 |
| Provider Name | Diya K Alnajjar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396232328 PECOS PAC ID: 1153783782 Enrollment ID: I20230815000745 |
| Provider Name | Eric Matthew Wherley |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508211517 PECOS PAC ID: 3971965476 Enrollment ID: I20230816000153 |
| Provider Name | Geoffrey Cady |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720514078 PECOS PAC ID: 3870857105 Enrollment ID: I20230817001532 |
| Provider Name | Bryan Lieber |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043605439 PECOS PAC ID: 8325354681 Enrollment ID: I20230822000193 |
| Provider Name | Mustafa Samejo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861000630 PECOS PAC ID: 0941619167 Enrollment ID: I20230823000122 |
| Provider Name | Elizabeth Rose Pacer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992332993 PECOS PAC ID: 9537522271 Enrollment ID: I20230829003204 |
| Provider Name | Ayomide Sotomi-foluso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154932291 PECOS PAC ID: 9133530256 Enrollment ID: I20230901003277 |
| Provider Name | Luis Marrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669157442 PECOS PAC ID: 4082077235 Enrollment ID: I20230906000335 |
| Provider Name | Paul Mcbride |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730541806 PECOS PAC ID: 1153784319 Enrollment ID: I20230906000766 |
| Provider Name | Sabrina Prabakaran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003340076 PECOS PAC ID: 9638533847 Enrollment ID: I20230906002952 |
| Provider Name | Hansie Camille Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063015485 PECOS PAC ID: 3173987153 Enrollment ID: I20230908001963 |
| Provider Name | Venkatasubramanian Subramanian Kanthimathinathan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023286945 PECOS PAC ID: 9830377415 Enrollment ID: I20230908002671 |
| Provider Name | Dinesh Arora |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104323641 PECOS PAC ID: 9234593005 Enrollment ID: I20230912002752 |
| Provider Name | Stamatis Damalos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407485071 PECOS PAC ID: 9436503679 Enrollment ID: I20230921003821 |
| Provider Name | Haadi Shuaib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952923351 PECOS PAC ID: 4284088147 Enrollment ID: I20230926002404 |
| Provider Name | Benjamin Mikule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841975638 PECOS PAC ID: 6709230642 Enrollment ID: I20230927000890 |
| Provider Name | Daniel O'bryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497315592 PECOS PAC ID: 3971926809 Enrollment ID: I20230929001883 |
| Provider Name | Barbara Reyes Talavera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437553575 PECOS PAC ID: 9739516402 Enrollment ID: I20231005002410 |
| Provider Name | Farhan Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033537865 PECOS PAC ID: 3870892383 Enrollment ID: I20231006001877 |
| Provider Name | Amna Imran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790281103 PECOS PAC ID: 7416302575 Enrollment ID: I20231009003395 |
| Provider Name | Cha Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285743971 PECOS PAC ID: 9234137563 Enrollment ID: I20231010000327 |
| Provider Name | Ernest Tong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770015422 PECOS PAC ID: 2860758984 Enrollment ID: I20231027000069 |
| Provider Name | Samineh Sehatbakhsh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801281647 PECOS PAC ID: 8325423940 Enrollment ID: I20231027003294 |
| Provider Name | Andrew Cheng |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760452288 PECOS PAC ID: 8325231335 Enrollment ID: I20231031000227 |
| Provider Name | Alesia Filitovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558067223 PECOS PAC ID: 0244686988 Enrollment ID: I20231101000046 |
| Provider Name | Myranda Hotchkiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720865835 PECOS PAC ID: 8628425113 Enrollment ID: I20231105000016 |
| Provider Name | Lakshmi Kannan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912252461 PECOS PAC ID: 0749556769 Enrollment ID: I20231109001611 |
| Provider Name | Akhil Kathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952862633 PECOS PAC ID: 9032589403 Enrollment ID: I20231109002757 |
| Provider Name | Alexandra Layne Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730575762 PECOS PAC ID: 3476900390 Enrollment ID: I20231114001234 |
| Provider Name | Zhen Jiao |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073772331 PECOS PAC ID: 1658540554 Enrollment ID: I20231115003823 |
| Provider Name | Meghan Crumpton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669162343 PECOS PAC ID: 2365899093 Enrollment ID: I20231116003089 |
| Provider Name | Megan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174205223 PECOS PAC ID: 6406204163 Enrollment ID: I20231120000764 |
| Provider Name | Megan Cahill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972739597 PECOS PAC ID: 8426237595 Enrollment ID: I20231121000261 |
| Provider Name | Paula Michelle Hernandez Burgos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194112342 PECOS PAC ID: 2769830314 Enrollment ID: I20231121001422 |
| Provider Name | Katie Mae Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558148403 PECOS PAC ID: 8022466325 Enrollment ID: I20231128000123 |
| Provider Name | Kristen Ellen Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669133005 PECOS PAC ID: 8820446156 Enrollment ID: I20231128001507 |
| Provider Name | Tania Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023791779 PECOS PAC ID: 1951759737 Enrollment ID: I20231205001313 |
| Provider Name | Muhammad Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356725105 PECOS PAC ID: 0648676445 Enrollment ID: I20231206002583 |
| Provider Name | Kelly Ann Cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093597163 PECOS PAC ID: 6103275805 Enrollment ID: I20231206003063 |
| Provider Name | Adam Cerissi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114488384 PECOS PAC ID: 3779932371 Enrollment ID: I20231207003107 |
| Provider Name | Allison Marie Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962276089 PECOS PAC ID: 5991154353 Enrollment ID: I20231211000840 |
| Provider Name | Parul Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902289291 PECOS PAC ID: 7810203908 Enrollment ID: I20231215002582 |
| Provider Name | Timothy Vogel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548471907 PECOS PAC ID: 5294913604 Enrollment ID: I20231219001407 |
| Provider Name | Harold Bivins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841239753 PECOS PAC ID: 7517992803 Enrollment ID: I20240119002972 |
| Provider Name | Bitool Marinuzzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740878123 PECOS PAC ID: 1951753342 Enrollment ID: I20240122002712 |
| Provider Name | Melissa Ann Lovemore Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770369332 PECOS PAC ID: 8921451980 Enrollment ID: I20240126000960 |
| Provider Name | Diego Colom Steele |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760800403 PECOS PAC ID: 7416173117 Enrollment ID: I20240207003056 |
| Provider Name | Robert D Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295376101 PECOS PAC ID: 3971917634 Enrollment ID: I20240224000649 |
| Provider Name | Sai Saneet Konda |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568849602 PECOS PAC ID: 9133599590 Enrollment ID: I20240319000408 |
| Provider Name | Prem Srinivas Subramaniyam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578872487 PECOS PAC ID: 7214166909 Enrollment ID: I20240321004118 |
| Provider Name | Danielle Shelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326309121 PECOS PAC ID: 2163645532 Enrollment ID: I20240329001599 |
| Provider Name | Aimie Hope Benko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740051044 PECOS PAC ID: 3173961588 Enrollment ID: I20240404001728 |
| Provider Name | Robert Furr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972545408 PECOS PAC ID: 0446257216 Enrollment ID: I20240415001933 |
| Provider Name | Mitchell Kolker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043259666 PECOS PAC ID: 0345222451 Enrollment ID: I20240501000827 |
| Provider Name | Racheal Peterson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760845879 PECOS PAC ID: 7113211293 Enrollment ID: I20240514003202 |
| Provider Name | Deana Lynn Harbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255912135 PECOS PAC ID: 5395287643 Enrollment ID: I20240603001337 |
| Provider Name | Rebecca Ann King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356195705 PECOS PAC ID: 0547702110 Enrollment ID: I20240611001690 |
| Provider Name | Chidinma Joy Touray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922862929 PECOS PAC ID: 6002358520 Enrollment ID: I20240611003995 |
Main St Medical Usa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11734 North Dale Mabry, Tampa, FL 33618 Phone: 813-968-6000 Fax: 813-968-6007 | |
Infante Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4712 N Armenia Ave, Suite 102, Tampa, FL 33603 Phone: 813-873-1725 Fax: 813-873-2924 | |
After Care Centers Of Florida Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3424 W Kennedy Blvd, Tampa, FL 33609 Phone: 855-716-3342 | |
Eugene A Ward M.d. Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 E Fletcher Avenue, Suite 310, Tampa, FL 33613 Phone: 813-972-1654 Fax: 813-972-7176 | |
Sarroca Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3709 W Hamilton Ave, Unit 9., Tampa, FL 33614 Phone: 813-374-7608 Fax: 813-374-9124 | |
Simmons Medical Group South Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Harbour Place Dr Unit 2007, Tampa, FL 33602 Phone: 248-321-6612 Fax: 813-964-6337 | |
N/a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3225 S Macdill Ave Ste 129-313, Tampa, FL 33629 Phone: 813-200-8857 Fax: 813-200-1319 |