| Fmc Algoma | |
|
831 Parker St Algoma WI 54201-1948 | |
| (920) 487-3676 | |
| Not Available |
| Full Name | Fmc Algoma |
|---|---|
| Speciality | Clinic/Center |
| Location | 831 Parker St, Algoma, Wisconsin |
| Authorized Official Name and Position | Denise K Stroobants (PROVIDER/CLINIC MAINTENANCE) |
| Authorized Official Contact | 9204337864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmc Algoma 831 Parker St Algoma WI 54201-1948 Ph: (920) 487-3676 | Fmc Algoma 831 Parker St Algoma WI 54201-1948 Ph: (920) 487-3676 |
| NPI Number | 1609838473 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 10/18/2021 |
| Medicare PECOS PAC ID | 8820900749 |
|---|---|
| Medicare Enrollment ID | O20031121000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609838473 | NPI | - | NPPES |
| 43057500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Edward J Bongiorno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992789754 PECOS PAC ID: 1658276464 Enrollment ID: I20031204000857 |
| Provider Name | Elizabeth J Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851301253 PECOS PAC ID: 1254239734 Enrollment ID: I20031222000360 |
| Provider Name | Virginia V Harrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487635850 PECOS PAC ID: 6406754381 Enrollment ID: I20040114000294 |
| Provider Name | Roxanne M Schauer-denneau |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962487322 PECOS PAC ID: 3274434659 Enrollment ID: I20040119000199 |
| Provider Name | Anne Vollrath |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083699441 PECOS PAC ID: 0345141727 Enrollment ID: I20040119000214 |
| Provider Name | Thomas R Komp |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265424162 PECOS PAC ID: 3971496894 Enrollment ID: I20040205000011 |
| Provider Name | Rance J Hafner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841274669 PECOS PAC ID: 9830086867 Enrollment ID: I20040303000600 |
| Provider Name | Bradley Wozney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225013675 PECOS PAC ID: 4284521121 Enrollment ID: I20040303001251 |
| Provider Name | Deborah A Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841275245 PECOS PAC ID: 4789571621 Enrollment ID: I20040303001290 |
| Provider Name | Jennifer L Bright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043295629 PECOS PAC ID: 4789572579 Enrollment ID: I20040304000764 |
| Provider Name | Kristy L Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346225570 PECOS PAC ID: 0547159717 Enrollment ID: I20040315000513 |
| Provider Name | Rahul Verma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225085582 PECOS PAC ID: 2567352461 Enrollment ID: I20040316000741 |
| Provider Name | Todd A Winney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154306611 PECOS PAC ID: 4880584523 Enrollment ID: I20040317000754 |
| Provider Name | Bozena J Biernat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003890864 PECOS PAC ID: 8729979653 Enrollment ID: I20040322000918 |
| Provider Name | Izabela J Ditchen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104800911 PECOS PAC ID: 0143111906 Enrollment ID: I20040322001183 |
| Provider Name | Shanie L Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699750612 PECOS PAC ID: 2567354350 Enrollment ID: I20040326000572 |
| Provider Name | Paul A Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194743443 PECOS PAC ID: 0042102519 Enrollment ID: I20040329000730 |
| Provider Name | Christopher J Sipple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093799686 PECOS PAC ID: 5496748881 Enrollment ID: I20040402001390 |
| Provider Name | Phillip J Schaible |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316922859 PECOS PAC ID: 3870586829 Enrollment ID: I20040406000226 |
| Provider Name | Rachelle B Schroeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790760247 PECOS PAC ID: 5294721734 Enrollment ID: I20040421001196 |
| Provider Name | Douglas J Coyle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912932054 PECOS PAC ID: 9830187087 Enrollment ID: I20040505000686 |
| Provider Name | Heather A Stanko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235164229 PECOS PAC ID: 2860480928 Enrollment ID: I20040505001538 |
| Provider Name | Steven J Gerndt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487667549 PECOS PAC ID: 0840102034 Enrollment ID: I20040512000994 |
| Provider Name | Kevin A Greer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609889757 PECOS PAC ID: 9830188911 Enrollment ID: I20040512001069 |
| Provider Name | Marcelo U Grazziotin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497758072 PECOS PAC ID: 9133119175 Enrollment ID: I20040513000293 |
| Provider Name | Ronald W Schmitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770501892 PECOS PAC ID: 6507857646 Enrollment ID: I20040519000402 |
| Provider Name | Steven J Novotny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427032069 PECOS PAC ID: 9537144548 Enrollment ID: I20040623000732 |
| Provider Name | Timothy E Tanke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780603332 PECOS PAC ID: 1153309430 Enrollment ID: I20040713000151 |
| Provider Name | Victoria W Burger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811940257 PECOS PAC ID: 3476531575 Enrollment ID: I20040713001154 |
| Provider Name | Lynn M Kitslaar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255316717 PECOS PAC ID: 9335128503 Enrollment ID: I20040720000692 |
| Provider Name | Jill M Roup |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336124791 PECOS PAC ID: 2062482854 Enrollment ID: I20040729000059 |
| Provider Name | Jeff C Arnholt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144206814 PECOS PAC ID: 4880684679 Enrollment ID: I20040810000839 |
| Provider Name | Megan E Temp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063429421 PECOS PAC ID: 7416920541 Enrollment ID: I20040817000932 |
| Provider Name | Jeffrey P Tushaus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801067814 PECOS PAC ID: 8022082221 Enrollment ID: I20040824000204 |
| Provider Name | Anupama Verma |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447253299 PECOS PAC ID: 7911972682 Enrollment ID: I20040827000261 |
| Provider Name | David A Groop |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265417869 PECOS PAC ID: 8426024704 Enrollment ID: I20040908000790 |
| Provider Name | Tamara A Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518942937 PECOS PAC ID: 5698744985 Enrollment ID: I20041004000106 |
| Provider Name | Liza J Locklear |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932388212 PECOS PAC ID: 4880655000 Enrollment ID: I20041021000419 |
| Provider Name | Michael G Massee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316934730 PECOS PAC ID: 6800858903 Enrollment ID: I20041101000799 |
| Provider Name | Amy A James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972587715 PECOS PAC ID: 5092709956 Enrollment ID: I20041118000809 |
| Provider Name | Dawn M Bolwerk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851563332 PECOS PAC ID: 0143286468 Enrollment ID: I20041208000070 |
| Provider Name | Sara A Picard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881634335 PECOS PAC ID: 5991763013 Enrollment ID: I20041221000617 |
| Provider Name | Jane A Danowit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427032218 PECOS PAC ID: 4981662418 Enrollment ID: I20041229000886 |
| Provider Name | Robert C Mead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225013501 PECOS PAC ID: 0547228082 Enrollment ID: I20041229000945 |
| Provider Name | Janet R Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730215237 PECOS PAC ID: 1951350727 Enrollment ID: I20050119000476 |
| Provider Name | Loren C Fuglestad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669456463 PECOS PAC ID: 9638121627 Enrollment ID: I20050217000882 |
| Provider Name | Amanda Lea Shefchik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336192707 PECOS PAC ID: 7719930544 Enrollment ID: I20050222000186 |
| Provider Name | Molly J Rasmussen Peeters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407916083 PECOS PAC ID: 0749233369 Enrollment ID: I20050223000734 |
| Provider Name | George Zaleski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003838822 PECOS PAC ID: 6406802826 Enrollment ID: I20050329000213 |
| Provider Name | Swati Chaudhari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306918446 PECOS PAC ID: 8729049622 Enrollment ID: I20050412000419 |
| Provider Name | Bryan H Larson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316048937 PECOS PAC ID: 7012954712 Enrollment ID: I20050414000201 |
| Provider Name | Ferdinand C Casis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841209806 PECOS PAC ID: 2961306634 Enrollment ID: I20050518001249 |
| Provider Name | Terence S Edgar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679506091 PECOS PAC ID: 0547202194 Enrollment ID: I20050524001335 |
| Provider Name | Jason P Klein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922185990 PECOS PAC ID: 5597707554 Enrollment ID: I20050531000933 |
| Provider Name | Barbara A Pesola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023125416 PECOS PAC ID: 0547290975 Enrollment ID: I20050816000635 |
| Provider Name | Sandra R Fondow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083699664 PECOS PAC ID: 3577594340 Enrollment ID: I20050822001407 |
| Provider Name | Tomasz K Miaskowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154305894 PECOS PAC ID: 8921039389 Enrollment ID: I20050825000252 |
| Provider Name | Laurel L Den Heijer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356446520 PECOS PAC ID: 7214960103 Enrollment ID: I20050912000990 |
| Provider Name | Christopher B Kordiyak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174685598 PECOS PAC ID: 0941234637 Enrollment ID: I20050922000168 |
| Provider Name | Michael H Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013080894 PECOS PAC ID: 4880628585 Enrollment ID: I20050922000237 |
| Provider Name | Donald E Hartig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073597803 PECOS PAC ID: 0345265203 Enrollment ID: I20051010000704 |
| Provider Name | Martha L Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740265297 PECOS PAC ID: 0244256030 Enrollment ID: I20051020000856 |
| Provider Name | Lynda J Bahde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104897412 PECOS PAC ID: 8729008362 Enrollment ID: I20051129000229 |
| Provider Name | Anne E Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063593325 PECOS PAC ID: 9335160720 Enrollment ID: I20051213000652 |
| Provider Name | Cole M Schave |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952439978 PECOS PAC ID: 8325069735 Enrollment ID: I20051213000774 |
| Provider Name | James W Gast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710961529 PECOS PAC ID: 4981653938 Enrollment ID: I20060120000793 |
| Provider Name | Maureen A Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568446110 PECOS PAC ID: 2567476922 Enrollment ID: I20060206000659 |
| Provider Name | Charles N Decleene |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326002148 PECOS PAC ID: 2365457538 Enrollment ID: I20060208000732 |
| Provider Name | Adam P Artel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487622130 PECOS PAC ID: 9335155548 Enrollment ID: I20060224000703 |
| Provider Name | Mazen A Al Khalisy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417931106 PECOS PAC ID: 9335156934 Enrollment ID: I20060307000324 |
| Provider Name | John M Lawton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508869587 PECOS PAC ID: 3375453368 Enrollment ID: I20060310000372 |
| Provider Name | Mohammad R Jazayeri |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336238161 PECOS PAC ID: 8022026400 Enrollment ID: I20060327000447 |
| Provider Name | Katie J Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073560314 PECOS PAC ID: 9234148040 Enrollment ID: I20060406000045 |
| Provider Name | Thomas J Smith |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649273400 PECOS PAC ID: 6002726098 Enrollment ID: I20060406000435 |
| Provider Name | Steven E Neu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144224619 PECOS PAC ID: 4284544271 Enrollment ID: I20060406000462 |
| Provider Name | James E Talley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922162593 PECOS PAC ID: 0446269971 Enrollment ID: I20060412000041 |
| Provider Name | Steven Joseph Hooyman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669474441 PECOS PAC ID: 6709842164 Enrollment ID: I20060412000055 |
| Provider Name | Matthias A Fuchs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841230208 PECOS PAC ID: 3971407933 Enrollment ID: I20060614000045 |
| Provider Name | Steven H Goldberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174566194 PECOS PAC ID: 9032122098 Enrollment ID: I20060718000037 |
| Provider Name | Kevin Lee Mortara |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033109210 PECOS PAC ID: 5092728378 Enrollment ID: I20060803000500 |
| Provider Name | Lori Jean Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386664613 PECOS PAC ID: 2264435312 Enrollment ID: I20060810000487 |
| Provider Name | Nathanial I Kieler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144282773 PECOS PAC ID: 1052315165 Enrollment ID: I20060901000358 |
| Provider Name | Rachel M Kars |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285664748 PECOS PAC ID: 9830193697 Enrollment ID: I20060908000383 |
| Provider Name | Pamela J Janus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982631230 PECOS PAC ID: 2466456223 Enrollment ID: I20060908000390 |
| Provider Name | Matthew T Giltner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265463707 PECOS PAC ID: 6800890666 Enrollment ID: I20060908000409 |
| Provider Name | Manar K Al Shahrouri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093731382 PECOS PAC ID: 2860497385 Enrollment ID: I20060915000339 |
| Provider Name | Charles J Heyka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083721286 PECOS PAC ID: 4284639451 Enrollment ID: I20060921000251 |
| Provider Name | Deborah G Rentmeester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144258898 PECOS PAC ID: 1355346321 Enrollment ID: I20060926000085 |
| Provider Name | Sarah S Beilfuss |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841215811 PECOS PAC ID: 2668478256 Enrollment ID: I20061004000245 |
| Provider Name | Sarah E Wesoloski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275640120 PECOS PAC ID: 3476559733 Enrollment ID: I20061010000060 |
| Provider Name | Ernesto Brauer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114970795 PECOS PAC ID: 4385617950 Enrollment ID: I20061019000233 |
| Provider Name | Ashley L Diedrich |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1386748911 PECOS PAC ID: 3870591712 Enrollment ID: I20061201000165 |
| Provider Name | Diane L Vanderlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407807563 PECOS PAC ID: 2961508726 Enrollment ID: I20070511000098 |
| Provider Name | Joseph A Bovi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376639732 PECOS PAC ID: 3072604172 Enrollment ID: I20070803000150 |
| Provider Name | Shane J Degen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336127240 PECOS PAC ID: 4688608672 Enrollment ID: I20070827000678 |
| Provider Name | Sharon T Lillge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447379060 PECOS PAC ID: 4082709803 Enrollment ID: I20071009000050 |
| Provider Name | Chitra S Bhosekar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114144466 PECOS PAC ID: 4789770256 Enrollment ID: I20071013000020 |
| Provider Name | Christopher M Wolfram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740242155 PECOS PAC ID: 0840261350 Enrollment ID: I20071019000470 |
| Provider Name | Jennifer L Pravechek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679773915 PECOS PAC ID: 8628165065 Enrollment ID: I20071031000536 |
| Provider Name | Matthew R Theado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235149139 PECOS PAC ID: 2961590898 Enrollment ID: I20071110000131 |
| Provider Name | James Rider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568525988 PECOS PAC ID: 4082651278 Enrollment ID: I20071115000459 |
| Provider Name | Sherri L Hoyman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629052469 PECOS PAC ID: 1153402102 Enrollment ID: I20080115000751 |
| Provider Name | David A Knuff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386723773 PECOS PAC ID: 3971603408 Enrollment ID: I20080123000695 |
| Provider Name | Jeremy D Cross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932246246 PECOS PAC ID: 8921065582 Enrollment ID: I20080220000612 |
| Provider Name | Brooke E Mccomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124217419 PECOS PAC ID: 0749364081 Enrollment ID: I20080226000559 |
| Provider Name | James R Spears |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578599270 PECOS PAC ID: 1951213198 Enrollment ID: I20080318000822 |
| Provider Name | Patrick J Mckenzie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881620565 PECOS PAC ID: 6103738398 Enrollment ID: I20080319000047 |
| Provider Name | Daniel C Lemkuil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730163437 PECOS PAC ID: 8022195239 Enrollment ID: I20080411000131 |
| Provider Name | Barbara L Boucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639340995 PECOS PAC ID: 3072692854 Enrollment ID: I20080505000686 |
| Provider Name | Jesse Jon Borman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508046418 PECOS PAC ID: 9537238902 Enrollment ID: I20080527000658 |
| Provider Name | Tammy M Durant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184690448 PECOS PAC ID: 6002850591 Enrollment ID: I20080728000259 |
| Provider Name | Laura J Gallistel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013997121 PECOS PAC ID: 5395819759 Enrollment ID: I20080801000533 |
| Provider Name | Vijaya K Munagala |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1780644666 PECOS PAC ID: 6406755339 Enrollment ID: I20080808000751 |
| Provider Name | Tracey L Zollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063677557 PECOS PAC ID: 1658447685 Enrollment ID: I20080827000495 |
| Provider Name | David J Brooks |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407993066 PECOS PAC ID: 2668548777 Enrollment ID: I20080912000568 |
| Provider Name | Patti Marie Marquardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306963962 PECOS PAC ID: 4183720287 Enrollment ID: I20080913000179 |
| Provider Name | Patricia J Martins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538324314 PECOS PAC ID: 5092882886 Enrollment ID: I20080919000417 |
| Provider Name | Reed J Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720259112 PECOS PAC ID: 5193892446 Enrollment ID: I20080929000204 |
| Provider Name | Lorie S Dorn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750424883 PECOS PAC ID: 0840368288 Enrollment ID: I20081013000034 |
| Provider Name | Tammy Ann Motquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003071069 PECOS PAC ID: 4587723937 Enrollment ID: I20081030000383 |
| Provider Name | Robert A Gahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295729366 PECOS PAC ID: 1850383894 Enrollment ID: I20081114000509 |
| Provider Name | Lisa R Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740446855 PECOS PAC ID: 8224198049 Enrollment ID: I20081124000089 |
| Provider Name | Bobbi J Debbout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871745679 PECOS PAC ID: 3577624626 Enrollment ID: I20081208000180 |
| Provider Name | Ramandeep Sachdeva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619150166 PECOS PAC ID: 5092881565 Enrollment ID: I20090107000464 |
| Provider Name | Tara L Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831229376 PECOS PAC ID: 7618032426 Enrollment ID: I20090211000346 |
| Provider Name | Heidi J Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730194465 PECOS PAC ID: 0840207205 Enrollment ID: I20090217000669 |
| Provider Name | Abbey L Schmolinske |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104061571 PECOS PAC ID: 0648336511 Enrollment ID: I20090227000488 |
| Provider Name | Sabeeha S Bedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982688842 PECOS PAC ID: 3476619149 Enrollment ID: I20090304000458 |
| Provider Name | Susan A Sanfilippo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457591869 PECOS PAC ID: 0840357117 Enrollment ID: I20090401000202 |
| Provider Name | Eric M Dvorak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003986845 PECOS PAC ID: 6305996976 Enrollment ID: I20090603000198 |
| Provider Name | Jacqueline M Muhammad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669690210 PECOS PAC ID: 2668527094 Enrollment ID: I20090908000417 |
| Provider Name | Blake B Lemke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902822729 PECOS PAC ID: 3274689260 Enrollment ID: I20090916000203 |
| Provider Name | Kedra L Kluckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205070836 PECOS PAC ID: 8325194210 Enrollment ID: I20090917000448 |
| Provider Name | Donnevan Blake |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801854898 PECOS PAC ID: 4385727486 Enrollment ID: I20090923000493 |
| Provider Name | Tara Lien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235326703 PECOS PAC ID: 9931245735 Enrollment ID: I20091008000325 |
| Provider Name | Mark Andrew Fergus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972836633 PECOS PAC ID: 7315083847 Enrollment ID: I20091014000018 |
| Provider Name | Dennis M Hudson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497771273 PECOS PAC ID: 9436291184 Enrollment ID: I20100119000739 |
| Provider Name | Jamie E Gokey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104154301 PECOS PAC ID: 6002951688 Enrollment ID: I20100308000142 |
| Provider Name | Brian A Knapp |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730200395 PECOS PAC ID: 6800921255 Enrollment ID: I20100324000320 |
| Provider Name | James T Jerzak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760466502 PECOS PAC ID: 9739215609 Enrollment ID: I20100330000791 |
| Provider Name | Khalid Monzer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689873358 PECOS PAC ID: 9830265115 Enrollment ID: I20100515000123 |
| Provider Name | William M Reynders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225012875 PECOS PAC ID: 8123157757 Enrollment ID: I20100520000137 |
| Provider Name | Cynthia B Lasecki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871577577 PECOS PAC ID: 8729117353 Enrollment ID: I20100520000182 |
| Provider Name | James R Ebben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497730865 PECOS PAC ID: 5395874127 Enrollment ID: I20100603000520 |
| Provider Name | Stephen T Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043204951 PECOS PAC ID: 4284764036 Enrollment ID: I20100604001046 |
| Provider Name | Gregory J Schmeling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720031594 PECOS PAC ID: 9739219833 Enrollment ID: I20100616000865 |
| Provider Name | Jennifer Erickson-foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952568016 PECOS PAC ID: 9830249796 Enrollment ID: I20100806000887 |
| Provider Name | Iris Theodora C Perez-marquardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306825872 PECOS PAC ID: 7810020021 Enrollment ID: I20100809000131 |
| Provider Name | Elizabeth A Paulson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598847840 PECOS PAC ID: 6608909841 Enrollment ID: I20100809000570 |
| Provider Name | Ronald D Davis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366455503 PECOS PAC ID: 0547160756 Enrollment ID: I20100817000381 |
| Provider Name | David A Hsu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740252972 PECOS PAC ID: 4082738364 Enrollment ID: I20100824001038 |
| Provider Name | Anthony Joseph Marchlewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295710432 PECOS PAC ID: 0840315511 Enrollment ID: I20100917000793 |
| Provider Name | Brian E Radtke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841226800 PECOS PAC ID: 4486667193 Enrollment ID: I20101007000889 |
| Provider Name | David A Stampfl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386711463 PECOS PAC ID: 2163614959 Enrollment ID: I20101012000950 |
| Provider Name | Kanwarjit S Arora |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659377828 PECOS PAC ID: 8426240227 Enrollment ID: I20101012000974 |
| Provider Name | Michael C O'toole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033167077 PECOS PAC ID: 1355535071 Enrollment ID: I20101027000172 |
| Provider Name | Ngozi N Mbah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861606451 PECOS PAC ID: 4082808563 Enrollment ID: I20101028000700 |
| Provider Name | Elizabeth A Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760793046 PECOS PAC ID: 7113112954 Enrollment ID: I20101105001286 |
| Provider Name | Charlie C Pan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407948805 PECOS PAC ID: 8921077165 Enrollment ID: I20101108001414 |
| Provider Name | David K Kaufman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114942604 PECOS PAC ID: 3678769320 Enrollment ID: I20101122000106 |
| Provider Name | Teresa L Mumbrue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952617631 PECOS PAC ID: 1658567144 Enrollment ID: I20101123000541 |
| Provider Name | Hassan I Tahsildar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1629067269 PECOS PAC ID: 0244427961 Enrollment ID: I20101207001253 |
| Provider Name | Mark W Bocik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801923594 PECOS PAC ID: 1456549195 Enrollment ID: I20101222000862 |
| Provider Name | Kenneth D Kleist |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528047826 PECOS PAC ID: 7911995956 Enrollment ID: I20110104000493 |
| Provider Name | Tiffany A Sasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891009627 PECOS PAC ID: 9537358999 Enrollment ID: I20110117000010 |
| Provider Name | David Gordon Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174515357 PECOS PAC ID: 3971415688 Enrollment ID: I20110131000760 |
| Provider Name | Thomas S Fredeen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255370789 PECOS PAC ID: 5496747024 Enrollment ID: I20110203000372 |
| Provider Name | Jennifer B Lynch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376686493 PECOS PAC ID: 8022188630 Enrollment ID: I20110204000184 |
| Provider Name | Melissa A Dercks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710202577 PECOS PAC ID: 3779763271 Enrollment ID: I20110215000519 |
| Provider Name | Kara J Rottier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710902887 PECOS PAC ID: 1355522913 Enrollment ID: I20110302000401 |
| Provider Name | Media S Esser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154626729 PECOS PAC ID: 2163605155 Enrollment ID: I20110329000777 |
| Provider Name | Katie L Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073534863 PECOS PAC ID: 2567640014 Enrollment ID: I20110701000300 |
| Provider Name | Jory A Ough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457518532 PECOS PAC ID: 5092993329 Enrollment ID: I20110708000504 |
| Provider Name | Molly M Kleiman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467539684 PECOS PAC ID: 4082882303 Enrollment ID: I20110712000467 |
| Provider Name | Matthew J Ough |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376705533 PECOS PAC ID: 9830368117 Enrollment ID: I20110802000534 |
| Provider Name | Jeanne M Mossberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831489343 PECOS PAC ID: 7315116563 Enrollment ID: I20110804000672 |
| Provider Name | Courtney R Beaudette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750679114 PECOS PAC ID: 3274702907 Enrollment ID: I20110812000554 |
| Provider Name | Peggy S Christianson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053608992 PECOS PAC ID: 3375712904 Enrollment ID: I20110816000220 |
| Provider Name | Emily C.g. Seewald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780978650 PECOS PAC ID: 3870763212 Enrollment ID: I20110823000486 |
| Provider Name | Jenna L Fredrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528347762 PECOS PAC ID: 6305016593 Enrollment ID: I20110825000492 |
| Provider Name | Paul A Hudson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417094772 PECOS PAC ID: 6103918248 Enrollment ID: I20110826000501 |
| Provider Name | Kristin M Collar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265711311 PECOS PAC ID: 3375714736 Enrollment ID: I20110915000847 |
| Provider Name | Yoon W Chun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518046499 PECOS PAC ID: 6002089455 Enrollment ID: I20111031000133 |
| Provider Name | Katie L Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942588900 PECOS PAC ID: 6103099189 Enrollment ID: I20111108000476 |
| Provider Name | Sumit N Ringwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316089154 PECOS PAC ID: 4082889613 Enrollment ID: I20111209000754 |
| Provider Name | Daniel Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952695439 PECOS PAC ID: 0749455962 Enrollment ID: I20111215000794 |
| Provider Name | Sarah A Patrickus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861761942 PECOS PAC ID: 8224296264 Enrollment ID: I20120222000916 |
| Provider Name | Molly A Huben |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326260746 PECOS PAC ID: 5799946174 Enrollment ID: I20120411000499 |
| Provider Name | Troy D Gutzman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770533739 PECOS PAC ID: 7517128929 Enrollment ID: I20120411000795 |
| Provider Name | Pamela Gay O'neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457624751 PECOS PAC ID: 9739341058 Enrollment ID: I20120503000278 |
| Provider Name | Michael L Landrum |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932280104 PECOS PAC ID: 0042496705 Enrollment ID: I20120601000209 |
| Provider Name | Amber L Puissant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982998662 PECOS PAC ID: 8123282530 Enrollment ID: I20120615000186 |
| Provider Name | Scott W Oleniczak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740496132 PECOS PAC ID: 3971768805 Enrollment ID: I20120627000549 |
| Provider Name | Nathan M Tanney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154682615 PECOS PAC ID: 4880840404 Enrollment ID: I20120813000799 |
| Provider Name | Kathleen J Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295080646 PECOS PAC ID: 0648429290 Enrollment ID: I20120926000084 |
| Provider Name | Mary Jo Heise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689790461 PECOS PAC ID: 3870743396 Enrollment ID: I20121018000493 |
| Provider Name | Christopher C Rupp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568681831 PECOS PAC ID: 0749377588 Enrollment ID: I20121101000655 |
| Provider Name | Erin M Zimbal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396006821 PECOS PAC ID: 7113170705 Enrollment ID: I20130109000784 |
| Provider Name | Emily A Wickert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992016935 PECOS PAC ID: 2466606827 Enrollment ID: I20130212000225 |
| Provider Name | Victoria Passov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891838173 PECOS PAC ID: 1052406717 Enrollment ID: I20130221000428 |
| Provider Name | Sarah M Schultz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881764025 PECOS PAC ID: 3375798010 Enrollment ID: I20130301000170 |
| Provider Name | Bela R Ballo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275551160 PECOS PAC ID: 9335112721 Enrollment ID: I20130321000171 |
| Provider Name | Bernadette Borte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366678344 PECOS PAC ID: 3072759604 Enrollment ID: I20130426000057 |
| Provider Name | Suzette M Bornemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851630834 PECOS PAC ID: 2668619065 Enrollment ID: I20130502000077 |
| Provider Name | Matthew J Opolka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174866966 PECOS PAC ID: 6709023450 Enrollment ID: I20130516000468 |
| Provider Name | Kathryn A Blaser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417188673 PECOS PAC ID: 6204073885 Enrollment ID: I20130520000504 |
| Provider Name | Sara Aerts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750628970 PECOS PAC ID: 7517105984 Enrollment ID: I20130523000481 |
| Provider Name | Anthony M Sachse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447395389 PECOS PAC ID: 5698915346 Enrollment ID: I20130701000598 |
| Provider Name | Naciye Kalafat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861459612 PECOS PAC ID: 4688670755 Enrollment ID: I20130703000665 |
| Provider Name | Richard J Horak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902092059 PECOS PAC ID: 1052576139 Enrollment ID: I20130726000675 |
| Provider Name | David N Conrad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356545396 PECOS PAC ID: 6608011416 Enrollment ID: I20130807000462 |
| Provider Name | Megan C Brzezinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083059034 PECOS PAC ID: 8224270715 Enrollment ID: I20130813000510 |
| Provider Name | Michelle Malabanan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144410291 PECOS PAC ID: 3173765377 Enrollment ID: I20130819000646 |
| Provider Name | Melissa A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235444225 PECOS PAC ID: 1153564869 Enrollment ID: I20130828000655 |
| Provider Name | Victoria B Romanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477985232 PECOS PAC ID: 9133353352 Enrollment ID: I20131001000538 |
| Provider Name | Laura C Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376984732 PECOS PAC ID: 3476788647 Enrollment ID: I20131023001615 |
| Provider Name | Jon D Berge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134553456 PECOS PAC ID: 6800022393 Enrollment ID: I20131111000335 |
| Provider Name | Brian Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144655937 PECOS PAC ID: 2264668623 Enrollment ID: I20131114000164 |
| Provider Name | Jason Kiner |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1548466030 PECOS PAC ID: 1850586934 Enrollment ID: I20131115001585 |
| Provider Name | Jennifer A Winkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225461288 PECOS PAC ID: 0749416923 Enrollment ID: I20131118000616 |
| Provider Name | Kirby E Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649603044 PECOS PAC ID: 2264668458 Enrollment ID: I20131118000746 |
| Provider Name | Michael R Mankovecky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346532678 PECOS PAC ID: 1153557376 Enrollment ID: I20131118001770 |
| Provider Name | Carmen D Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255683850 PECOS PAC ID: 0042446858 Enrollment ID: I20131127001330 |
| Provider Name | Cheryle J Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174951453 PECOS PAC ID: 2860629763 Enrollment ID: I20131223000657 |
| Provider Name | Kristin G Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124454830 PECOS PAC ID: 2961630694 Enrollment ID: I20140102000365 |
| Provider Name | Rachael E Vandenlangenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003127465 PECOS PAC ID: 8123265618 Enrollment ID: I20140116001622 |
| Provider Name | Eric D Vogel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538123757 PECOS PAC ID: 3274541982 Enrollment ID: I20140131001676 |
| Provider Name | Derek Carl Carlson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790775450 PECOS PAC ID: 6507914694 Enrollment ID: I20140218001665 |
| Provider Name | Samuel Adam Krier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023433513 PECOS PAC ID: 4587894126 Enrollment ID: I20140227001920 |
| Provider Name | Katherine Margaret Callies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063424257 PECOS PAC ID: 2365672847 Enrollment ID: I20140228001315 |
| Provider Name | Crystal A Gerondale |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962668079 PECOS PAC ID: 8921238130 Enrollment ID: I20140310001655 |
| Provider Name | Megan E Check |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154595585 PECOS PAC ID: 8527299643 Enrollment ID: I20140402001235 |
| Provider Name | Kathryn A Lafond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861411043 PECOS PAC ID: 1456358621 Enrollment ID: I20140602000598 |
| Provider Name | Daniel E Krueger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578974275 PECOS PAC ID: 4486878444 Enrollment ID: I20140612001481 |
| Provider Name | Allison A Krueger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043621568 PECOS PAC ID: 3375767130 Enrollment ID: I20140617001938 |
| Provider Name | Melissa L Zimmermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417361544 PECOS PAC ID: 0749406999 Enrollment ID: I20140723001933 |
| Provider Name | Beth A Woods |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336109123 PECOS PAC ID: 0345249348 Enrollment ID: I20140814000540 |
| Provider Name | Stacy Leigh Mohr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770877664 PECOS PAC ID: 7719137793 Enrollment ID: I20140815001297 |
| Provider Name | Riley A Smyth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275791832 PECOS PAC ID: 5698993335 Enrollment ID: I20140821002444 |
| Provider Name | Loral M Turba-rogers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518945963 PECOS PAC ID: 0941428403 Enrollment ID: I20140825001230 |
| Provider Name | Laura M Prouty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770845174 PECOS PAC ID: 0446478861 Enrollment ID: I20140827001220 |
| Provider Name | Eric Joseph Bader |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467851121 PECOS PAC ID: 2769600949 Enrollment ID: I20140829001479 |
| Provider Name | Kathryn Grace Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255747325 PECOS PAC ID: 5890914675 Enrollment ID: I20140909001490 |
| Provider Name | Kris L Barrette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689080277 PECOS PAC ID: 8628297041 Enrollment ID: I20140917002548 |
| Provider Name | Alyssa Ann Trawitzki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649569252 PECOS PAC ID: 3274752514 Enrollment ID: I20140918000050 |
| Provider Name | Marcia Ann Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891009338 PECOS PAC ID: 0345470217 Enrollment ID: I20140924000394 |
| Provider Name | Lisa M Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659783207 PECOS PAC ID: 1850510835 Enrollment ID: I20140924001833 |
| Provider Name | Katie Ann Lukes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841603693 PECOS PAC ID: 9931329687 Enrollment ID: I20141003000197 |
| Provider Name | Ellen Anton Radocay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538575048 PECOS PAC ID: 6709006885 Enrollment ID: I20141014000383 |
| Provider Name | Lee Andrew Hyrkas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114321858 PECOS PAC ID: 1951522341 Enrollment ID: I20141029000008 |
| Provider Name | Michael J Hodulik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295784544 PECOS PAC ID: 7618017955 Enrollment ID: I20141217001497 |
| Provider Name | Christine Marie Long |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417011842 PECOS PAC ID: 6305160557 Enrollment ID: I20150120000020 |
| Provider Name | Petra Maria Laeven-sessions |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689675563 PECOS PAC ID: 3779623194 Enrollment ID: I20150206000610 |
| Provider Name | Jennifer L Weier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891198735 PECOS PAC ID: 0941525067 Enrollment ID: I20150212002017 |
| Provider Name | Lisa Marie Reinke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871812826 PECOS PAC ID: 7214252014 Enrollment ID: I20150219002271 |
| Provider Name | James P Picotte |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083786511 PECOS PAC ID: 9335212653 Enrollment ID: I20150304000651 |
| Provider Name | Amy Elizabeth Zabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902297682 PECOS PAC ID: 7719204072 Enrollment ID: I20150325001032 |
| Provider Name | Lisa Marie Parish |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093021313 PECOS PAC ID: 1557682762 Enrollment ID: I20150529002355 |
| Provider Name | Katie J Rettler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225301039 PECOS PAC ID: 6800056482 Enrollment ID: I20150603001767 |
| Provider Name | Michelle Lyn Minikel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093913113 PECOS PAC ID: 9032242573 Enrollment ID: I20150610001170 |
| Provider Name | Paula Lynn Ferron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467888735 PECOS PAC ID: 3971733080 Enrollment ID: I20150615001566 |
| Provider Name | Luis Alfonso Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861871659 PECOS PAC ID: 8123339363 Enrollment ID: I20150615002240 |
| Provider Name | Joshua T Hintz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720327240 PECOS PAC ID: 9436460805 Enrollment ID: I20150625002683 |
| Provider Name | Meghan Mary Hawley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922259746 PECOS PAC ID: 3476865833 Enrollment ID: I20150629000918 |
| Provider Name | Seugnet Debauche |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801274717 PECOS PAC ID: 3779895099 Enrollment ID: I20150630000174 |
| Provider Name | Paul D Hartleben |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487622510 PECOS PAC ID: 2466532486 Enrollment ID: I20150702000877 |
| Provider Name | Ashley Michelle Flannery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760741136 PECOS PAC ID: 8123330172 Enrollment ID: I20150702002276 |
| Provider Name | Abby Gezella |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1982090197 PECOS PAC ID: 1456663376 Enrollment ID: I20150707002085 |
| Provider Name | Carrie Ann Stella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326427279 PECOS PAC ID: 2860707544 Enrollment ID: I20150811004277 |
| Provider Name | Heather Ann Zapata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588046601 PECOS PAC ID: 3971818535 Enrollment ID: I20150812006912 |
| Provider Name | Adam L Liss |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700101250 PECOS PAC ID: 2264747625 Enrollment ID: I20150813010390 |
| Provider Name | Christine L Berndt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194103853 PECOS PAC ID: 2668788399 Enrollment ID: I20150826001040 |
| Provider Name | Karen M Kroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306221619 PECOS PAC ID: 9335455757 Enrollment ID: I20150831003172 |
| Provider Name | Maureen Kathryn Wery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104205731 PECOS PAC ID: 2466768783 Enrollment ID: I20150901003402 |
| Provider Name | Megan Marjorie Lambeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366811689 PECOS PAC ID: 2860709979 Enrollment ID: I20150922000175 |
| Provider Name | Kevin M Hoeksema |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316316540 PECOS PAC ID: 3375851421 Enrollment ID: I20151009000430 |
| Provider Name | Elyse Marie Engebose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609252139 PECOS PAC ID: 4486963758 Enrollment ID: I20151028000161 |
| Provider Name | Michael Theodore Uren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851720981 PECOS PAC ID: 0547497075 Enrollment ID: I20151028000450 |
| Provider Name | Julie Ann Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093184517 PECOS PAC ID: 6709196983 Enrollment ID: I20151030002262 |
| Provider Name | Esmaeil Ben Kamali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770968760 PECOS PAC ID: 9335459270 Enrollment ID: I20151105001490 |
| Provider Name | Nicole Edith Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861824948 PECOS PAC ID: 0143530899 Enrollment ID: I20151109000694 |
| Provider Name | Lisa Jean Truttschel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285013953 PECOS PAC ID: 3577873975 Enrollment ID: I20151116001608 |
| Provider Name | Jessica Marie Flaeschel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225407661 PECOS PAC ID: 3870893969 Enrollment ID: I20151120002011 |
| Provider Name | Jesse Joseph Krzyzanowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447570882 PECOS PAC ID: 2466752977 Enrollment ID: I20151204000834 |
| Provider Name | Michael I Maitar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619019304 PECOS PAC ID: 4587563358 Enrollment ID: I20151231000915 |
| Provider Name | Bonnie L Dejardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225403157 PECOS PAC ID: 4789986746 Enrollment ID: I20160107001396 |
| Provider Name | Lukasz S Babiarz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346476066 PECOS PAC ID: 5395994503 Enrollment ID: I20160112000009 |
| Provider Name | Cathleen Brazile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679680474 PECOS PAC ID: 3779653886 Enrollment ID: I20160201000275 |
| Provider Name | Sara M Mackowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881069318 PECOS PAC ID: 3678877487 Enrollment ID: I20160215001093 |
| Provider Name | Miranda Marie Hintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013377969 PECOS PAC ID: 9830496421 Enrollment ID: I20160325000338 |
| Provider Name | Rachel Marie Chastain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942661566 PECOS PAC ID: 1052618154 Enrollment ID: I20160404001310 |
| Provider Name | Mary Nyamizi Kudoja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770945263 PECOS PAC ID: 3870892417 Enrollment ID: I20160503000506 |
| Provider Name | Victor Adalbert Geraldez De Villa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043485139 PECOS PAC ID: 0143396697 Enrollment ID: I20160601000950 |
| Provider Name | Joseph John Kucksdorf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093035859 PECOS PAC ID: 3779873856 Enrollment ID: I20160601002150 |
| Provider Name | Maria D De Villa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538321252 PECOS PAC ID: 5395892616 Enrollment ID: I20160627000712 |
| Provider Name | Kayla Lynn Schisel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326496316 PECOS PAC ID: 0446541114 Enrollment ID: I20160628000973 |
| Provider Name | Gina Wendricks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639466295 PECOS PAC ID: 8123296175 Enrollment ID: I20160719000689 |
| Provider Name | Marissa Leigh Zehren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811349970 PECOS PAC ID: 4981998671 Enrollment ID: I20160803000663 |
| Provider Name | Michael J Brenner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659781441 PECOS PAC ID: 2961710538 Enrollment ID: I20160815002900 |
| Provider Name | Jennifer Lynn Cumicek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285181818 PECOS PAC ID: 0042507840 Enrollment ID: I20160922000327 |
| Provider Name | Rebekah R Vandewalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770030157 PECOS PAC ID: 2163710302 Enrollment ID: I20161004001533 |
| Provider Name | Melissa K Hidde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184900169 PECOS PAC ID: 3173818903 Enrollment ID: I20161011000340 |
| Provider Name | Christen Scott Hunsberger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134678659 PECOS PAC ID: 7214225721 Enrollment ID: I20161017002221 |
| Provider Name | Ashley Ann Birder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174072656 PECOS PAC ID: 9436437621 Enrollment ID: I20161021001475 |
| Provider Name | David Seeger Tearse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184621468 PECOS PAC ID: 9830117290 Enrollment ID: I20161110001440 |
| Provider Name | Jamie Lynn Mosupye |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013227537 PECOS PAC ID: 7810278405 Enrollment ID: I20161219001585 |
| Provider Name | Alex Herzberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629085519 PECOS PAC ID: 4183785462 Enrollment ID: I20161221002206 |
| Provider Name | Susan M Molenaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265986731 PECOS PAC ID: 4688955446 Enrollment ID: I20170110002003 |
| Provider Name | Audra R Hermanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487884623 PECOS PAC ID: 9234411794 Enrollment ID: I20170118002949 |
| Provider Name | Jonathan J Kriescher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528453800 PECOS PAC ID: 0345533717 Enrollment ID: I20170120002776 |
| Provider Name | Dhanvendran Ramar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316269640 PECOS PAC ID: 7012151178 Enrollment ID: I20170202002736 |
| Provider Name | Jacquelyn Marie Delfosse Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457804676 PECOS PAC ID: 7012290976 Enrollment ID: I20170220001816 |
| Provider Name | Laura B Pethan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194122861 PECOS PAC ID: 6608199526 Enrollment ID: I20170222002261 |
| Provider Name | Chad T Meyer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104367200 PECOS PAC ID: 1355626375 Enrollment ID: I20170314000415 |
| Provider Name | Trevor James Mancl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881930931 PECOS PAC ID: 6901041359 Enrollment ID: I20170314001315 |
| Provider Name | Megan C Drewieske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881133866 PECOS PAC ID: 6002193992 Enrollment ID: I20170502001020 |
| Provider Name | Andrew T Knox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568752665 PECOS PAC ID: 1658658000 Enrollment ID: I20170511002688 |
| Provider Name | Cynthia L Suplinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164959680 PECOS PAC ID: 2163799172 Enrollment ID: I20170523001704 |
| Provider Name | Adrienne Maria Laury |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124260351 PECOS PAC ID: 1153698097 Enrollment ID: I20170525001285 |
| Provider Name | Alyssa M Olp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619405198 PECOS PAC ID: 7315216546 Enrollment ID: I20170703001079 |
| Provider Name | Jessica L Burkett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770011256 PECOS PAC ID: 3678842812 Enrollment ID: I20170703001603 |
| Provider Name | Michael K Schumacher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023548088 PECOS PAC ID: 1658641253 Enrollment ID: I20170713003396 |
| Provider Name | Daniel J Verhagen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497285480 PECOS PAC ID: 9133499783 Enrollment ID: I20170714001184 |
| Provider Name | Trisha Marie Boldt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316474893 PECOS PAC ID: 8022388537 Enrollment ID: I20170717001240 |
| Provider Name | Andrew R Rosik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710415799 PECOS PAC ID: 2365712650 Enrollment ID: I20170719001879 |
| Provider Name | Sarah C Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285051250 PECOS PAC ID: 5092003608 Enrollment ID: I20170728002403 |
| Provider Name | Britain A O'connor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609281765 PECOS PAC ID: 9638476229 Enrollment ID: I20170801001403 |
| Provider Name | Jeremy T Knoble |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1134650443 PECOS PAC ID: 5294006037 Enrollment ID: I20170811002582 |
| Provider Name | Kristen Selleck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508305533 PECOS PAC ID: 4688945439 Enrollment ID: I20170812000173 |
| Provider Name | Robert Bentley Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326021288 PECOS PAC ID: 0547204216 Enrollment ID: I20170817001980 |
| Provider Name | Nathan Kaufman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992143028 PECOS PAC ID: 5698085264 Enrollment ID: I20170822003810 |
| Provider Name | Brea A Sorge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518480052 PECOS PAC ID: 0244503191 Enrollment ID: I20170829002093 |
| Provider Name | Ivy Marie Vachon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992119606 PECOS PAC ID: 1557588274 Enrollment ID: I20170830003489 |
| Provider Name | Alexandria M Caelwaerts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184149965 PECOS PAC ID: 6800169285 Enrollment ID: I20170906003535 |
| Provider Name | Amber L Kornely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942725825 PECOS PAC ID: 3779857230 Enrollment ID: I20170921001946 |
| Provider Name | Jani L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841714979 PECOS PAC ID: 9335413616 Enrollment ID: I20170926001018 |
| Provider Name | Kelly A Mathes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427462985 PECOS PAC ID: 2769608017 Enrollment ID: I20170927002424 |
| Provider Name | Maria L Boeck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497273163 PECOS PAC ID: 2769756816 Enrollment ID: I20170928000021 |
| Provider Name | Phillip M Birdsall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376062661 PECOS PAC ID: 4789959008 Enrollment ID: I20171011003714 |
| Provider Name | Kerry L Bayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275927923 PECOS PAC ID: 1153632757 Enrollment ID: I20171018000633 |
| Provider Name | Laura J Charney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215446356 PECOS PAC ID: 8729354535 Enrollment ID: I20171024000000 |
| Provider Name | Jill Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871883926 PECOS PAC ID: 8224357736 Enrollment ID: I20171106000252 |
| Provider Name | Megan J Kees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871004689 PECOS PAC ID: 7517223365 Enrollment ID: I20171109003617 |
| Provider Name | Justin D Miller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134142185 PECOS PAC ID: 1153455886 Enrollment ID: I20171120001869 |
| Provider Name | Shirley M Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063922268 PECOS PAC ID: 9931466091 Enrollment ID: I20171127002889 |
| Provider Name | Olena V Wiedemeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710402714 PECOS PAC ID: 4082971122 Enrollment ID: I20171128003402 |
| Provider Name | Molly Beth Hohol |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871011569 PECOS PAC ID: 1456618479 Enrollment ID: I20171129003634 |
| Provider Name | Victoria M Mcmeen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548238850 PECOS PAC ID: 9032141361 Enrollment ID: I20171211002929 |
| Provider Name | Douglas Todd Laluzerne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992978027 PECOS PAC ID: 5294093555 Enrollment ID: I20171215000312 |
| Provider Name | Zachary Pj Mestelle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134651441 PECOS PAC ID: 0648538512 Enrollment ID: I20171222000987 |
| Provider Name | Jacqueline Marie Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861926396 PECOS PAC ID: 5294093977 Enrollment ID: I20180102000229 |
| Provider Name | Dena K Edmunds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740248079 PECOS PAC ID: 1153366521 Enrollment ID: I20180105000366 |
| Provider Name | Kristen Leigh Kosman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790917664 PECOS PAC ID: 3779843644 Enrollment ID: I20180214001792 |
| Provider Name | Emily Hope Kubisiak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972013985 PECOS PAC ID: 6103187786 Enrollment ID: I20180222000140 |
| Provider Name | Anthony M Gloudemans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518366756 PECOS PAC ID: 6305107459 Enrollment ID: I20180306001257 |
| Provider Name | Shefali D. Majmudar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982876751 PECOS PAC ID: 1850459660 Enrollment ID: I20180315001722 |
| Provider Name | Sarah Jean Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831639467 PECOS PAC ID: 4789961640 Enrollment ID: I20180329000858 |
| Provider Name | Daniel J Roenz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558860205 PECOS PAC ID: 0042573578 Enrollment ID: I20180417000118 |
| Provider Name | Molly R Gill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831692219 PECOS PAC ID: 7618230996 Enrollment ID: I20180419001689 |
| Provider Name | Ashley Marie Weiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548769383 PECOS PAC ID: 2769747468 Enrollment ID: I20180530001763 |
| Provider Name | Brittany Jaye Depietropaolo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649784125 PECOS PAC ID: 1759646342 Enrollment ID: I20180601000174 |
| Provider Name | Becky Schmechel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780049882 PECOS PAC ID: 2567727043 Enrollment ID: I20180604002565 |
| Provider Name | Meenakshi Devi Palani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669631099 PECOS PAC ID: 7911153978 Enrollment ID: I20180607000796 |
| Provider Name | Alex N Smithback |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013407915 PECOS PAC ID: 4880949049 Enrollment ID: I20180612002915 |
| Provider Name | Kweku D Arko-gilbert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649773813 PECOS PAC ID: 4082969126 Enrollment ID: I20180614000224 |
| Provider Name | Daniel A Sturgill |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922341189 PECOS PAC ID: 7911226378 Enrollment ID: I20180614000410 |
| Provider Name | Nicole C Buss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568952604 PECOS PAC ID: 7416202262 Enrollment ID: I20180619000984 |
| Provider Name | Theresa W Ruddy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841491099 PECOS PAC ID: 4082704572 Enrollment ID: I20180629000029 |
| Provider Name | Kimberley R Kessenich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851884340 PECOS PAC ID: 0143576272 Enrollment ID: I20180703001969 |
| Provider Name | Shaneli A Fernando |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508811654 PECOS PAC ID: 4688687536 Enrollment ID: I20180724002228 |
| Provider Name | Dylan A Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386146082 PECOS PAC ID: 4183973720 Enrollment ID: I20180815002454 |
| Provider Name | Hemal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245626522 PECOS PAC ID: 2860741006 Enrollment ID: I20180821001282 |
| Provider Name | Melissa G Mccadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881170231 PECOS PAC ID: 9335499789 Enrollment ID: I20180905001447 |
| Provider Name | Nicholas Edward Coorough |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689010118 PECOS PAC ID: 4385967298 Enrollment ID: I20180906002468 |
| Provider Name | Johannie Keith Y Uy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154736056 PECOS PAC ID: 4183996606 Enrollment ID: I20180911001298 |
| Provider Name | Megan A Cassai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508354903 PECOS PAC ID: 9830449842 Enrollment ID: I20180912000523 |
| Provider Name | Katherine Mary Vander Zanden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639655491 PECOS PAC ID: 5698025666 Enrollment ID: I20180912003069 |
| Provider Name | Erin M Zerbst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487130472 PECOS PAC ID: 1254682982 Enrollment ID: I20180919003176 |
| Provider Name | Jennifer Morris Rhode |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1992735534 PECOS PAC ID: 3476555715 Enrollment ID: I20180920000523 |
| Provider Name | Joshua D Case |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750608121 PECOS PAC ID: 7719105881 Enrollment ID: I20180925000637 |
| Provider Name | Cassandra M Motkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114403102 PECOS PAC ID: 9537410576 Enrollment ID: I20181001002677 |
| Provider Name | Andrew D Kausak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558843128 PECOS PAC ID: 4587916549 Enrollment ID: I20181003000616 |
| Provider Name | Joseph T Donohue |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902974850 PECOS PAC ID: 1759475361 Enrollment ID: I20181003001075 |
| Provider Name | Brittany A Nor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609354513 PECOS PAC ID: 7517219710 Enrollment ID: I20181017000940 |
| Provider Name | Sherry Lee Rieben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124508213 PECOS PAC ID: 3375895410 Enrollment ID: I20181017003015 |
| Provider Name | Erin C Stillmank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265918031 PECOS PAC ID: 7618220641 Enrollment ID: I20181022001583 |
| Provider Name | Jennah A.l. Haque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902391410 PECOS PAC ID: 2163775909 Enrollment ID: I20181025000912 |
| Provider Name | Lori R Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265919294 PECOS PAC ID: 9436402005 Enrollment ID: I20181029001410 |
| Provider Name | Hoda K Elzawahry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972791002 PECOS PAC ID: 4183751241 Enrollment ID: I20181218001546 |
| Provider Name | Tanya Mae Sievert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083181739 PECOS PAC ID: 4183969298 Enrollment ID: I20181218002495 |
| Provider Name | Brandon S Kroeger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396211231 PECOS PAC ID: 5799020566 Enrollment ID: I20181226000089 |
| Provider Name | Katie L Boehm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942728001 PECOS PAC ID: 1456698992 Enrollment ID: I20190123000123 |
| Provider Name | Marcus A Boehm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356869416 PECOS PAC ID: 0143567693 Enrollment ID: I20190123000233 |
| Provider Name | Sara L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699062042 PECOS PAC ID: 2860730942 Enrollment ID: I20190215000083 |
| Provider Name | Matthew J Kolonich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821560996 PECOS PAC ID: 5991043838 Enrollment ID: I20190219000823 |
| Provider Name | Kelly A Foust |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376014266 PECOS PAC ID: 7618216128 Enrollment ID: I20190228000233 |
| Provider Name | Britny L Babler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174089528 PECOS PAC ID: 0547509812 Enrollment ID: I20190304001815 |
| Provider Name | Mary R Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114481942 PECOS PAC ID: 5395084933 Enrollment ID: I20190313001665 |
| Provider Name | Cori M Thayse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922562164 PECOS PAC ID: 3870833460 Enrollment ID: I20190318002458 |
| Provider Name | Kimberly J Schumacher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285076943 PECOS PAC ID: 9537301676 Enrollment ID: I20190320003317 |
| Provider Name | Heather J Piotrowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871050427 PECOS PAC ID: 7214277466 Enrollment ID: I20190326000407 |
| Provider Name | Abigail N Good |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073075503 PECOS PAC ID: 6901147016 Enrollment ID: I20190417001717 |
| Provider Name | Dean Weycker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366908923 PECOS PAC ID: 5890037444 Enrollment ID: I20190430002219 |
| Provider Name | Christina M. Burch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619902392 PECOS PAC ID: 8921159898 Enrollment ID: I20190626004012 |
| Provider Name | Casey M Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437715596 PECOS PAC ID: 5193059913 Enrollment ID: I20190628000516 |
| Provider Name | David A Rader |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699334326 PECOS PAC ID: 8527392174 Enrollment ID: I20190702000335 |
| Provider Name | April Zalika Shepherd |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1891046033 PECOS PAC ID: 4284923210 Enrollment ID: I20190705000176 |
| Provider Name | Torri L Pulley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871155879 PECOS PAC ID: 4688909054 Enrollment ID: I20190709000508 |
| Provider Name | Tuhina Raman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760680318 PECOS PAC ID: 3375628712 Enrollment ID: I20190723001049 |
| Provider Name | Michelle R Schumann |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598317265 PECOS PAC ID: 1254667652 Enrollment ID: I20190723002248 |
| Provider Name | Benjamin M Pike |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639614902 PECOS PAC ID: 5496030256 Enrollment ID: I20190724002054 |
| Provider Name | Laura Ann Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407267206 PECOS PAC ID: 1052628500 Enrollment ID: I20190729000688 |
| Provider Name | Jacob E Lanzendorf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972157840 PECOS PAC ID: 4385971472 Enrollment ID: I20190813000519 |
| Provider Name | Hannah Lea Alsteen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649823881 PECOS PAC ID: 0749517720 Enrollment ID: I20190814000867 |
| Provider Name | Angela A Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770135725 PECOS PAC ID: 7416285010 Enrollment ID: I20190820004102 |
| Provider Name | Hilary Anne Hetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992350870 PECOS PAC ID: 0941538466 Enrollment ID: I20190822000008 |
| Provider Name | Taylor A Londo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639543150 PECOS PAC ID: 1153659693 Enrollment ID: I20190822000786 |
| Provider Name | Jordan Albert Schulz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255985842 PECOS PAC ID: 7416286596 Enrollment ID: I20190916001411 |
| Provider Name | Briana Louise Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881243285 PECOS PAC ID: 0244561330 Enrollment ID: I20191003000975 |
| Provider Name | Caralynn E Andrus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982253647 PECOS PAC ID: 3870824972 Enrollment ID: I20191003001585 |
| Provider Name | Heather Rae Fochesato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821482795 PECOS PAC ID: 1052629193 Enrollment ID: I20191004002778 |
| Provider Name | Matthew Paul Buch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891346672 PECOS PAC ID: 6103157300 Enrollment ID: I20191018000619 |
| Provider Name | Rachel R Fischer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033760749 PECOS PAC ID: 5799017687 Enrollment ID: I20191025001256 |
| Provider Name | Ashley M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407405012 PECOS PAC ID: 5395177430 Enrollment ID: I20191112001168 |
| Provider Name | Renee R Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174168710 PECOS PAC ID: 2466884317 Enrollment ID: I20191114000224 |
| Provider Name | Mark A Welnick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255698221 PECOS PAC ID: 2769771138 Enrollment ID: I20191114000378 |
| Provider Name | Heather Jean Bevers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225686330 PECOS PAC ID: 7517399215 Enrollment ID: I20191119001232 |
| Provider Name | Mallory H Baerenwald |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548804370 PECOS PAC ID: 5597199224 Enrollment ID: I20200106000293 |
| Provider Name | Stephen Robert Seifert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841834678 PECOS PAC ID: 7810322120 Enrollment ID: I20200115000073 |
| Provider Name | Syphay Vongkhamchanh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598305393 PECOS PAC ID: 9335574383 Enrollment ID: I20200121001490 |
| Provider Name | Katherine A Nier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760012876 PECOS PAC ID: 3072949676 Enrollment ID: I20200129003005 |
| Provider Name | Krystina L Putnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083245120 PECOS PAC ID: 1355777368 Enrollment ID: I20200212000174 |
| Provider Name | Alexa Rose Wistenberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457982910 PECOS PAC ID: 2567898422 Enrollment ID: I20200212002345 |
| Provider Name | Rachel Nicole Shimek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326588468 PECOS PAC ID: 7810258290 Enrollment ID: I20200214000386 |
| Provider Name | Stacie Marie Zdroik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326565334 PECOS PAC ID: 3072940832 Enrollment ID: I20200218000675 |
| Provider Name | Katelyn M Skelley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962942680 PECOS PAC ID: 7618304932 Enrollment ID: I20200227000281 |
| Provider Name | Shannon M Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649567751 PECOS PAC ID: 3375971435 Enrollment ID: I20200324000998 |
| Provider Name | Libby Rae White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255717351 PECOS PAC ID: 6608206883 Enrollment ID: I20200501000671 |
| Provider Name | Daniel Robert Beacher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942628466 PECOS PAC ID: 3678866191 Enrollment ID: I20200518003126 |
| Provider Name | Ashley Elizabeth Mijal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831711860 PECOS PAC ID: 4284055138 Enrollment ID: I20200601001062 |
| Provider Name | Heather Bell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881758563 PECOS PAC ID: 1456402809 Enrollment ID: I20200601002154 |
| Provider Name | Alay Mansurov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033592035 PECOS PAC ID: 5092003632 Enrollment ID: I20200610000063 |
| Provider Name | David Ruta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326369190 PECOS PAC ID: 1052540879 Enrollment ID: I20200611003035 |
| Provider Name | Robyn W Lauritsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164045092 PECOS PAC ID: 2365867991 Enrollment ID: I20200730000299 |
| Provider Name | Nicholas Anthony Poponea |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538579776 PECOS PAC ID: 5092935163 Enrollment ID: I20200805000199 |
| Provider Name | Jacob P Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922528801 PECOS PAC ID: 8729352141 Enrollment ID: I20200806002281 |
| Provider Name | Dayna Elizabeth Schneider |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376151951 PECOS PAC ID: 0143646935 Enrollment ID: I20200811001679 |
| Provider Name | Katherine M Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730704420 PECOS PAC ID: 3274959150 Enrollment ID: I20200824000619 |
| Provider Name | Allison Mary Birschbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790394666 PECOS PAC ID: 9931526456 Enrollment ID: I20200828002696 |
| Provider Name | Hazel Ann Mathes |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689028243 PECOS PAC ID: 5799072161 Enrollment ID: I20200831001090 |
| Provider Name | Nicole Mary Beine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861952939 PECOS PAC ID: 4587998653 Enrollment ID: I20200902000624 |
| Provider Name | Christopher J Beardsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417561937 PECOS PAC ID: 7719305481 Enrollment ID: I20200911001057 |
| Provider Name | Sarah A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306468426 PECOS PAC ID: 9638597339 Enrollment ID: I20200911002255 |
| Provider Name | Samantha Kapphahn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548420904 PECOS PAC ID: 0345483384 Enrollment ID: I20200922002754 |
| Provider Name | Haley A Steffanus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730790577 PECOS PAC ID: 0143649236 Enrollment ID: I20200923000082 |
| Provider Name | Kevin H Shepet |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467867754 PECOS PAC ID: 2567764368 Enrollment ID: I20200924000401 |
| Provider Name | Chase A Nier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306463716 PECOS PAC ID: 7315366721 Enrollment ID: I20201005002253 |
| Provider Name | Lindsay M Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942736020 PECOS PAC ID: 6507286580 Enrollment ID: I20201013000889 |
| Provider Name | Ryan D Kuefler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902210925 PECOS PAC ID: 1456577519 Enrollment ID: I20201031000010 |
| Provider Name | Caycie N Wintjes Bray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447858857 PECOS PAC ID: 7214347236 Enrollment ID: I20201103001577 |
| Provider Name | Michael Derek Vaughn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427476969 PECOS PAC ID: 3577855337 Enrollment ID: I20201109001122 |
| Provider Name | Michelle Lee Koehler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730310079 PECOS PAC ID: 6709297245 Enrollment ID: I20201204001091 |
| Provider Name | Taylor Rae Rotherham-decremer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427689074 PECOS PAC ID: 2961813449 Enrollment ID: I20201205000001 |
| Provider Name | Ashley M Stueber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154789345 PECOS PAC ID: 8022420991 Enrollment ID: I20201217001043 |
| Provider Name | Brad M Freeborn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083239487 PECOS PAC ID: 3971915760 Enrollment ID: I20201221001054 |
| Provider Name | Shannon Lynn Frye |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508460577 PECOS PAC ID: 4981016797 Enrollment ID: I20201221001533 |
| Provider Name | Cassandra R Krueger |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1255941746 PECOS PAC ID: 9234542804 Enrollment ID: I20201229001448 |
| Provider Name | Erin Christine Paschke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902423320 PECOS PAC ID: 5799198032 Enrollment ID: I20210106001287 |
| Provider Name | Eric W Erdmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518116292 PECOS PAC ID: 5294148532 Enrollment ID: I20210106001538 |
| Provider Name | Lydia Ann Ambrosius |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700489796 PECOS PAC ID: 2264845411 Enrollment ID: I20210106002267 |
| Provider Name | Nikki Lee Leow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326645029 PECOS PAC ID: 1850704099 Enrollment ID: I20210108000322 |
| Provider Name | Jason M Ricci |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750596466 PECOS PAC ID: 9830367523 Enrollment ID: I20210108001900 |
| Provider Name | Meghan Jon Freund |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811301831 PECOS PAC ID: 1456577527 Enrollment ID: I20210120000784 |
| Provider Name | Abigail R Laplant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447855002 PECOS PAC ID: 2466866033 Enrollment ID: I20210122002438 |
| Provider Name | Kelly S Flack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720601297 PECOS PAC ID: 3971917345 Enrollment ID: I20210126000964 |
| Provider Name | Neesha Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033539838 PECOS PAC ID: 9830412675 Enrollment ID: I20210205002458 |
| Provider Name | Cori Elizabeth Borg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932728177 PECOS PAC ID: 9931514304 Enrollment ID: I20210217000228 |
| Provider Name | Rita A Selke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649472580 PECOS PAC ID: 4486836814 Enrollment ID: I20210329001893 |
| Provider Name | Angela M Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548850746 PECOS PAC ID: 3375952476 Enrollment ID: I20210430001255 |
| Provider Name | Cynthia A Laluzerne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063091171 PECOS PAC ID: 4789093634 Enrollment ID: I20210506000867 |
| Provider Name | Nylene Brittain |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356688493 PECOS PAC ID: 0042430043 Enrollment ID: I20210513001452 |
| Provider Name | Christopher M Mager |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407084478 PECOS PAC ID: 3678737913 Enrollment ID: I20210517001602 |
| Provider Name | Francis J Kaszuba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710940275 PECOS PAC ID: 2264431311 Enrollment ID: I20210520001393 |
| Provider Name | Kathleen S Wangerin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619573102 PECOS PAC ID: 5496154130 Enrollment ID: I20210528001029 |
| Provider Name | Jenna M Splan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518533868 PECOS PAC ID: 5890195002 Enrollment ID: I20210609002751 |
| Provider Name | Eric Daniel Bevers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932782083 PECOS PAC ID: 2860892940 Enrollment ID: I20210610002288 |
| Provider Name | Eric Marcus Paulos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407401912 PECOS PAC ID: 0446580450 Enrollment ID: I20210615002753 |
| Provider Name | Karlee A Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093382814 PECOS PAC ID: 7416357942 Enrollment ID: I20210621001261 |
| Provider Name | Tchaiko Parris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467630954 PECOS PAC ID: 5092983247 Enrollment ID: I20210625001709 |
| Provider Name | Brian J Walsh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851373823 PECOS PAC ID: 9436158060 Enrollment ID: I20210630004201 |
| Provider Name | Jordan Christine Whipple |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194396036 PECOS PAC ID: 3577965375 Enrollment ID: I20210716000339 |
| Provider Name | Tyion Ansil Torres |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093191611 PECOS PAC ID: 3678976149 Enrollment ID: I20210721001002 |
| Provider Name | Srinandan Guntupalli |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538543780 PECOS PAC ID: 8729372545 Enrollment ID: I20210721002815 |
| Provider Name | Sarah Margaret Tittman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942654405 PECOS PAC ID: 4284927484 Enrollment ID: I20210722003262 |
| Provider Name | Anna Catherine Flottmeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336769496 PECOS PAC ID: 7113320466 Enrollment ID: I20210723000822 |
| Provider Name | Christina Marie Skalecki |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437307923 PECOS PAC ID: 0345643417 Enrollment ID: I20210727002222 |
| Provider Name | Stephanie Ann Kamstra |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992377170 PECOS PAC ID: 0547663536 Enrollment ID: I20210728003062 |
| Provider Name | Tarek Jazmati |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528440690 PECOS PAC ID: 4385069137 Enrollment ID: I20210810001520 |
| Provider Name | Megan G Bisson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184297632 PECOS PAC ID: 6709280951 Enrollment ID: I20210810001661 |
| Provider Name | Matthew Scott Weinhold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326711045 PECOS PAC ID: 8123422219 Enrollment ID: I20210811003461 |
| Provider Name | Simone R Warrack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982198644 PECOS PAC ID: 2264783646 Enrollment ID: I20210812000556 |
| Provider Name | Buck J Darley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336790492 PECOS PAC ID: 9234565268 Enrollment ID: I20210813000476 |
| Provider Name | Megan Miles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649710286 PECOS PAC ID: 1759786403 Enrollment ID: I20210819000181 |
| Provider Name | Cynthia Jane Bieda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316518533 PECOS PAC ID: 2365847993 Enrollment ID: I20210820000076 |
| Provider Name | Stephanie Ann Becken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902478910 PECOS PAC ID: 8224433719 Enrollment ID: I20210820003151 |
| Provider Name | Rachel Kendra Atherton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952891822 PECOS PAC ID: 3577819796 Enrollment ID: I20210823000333 |
| Provider Name | Natalie Dianne Mercier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437722469 PECOS PAC ID: 3173929189 Enrollment ID: I20210831000029 |
| Provider Name | Ashley E Verhasselt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467983015 PECOS PAC ID: 1658604152 Enrollment ID: I20210907000033 |
| Provider Name | Margaret Little |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1245844604 PECOS PAC ID: 1850710690 Enrollment ID: I20210917000196 |
| Provider Name | Inderjote Singh Kathuria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689786311 PECOS PAC ID: 7416090261 Enrollment ID: I20210920003513 |
| Provider Name | Kristen Scott Forstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164095139 PECOS PAC ID: 2062697329 Enrollment ID: I20211008000517 |
| Provider Name | Allison Nazinitsky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922324011 PECOS PAC ID: 5092020313 Enrollment ID: I20211012002249 |
| Provider Name | Royland Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740464882 PECOS PAC ID: 3870662125 Enrollment ID: I20211012002696 |
| Provider Name | Brittanie Rae Pinter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487327110 PECOS PAC ID: 1850799230 Enrollment ID: I20211015000914 |
| Provider Name | Rudolph Francis Evonich |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205909967 PECOS PAC ID: 9537269055 Enrollment ID: I20211018000695 |
| Provider Name | Aubree Rae Bruhnding |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093169773 PECOS PAC ID: 6901191071 Enrollment ID: I20211019002969 |
| Provider Name | Christine Margaret Rattin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396844700 PECOS PAC ID: 0840261178 Enrollment ID: I20211027000412 |
| Provider Name | Alex Jonathan Green |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1417610270 PECOS PAC ID: 2163810912 Enrollment ID: I20211027001150 |
| Provider Name | Steven Ho |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1003579871 PECOS PAC ID: 9638567464 Enrollment ID: I20211028001337 |
| Provider Name | Amanda M Kilgore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154085504 PECOS PAC ID: 4880082445 Enrollment ID: I20211101001654 |
| Provider Name | Anne Marie Rainsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285304014 PECOS PAC ID: 2567851900 Enrollment ID: I20211105000822 |
| Provider Name | Kyla Sharon Balzar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487316006 PECOS PAC ID: 7618366782 Enrollment ID: I20211110002215 |
| Provider Name | Nicole D Zunker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104580075 PECOS PAC ID: 2860881836 Enrollment ID: I20211112000392 |
| Provider Name | Kayla E Prosser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356006902 PECOS PAC ID: 8022408244 Enrollment ID: I20211202001225 |
| Provider Name | Rhonda Lynn Cumicek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285929570 PECOS PAC ID: 2668862368 Enrollment ID: I20211213002070 |
| Provider Name | Mckenna Patricia Larsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871251835 PECOS PAC ID: 6901297530 Enrollment ID: I20211215001726 |
| Provider Name | Janyne Althaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033119698 PECOS PAC ID: 1951330075 Enrollment ID: I20211216000839 |
| Provider Name | Aaron J Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366107617 PECOS PAC ID: 6204227390 Enrollment ID: I20211228001247 |
| Provider Name | Anand V Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003133315 PECOS PAC ID: 0244456036 Enrollment ID: I20220114000855 |
| Provider Name | Allison Marie Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285306035 PECOS PAC ID: 8123410388 Enrollment ID: I20220120000183 |
| Provider Name | Julie M Olzak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972254993 PECOS PAC ID: 7719379833 Enrollment ID: I20220124001711 |
| Provider Name | Brennan Elizabeth Rhea |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1427700715 PECOS PAC ID: 5991198608 Enrollment ID: I20220201002227 |
| Provider Name | Andrew Russell Kost |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1033861729 PECOS PAC ID: 8022401736 Enrollment ID: I20220201002412 |
| Provider Name | Lindy M Watson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578933974 PECOS PAC ID: 2860885241 Enrollment ID: I20220207002348 |
| Provider Name | Kenten Pey-kuen Wang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013998186 PECOS PAC ID: 7618162256 Enrollment ID: I20220215002087 |
| Provider Name | Daniel Vaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356950190 PECOS PAC ID: 0244623189 Enrollment ID: I20220217000214 |
| Provider Name | Kendra L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083377386 PECOS PAC ID: 7214321827 Enrollment ID: I20220224002064 |
| Provider Name | Brock Joseph Grenier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407501497 PECOS PAC ID: 8628462009 Enrollment ID: I20220301000748 |
| Provider Name | Brooke Alison Ferguson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447603790 PECOS PAC ID: 6204169212 Enrollment ID: I20220304000823 |
| Provider Name | Thea J Aguon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285382556 PECOS PAC ID: 5193110500 Enrollment ID: I20220322002386 |
| Provider Name | Abdalhamid F Al Harash |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962790618 PECOS PAC ID: 4789809120 Enrollment ID: I20220322002607 |
| Provider Name | Carrianne Taicher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851047583 PECOS PAC ID: 6901292010 Enrollment ID: I20220329001696 |
| Provider Name | Sushma Manda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558524603 PECOS PAC ID: 7113051392 Enrollment ID: I20220407002493 |
| Provider Name | Srivadee Oravivattanakul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306097084 PECOS PAC ID: 4385862333 Enrollment ID: I20220408001277 |
| Provider Name | Kruthika Shanmugam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811349822 PECOS PAC ID: 8921385865 Enrollment ID: I20220408001481 |
| Provider Name | Jaclyn M Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609542620 PECOS PAC ID: 0941696124 Enrollment ID: I20220416000232 |
| Provider Name | Milton C Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811907306 PECOS PAC ID: 9133280795 Enrollment ID: I20220419002611 |
| Provider Name | Rebecca Yelle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245646645 PECOS PAC ID: 4486041803 Enrollment ID: I20220503001258 |
| Provider Name | Nicole Marie Madalinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952879025 PECOS PAC ID: 9032454079 Enrollment ID: I20220516001766 |
| Provider Name | Denise Susan Coppock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720723646 PECOS PAC ID: 7618354481 Enrollment ID: I20220517000669 |
| Provider Name | Kennedy M Spang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659018240 PECOS PAC ID: 2163800418 Enrollment ID: I20220527002050 |
| Provider Name | Megan Leona Swan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841938453 PECOS PAC ID: 6305224122 Enrollment ID: I20220607003437 |
| Provider Name | Sarah Marie Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184373383 PECOS PAC ID: 8426437625 Enrollment ID: I20220617001939 |
| Provider Name | Triton J Krizenesky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962063834 PECOS PAC ID: 9830423375 Enrollment ID: I20220701001057 |
| Provider Name | Qiang Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548756968 PECOS PAC ID: 9638416662 Enrollment ID: I20220715000729 |
| Provider Name | Colleen Elizabeth Nowak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427339860 PECOS PAC ID: 9830570233 Enrollment ID: I20220716000310 |
| Provider Name | Brooke Katherine Dietsche |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235692781 PECOS PAC ID: 9133500309 Enrollment ID: I20220719002495 |
| Provider Name | Marne Marie Sterzing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972249399 PECOS PAC ID: 5799166880 Enrollment ID: I20220720003704 |
| Provider Name | Chetana R Pendkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629525175 PECOS PAC ID: 6103161187 Enrollment ID: I20220801000643 |
| Provider Name | Ashley Lucille Dudka |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346981453 PECOS PAC ID: 6507248838 Enrollment ID: I20220803002906 |
| Provider Name | Ramya Sudha Gorthi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578946455 PECOS PAC ID: 3072805225 Enrollment ID: I20220808000326 |
| Provider Name | Amy Lynn Roby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386379337 PECOS PAC ID: 0840672804 Enrollment ID: I20220808001315 |
| Provider Name | Ryan Michael Berns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790272839 PECOS PAC ID: 2264787837 Enrollment ID: I20220809003713 |
| Provider Name | Katie Lyn Kirchman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184350589 PECOS PAC ID: 7719360403 Enrollment ID: I20220812001106 |
| Provider Name | Alexander Lee Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013641604 PECOS PAC ID: 7416330097 Enrollment ID: I20220815001175 |
| Provider Name | Mushtaq Qureshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811352396 PECOS PAC ID: 2365871910 Enrollment ID: I20220816001178 |
| Provider Name | Matthew Kyle Rafn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922494285 PECOS PAC ID: 8921318130 Enrollment ID: I20220816002163 |
| Provider Name | Cali R Luecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699409524 PECOS PAC ID: 0749663862 Enrollment ID: I20220822002894 |
| Provider Name | Lauren Marie Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750018198 PECOS PAC ID: 9931582012 Enrollment ID: I20220823001640 |
| Provider Name | Holly Kathleen Condie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033843248 PECOS PAC ID: 3577947464 Enrollment ID: I20220825003756 |
| Provider Name | Bradley Thomas Gietman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477088284 PECOS PAC ID: 5395015325 Enrollment ID: I20220826002468 |
| Provider Name | Amanda M Charniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114653367 PECOS PAC ID: 3173907904 Enrollment ID: I20220829001588 |
| Provider Name | Benjamin James Ebben |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902260060 PECOS PAC ID: 6901198977 Enrollment ID: I20220902002797 |
| Provider Name | Brianna M Schnese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508594714 PECOS PAC ID: 5799169991 Enrollment ID: I20220907003862 |
| Provider Name | Venkata S Adavikolanu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568804078 PECOS PAC ID: 5799063772 Enrollment ID: I20220908000211 |
| Provider Name | Dhara Digant Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174907711 PECOS PAC ID: 7214229277 Enrollment ID: I20220908002366 |
| Provider Name | Matthew Braun Kaspar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275853319 PECOS PAC ID: 5294976130 Enrollment ID: I20220912000311 |
| Provider Name | Timothy S Lautenslager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982340626 PECOS PAC ID: 9638554652 Enrollment ID: I20220912002477 |
| Provider Name | Jeremy Michael Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811623549 PECOS PAC ID: 1658756200 Enrollment ID: I20220916002905 |
| Provider Name | Kay Susan Baranczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073246138 PECOS PAC ID: 5698141943 Enrollment ID: I20221012001281 |
| Provider Name | Rachel Ann Lohrengel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073238424 PECOS PAC ID: 0941676555 Enrollment ID: I20221024001701 |
| Provider Name | Kimberly Michelle Maxson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386288132 PECOS PAC ID: 2860827474 Enrollment ID: I20221027002305 |
| Provider Name | Elizabeth Ann Schnepf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861116980 PECOS PAC ID: 6305213653 Enrollment ID: I20221031000930 |
| Provider Name | Ashley Rose Krepline |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841914306 PECOS PAC ID: 0244607398 Enrollment ID: I20221103000254 |
| Provider Name | Amy Lee Mathison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134845464 PECOS PAC ID: 8426425281 Enrollment ID: I20221108000531 |
| Provider Name | Molly Jean Kujawa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669005179 PECOS PAC ID: 1850728775 Enrollment ID: I20221108001195 |
| Provider Name | Traci Lyn Morse |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720495773 PECOS PAC ID: 9133596877 Enrollment ID: I20221109000809 |
| Provider Name | Namratta S Burmeister |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336634625 PECOS PAC ID: 6103172077 Enrollment ID: I20221115001896 |
| Provider Name | Janelle J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720341423 PECOS PAC ID: 2567783244 Enrollment ID: I20221123000524 |
| Provider Name | Nicole L Linder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700871159 PECOS PAC ID: 9335178698 Enrollment ID: I20221207000878 |
| Provider Name | Kristina Ann Mortell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376251405 PECOS PAC ID: 4789053125 Enrollment ID: I20221207001572 |
| Provider Name | Benjamin Mark Villwock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194434167 PECOS PAC ID: 6103295845 Enrollment ID: I20221220000072 |
| Provider Name | Leslie Jacob Benny |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780002717 PECOS PAC ID: 2163791500 Enrollment ID: I20230111001539 |
| Provider Name | Nicole Jo Motkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801505490 PECOS PAC ID: 1254702095 Enrollment ID: I20230113001981 |
| Provider Name | Mark Alan Schomogyi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407848559 PECOS PAC ID: 6709885403 Enrollment ID: I20230117002286 |
| Provider Name | Gina Leigh Herman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669039103 PECOS PAC ID: 3173994738 Enrollment ID: I20230119001167 |
| Provider Name | Dena J Nowotny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275246365 PECOS PAC ID: 1951772219 Enrollment ID: I20230124001800 |
| Provider Name | Frinwei Zita Taminang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073226460 PECOS PAC ID: 3678945409 Enrollment ID: I20230203002244 |
| Provider Name | Danna A Derenne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881320760 PECOS PAC ID: 3779955687 Enrollment ID: I20230210000001 |
| Provider Name | Gail Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710958558 PECOS PAC ID: 9638140940 Enrollment ID: I20230210001351 |
| Provider Name | Malcolm Richard Driessen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316480908 PECOS PAC ID: 1153701081 Enrollment ID: I20230224000999 |
| Provider Name | Aaron Jeffrey Lautenschlager |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588097281 PECOS PAC ID: 7719350354 Enrollment ID: I20230302001482 |
| Provider Name | Jessica Anne Isaacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588366587 PECOS PAC ID: 3678947066 Enrollment ID: I20230404000616 |
| Provider Name | Corinne Elizabeth Mcinnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003521584 PECOS PAC ID: 1850766759 Enrollment ID: I20230406001549 |
| Provider Name | Kristofer Michael Dosh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790999092 PECOS PAC ID: 4385814110 Enrollment ID: I20230417001546 |
| Provider Name | Talia Lyn Nennig |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861013989 PECOS PAC ID: 8022483411 Enrollment ID: I20230418000490 |
| Provider Name | Matthew Neerdaels |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1225723463 PECOS PAC ID: 2466817713 Enrollment ID: I20230420002227 |
| Provider Name | James M Glenn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336143320 PECOS PAC ID: 8628151727 Enrollment ID: I20230426001595 |
| Provider Name | Tyler J Burton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326542580 PECOS PAC ID: 8729443635 Enrollment ID: I20230428000624 |
| Provider Name | Alisha R Anschutz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962197863 PECOS PAC ID: 2466817119 Enrollment ID: I20230502000945 |
| Provider Name | Dennis John Beck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821091539 PECOS PAC ID: 0345389656 Enrollment ID: I20230504001044 |
| Provider Name | Megan Joy Plamann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366791287 PECOS PAC ID: 0143686386 Enrollment ID: I20230515000946 |
| Provider Name | Brook Leigh Ronsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154091189 PECOS PAC ID: 5698131266 Enrollment ID: I20230524001853 |
| Provider Name | Coral A Thomson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386336022 PECOS PAC ID: 4183081334 Enrollment ID: I20230605000964 |
| Provider Name | Samantha Jo Casper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770275331 PECOS PAC ID: 7719344506 Enrollment ID: I20230609002022 |
| Provider Name | Seth Daniel Majerus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922791185 PECOS PAC ID: 8022475680 Enrollment ID: I20230613001991 |
| Provider Name | Brian David Zahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477246676 PECOS PAC ID: 9739547373 Enrollment ID: I20230614001512 |
| Provider Name | Brandon Michael Puser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164092177 PECOS PAC ID: 8325406861 Enrollment ID: I20230615001857 |
| Provider Name | Anne Marie Majerus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669166385 PECOS PAC ID: 2860850278 Enrollment ID: I20230616001191 |
| Provider Name | Kelsey J Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598459125 PECOS PAC ID: 1355709502 Enrollment ID: I20230620001689 |
| Provider Name | Karuna Patibandla Murray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366421406 PECOS PAC ID: 0446241467 Enrollment ID: I20230627000997 |
| Provider Name | Abigail Lynn Kaufman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174207500 PECOS PAC ID: 1355709155 Enrollment ID: I20230627002133 |
| Provider Name | Ardy Fenando |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609362508 PECOS PAC ID: 9133522337 Enrollment ID: I20230720000781 |
| Provider Name | Jessica Ann Ecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699469452 PECOS PAC ID: 9739549841 Enrollment ID: I20230721000374 |
| Provider Name | Karim Adel Ahmed Mohamed Doughem |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407342413 PECOS PAC ID: 7719348291 Enrollment ID: I20230731003308 |
| Provider Name | Collin A Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487281952 PECOS PAC ID: 1456744556 Enrollment ID: I20230808003754 |
| Provider Name | Daniel J Sjoquist |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447789458 PECOS PAC ID: 4486915550 Enrollment ID: I20230810001305 |
| Provider Name | Judith K Wolf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790878726 PECOS PAC ID: 4284829532 Enrollment ID: I20230815000116 |
| Provider Name | Taylor Elaine Bachaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942838685 PECOS PAC ID: 5395111512 Enrollment ID: I20230816003375 |
| Provider Name | Tseun Han James Kong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689162661 PECOS PAC ID: 4587912266 Enrollment ID: I20230818003391 |
| Provider Name | Nana Sarhoak Ivy Fenny |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1689998262 PECOS PAC ID: 6305002577 Enrollment ID: I20230825003247 |
| Provider Name | Collin Ellott Bowman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1922462092 PECOS PAC ID: 3375826035 Enrollment ID: I20230829001269 |
| Provider Name | Kendra Marie Oswald Pemrich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528221595 PECOS PAC ID: 8820451008 Enrollment ID: I20230906001463 |
| Provider Name | Randi Jo Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952185563 PECOS PAC ID: 9830553684 Enrollment ID: I20230912001975 |
| Provider Name | Justin Lee Greene |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356879241 PECOS PAC ID: 1254600828 Enrollment ID: I20230914003199 |
| Provider Name | Emily Anne Uitenbroek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528844099 PECOS PAC ID: 9638533151 Enrollment ID: I20230915001933 |
| Provider Name | Jason Douglas Retzke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710156377 PECOS PAC ID: 0345425138 Enrollment ID: I20231013001567 |
| Provider Name | Jennifer M Cunningham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790771962 PECOS PAC ID: 5092794057 Enrollment ID: I20231018000451 |
| Provider Name | Laura Jayne Harnowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528750395 PECOS PAC ID: 7517313539 Enrollment ID: I20231027001088 |
| Provider Name | Francisco P Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184605339 PECOS PAC ID: 8325048341 Enrollment ID: I20231030002790 |
| Provider Name | James Alan Jackimowicz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982485595 PECOS PAC ID: 5597112136 Enrollment ID: I20231103001877 |
| Provider Name | Caitlin Quinn Barr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366930745 PECOS PAC ID: 5092052191 Enrollment ID: I20231106000941 |
| Provider Name | James Patrick Bailey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1962936245 PECOS PAC ID: 9537438619 Enrollment ID: I20231108002748 |
| Provider Name | Jena Rae Wilhelmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689453417 PECOS PAC ID: 0840647566 Enrollment ID: I20231116002942 |
| Provider Name | Cassandra Marie Gollakner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740961069 PECOS PAC ID: 7012365471 Enrollment ID: I20231122002539 |
| Provider Name | Grace K Stabenau |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568238673 PECOS PAC ID: 5193174688 Enrollment ID: I20231208002369 |
| Provider Name | Courtney Marie Quinn-scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285050161 PECOS PAC ID: 3072962455 Enrollment ID: I20231211001682 |
| Provider Name | Michael Benedict Schneider |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457399560 PECOS PAC ID: 0143294926 Enrollment ID: I20231228002239 |
| Provider Name | Margaret Elizabeth Boerst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679357784 PECOS PAC ID: 5890145064 Enrollment ID: I20231229002362 |
| Provider Name | Shondra T Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558659755 PECOS PAC ID: 9234580291 Enrollment ID: I20240104000691 |
| Provider Name | Charis N Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033980370 PECOS PAC ID: 5890148316 Enrollment ID: I20240131001642 |
| Provider Name | James M Kiely |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205911096 PECOS PAC ID: 6608061783 Enrollment ID: I20240131004093 |
| Provider Name | Carlie Marie Hendricks |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760253843 PECOS PAC ID: 8820431612 Enrollment ID: I20240208002551 |
| Provider Name | Marlo Ahn Stevens |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871239475 PECOS PAC ID: 8325481120 Enrollment ID: I20240208002881 |
| Provider Name | Vanessa Victoria Vincent |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154190858 PECOS PAC ID: 9537502208 Enrollment ID: I20240209000747 |
| Provider Name | Rylee M Petit |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548023591 PECOS PAC ID: 8628413218 Enrollment ID: I20240305004119 |
| Provider Name | Jeffrey Alfred Kepes |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1316334253 PECOS PAC ID: 1052632205 Enrollment ID: I20240306003215 |
| Provider Name | Eric Abdul |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1023379328 PECOS PAC ID: 3678919099 Enrollment ID: I20240307003304 |
| Provider Name | Elizabeth A Dubil |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1073774782 PECOS PAC ID: 2668604935 Enrollment ID: I20240313000715 |
| Provider Name | Ethan Errol Emmons |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1265416325 PECOS PAC ID: 7719157049 Enrollment ID: I20240402000481 |
| Provider Name | Joshua Michael Schnepf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407632599 PECOS PAC ID: 3678912581 Enrollment ID: I20240411002271 |
| Provider Name | Cristian Alexandru Vasiliev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003508649 PECOS PAC ID: 1557701570 Enrollment ID: I20240424002330 |
| Provider Name | Amanda Ann Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174393649 PECOS PAC ID: 8820438641 Enrollment ID: I20240426002291 |
| Provider Name | Daniel Jacob Liechti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568817716 PECOS PAC ID: 3274879200 Enrollment ID: I20240501001424 |
| Provider Name | Diljeet Kaur Singh |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1669497947 PECOS PAC ID: 7810963444 Enrollment ID: I20240517000328 |
| Provider Name | Stephanie Enner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093247421 PECOS PAC ID: 5294072815 Enrollment ID: I20240522002386 |
| Provider Name | Monica J Steigerwald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295333839 PECOS PAC ID: 8628510054 Enrollment ID: I20240612003607 |
Lakeshore Vision Centers, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 Jefferson St., Algoma, WI 54201 Phone: 920-487-2020 Fax: 920-487-5022 | |
Door County Medical Center Algoma Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 815 Jefferson St, Algoma, WI 54201 Phone: 920-487-3496 | |
Johnson Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N8434 County Rd S, Algoma, WI 54201 Phone: 920-487-5635 |